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Subject:
From:
Gwen Moody <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 23 Dec 2009 10:43:56 +1100
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One other point with ice is that sometimes the babies do not like cold
nipples!
Gwen

Gwen Moody
CNC Postnatal Care
Westmead Hospital
PO Box 533 Wentworthville 2145
Phone: 02 9845 6964, 0422212774
Fax: 02 9845 8340
Page: 02 9845 5555 - 01135
email: [log in to unmask]

>>> [log in to unmask] 23/12/2009 9:30:28 am >>>
Kathleen,

1) Salt water soaks:

Baby issues:  It would be important to rinse off the sodium chloride
(NaCl -
common salt) with clear water before the baby next attaches to the
breast,
to avoid NaCl consumption by the baby.  I guess rinsing would also
settle
the iodine question as regards the baby.  (Anyone have a definitive
answer?)

Maternal issues:  I do not know if iodine in iodised salt, in the
solution
used, would be significantly absorbed through the mother's skin.
Research
in Australia has shown that a large proportion of women of childbearing
age
are deficient in iodine.  So absorption of small amounts would seem to
be a
theoretical advantage.  There was a paper on iodine deficiency in
Australia
by Professor Eastman at a conference of the New South Wales Lactation
College two years ago.

2) Ice on nipples:

I used to use it for slightly numbing the nipple (giving the mother
more
confidence for latching), and the baby's mouth would quickly warm the
nipple
and restore normal sensation.  However, the main obstacle is whether
the
mother has a history of Raynaud's-like nipple vasospasm, in which case
applying cold could create excruciating pain.  There are usually better
ways
than using ice.

I'm sure other Lactnetters will have opinions to contribute.

Virginia

In steamy, hot Brisbane, Queensland.



On Tue, 22 Dec 2009 Kathleen Bruce wrote:



I have a question re: two techniques that people use for soreness on
nipples/breasts.



If one is going to advise a mom to use salt water soaks, does it matter
if
the salt is iodized, or not? I have been recommending sea salt, 1/4 tsp
to
one cup of water, boiled and cooled.  I thought iodine was an issue.
Also,
the soaking process should not be lengthy, only a few minutes,...is
this
correct?




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