Posts Tagged ‘breast feeding’

Hot Tips on Breast Cancer

Friday, October 14th, 2011
breast cancer

Fountain at Schönbrunn Gardens Vienna, Austria

Breast cancer is the most commonly diagnosed cancer in women, aside from skin cancer.  Approximately one out of eight, or 12% of all women will develop breast cancer in the United States.  Next to lung cancer, breast cancer death rates are higher than any other cancer for women.

A new research report from the American Association of Cancer Research has revealed that breast milk may give reliable insight into a woman’s future risk of breast cancer.

Breast feeding women have been found to release abundant sloughed epithelial cells into their breast milk.  Samples can be obtained easily from both breasts painlessly.  These epithelial cells can be tested for cancer markers.  Approximately 80% of all women will give birth at some point in their lives, making these cells readily available from a majority of women for testing in determining relative risk of the developing breast cancer.  Ordinarily, in women who are not breastfeeding, would require aspiration of fluid from breast tissue which is both costly, painful and has a very low yield of cells.

The tumor marker that is being studied is the addition of certain ‘methyl groups’ onto specific genes in the DNA of these epithelial cells.  It has been noted that the addition of these methyl groups disrupts normal cell function.  Women who have increased risk of developing breast cancer have a high amount of methylation in these epithelial cells.

Also of extreme importance is the fact that the methylation of cells is possibly reversible.  This would make it highly desirable to obtain early detection and possible treatment for women that have excessive amounts of these type of cells.  Women who have excessive methylation can be followed more closely since breast cancer risk increases with age.  The possibility of developing routine breast cancer screening tests for all women after they give birth may be a real possibility for the future since trials from the University of Massachusetts at Amherst, by Dr. Arcaro have demonstrated a safe, accurate and inexpensive way of obtaining this extremely valuable information.

Beaute de Maman has recognized the importance of breast feeding to both the baby and now to mom.  Previous blogs on our website www.beautedemaman.com have discussed how breastfeeding can reduce the risk of breast cancer, ovarian cancer, osteoporosis and heart disease in women.

Beaute de Maman’s goal is to provide better and more effective high quality products to enable more women to breast-feed successfully and for longer periods of time, thus improving the health of their infants as well as their own well being.  Our nipple gel has incorporated a natural, herbal, anti-bacterial and anti-fungal herb into the product that has antiseptic and anti-inflammatory properties, with the intention of preventing mastitis.

The base of our gel is a natural, omega 3 fatty acid which has been found to be important for brain and eye development in infants.  The gel is easy to apply and can be left on the nipple until the next feeding.  Beaute de Maman’s nipple gel contains no lanolin, no animal products and is kosher certified. Our aim has always been to raise the bar on available products for pregnant and breastfeeding women.

The Most Frequently Asked Questions About Breastfeeding

Tuesday, August 31st, 2010

As an OB, my patients ask me just as  many questions about breastfeeding as they ask about pregnancy itself. I don’t mind at all because it is such an important topic. Over the years, I have scribbled many of these questions in my notebook so that I could research the most current information for new mothers eager to learn how to feed their babies the natural way.

Now, these questions are the basis for this week’s blog which is written just for you, with a completely different mindset and format than all my previous articles. Before writing however, I decided to interview the head lactation consultant, Ms. Renate Abstoss at Stamford Hospital in Connecticut, to get a second opinion and gather her responses. Ms. Abstoss sat for the first International Board Exam for Lactation Consultants in 1985 and has continuously worked in the field since that time in California, New York, Germany, Austria, Switzerland, and Connecticut. She was the first lactation consultant appointed as State Certified Teacher for Bavarian Midwifery schools.

There are probably many variations of responses to these questions so please consider this information helpful, but not absolute. I welcome any additional “pearls” from other lactation consultants or experienced moms so we can share the knowledge and promote the best nutritional health for babies everywhere.

  1. What are the most common problems that women encounter when pumping?
    Dwindling milk supply is probably the foremost problem that women encounter when pumping milk. This can be attributed to many different factors.

