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Nipple Creams and Ointments

Your best ointment is readily available and free of charge: breastmilk! Express a few drops of breastmilk onto your nipples after feeding and let them air dry before covering them. If your nipples are damaged, moist healing may help. However, studies have shown that most nipple creams and ointments are ineffective. Some creams and ointments marketed for nipple use are actually NOT suitable for this use. An appropriate ointment, though its effectivenes has not been proven, is hypoallergenic anhydrous lanolin (such as PureLan, Lansinoh). If you feel you need to apply an ointment, use only the purest available hypoallergenic anhydrous lanolin. It should be applied in very small amounts. Too much of a good thing is good for nothing... Less is better!

Creams/ointments containing any of the following ingredients are NOT appropriate for use on your nipples:

Vitamin E
Why? High toxicity for baby; seals from the outside in.

Petroleum, such as Vaseline brand products, mineral oil, baby oil, cocoa butter, Bag Balm, dimethicone, etc.
Why? Inhibits skin respiration, prevents healing and prevents absorption of essential fatty acids.

alcohol

nut oils and derivatives, such as Massé cream
Why? Potential allergens.

A&D Ointment

Oils
Why? They should be avoided, as they do not provide moisture to the wound and may actually prevent moist healing.

Tea Tree oil (melaleuca alternifolia)
Why? Toxic for babies, even in very small quantities (<5ml).

Any product that needs to be washed off before feeding the baby
Why? Washing irritates the nipples and removes its natural, protective lubrication.

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