"Bepanten" and "Purelan" - comparison of products and which is better

With the birth of a child, a woman’s life changes dramatically. Every day a young mother faces challenges that she had never thought about before. It is rarely possible to avoid such a problem as diaper rash in a child. And if a woman is breastfeeding, then most likely she will have to deal with cracked nipples sooner or later.

The most famous and effective remedies today that will help cope with these troubles are “Bepanten” and “Purelan”. But which of these drugs is better to choose and when?

Brief characteristics of the drug "Bepanten"

"Bepanten" is a product that promotes tissue regeneration, that is, it accelerates the healing of skin damage. The active ingredient is dexpanthenol .

Indications for use are:

• Diaper rash and diaper dermatitis in infants.
• Abrasions, minor wounds, burns.
• Cracked nipples in nursing mothers.
• Dry skin (including due to various dermatitis).
• Use as a hand and face skin care product.

Lecture No. 3 Getting ready for childbirth or how to pack an “emergency suitcase”

Everyone knows that it is necessary to prepare for childbirth in advance.

A bag with the necessary contents should be collected at about 36 weeks of pregnancy in case of unforeseen circumstances, including premature birth, the frequency of which reaches 10%.

The main reason for the need to pack a bag in advance is the individual needs of each pregnant and postpartum woman, which often does not allow entrusting the function of collecting things to relatives who do not understand this difficult issue.

As a result, if things are purchased in a hurry after the birth of the baby, the young mother experiences great inconvenience, not having such necessary hygiene items at hand.

We roughly divide the entire list of things into three categories:

• what to take a mother to the maternity hospital;
• what to take your baby to the maternity hospital;
• and those that will be useful to both.

According to sanitary norms and rules (SanPiN), cloth, leather, wicker or fabric bags, which can become a source of spread of pathogenic bacteria, are not allowed for use in the maternity hospital. Therefore, all items must be packed in plastic bags or bags. For the convenience of the expectant mother, it is ideal if the bag is transparent, since in such a container the location of the item is clearly visible, which means it is easier to find. As a rule, the presence of a large number of bags in the maternity ward is not welcome, and it is easier for a woman in labor when there is only one bag.

