Lactation Station
Sore Nipple Care
When a mother initiates breastfeeding for the first time with their newborn, the mother may experience sore nipples. Educating the mother on different treatment options available can help ease the discomfort. The nurse can educate the mother on hand expression and applying the expressed colostrum/milk to nipples as a natural way to heal the sore nipple. Purelan Lanolin Cream, hydrogel pads, and soft shells can be used for sore nipples.
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Purelan Lanolin Cream
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When to Use
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For sore, dry or cracked nipples
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To soothe nipples while using a breast pump
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How to Use
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Apply a pea size amount after feeds
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Re-apply throughout the day between feeds for comfort
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No need to wash or remove prior to a feed
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100% natural
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Safe for infant
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(Medela, 2022a)​
Figure 1. Purelan lanolin cream, GSH. (own photo)​
Tender Care Hydrogel Pads
Figure 2. Tender care hydrogel pads, GSH. (own photo)​
(Medela, 2022b)
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When to Use
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Evidence of nipple damage, redness, soreness, blisters, compression stripes
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How to Use
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Apply one gel pad to each nipple
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Prior to breastfeeding session wash nipple with washcloth and warm water
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Care of Gel Pads​
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Wash pads between use with dish soap and warm water
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Store in a plastic sealed bag to retain freshness
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Replace pads after 24 hours
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Reuse of same gel pads beyond 24 hours can lead to a breast infection
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Recommendation
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If using gel pads beyond 5 days, seek Lactation Consultant consult
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Advocate Aurora Good Shepherd Hospital's Lactation Consultants are available for outpatient follow-up; encourage mothers to seek approval by insurance carrier
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(Medela, 2020b)​
Figure 1. Nipple Shells, GSH, 2022 (own photo)
For Sore Nipples
(Medela, 2022f)
Soft Shells
When to use:
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For sore or reddened nipples​
How to Use:​
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Apply shells to breast between feedings​
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To hold shells in place, mother must wear a bra
Where to locate:​
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In Postpartum Supply Room on the lactation cart
Caution:
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Do not use if open wounds, blisters, cracks or abrasions are present
References
Medela. (2022a). Breast care: Purelan-lanolin cream. https://www.medela.com/breastfeeding/products/breast-care/purelan