    1. Infrequent pumping
      A working woman should try and pump every 3 hours for 10 to 15 minutes or at least for every missed feeding.
    2. Inefficient pumping
      Pump being used may have inadequate pressure or not enough cycles per minute causing a decrease in the milk supply.
    3. Lack of breast feeding
      Even when mom is home from work, she should try and breast feed the baby to stimulate milk production. For convenience, babies may be bottle fed too frequently.
    4. Painful nipples
      This can be due to a bad pump due to excessive suction pressure, pumping for too long a period of time, or poor latch when the baby does breast feed.
    5. Fatigue and exhaustion
      The stress of taking care of a newborn along with pressure from work and home can result in exhaustion and fatigue which can decrease the milk supply.
  2. How do I increase my milk supply?
    There are several medications and herbal products available to help with increasing the milk supply. To increase an existing milk supply, one can take two herbal supplements in combination fenugreek and blessed thistle, both of which are available in health food stores and have no known contraindications.

    The two most commonly used prescription drugs are Metoclopramide and Domperidone both of which were designed as stomach medications but were found to increase prolactin production in the brain. The medication Domperidone, (Motlium) is not approved for use in the United States and the FDA has issued warnings against the use of this drug as a galactagogue because in higher dosages, when given intravenously, Domperidone it was associated with cardiac arrhythmias and cardiac arrest. However, the small dosages that are used when given orally to increase lactation (30–40 mg/day) and for the short duration of three to six weeks does not seem to be a great concern. Patients generally obtain this medication from Canadian pharmacies or from Mexico and Europe where it is over the counter. Studies are now being conducted by ILCA (International Lactation Consultant Association) regarding the safety of domperidone.

    Metoclopramide (commonly known as Reglan), used to treat severe nausea in pregnancy, has been known to have a side effect of depression so its use has to be carefully monitored in the postpartum mother. The drug can be detected in breast milk and the long term side effects to infants is unknown.

  3. How do I treat plugged milk ducts?
    Milk ducts that do not drain can cause the milk to back up resulting in a plugged milk duct. Often the the surrounding breast tissue becomes hardened and inflamed. This area can eventually become infected resulting in a mastitis requiring antibiotic therapy. Plugged ducts often occur when:

    1. Mom misses feedings
    2. Mom fails to pump frequently
    3. The breast fails to empty
    1. Nursing more frequently
    2. Changing positioning
    3. Improving the latch of the baby (sometimes a shield is necessary). A lactation consultant would be very instructive in this situation.
    • This can be a result of incorrect positioning, inadequate pressure from a pump, or restriction of milk flow from poorly fitting bras or any kind of breast trauma that damages the duct. Fatigue, stress, or failure of the baby to latch on properly can also contribute to this problem.
    • Standard Treatment consists of moist heat beforehand for approximately 5 minutes, empty breast as much as possible, cool compresses afterwards, and reduce swelling in between feedings. Massaging the duct towards the nipple may also be helpful. If the plug comes out, it may look like dried milk in a string. One should continue to nurse to fully clear the plug. Apply cold compresses via an ice pack or a plastic bag of frozen peas for approximately 15 to 20 minutes. Fresh cabbage leaves to the area is another herbal remedy that can be used in between feedings to help with engorgement. Cabbage leaves can be left in the bra for approximately one hour until it wilts. It is important to avoid the nipple area when applying the cabbage leaf because the cabbage is caustic and can cause irritation.
    • Other helpful treatments include:
  4. What do I do if the baby does not latch on?
    Latch problems can depend upon the situation causing them:

    1. It may be due to a newborn who is just learning how to latch.
      Assistance from a lactation consultant can be very helpful in making sure the baby is latched deeply with a mouth very wide to get all the breast tissue. The baby should be latched well beyond the tip of the nipple. Often latching problems occur because the baby fails to flare the bottom lip.
    2. Is it due to flat or inverted nipples?
      If the problem is due to flat or inverted nipples, a suction device, pump, or nipple shield may be used to avoid engorgement by expressing the milk. This will avoid a lowered or disappearing milk supply. Different lactation consultants and hospitals may prefer one modality over another, however all agree that care has to be taken when using any device that serious trauma or damage does not occur to the nipple.

      Once the baby is “educated” that the breast is his or her “food supply”, generally the baby will nurse fine. It is helpful to try and get beyond the first few days when only colostrum is present, until the milk comes in. Try and avoid avoid artificial nipples at the very beginning.