List of essential things

1. documents: passport, policy, exchange card, birth certificate, in the absence of a compulsory medical insurance policy, an agreement with the Vanino Central Regional Hospital, pocket money; Comment: if without a passport, insurance policy, certificate you will still be admitted to the maternity hospital, and you can then bring the documents, then without an exchange card you will be transferred to the observation department as an unexamined pregnant woman. Hence the conclusion - you should always have an exchange card with you (even at work).
2. washable slippers (SanPiN requirement);
3. Optional: nightgown 2-3 pcs.; Comment: The nightgown is comfortable with a cut that allows easy access to the breasts.
4. If desired, a robe; Comment: wearing a gown is required by SanPiN in the corridors of the institution; Before entering the treatment room, the postpartum ward, or the children's department, the robe must be removed and hung on the hanger provided.
5. toothpaste, toothbrush;
6. comb, hair clips;
7. toilet paper;
8. towels (1 small for washing, 1 large for bathing);
9. soap (can be liquid);
10. bottle of water 0.5 l without gas - 2-3 pcs.; Comment: You can’t eat during labor, but you definitely need to drink.
11. socks;
12. disposable shaving machine - 1 pc.; Comment: In most cases, it is recommended to shave at home yourself.
13. mobile phone, charger;
14. large postpartum pads on a natural basis - 2 packs; Comment: pads are useful not only after childbirth, but also during the process after the amniotic fluid has broken. It is necessary to have at least one package of large pads to ensure high absorbency - extra or super sizes. cotton panties. disposable mesh postpartum panties - 5 pcs.; Comment: mesh panties are very comfortable in the postpartum period as they allow the skin of the perineum to “breathe”, which promotes faster healing of injuries, including the perineal incision. Hartmann briefs are made in the form of high-waisted shorts, which allows them to be worn with greater comfort even after a caesarean section.
15. hygienic lipstick; Comment: Hygienic lipstick prevents chapped lips after childbirth.
16. disposable diapers - 5 pcs. Comment: Disposable oilcloth diapers can be used to lay on the couch before the obstetrician's examination, or to lay on the bed in the postpartum ward to protect the bed linen from contamination. They can also be used for the baby during an “air bath” or examination by a pediatric neonatologist. Recommended sizes are 60X60 and 60X90 cm.
17. shampoo, washcloth;
18. breast pads, disposable - 1 pack. (20-30 pcs.); Comment: lactation inserts are disposable and reusable. By absorbing leaking colostrum/milk, they provide comfort to the new mother. It is more convenient to use disposable inserts in the maternity hospital. Well-known manufacturers: Bella, Helen Harper, Midinette (Two Hearts), Johnson`s baby, Sanosan, Avent, etc.
19. nursing bra - 2 pcs.; Comment: you need to choose a special nursing bra - without rough seams, without underwires, with wide straps that hold heavier breasts, with a comfortable clasp and comfortable access to the breasts (detachable cup). The bra gets dirty quickly.
20. cream/ointment for breasts for cracks (Bepanten, Purelan, etc.); Comment: deep cracks in the nipples are primarily caused by the baby’s incorrect position at the nipple and improper latching of the nipple. But the above remedies help prevent unpleasant nipple abrasions associated with increased sensitivity of the skin of this area, which is always protected by a bra. Ointments are applied to the skin of the nipple and areola after each feeding on both nipples and are not washed off before the next feeding;
21. paper napkins or handkerchiefs, cotton pads, cotton swabs - small packages;
22. women's cosmetics, mirror, unscented antiperspirant; Comment: in the first days of milk coming in, the postpartum mother experiences increased sweating, which can be corrected with an antiperspirant.
23. postpartum bandage - if necessary; Comment: a postpartum bandage, due to mechanical action, helps the uterus contract better, and after surgery it reduces pain when walking in the first 3-5 days. Long-term wearing of a bandage is not justified, since it does not improve the physical shape of the abdomen and anterior abdominal wall, removing such a necessary load from them. The bandage should not be used for more than 2 weeks after birth.
24. breast pump - if necessary;
25. disposable diapers (diapers) Newborn size (2-5 kg) packaging (30 pcs.); Comment: About 6 diapers are spent per day on caring for a newborn.
26. 5-10 reusable cloth diapers (for swaddling, bedding, wiping, etc.) Comment: it is more convenient to have both thin and thick diapers in equal proportions. If you plan to swaddle your baby, it is better to have at least one knitted diaper.
27. clothes for the baby (vests/blouses/, rompers, light onesies, socks, mittens, caps/hats/); Comment: a newborn child needs approximately one set of clothes per day (a set means a fully dressed baby), as babies sweat, spit up, etc.
28. wet wipes for wiping the butt (small pack);
29. cosmetics for baby care (powder, oil / cream/, baby soap /possibly liquid/);
30. book, literature on child care - if desired;

For discharge (stays at home until discharge):

1. kit for the baby's discharge according to the season;
2. clothes for mom's discharge.

We sincerely hope that this article will help you navigate the question of what to take to the maternity hospital and, of course, we wish you a safe and happy birth.

FOR A NEWBORN CHILD:

1. For a child: disposable diapers (diapers) Newborn size (2-5 kg) packaging;
2. wet wipes for wiping the butt (small pack);
3. cosmetics for baby care (powder, oil / cream/, baby soap /possibly liquid/);
4. breast pump with bottles and nipples - if necessary;
5. 5-10 diapers (swaddle, cover, wipe, etc.);
6. clothes for the baby (vests/blouses/, rompers, light overalls, socks, mittens, caps/hats/);
7. discharge kit.

THE MOST COMMON INDICATIONS FOR HOSPITALIZATION IN THE PREGNANCY PATHOLOGY DEPARTMENT

To enter the antenatal department, you must have good reasons in the form of severe pregnancy complications requiring inpatient treatment.

