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Breastfeeding Moms Breastfeeding Moms

Increasing supply and other questions???

Posted by on Feb. 15, 2013 at 4:25 PM
  • 6 Replies
6 years ago with my 1st I never was able to get him to latch, I tried everything but in our rural area couldn't find much help even at local hospitals; so I did only thing I knew to do, I pumped exclusively for 4 months before down right exhaustion kicked in...( working full time, double time for feeding because I was pumping cleaning pump then feeding baby, and stress of being a first time mom). I did about 6 weeks in turn into a milk cow and was able to freeze up a supply that lasted till son was just over 6 month, this time being older and maybe a little more relaxed I'm hoping to be able not only to breastfeed longer but also maybe not have to pump ever oz. My question is should I be taking any kind of supplement/vid to increase my supply now before baby is born (he is due May 13th)? Also any advise on getting baby to latch, educational websites I could check out ect...I really want to have that connection with this baby I didn't get to have with my 1st, also the health benefits and cost saving would all be a plus.
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by on Feb. 15, 2013 at 4:25 PM
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jjchick75
by Silver Member on Feb. 15, 2013 at 4:32 PM
1 mom liked this

Nothing you can do before baby is born. The delivery of the placenta is what triggers milk supply. Also the only way those things works is if you have a true supply problem. The only way to judge supply is diaper output. As long as baby is having plenty of diapers, they are getting plenty. Average pump output is .5oz-1.5oz combined from both breast. As far as latch the best thing you can do is not give bottles right away and find an IBCLC. But the main thing I would say is forget about what happened last time. Just like each pregnancy and baby are different, so are each breastfeeding experience. Just let it go, it is what it is and there is no reason to believe you'll have those problems again.

MusherMaggie
by Platinum Member on Feb. 15, 2013 at 6:39 PM
Kellymom.com is an excellent resource. Also, La Leche League at LLLI.org. See if there is an IBCLC(International Board Certified Lactation Consultant) in your area or at the hospital. Be cautious about someone with only "LC" after her name; she may not have had the same extensive training.
Paradys
by on Feb. 15, 2013 at 7:27 PM
Look up "how to latch" on youtube and a great book for any mom is "So That's What They're For".
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maggiemom2000
by Ruby Member on Feb. 15, 2013 at 11:40 PM

The absolute best thing you can do to get baby latching is to have baby placed onto your chest the second he is born, andn he should stay there for at least one hour. It is becoming more common for this to happen as part of normal hospital protocol, so ask if it is at your hospital, and if not, make sure that you can have that happen at your request!

http://www.llli.org/nb/nbjulaug05p142.html

How to Get Your Milk Supply Off to a Good Start

Lisa Marasco, IBCLC
Santa Maria CA USA
Diana West, IBCLC
Long Valley NJ USA
From: NEW BEGINNINGS, Vol. 22 No. 4, July-August 2005, pp. 142-147

Ideally, breastfeeding should begin as soon after birth as the baby is ready to nurse. A full-term healthy newborn's instinct to breastfeed peaks about 20 to 30 minutes after birth if he is not drowsy from drugs or anesthesia given to his mother during labor and delivery. In the first hour, babies are in a quiet, alert state, and have an innate ability to latch on and suckle effectively. Research has shown that when most newborn infants are placed immediately on the abdomen of their mothers, they will find her breast and initiate suckling in less than 50 minutes. Separating the infant from his mother during this crucial time misses this first window of opportunity. The baby may then become drowsy and lose his natural urge to find the nipple, which may result in more difficulty in the initiation of breastfeeding (Righard and Alade 1990; Widstrom et al. 1990; Wang and Wu 1994). Therefore, ensuring that the baby has every opportunity to suckle in the first hour after birth will be one of the most important things that you can do to make sure your baby will have as much milk as possible.

Even when nursing immediately after birth is possible for the mother, some babies do not seem to be able to latch on to the breast well following the delivery. This can be the result of epidural or other anesthesia given to the mother during labor. Certain types of anesthesia have been shown to diminish the infant's spontaneous breast-seeking and breastfeeding behaviors, as well as increasing body temperature and crying (Ransjo-Arvidson et al. 2001).