    3. Is the baby not hungry at this time?
    4. Is there a nursing strike?
      A “nursing strike” can occur if a well nursing baby, beyond the newborn period suddenly refuses to nurse. This can occur often after 4 months of age when a mother will state “my seven month old baby just suddenly weaned herself.” These babies are not weaning but are actually facing a situation where nursing has become unpleasant, boring, or painful. Often these infants need to be taught to return to a functional breastfeeding pattern with increased skin to skin contact, trying to nurse in a quiet, calm environment without distractions, such as nursing at night in bed. Bottles should be avoided but spoon or cup feeding with expressed milk is acceptable. If the underlying cause is treated, most babies will happily go back to their normal nursing pattern.
  5. Is the baby getting sick?
    Causes of poor latch can be an undiagnosed ear infection, a urinary tract infection, or an upper respiratory infection. Check with your pediatrician to be sure an illness is not being missed. Maternal stress can also cause this problem.

    Regardless of the problem, it is important to remove the milk as efficiently as possible if an established supply exists to avoid engorgement which will lower or cause the milk supply to disappear.

    If the baby is not latching, it is important to stimulate the establishment of milk production through use of a pump.

  6. How do I wean the baby when I have decided to transfer to a bottle?
    Weaning is the time the baby transitions away from the breast. Time frames for weaning can vary from weeks to months.

    Slow weaning is always more optimal. Some mothers will use the pump for weaning and stop breastfeeding entirely. One option for weaning would be to reduce the time per pumping, ie instead of pumping for 15 minutes, reduce it to 10 minutes. This can gradually be dropped down to 2 to 3 minutes per session. An alternative way to wean is to increase the interval between pumping sessions, ie from every 3 hours to every 4, 6 or even 8 hours. If desired, one can use ice packs after pumping for comfort. Also, Motrin can be used for anti-inflammatory pain relief. A comfortable, tight bra can also help with support and relief. Nursing pads can be used to prevent excess leakage. A recommended herbal remedy can be drinking 3 cups of sage tea which is available in health food stores. It has a strong and astringent taste so adding honey makes it more palatable. Do not use this if currently pregnant since it has abortive action.

    On occasion, sudden weaning becomes necessary. Discomfort is generally greater since the breast continues to make milk and the breast remains engorged. Nursing can be replaced with pumping but only pump the breast to allow comfort and not to completely drain. Increase time frame between pumpings.

    Three days of Sudafed can help dry up the milk production. The milk supply decreases as you feed less. The milk quality also changes becoming more salty and colostrum-like which many babies do not like. Consequently, this also helps diminish the nursing.

Choosing the Pump that’s Right for You

Monday, August 23rd, 2010

Different Kinds of PumpsLet’s face it. A breast pump is not the most romantic, or glamorous, piece of equipment ever invented. They can be bulky and uncomfortable, hard to clean and very expensive. Even worse, when lifted out of their boxes, they may seem extremely intimidating to use on something as delicate as our breasts. Personally, I would rather spend this kind of money on a cute Kate Spade purse, or a nice pair of Gucci pumps… not a breast pump!

Does a breastfeeding woman really need one of these things?

The answer is maybe…

It’s a well known fact that breast feeding has significant benefits to both mother and baby. (Breast Feeding Experts Weigh in on SIDS)(Breastfeeding Cuts Breast Cancer Risk)(Breast Feeding Can Reduce the Risk of Heart Disease) Previous blogs discussed how over 60% of the 4 million pregnant women in America are currently employed and the majority will want to return to the workforce soon after delivery. (Is Pregnancy a Disability?)( Breastfeeding and the Law) This should not be a deterrent for breastfeeding and therefore, it becomes extremely important for women to be encouraged to continue to breastfeed their newborns in a safe, efficient, and effective way while still carrying on their daily work lives. Since women are not available for demand feeding, it becomes vital to know how to use a breast pump so another caregiver can provide milk for the newborn. The blog this week will deal with the nuances of choosing the correct breast pump.

Who should use a breast pump?

Learning how to use a pump is important in the following situations:

  1. Women returning to work and not available for feeding.
  2. Premature infants lacking a good suck reflex can benefit from breast milk that is pumped making it easier for them to feed.
  3. Mom is unable to breastfeed due to sickness.
  4. Infants having difficulty removing milk from the breast due to anatomy when other techniques to correct fail (flat or inverted nipples of the mom or a facial abnormality in the infant).

How does the breast pump work?

