Safety and effectiveness of lanolin-based cream to prevent cracked nipples in the early postpartum period

Introduction. According to WHO, 98% of women in the world are capable of full lactation, however, only 35% of infants in the world get exclusive breastfeeding for the first 6 months after birth. Wounds and ulcers of nipples are common causes that lead to 95% of women refusing to breastfeed.Aim of the study. To evaluate the efficacy and safety of the lanolin-based cream to prevent cracked nipples in women in the first 30 days after delivery.Materials and methods. The population consisted of 128 patients in the early postpartum period, randomized into 2 groups depending on the features of breastfeeding and the method of prevention of cracked nipples: Group I – 99 patients who received lanolin-based cream with individual consultation on breastfeeding; Group II – 29 patients who did not receive the cream.Examined substance – nipple cream, composition: 100% lanolin; pharmacotherapeutic group: antiseptic. The cream has keratolytic, antiseptic, wound healing effect. Method of application and dosage: externally, after each feeding (or as needed), the cream was applied to the nipple and areola, the cream does not require removal before applying to the child’s chest.Results of the study and discussion. Evaluation of efficacy and safety was carried out on the basis of clinical data, complaints, objective data and the results of cytological studies in a comparative aspect - before the cream was applied and one month after its application. Conclusions. Correction of breastfeeding disorders in combination with a cream based on 100% lanolin has reduced the frequency of clinical manifestations to zero, and most importantly, to preserve exclusive breastfeeding for patients under observation. The studied cream is harmless for the child and effective in preventing cracked nipples.