Barbara, you comment about the pump use in the hospital stay and the lack of
hygiene taught to moms to prevent mastitis.  I too teach the cleansing of the
wound with soapy water if necessary, though I don't recall the last time I've
had a mother with a wound in the early days of lactation if she's hired me as
her LC.  But, my question is, I have heard from many of my moms that triple
antibiotic ointment is recommended for application on the nipples when sore and
cracked.  I presume it's for the same reason; namely to prevent infection.  I
have tried to search for a reference citing the use of triple antibiotic
ointment for the management of cracked nipples in the early days of breastfeeding
and can't seem to find it.  Can anyone help?  Thanks!

Carol Chamblin, RN, MS, IBCLC
Breast 'N Baby Lactation Services, Inc.
St. Charles, IL

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