It is important to understand that not being able to nurse the baby right after birth certainly does not doom you to trouble. If the baby has difficulty sucking or latching on when he finally does get to breastfeeding, seek help from a lactation specialist sooner rather than later. In addition, it will be beneficial to breastfeed frequently in the early days to establish as many prolactin receptors as possible. (See box on page 144.)

If breastfeeding in the early hours after birth is not possible, the next best alternative is to hand-express or use an automatic-cycling electric pump for 10 to 20 minutes every two to three hours until the baby begins nursing. This will help to maximize prolactin receptors and minimize the impact of delayed nursing. If you are giving birth in a hospital or birthing center, an effective breast pump should be readily available, although you may need to specifically request one. A nurse, a lactation consultant, or a midwife should be able to show you how to operate it.

An environment that is pleasant, tranquil, and comforting is the best setting for meeting and bonding with your new baby. Although it may be difficult to create such a place in a hospital, feeling supported, encouraged, and peaceful enables mothers to manage any milk supply challenges they may face more calmly.

Breastfeeding after Cesarean Birth

Mothers who have cesarean births (c-sections) may find that nursing immediately after the baby is born is not possible. If the mother is given general anesthesia, she will not be alert enough to handle her baby in the first hour after birth. Even if the mother receives an epidural so that she is awake, abdominal suturing occupies a major portion of that first-hour window of time, and this may make breastfeeding during that time impractical. In addition, the infant may be sleepy and unreceptive to nursing if the mother received pain medications during labor before the surgery. Some studies also suggest that emergency cesarean births can result in delayed milk production (Dewey et al. 2003; Grajeda and Perez-Escamilla 2002; Rowe-Murray Fisher 2002; Hartmann 1987). However, frequent nursing as soon as it is possible after a cesarean birth will help minimize these obstacles if they do exist. It is also reassuring to know that many mothers who have had cesarean births have gone on to have plentiful milk supplies.

The Tremendous Value of Colostrum

It can be helpful for mothers to understand and appreciate the incredible value of colostrum, the translucent, yellow "pre-milk" that you will produce in the first few days. Colostrum, and the mature milk that follows, nourish and protect the baby much as the placenta did during pregnancy. Colostrum is low in fat and carbohydrates and high in protein, which is precisely the nutrient balance that the baby requires in the first days. Colostrum is easy to digest and contains living cells that serve to protect the newborn against bacteria, viruses, and allergens. Colostrum actually coats the intestinal lining and prevents the absorption of substances that trigger allergies. The immune factors IgG and IgA are more concentrated in colostrum than in mature milk. These factors also serve to stimulate and enhance the baby's own immune system, and research suggests the benefits may last his entire life. Furthermore, colostrum acts as an effective laxative, flushing meconium from the intestines, taking bilirubin, the substance that causes jaundice, along with it. And colostrum does not suddenly disappear when the mature milk comes in; rather, the transition to mature milk takes place over the first two weeks. That is why any milk you express during this time will usually appear more golden in color than milk expressed later on.

Some mothers do not see or are unable to express colostrum prior to the baby's birth. Mothers who still do not see any colostrum when the baby nurses and cannot manually express any in the first few postpartum days may worry that this means that they are unable to produce milk. In fact, not seeing colostrum when the baby nurses does not mean that it is not there. Colostrum is produced in very small quantities (an average total of 7.4 teaspoons (36.23 ml) per day, approximately 1.4 to 2.8 teaspoons (6.86 to 13.72 ml) per feeding) and is immediately swallowed by the baby (Hartmann 1987; Hartmann and Prosser 1984; Houston et al. 1983). While often golden in color, it can also be somewhat clear and can look like saliva, so that it may not be easy to identify. Expressing colostrum or milk can be difficult because the breast tissue may be swollen in the first few days postpartum. Expression is also a skill that takes some practice.

Colostrum is so valuable that even the tiniest bit that you are able to give to your baby will be a priceless gift to him. It truly will be worth any effort you can make to give your baby colostrum.

Rooming-In

Many hospitals offer the option of having the baby stay with his mother in her room. This is often called rooming-in. Although central nurseries that kept babies in a separate location were common in hospitals a generation ago, research has shown that there is no medical reason for healthy mothers and babies to be separated, even temporarily (Yamauchi and Yamanouchi 1990; Buranasin 1991; Oslislo and Kaminski 2000). In fact, skin-to-skin contact actually helps to stimulate prolactin, your milk-making hormone (Hurst 1997). As recommended in the 2005 policy issued by the American Academy of Pediatrics (AAP), being together is good for both of you and will allow you to begin nursing on demand as soon as possible, which is most beneficial to your milk supply.

