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How do I know my baby is attached properly?
Contents Positioning of mum & baby How baby latches onto the breast Signs of good attachment Examples of breastfeeding positions The importance of good positioning & attachment References
1 2 3 4 9 10
Position of Mother Mum needs to be comfortable either sitting or lying down.
Position of Baby In order for baby to obtain a good latch at the breast there are four main principles which need to be followed; •The baby’s head and body should be in a straight line. •The mother should hold the baby’s body close to hers. •The baby should face the breast, with his nose opposite the nipple. •The position should be sustainable for both mother and baby.
www.ameda.com
How Baby Latches Onto The Breast Mum adjusts baby’s body so it is facing hers (not turned or twisted), with feet, hips, and shoulders in a straight line, and pressed firmly against mum with no gaps.
Mum aligns baby so that baby’s nose is in line with mums nipple. Mum supports baby’s neck.
Mum lets baby’s head tilt back a bit. (Avoiding pushing on the back of baby's head.) Mum waits for the baby to open his mouth wide
Pictures; The National Child Birth Trust
Mum moves baby quickly towards the breast leading with the baby’s chin. Mum aims for baby’s bottom lip to touch the breast well away from the base of the nipple and aims the nipple towards the roof of the baby’s mouth. As baby lunges for the breast, mum gives a gentle but firm push on the back of baby’s shoulders.
Baby is now latched on to the breast.
If mum experiences pain, mum brakes the suction and takes baby off the breast by gently slipping her little finger into the corner of baby’s mouth. Pictures; The National Child Birth Trust
Signs of Good Attachment Wide open mouth If seen, more of areola visible above top lip than below bottom lip Rounded cheeks Chin indenting the breast Rapid sucks initially turning to slow deep sucks with swallows Contented baby who stays on breast No pain for the mother
Pictures; www.breastfeeding.com
Picture; www.ameda..com
Picture; www.breastfeeding.com
Examples of Common Positions for Breastfeeding
Picture; www.breastfeeding.com
Rugby hold
Cradle
Picture; www.ameda..com
Picture; www.ameda..com
Saddle Cross cradle
Lying Down
As babies mature and become more experienced feeders they may develop their own positions
Pictures; www.breastfeeding..com
Examples of Breastfeeding Positions for Twins
Picture; www.breastfeeding..com
The Importance of Good Positioning and Attachment Ensures Efficient Milk Transfer
Happy Contented Baby
Relaxed Mum
Good Positioning & Attachment
Ensures Sufficient Milk Supply
Prevents Mum Becoming Sore
References Breastfeeding Link Workers 2008 UNICEF UK Baby Friendly Initiative (2005) Audit tool to monitor breastfeeding support in the community services. Section 2 staff education. UNICEF UK. UNICEF UK Baby Friendly Initiative (2004) Workbook for three day course in breastfeeding management. UNICEF UK. The National Child Birth Trust (2002) Baby Eleanor Pictures, Breastfeeding Step by Step. NCT/Prima http://www.breastfeeding.com/helpme/helpme_images_twins.html accessed 31/10/07. http://www.breastfeeding.com/art_gallery/Mom_photos_0.html accessed 31/10/07 http://www.ameda.com/breastfeeding/started/holding_baby.aspx accessed 31/10/07