I've never seen it used in the NY hospitals I've worked at for
breastfeeding, BUT one of the OBs in NYC did use it on cesarean
incisions (after he'd sutured the skin, before the telfa and pressure
dressing).  Boy, that smell will wake you up after a long night shift!
 I can't imagine successfully breastfeeding when babies have such a
great sense of smell.

Cheers,
Michelle

On Wed, Mar 10, 2010 at 4:14 PM, Rachel Myr <[log in to unmask]> wrote:
> While I am unaware of any evidence for its safety or efficacy, I can tell you that we have this substance in a glass jar in a cupboard in the milk kitchen on my ward and women are still having it daubed on their cracked nipples, with accompanying instructions that vary from "refrain from breastfeeding for 12 hours" (brilliant idea when this is done on day 3 or 4) to "carry on breastfeeding once it has dried" (if you can get the baby to accept the breast with it on, though after it has dried it is like varnish and about as easy to remove, and NO we don't use belt sanders on nipples here).  I was always in the keep on BF camp, because the stuff acted like liquid skin and seemed to allow continued feeding even when there was awful nipple trauma. But there were always a fair number of babies who seemed to really dislike the smell and declined to even try a taste.  Doh!

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