Pat, I'm wondering if sending home APNO with moms at discharge whether it is the actual ointment or a prescription is a waste of healthcare dollars anyway. How many moms would actually have a bacterial or fungal infection of the nipple within the first 24-48 hours of life, and, to my knowledge, topical steroids have not been studied for use with positional soreness. Warmly, Holly McSpadden, IBCLC Sent from my Verizon Wireless BlackBerry *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome