A textbook of obstetrics . 93. Ringel, Ueber den Keimgehalt der Frauenmilch, Milnchen. , 1894, No. 27. AXOMALIES IX MILK SECRETIOX. OS 5 and blood, as in the caked bn They may then take an active part in the development of a mammary abscess, by attack-ing the epithelial cells of the milk-du stroying them, andinvading the surrounding connective tissue. Sore Nipples.—Kxcoriations and fissures of the nipples aredue to the maceration and irritation to which they are subjectedby the childs gums and mouth. Mammary abscess not infre-quently results from the entrance of streptococci or
A textbook of obstetrics . 93. Ringel, Ueber den Keimgehalt der Frauenmilch, Milnchen. , 1894, No. 27. AXOMALIES IX MILK SECRETIOX. OS 5 and blood, as in the caked bn They may then take an active part in the development of a mammary abscess, by attack-ing the epithelial cells of the milk-du stroying them, andinvading the surrounding connective tissue. Sore Nipples.—Kxcoriations and fissures of the nipples aredue to the maceration and irritation to which they are subjectedby the childs gums and mouth. Mammary abscess not infre-quently results from the entrance of streptococci or of other in-fectious bacteria through these fissure-. Prophylactic Treatment.—During the latter months of :nancy the nipple should be washed twice a day, and should thenbe touched with a piece of clean absorbent cotton, saturated witha mixture of glycerol of tannin and water, equal parts. Alco-holic astringents should be avoided. It is necessary, of course,to keep the nipple clean during lactation, and to keep the skin. Fig. _:v —. . Fi|j . : —Xipple-shield. in a healthy condition by frequent applications of sweet-oil, untilthe nipple becomes accustomed to its functions. Curative Treatment.—The nipple should be carefully cleansedr each nursing, and one of the following remedies should beapplied to it : An ointment composed of 5ij each of bismuthsubnit. and castor oil ; tinct benzoin comp., applied directly tothe fissure. Iodoform, gr. x. to ung. zinci oxidi, sss ; ichthyol, 5j ;lanolin, glycerin, each 5iss : olive oil, giiss. The fissure may betouched with a solution of nitrate of silver (gr. x to the ounce)or with the solid stick. A nipple-shield is almost always neces-sary. It must be perfectly clean, and should be kept immersin cool water while not in use. In cases of supersensitive nip-ples, without abrasions or cracks, or if the latter are slight in de-gree, extract of witch-hazel is an excellent remedy. ( Occasionallythe nipples are so exquisitely sensit
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