There has been an interesting thread on the use of various nipple creams/ointments:  whether their use is evidence-based; whether an IBCLC needs a study first before recommending a course of care; whether one should be recommending a product from a company whose marketing practices are questionable.
 
So let's go back to the mythical doe-eyed mom.
 
What are you recommending to the mom who presents with *no* nipple injury (or maybe only redness/no skin trauma) -- or she talks about "craving" something to put on her nipples?  I sometimes get this question in the pre-natal BF class:  I sympathize with those moms; I had very itchy nipples while pregnant.
 
I usually suggest that mom rub around the drops of colostrum or breastmilk that remain on the nipples after a feeding.  But I will also admit:  I have recommended the use of some of the aforementioned (ooh! big legal word!) nipple creams, telling moms it is a "can't hurt might help" option.
 
Remember now -- I am not talking about *injured* nipples, and I am not talking about recommending a cream to *fix* an injury.  I asking about what you'd reocmmend to the mother who wants to put something on her nipples, for whatever reason.  What is OK, given the fact this is Baby's dinner plate?
 
Liz Brooks, JD, IBCLCWyndmoor, PA, USA
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