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

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