Last update May 25, 2022
Very Low Risk
Dressings for moist wound-healing may contain polyurethane, polyurethane foam, glycerin, silicone, hydrogel (synthetic polysaccharide), surfactant, hydrocolloid (carmellose), alginate (algae polysaccharide), gelatin, collagen, pectin or activated carbon. These dressings tend to absorb water and wound exudates (except polyurethane ones). Polyurethane ones are also used in scar reduction and keloid prevention.
Its components are non-toxic and are not absorbed into the systemic circulation so they cannot reach breastmilk.
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). In another study, highly purified anhydrous lanolin was found to be more effective than expressed breast milk. (Abou 2011)
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 Activated carbon, charcoal dressing, cloth since it is relatively safe.
Suggestions made at e-lactancia are done by APILAM team of health professionals, and are based on updated scientific publications. It is not intended to replace the relationship you have with your doctor but to compound it. The pharmaceutical industry contraindicates breastfeeding, mistakenly and without scientific reasons, in most of the drug data sheets.
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