Dear LACTNET Listmates,
I too have advised mothers to use a "mild soap" without really analyzing
what is in the ingredient list, so, thank you Jennifer for enlightening me.
If we wash other skin wounds, like scrapes and small cuts with soap and
water, how is gently washing the nipple once daily much different from that? I
think back to my Visiting Nurse experience caring for wounds where we
encouraged patients to shower before we did wound care, and there was soap
involved, to be sure. I know I have seen some research on nipple wound care
that is listed on the "Sore Nipples and Nipple Trauma Algorithm" from Nancy
Morhbacher and Ameda, but don't have it in front of me at the moment. Also
Kellymom.com talks about cleaning nipple wounds once daily with a "Non
antibacterial or non perfumed soap." Most mothers in my area are going to try to
heal nipple wounds with lanolin ointment. Some of them will go to a LC for
assistance with latching. Posterior tongue tie is not generally recognized
as a problem around here. Sometimes, anterior TTs are also discounted.
Besides helping mothers to get a deep latch, how do we best help mothers
who are not going to try coconut oil, or APNO, or other topical treatments,
or consult a tongue tie specialist if the LC thinks that decreased tongue
mobility is occurring? Mothers seem to want to do "something" that will help
get rid of the pain, and they will very often turn to the pump and bottle
feeding EBM which we have been discussing at length.
I would love to hear your collective wisdom on this.
Mary-Jane Sackett, RN, IBCLC, RLC
Pittsfield, MA
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