Dear all,
Totally agree with all postings regarding hind milk being best treatment for cracked nipples and that major cause is incorrect attachment. However there can be other causes such as thrush or dermatitis that can also cause sore painful nipples and sometimes a cream may be needed for healing. I personally see no problem in prescribing creams provided clear written instructions are given. On occasions I see lactating mothers with severely cracked nipples that have not responded to healing with hind milk and who have seen lactation consultants re attachment. Sometimes due to sensitive skin the tissue can be slow to heal. In these instances I make an ointment using a base of pure vitamin E cream (available from Mediherb in Warwick QLD) that contains no petroleum products. To this I add calendula and golden seal tincture and a teaspoonful of comfrey cream (also available from Mediherb) and a few drops of rescue remedy. Generally I use 3 parts vitamin E to 1 part herbs. I blend this together in a sterile container and dispense into a 50g jar. This can be applied between feeds and washed off before baby feeds again. Complete healing usually occurs within 3 - 7 days. Calendula is antiseptic, golden seal is antimicrobial and antibacterial. Both have a high betacarotene content which assists tissue healing. Comfrey is a rapid tissue healer because it is a cell proliferent. It is definitely not recommended for internal use so I stress the importance of washing off the cream before baby feeds and to always wash hands before dipping into the container or to use a sterile applicator. I am aware that the use of creams is not within recommended guidelines but when other methods fail this formula is brilliant. The vitamin E will also assist healing.  I remember one mother who breastfed 4 young children in succession who had a cracked nipple for years (the endurance of women never ceases to amaze me) and she rang me to say the cream healed her breast within 5 days. I would not advise the use of over-the-counter calenda ointments etc because they are often in a petroleum base.
Deborah Cooper ND.;Dip Herb Med;Dip.Rem.Mass
Author/Naturopath/Herbalist/Nutrition/Massage/Birth Support

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