1. Preeclampsia. Accompanied by the appearance of edema, protein in the urine, and increased blood pressure. Most mild forms of gestosis require outpatient monitoring and treatment. The decision about hospitalization is made by the doctor.
2. Post-maturity. According to international recommendations, women with a gestational age of 41 weeks and 3 days are subject to hospitalization. The doctor calculates the gestational age based on ultrasound, the date of the last menstruation and using other data. If your obstetric term is shorter, you will be sent home after further examination.
3. Placental insufficiency. Hospitalization is necessary for women with severe forms of placental insufficiency, accompanied by disruption of the vital functions of the fetus. Most mild forms of placental insufficiency are subject to observation and treatment in a antenatal clinic.
4. Threatened premature birth. May be accompanied by pain in the lower abdomen, discharge from the genital tract, and shortening of the cervix. The need for hospitalization is determined by the doctor.
5. Rhesus conflict pregnancy. When anti-Rh antibodies are detected in Rh-negative women, hospital treatment is not always required. As a rule, if there are no disturbances in the vital functions of the fetus, the question of hospitalization arises at 37 weeks.

DOCUMENTS REQUIRED FOR ADMISSION TO THE MATERNITY HOSPITAL.

1. Passport with copies of the front page and registration page.
2. Insurance certificate of pension insurance with a copy.
3. Medical insurance policy with a copy.
4. Birth certificate.
5. Pregnant woman card.

The following data must be entered in the pregnant woman’s exchange card:

• gonorrhea smear (gN) - twice per pregnancy
• markers of viral hepatitis (HBsAG, HCV) - three times during pregnancy
• blood test for HIV infection (f 50) - three times during pregnancy
• blood test for syphilis (RW) - three times during pregnancy
• data on the examination of a phthisiatrician - two reconciliations for pregnancy, with the stamp and signature of the doctor

Nonresident citizens must bring, if available, temporary registration.

Foreign citizens must have (with copies):

• Passport with notarized translation of information into Russian.
• Migration card.
• Temporary registration.
• Visa.
• Compulsory medical insurance policy, pension insurance certificate.

ATTENTION! Upon discharge from the maternity hospital, the postpartum mother is given a medical certificate of birth of the child, as well as discharge summaries from the children's and postpartum departments. The pregnant woman’s exchange card remains in the archives of the maternity hospital. If you wish to save this data for home use, please make a photocopy of the card in advance.

IN THE EVENT OF DIFFICULTIES IN THE POSTPARTUM PERIOD

within 1 month after birth, patients of the maternity hospital can contact the obstetric department for advice by calling 7 86 22 (24 hours a day).

Memo for patients undergoing cesarean section. If the antenatal clinic has given you a referral to the maternity hospital for consultation about a possible cesarean section, you need to come to the emergency room on weekdays from 10 a.m. to 3 p.m. with:

• referral from the antenatal clinic,
• pregnant woman exchange card,
• all ultrasound results
• all possible consultations with specialists.

After confirming the need for surgery (remember that the doctor may send you for additional consultations with specialists to make a decision), the date of the operation will be determined for you. In most cases, a planned caesarean section is performed no earlier than the full 39 weeks to reduce the risks of having an immature baby. If you go into labor before the scheduled date, you must call an ambulance at any time of the day, and if indicated, you will undergo an emergency caesarean section. In some cases, the need for a planned caesarean section is not confirmed due to lack of indications, and then you should prepare for vaginal delivery.

ADMISSION PROCEDURE

In the absence of pregnancy complications, our patients are hospitalized in the maternity hospital on the day of the cesarean section. When you sign up for surgery, you will be informed of the date of the tests and the date of the operation. On the day of the tests, you must come to the maternity hospital at 8:00 hungry and go through the reception department to the cloakroom (you need to change your shoes into replacement ones and take off your outerwear), and then take the elevator or walk up to the 3rd floor and find the midwife's station. The midwife will take the necessary tests.

To take the tests you need to have with you:

• A bag of food (sandwiches, yogurt, etc.) to have breakfast after the test
• A jar of urine (collect in the morning before leaving for the maternity hospital)
• Documents: passport (and copies of pages with last name and registration), insurance policy (and a copy on both sides), SNILS /pension certificate/ (and a copy), birth certificate, pregnant woman’s exchange card

On the day of surgery you need to have with you:

• Documents: passport (and copies of pages with last name and registration), insurance policy (and a copy on both sides), SNILS /pension certificate/ (and a copy), birth certificate, pregnant woman’s exchange card
• Robe
• nightgown
• Washable slippers
• Toothpaste, toothbrush, soap, towel
• Comb, hair clips
• Toilet paper
• Towel
• Soap
• A 0.5 liter bottle of water without gas – 2-3 pcs. (preferably with a sports sippy cup, you can add chopped lemon to the water at home)
• Socks
• Disposable shaving machine
• Mobile phone, charger

