Last update: March 19, 2020
Minimal risk for breastfeeding and infant.
Dressings for moist wound-healing may contain polyurethane, polyurethane foam, silicone, hydrogel (synthetic polysaccharide), hydrocolloid (carmellose), alginate (algae polysaccharide), gelatin, collagen, pectin or activated carbon.
These dressings tend to absorb water and wound exudates (except polyurethane ones). Its components are non-toxic and are not absorbed into the systemic circulation so they cannot reach breastmilk.
Polyurethane ones are also used in scar reduction and keloid prevention.
Some have been used in the treatment of cracks and irritation of the nipple.
Hydrogel dressings on the nipple showed lesser efficacy than the application of protective shields and lanolin in one study (Brent 1998), while in another they were superior to the application of lanolin (Dodd 2003). The application of multi-purpose nipple cream had worse results than lanolin (Dennis 2012).
A Cochrane study of research with good methodology found no evidence of greater efficacy of glycerin gel dressings, lanolin with or without protective shields or multi-use nipple cream against the simple application of squeezed breastmilk (Dennis 2014) .
The application of breastmilk cured irritation and cracks of the nipple sooner than the application of lanolin (Mohammadzadeh 2005).
Dressings that contain silver compounds should not be applied over large areas or for long periods since they release silver that is absorbed and raises its plasma levels (Brouillard 2018, Choi 2018).
We do not have alternatives for Wound healing dressing, patch since it is relatively safe.
Suggestions made at e-lactancia are done by APILAM´s pediatricians and pharmacists, and are based on updated scientific publications.
It is not intended to replace the relationship you have with your doctor but to compound it.
Your contribution is essential for this service to continue to exist. We need the generosity of people like you who believe in the benefits of breastfeeding.
Thank you for helping to protect and promote breastfeeding.
e-lactancia is a resource recommended by Instituto de Salud Infantil, Grecia-Institute of Child's Health in Greece
Would you like to recommend the use of e-lactancia? Write to us at corporate mail of APILAM