Hello. We have had a very good response from the dr.s and pharmacists in the 
past few years-with making and prescribing APNO. In fact the docs like it so 
well-some of them used it while breastfeeding their own babies- that they are 
prescribing it as a preventative for sore nipples. Our hospital pharmacists make 
it up in batches so it is readily available to moms in the hospital.  It is part of 
most docs standing orders so the nurses can give it at their discretion.  It is 
almost always recommended as a first resort over lanolin.  I usually tells moms 
to pay attention to latch and try lanolin first.

Our pharmacist is concerned that it is being over-prescribed.  He also wonders 
if it is contributing to a possible increase in thrush in babies. He realizes that 
APNO is safe, but still thinks babies should not be exposed to it unnecessarily.  
He wants the docs to slow down a little with APNO. I am to write a letter to 
the docs explaining this. 

The mothers love APNO.  Although, I will remind the docs that latch and 
positioning should be evaluated first, then try lanolin, then APNO.  Do all of 
you still use APNO after other things have been tried first?  Moms are 
encouraged to use it even if they are not complaining of any soreness.  I think 
that is going overboard.  What do you all think?  Thanks.

Christine Lichte, IBCLC

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
Mail all commands to [log in to unmask]
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or [log in to unmask])
To unsubscribe: unsubscribe lactnet or ([log in to unmask])
To reach list owners: [log in to unmask]