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Date: | Tue, 29 Jan 2008 08:01:55 -0500 |
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Dear all:
Now I'm going to have to dig through all those handouts from conferences. Yes, someone
presented evidence on using mild diluted soap to cleanse wounds many years ago at a
conference in Manhattan. I remember that the speaker had actually gone back to the
ORIGINAL studies that supposedly said never use soap and those studies referred ONLY
TO INTACT SKIN. I was fortunate to be sitting near our local breastfeeding medicine
specialist who dealt with my incredulity as effectively as she had when I first heard of the
radical notion that you should completely drain the breasts of a woman with oversupply,
then do block feeding for the rest of the day. She convinced me. I think that was five
years ago.
Anytime you have a wound, you cleanse it gently to prevent infection. Why should
nipples be different? Perhaps it is the nasty hospital infections that we have in the US
now that have made some of us pay more attention to this issue. I have seen too many
cases when moms have told me that the nurses and doctors did NOT wash their hands
before touching their cracked nipples or C-section incisions. They feel too embarrassed
to ask these health care practitioners to actually wash. And all the studies I have read
show that vigorous hand washing does as good or better than any other product you can
rub on your hands. Even those products require the rubbing part, which I don't see many
people doing. Quite frankly, my biggest fear should I ever have the misfortune to end up
in a hospital would be getting an infection.
After you've seen a few cases of nipples fulminating with a bad staph infection with the
skin literally rotting off, you might actually start considering that proper hand washing
might have prevented that infection and a gentle wash with a mild soap when it was
getting started might have stopped it from getting worse!
Best, Susan Burger
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