I've been reading a great variety of treatments you each have developed for sore
nipples.  I'm wondering if you have a protocol for them:  Is there a group of us
who is interested in developing one?
        Cause:  Abrasions due to incorrect positioning
        Treatment: Correct positioning
                Apply breast milk
                Apply Lansinoh or Pure Lan
                But - when do you go to the antibacterial or steroidal creams -
which ones?

        Cause: Thrush (visible in baby's mouth or mom's nipple)
        Treatment: 1) Gentian Violet (rarely used here)
                  2) Nystatin ointment / drops applied to mom and baby's mouth
                   3) Diflucan if no improvement in 2 - 3 days or
                        if repeat treatments are necessary or
                        if sore nipples accompanied by deep breast pain
        Cause: Uncorrected tongue-tie (we have a lot of these here)
                1) Correct positioning as much as possible
                2) Lansinoh or Pure Lan
                3) Pray she'll agree to intervention (I know that isn't a
protocol step but it is                         in mine!)

        Cause: Unknown
                Which tests to run???

Thanks!

Jeanette Panchula, BSW, LLLL, IBCLC, RN
Puerto Rico
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