Pumping milk from the breast has its origins from the dairy industry in the 1950”s by Einar Egnell. Pumps have been designed to simulate the sucking action of a nursing infant by mimicking both the suction pressure and the frequency of a baby’s suckling. Pumps are designed so that the amount of pressure and the cycle frequency can be regulated by the mother.

The volume of expressed milk with a breast pump is higher compared to manual expression.

Pressure

The pump has to have enough pressure to extract milk from the breast but not so high that it causes pain and skin trauma. The pump relies on the physics of a fluid moving from an area of higher pressure to an area of of lower pressure. The breast pump creates a pressure differential with negative pressure on the breast reducing the resistance to the outflow of milk from the milk ducts of the mother, which is at a higher pressure. Babies breast feed with a suction pressure of 50–220 mm Hg so the pumps are designed to suck at maximum negative pressures at about 220–250 mm Hg. Levels at less that 150 mm Hg are ineffective in emptying the breast and pressures greater than 220 mm Hg cause nipple pain which will result in the mother terminating her breast feeding.

Pumps can vary in the configuration of the flange (cup applied to the breast). The smaller the cup, the more pressure is exerted over a smaller area of space.

Frequency

The other important factor is the length of time the vacuum is applied. Babies suck at a frequency of between 40 and 126 sucks per minute and pumps are designed to mimic the breast by pumping at 40–60 cycles per minute.

How do you select the proper breast pump?

There are so many pumps available today with countless cycle and suction settings, different sizes, power sources, single vs. double set-ups and varying prices that it becomes a great enigma in choosing the right one for an individual. Important considerations in choosing a breast pump include baby’s age, mother’s work needs (full time or part time), support from the mother’s work environment, mother’s finances,and family’s health insurance. Price differences can be based on the durability of the motor, length of the manufacturers warranty, style of packaging, personal amenities, and have single or double set-ups.

Talking with a lactation consultant before you leave the hospital can help you sort through the morass of information. Many pumps are generally not refundable once used so trialing in the hospital or through a lactation consultant may be a good idea. Here are some of the factors to consider when deciding .

Price

The cost of a breast pump is approximately 1,500 dollars for a hospital grade variety to about 150–350 dollars for a personal use style. Prices will increase depending upon the accessories that are packaged with it. Pumps can also be rented for from 30 to 75 dollars per month. but mothers will need to buy all the accessories which include bottles, tubing, and breast flanges for about 50 dollars. If plans are to pump for several months, it may be more valuable to purchase one. Personal breast pumps in the long run are cheaper than formula which can run over 2,000 dollars a year.

Single vs. double pumping

Bilateral pumping is quicker and use more powerful machines with greater cycles per minute and use more pressure to express a greater amount of milk in less time.

For women that use a single pump, the breast should be switched every 5 minutes. It may take 15 to 20 minutes as opposed to 10 minutes with a double pump.

Power source

Electric pumps produce the most milk, followed by battery operated pumps and finally hand pumps. Some pumps have car adapters. For a non-working mother who does occasional pumping, a hand pump or small battery operated pump can work well. Try to make sure the pump has a one year warranty on the motor.

Other factors to consider

Noise level, ease of use and assembly, and difficulty in cleaning are also variables that must be considered when choosing a breast pump. Also ease of obtaining spare parts is a consideration.

Other accessories

Some pumps have more discreet carrying cases to make for easy transport. Also some packages contain gel or ice packs to keep the milk cool.

Different Categories of Pumps

Hand pumps
Two different types exist:

Milk can be pumped from many kinds of mothers, this one has four spigots instead of two.

Milk can be pumped from many kinds of mothers. This one has four spigots instead of two.

  1. Cylinder pump—Has a double cylinder set-up with suction created by pushing and pulling one cylinder inside the other.
    The main problem can be the gasket inside which may need replacement because of shrinkage or its inability to maintain a seal after continued use. The gasket can also harbor bacteria.
  2. Hand squeeze pump— Suction is created with a hand lever that is squeezed and released.
    The advantage is that it is portable, easy to use, quick to assemble, no need for electricity, and is inexpensive.
    The disadvantage is the difficulty in obtaining a good milk supply due to difficulty in cycling at baby’s normal suck reflex. Many have a poor suction or excessive suction. Women can also fatigue easily with continued use, especially those with wrist problems or carpal tunnel syndrome (very common in pregnancy.)

Semi-automatic pumps

These pumps can be used manually, with a battery or with an electric adapter. The motor is generally small and not meant for frequent use.