DIET

• the day before surgery you can eat and drink without restrictions until 17:00.
• After 17:00 you can only consume liquid foods (water, tea, broth, yogurt).
• On the day of surgery, eating and drinking is prohibited.
• After the operation, eating is prohibited for 20-24 hours; you can only drink still water with lemon added.
• After this time, you can eat low-fat (chicken breast) broth without meat.
• After another 2-4 hours, you can eat 100 grams of chicken meat from the broth.
• Then after 2-4 hours you can eat 1-2 soft-boiled eggs.
• In the evening you can eat liquid mashed potatoes without milk.
• The next morning - liquid semolina porridge with a small amount of milk.
• Day and evening - crushed salted baby food in jars (for example, vegetables with meat - broccoli with veal, etc.), white crackers, chicken broth, chicken meat, soft-boiled egg, liquid mashed potatoes, liquid semolina porridge .
• On the 3rd day after the operation, you can add low-fat cottage cheese, low-fat kefir, cheese no higher than 45%, and steamed beef cutlets.
• From 4 days - the usual diet of a nursing mother.

It is advisable that relatives, if possible, provide you with home-made dietary food in the first days after surgery.

AFTER OPERATION

You will be in the intensive care unit for 3 hours after surgery. After this time, you will be transferred to the postpartum ward in a specialized post-operative ward.

The newborn baby will be in the children's department for the first 24 hours, and then together with the mother. He will be brought in for feeding for the first time some time after the mother is transferred from the intensive care ward to the postpartum ward. The young mother will be able to pick up the baby from the children's department for a shared stay as soon as she feels better and understands that she can care for the newborn herself. This usually happens one day after surgery.

On the first day after the operation, relatives should bring the patient postpartum items, including for the baby, as well as chicken broth with meat and liquid mashed potatoes without milk.

Discharge from the maternity hospital after surgery is usually carried out on the 5th day.

Brief characteristics of the drug "Purelan"

“Purelan” is a therapeutic hygiene product based on natural lanolin of animal origin . The cream is intended primarily for women who are breastfeeding. Its action is based on creating a protective barrier on the surface of the epidermis, which promotes intense hydration and softening.

Indications for use:

• Cracked nipples of nursing mothers, care for dry and sensitive nipples during breastfeeding.
• Cracked and dry skin on other parts of the body (lips, feet, palms, etc.).

Purelan cream – how to use?

The product is intended for external use only. This means that it can be applied to the surface of the skin and mucous membranes. Depending on what problem the product is used to solve, there are some application features. So, when using Purelan cream for skin cracks, it is important to thoroughly dry the skin first and stop the bleeding if the crack is new. All manipulations are carried out with clean, pre-washed hands. In general, the algorithm for using the cream can be described as follows:

1. After opening the tube, squeeze a small amount of cream onto the affected area.
2. With light movements, distribute the product over the entire surface of the lesion.
3. Allow the cream to absorb and dry, which will mean the complete completion of the procedure.

Does Purelan cream need to be washed off?

Many patients think that after using the product and applying Purelan to the skin, the cream needs to be washed off. In fact, the product is well absorbed and after a few minutes the skin becomes dry. Only a small amount of cream remains on the surface, which creates an invisible barrier for pathogenic microorganisms. It is worth noting that even before breastfeeding, pre-treated nipples are not washed: natural lanolin does not affect the baby in any way.

How are the drugs different?

“Bepanten” and “Purelan” are different in composition and mechanism of action. Only the indications for their use and the results that can be achieved using these medications are similar.

Differences in composition

Bepanten cream contains several excipients, such as beeswax and cetyl alcohol . This causes a lot of inconvenience for nursing mothers: the cream must be washed off every time before feeding, as some ingredients can harm the baby.

"Purelan" is a monocomponent drug . It is pure natural lanolin obtained from sheep's wool. Lanolin is absolutely safe for a child, so it can not be washed off when feeding.

