How long was this mother using the APNO? 

I have not heard of mom having trouble with ulceration of the nipple either.  I am always very specific about the length of time that mother should use APNO.  Steroids do thin the skin.  

 I have heard of moms using APNO for a month or longer and have wondered if their skin is thinning.
 Sincerely, Rachel Wahl RN IBCLC
> Date: Sun, 6 Sep 2009 15:28:48 -0700
> From: Vicky York <[log in to unmask]>
> Subject: APNO
> 
> Has anyone ever heard of overuse of APNO (Jack Newmans all purpose nipple 
> ointment) causing an ulcer on a moms nipple. She attributes it to steroids 
> in the cream.
> 
> Vicky York, IBCLC, CPD
> Postpartum Care Services
> Portland, OR
> 
> www.vickyyorkdoula.com
> references: www.ikarma.com/user/vmyork
>
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