The advantage is that they are portable, lightweight, small and do not require electricity. They can be double and often come with a cooler case.

The disadvantage is that they are not meant for heavy use and are not very durable. The short battery life can be expensive. The cycle frequency slows as the battery wears down. Some can also be noisy.

Personal use electric double pumps

These are automatic, light weight, durable, portable, and double-pump with controls to regulate the pressure and frequency for comfort. They generally include chill packs and storage compartments. They are run by electricity but can have battery and adapters included.

Hospital grade rentals

These are the most powerful and effective with different control settings for suction and frequency. They are the most expensive. Physically, they are large and heavy, and not meant to be portable. Therefore, there is no carrying case and no compartments for storing milk. They run on electricity. They are designed to be multi-user and you must supply your own collection kit which generally must match the pump brand.

Are there FDA standards for breast pumps?

In the United States, there are currently no standards for breast pumps to ensure the safety and quality of the products. However, the FDA does consider personal (not industrial) pumps to be used by one person only. Unfortunately certain pumps are impossible to clean and can produce high bacterial counts making a woman more prone to infection which is a reason not to buy or share a used personal pump.

Summary:
Choosing the right breast pump depends upon the individual needs of each mother. Factors to consider include the home and work situation, the amount of use, and cost factors. The assistance of a qualified lactation consultant is indispensable in guiding a new mom in choosing what works best for each given situation.

Three Simple Rules for Storing Your Breast Milk Safely

Tuesday, August 3rd, 2010

Renate Abstoss IBCLC

Career Woman and BabyWhile life does sometimes becomes a juggling act, most of us have learned how to keep all the balls in the air. For a new mother with a job outside the home, however, the simple desire to continue breastfeeding her baby may seem impossible.

Don’t give up!

It’s a well known fact that breast feeding has significant benefits to both mother and baby. I have written several previous blogs addressing these benefits. Just last week I wrote about how 60% of the 4 million pregnant women in America are currently employed and that the majority of these new mothers will want to return to the workforce soon after delivery. This should not be a deterrent for promoting optimal infant health and therefore, it becomes extremely important for women to be encouraged to continue to breast-feed their newborns in a convenient way while still carrying on their daily work lives. Since women are not available for demand feeding, it is vital they know how to use a breast pump and how to store milk so that another caregiver can provide milk for the newborn. The blog this week will deal with the proper way to store breast milk.

What is the length of time that I can store milk?

Breast milk storage follows the rule of 3:

  1. Freshly pumped breast milk at room temperature (77 degree F or 25 degree C) should be used within 3 hours.
  2. Freshly pumped breast milk that is refrigerated (39 degree F or 4 degree C) should be covered and used within 3 days.
  3. Freshly pumped breast milk can be frozen (4 degree F or -16 degree C) for up to 3 months. (Check your home freezer for temperature—freezers may run as low as 0 degrees F and deep freezes may run at -10 degrees F.)

Can I refrigerate or freeze milk after it has been sitting out for the 3 hours?

No. One cannot follow one step after the other. The milk is at the end of its shelf life after one of the above 3 steps is followed. However, if small amounts of milk are pumped at a sitting, it is possible to put the freshly pumped milk in the refrigerator to cool and then immediately add it to frozen milk in order to obtain the accumulated 4 oz. feeding. The milk will often freeze in layers and needs to be shaken before use. Shelf life is determined by the older milk in the container. Some sources suggest using the milk for longer periods of time, but often the taste of the milk deteriorates due to breakdown of flavonoids, which may cause the baby to reject the milk. The taste deterioration occurs before the milk becomes contaminated due to elevated bacterial counts.

What guidelines should I follow for freezing milk?

Similar to the way food stock is rotated in a supermarket, the newest milk should be placed in the back of the freezer where it is colder and older milk moved to the front, as a reminder to use it first. Dates should be placed on the container. If frozen for storage in a day care center, place the baby’s name on the container. Freezing in small allotments of 2 to 4 oz. is recommended since it takes less time to defrost and less is wasted if the baby is unable to finish the feeding. Leave room at the top of the container when freezing since liquid expands when frozen.

Disposable bags with freezer ties are fine to use since they take up less refrigerator space. Less expensive generic bags are just as good as brand name bags. It is a good idea to double bag the milk to eliminate and risk of contamination due to leakage. Several smaller bags can be placed in a larger zip lock bag. Plastic or glass storage containers can also be used, but there is risk of breakage. Avoid containers that have BPA.