Different mechanism of action

The active ingredient in Bepanten cream is dexpanthenol. This substance, undergoing changes, takes part in cellular metabolism, due to which it has a regenerating and softening effect.

Lanolin in Purelan cream naturally creates a protective barrier on the surface of the epidermis, helps to moisturize, soften and limit the spread of infection, but does not change itself in any way and does not participate in cellular metabolism.

Release forms and indications for use

"Bepanten" is available in two dosage forms: cream and ointment.

The cream, unlike the ointment, is more liquid and not very greasy. It is used mainly to prevent dry skin and diaper rash in babies. The drug in the form of an ointment is used to treat diaper dermatitis, minor abrasions, and cracked nipples in nursing mothers.

"Purelan" is presented in one form of release - cream. Prevention and treatment of dry nipples during breastfeeding are the main area of ​​application of the medication. Of course, it can be used to treat cracks on the lips and to moisturize the skin of the feet, but these indications are still secondary.

Difference in the structure of the product

Let us also compare subjective impressions when using these drugs. Both cream and ointment “Bepanten” are white and practically odorless. The cream has a very delicate and light texture, the ointment is a little thicker. When used, it does not leave any marks on clothes.

“Purelan,” in turn, has a very fatty and viscous structure. The color of the product is dirty yellow. Unfortunately, a substance with such a greasy texture often leaves streaks on clothes. This can be a significant disadvantage when choosing a medication, because sometimes you need to use it for a long time.

Purelan cream - composition

Before using the products, patients pay attention to the composition of Purelan cream. According to the instructions for the drug, the main and only component is ultra-purified lanolin - USP/EP. There are no artificial components, additives, or dyes. This natural composition of Purelan cream allows it to be used under any conditions, for the treatment of children and adults (cream and Purelan).

Ultra-pure lanolin is obtained by boiling sheep skins. Subsequently, special processing is carried out, which is aimed at activating the main beneficial properties of lanolin. Its structure is similar to skin lipids, which provide:

• barrier;
• tread;
• moisturizing function.

“Bepanten” or “Purelan”: what and who to choose?

It is impossible to clearly answer the question of which of the two medicines is better. Each of them is the drug of choice for certain groups of people.

When is it better to choose Bepanten?

"Bepanten" is better to choose for the prevention and treatment of diaper rash and diaper dermatitis in infants.

You can use the cream from the first days of life. This will help avoid irritation of the baby's skin under the diaper.

If problems do arise, then it is better to choose the drug in the form of an ointment. The ointment perfectly relieves inflammation and heals diaper rash.

Nursing mothers can also use Bepanten; it will relieve irritation and eliminate dryness. But when using it in this case, it is necessary to note two disadvantages:

1. Before feeding, the breasts should be washed with running water each time, since the components contained in the drug may be unsafe for the baby.
2. This ointment copes with deep and painful cracks quite slowly, but they are the ones that cause women the most discomfort.

This ointment also effectively heals minor abrasions and other minor injuries.

This medication is also suitable as an addition to the main treatment of patients with dermatitis accompanied by severe dry skin, for example, patients with atopic dermatitis.

"Bepanten" can also be used as a cosmetic product to prevent dryness and irritation of the skin of those areas of the body that are most exposed to environmental factors: the face and hands.

When is it better to choose Purelan?

In turn, “Purelan” is declared by the manufacturer as a cream against dryness and irritation of the skin of the nipples during breastfeeding. It copes with this task perfectly: it quickly eliminates even deep cracks and intensively moisturizes. In addition, it is absolutely safe for infants, it can be used constantly and does not need to be washed off before feeding.

The cream also heals cracks on any other areas of the skin very well: on the lips, palms or feet. It will help moisturize even very dry skin in just a few uses.

To summarize: both drugs are high quality and effective. However, when choosing a cream, you should take into account the features of each of them: composition, indications, texture and release form.

Medicine and healthComment

Which is better – Purelan cream or ointment?

If you turn to the reference book of medicines, you can only find cream in it. In this regard, the question as to which is better - Purelan cream or ointment, is inappropriate. The drug is available exclusively in the form of a cream in the following versions: tubes of 37 g and 7 g. In this case, the patient himself can choose the appropriate option - there are no differences in the composition of the cream. For long-term use, use a larger tube, which is the choice of nursing mothers.