Robin,

Has anyone ever cultured the wounds? I had one mom with a similar problem, whom I referred for culture. When the culture was negative, we used homeopathy to heal the wounds. I would also suggest the homeopathic cell salts calc fluor and Bioplasma, taking both 4X per day. If candida is a contributing factor, then the biotin is usually very helpful. I would look closely at her diet as well. Moms with such wounds may be in a chronic pro-inflamatory state. Also, what are her vitamin D levels? If she does not know, she can begin supplementing and then have them checked in a few weeks. Vitamin D is essential for proper wound healing. You can also suggest she use calendula succus topically for healing, but honestly, I am guessing that this may be largely nutritional. 


Jennifer Tow, IBCLC, CT, USA
Intuitive Parenting Network, LLC



Date:    Wed, 21 Apr 2010 23:15:26 -0400
From:    - Robin Kaplan <[log in to unmask]>
Subject: nipples that won't heal

Permission to post....

I have a client whose baby is 12 days old.  This is her 3rd child.  With her 
first two kids, she exclusively pumped for 7 months b/c her babies wouldn't 
latch (now realize that they were tongue-tied.)  However, the persistent problem 
was that her nipples would not heal for the entire 7 months that she pumped.  
She used APNO cream, lanolin, diflucan, and saw a dermatologist, but to no 
avail.  

Now, with her 3rd baby, she was cracked within 10 hours after birth.  The baby's 
tongue was clipped at DOL3 and she started CST at DOL4.  The baby's suck is 
improving, but her nipples are a mess.  Both are cracked in several places.  The 
tips are raw and bloody.  She has tried coconut oil and lanolin.  She is not 
anemic.  Last week I recommended biotin (15mg) and zinc (60mg) per day, but she 
just purchased it today.  I also got her larger flanges for her pump, which she 
is using at the lowest suction setting.  Baby is feeding with a nipple shield.  
I cannot figure out why her nipples won't heal.  She is in terrible pain, but is 
very dedicated to breastfeeding.  What am I missing?  What other remedies could 
she try?

Thank you!

Robin Kaplan, M.Ed, IBCLC
San Diego Breastfeeding Center, LLC
www.sdbfc.com










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