How do I reheat the refrigerated or frozen breast milk?

Milk that has been frozen or refrigerated can be reheated to room temperature by putting it in a cup of hot water or in a bottle warmer. Refrigerated milk may take about 5 minutes to reheat and frozen milk may take about 20 minutes. Frozen milk left in the refrigerator to thaw takes approximately 12 hours. Never microwave frozen or refrigerated breast milk. This will destroy some of the beneficial properties of the milk. In addition, microwaved milk may be unevenly heated which could be potentially dangerous to the newborn. Milk that has been defrosted may appear layered due to the fact that the fat content will rise to the top. You may want to mix the milk by shaking before feeding to the baby.

Where do I get further information on storing pumped milk?

The La Leche League has a website that reviews storage guidelines. Guidelines may vary depending upon the lactation consultant. Also, the Human Milk Banking Association of North America (HMBANA) is a non-profit organization that sets standards and operates human milk banks in Canada, Mexico, and the United States. They provide information to the medical community on the storage of human milk and also serve as a resource for both potential milk donors and recipients for mothers that are unable to provide breast milk. We must keep in mind that there are new mothers who for one reason or another are not able to breast feed (gender, medications, illness, decreased supply, adoption/surrogate birth, etc.) and want the best nutrition and immunity protection for their baby.

Renate Abstoss IBCLC
Born and educated in Austria, Renate sat for the first International Board Exam for Lactation Consultants in 1985 and has been continuously certified and worked in the field since that time. She is currently the Lactation Consultant at The Stamford Hospital, a position she has held since 1997.

Consider purchasing Beauté de Maman Nipple Gel for breastfeeding or breast-pumping mothers. Safe for baby.

Recipies for Natural Bug Repellent

Wednesday, July 21st, 2010

Dear Friends, Parents and Customers, Pregnant or Not,

Baby, it’s warm outside. If you are pregnant or traveling with a newborn and/or a breast feeding baby, please take the time to read this great information about how to make your own, natural insecticide. Exposure to insect repellents has always been a source of concern with regard to adverse outcomes to the infant because they contain the chemicals DEET (N,N-diethyl-m-toluamide) or permethrin which can cross the placenta and are considered toxic in high doses. Generally 6 to 8 % of the repellent is absorbed when applied topically to the skin.


If you want to remind yourself regarding all the reasons to remain natural against bugs, read my previous blog on pesticides here.

Mosquito Repellent Recipe
Insect Repellent with Essential Oils
Charts and information provided by Abdelkrim Amer and Heinz Mehlorn(2006)

*Many of these essential oils, although natural and herbal, are not designed to be ingested or used during the first trimester of pregnancy when all the organs of the fetus are forming. The compounds mentioned have not had any harmful effects noted in pregnancy but we recommend that pregnant women should still avoid insect infested areas and not use these essential oils on a daily basis.

If you must use a repellent with insecticide:

  1. Never spray insect repellent in an enclosed area. This might cause breathing difficulties for your baby.
  2. Never spray the repellent directly on the baby’s face. Instead, first spray the repellent on your hands and then apply to your baby’s face and exposed skin.
  3. Before trying any insect repellent for babies, apply a small patch on the baby’s arm to check if the baby’s skin is sensitive to it or not.
  4. Do not use insect repellent near the baby’s eyes, mouth and avoid applying the insect repellent on cuts.
  5. Avoid, using insect repellent on the baby’s hands as most babies have the habit of putting their hands into their mouth.
  6. Avoid applying the insect repellent on the baby’s skin more than once a day.
  7. Once you and your baby are back inside the house, wash off the insect repellent immediately with unscented soap and water.
  8. Never use insecticide on your breast or chest if you are breast feeding.

Best regards,

Dr. Michele Brown,
OBGYN and Founder of Beauté de Maman

You can purchase our nipple gel at drugstore.com

Pesticides warning. Nipple gel during breast feeding should not contain lanolin.

Monday, August 3rd, 2009

Allow me to inform you about the current state of most nipple gels on the market. Currently, most breastfeeding women are given a lanolin based product to help relieve their sore, cracked nipples. As you may know already, lanolin is an animal based product—100% cholesterol—

Contains no pesticides

Contains no pesticides

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