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Subject:
From:
Lynn Shea <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 3 Oct 2000 12:43:15 EDT
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In a message dated 10/2/00 8:06:22 PM, [log in to unmask]  Barbara
Wilson Clay writes:   >>if I had a cut on my finger and let
someone suck on that broken skin, I'd definately wash afterwards due to the
fact that the mouth harbors many bacteria/fungii, and viruses.<<
and
<<  I don't see how one can argue
against the first aid of wound cleansing  when the wound occurs on the
nipples. >>
Hi Barbara etal, I don't disagree with your thoughts on wound cleansing as
you described and like the saline soak idea, I just don't think that you can
create an analogy between washing a cut after sucking on it with washing a
cut nipple after breastfeeding. If the analogy were fair than of course we
would have been washing cracked nipples all along. From my understanding, our
reluctance to adopt the obvious has stemmed from the desire to preserve the
protective benefits of the breastmilk in terms of achieving optimal skin
integrity. In other words, how do we help the nipple to receive the
antiviral, bacterial and emollient properties (and maybe some other good
things we don't know about!) of the breast milk in as aseptic environment as
is NECESSARY for a nipple to heal?
A related thought/question that I have pondered for some time-Has anyone ever
noticed that a nipple with obvious trauma can appear to have healed
tremendously after nursing a properly latched baby just one time? I have
found this to be true on multiple occassions and am always amazed by it,
anybody else??
Lynn Shea Rn,Bsn,Ibclc
Franklin, Massachusetts

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