I understood that this type of nipple cream was meant to be used to 
promote 'moist wound healing', NOT to treat pain or anything else.

I do suggest to mothers with damaged nipples to use what they have, or 
better, to use the APNO.  I do know that moms with 'tender nipples' use it 
anyway, even if their tissue is not compromised, but I have not ever come 
across a sitation in which a cream of this sort 'made things worse'.  But, 
maybe I have just not seen those cases, or maybe I am just helping them 
refine the latch and then they stop using the cream before it is made worse?

Human nature dictates that we MUST do *something*.  If a breastfeeding 
mother feels proactive and therefore better about putting baby to the breast 
by using such a cream, I see no harm in it, and therefore I leave well enough 
alone.

But!  I know the risk is for all the women out there who run to the drugstore 
to buy these products, when really they need to speak to an LC to help them 
with what is actually going *wrong*.  Maybe the ads should change and we 
should lobby the manufacturers to include a statement on the box/instructions 
that says something like:  "This product cannot fix breastfeeding difficulties 
nor can it reduce nipple pain; it should not be used in place of a consultation 
with an IBCLC" or something like that.

Blessings.

Karyn-grace Clarke, IBCLC, LLLL
Principal Reasercher, "Eliminating the Barriers"
Gulf Islands, BC, Canada

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