Feed the Baby Frequently

As you know, you will need to nurse your baby as often as he is interested in feeding. At the very least, this should be every two to three hours during the day and every four to five hours at night for a total of eight to 12 feedings every 24 hours. Calculate the time between feedings from the beginning of one feeding to the beginning of the next. Most feedings usually last 20 to 40 minutes, but do not watch the clock during the feeding. When your baby is a newborn, especially during the first week, nursing sessions can sometimes seem to last so long that you barely have any time to get anything done before the next session begins. Before the mature milk comes in, some babies will nurse quite voraciously because they are hungry.

This does seem to hasten the milk coming in. Frequent feedings are normal and they are essential for stimulating the maximum number of prolactin receptors to ensure production of the greatest milk supply possible. The first month is a learning time for your new baby. During this month, he will perfect his nursing skills so that near the end of it, he will need less time to consume the same amount of milk. Keeping him near you at all times will help you to be aware of his early hunger cues (rooting, fussing, etc.) so that you can feed him without allowing him to work up into a hungry, stressful cry. Minimizing your baby's crying in this way will also be less stressful on you and the other members of your household.

Even though it can seem like it at first, you will not always spend all of your time nursing. Remember that you are recovering from giving birth at this point and you need to rest. Breastfeeding is nature's way of ensuring that you do so. The time between feedings will eventually stretch out and feedings will become more manageable. Your baby will establish more of a feeding pattern, which will make life more predictable. The patterns that he establishes, however, will be his patterns and will be appropriate to his unique emotional and physiological needs. And these patterns will change as he grows and matures.

Surround Yourself with Supportive People

This is a very sensitive time in your life. You are physically and emotionally vulnerable. The last thing you need as you begin breastfeeding is to be near anyone who undermines your efforts by expressing doubts or criticism. Breastfeeding may be the biological norm, but in our society there are still people who are not comfortable being around a breastfeeding mother and baby, and these people may be even more likely to be critical if there are any questions about your milk supply. This lack of ease with breastfeeding stems from a lack of understanding and sometimes a mistaken view of the breast as sexual. You deserve to have only positive support and encouragement now. You do not need any negativity that would undermine your confidence.

It can be difficult to distance yourself from unsupportive people during this otherwise exciting postpartum time, but remember that you have the right to structure your environment so that it is most conducive to successful breastfeeding, which is essential to the well-being of your baby. Ultimately, the needs of your baby are far more important than the opinions of others. If you have difficulty fending off critical people, ask your partner or another support person to "run interference" for you.

You may be thinking to yourself, "But what if it's my mother or my mother-in-law? How do I deal with her?" Many new grandmothers may not have had successful breastfeeding experiences themselves. Some are sad for what they missed and will do anything to help their daughters and daughters-in-law succeed where they did not. Other grandmothers may be defensive about their need or choice to use formula and may view your strong commitment to breastfeeding as a criticism of their own parenting. Do you know about your mother and mother-in-law's birth and breastfeeding experiences? Ask them about their experiences and listen to their stories. Chances are that they did not have the information, support, or technical resources that you do, not to mention societal support for breastfeeding. It helps to express compassion for the struggles they faced, and to reassure them that you know they were the best parents they knew how to be. Showing empathy and acceptance of their experiences and choices may help them be more constructive in their support of you.

Other Obligations

During the first weeks of breastfeeding, nurturing your child, breastfeeding, and caring for yourself will be your most important responsibilities. Other obligations do not matter nearly as much. If you have older children, you will certainly need to focus on them, too, but your new baby's needs and your own needs are paramount right now. Your partner or another caregiver can help you tend to your older children's basic needs during this time.

Although it is natural for your friends and family to want to visit to see the new baby and congratulate you, entertaining them can be a drain on you, and you may not feel free to nurse your baby with visitors present. Try to gently and politely discourage as many visits as possible, but for those who insist on dropping by, the best way to limit their visits is to stay in your nightgown and robe, sending a clear signal that you are convalescing and need your rest. You may want to go even one step further and receive your visitors in bed. This will usually guarantee brief visits.

Stay in Bed

For mothers who desire to do so, staying in bed for the first few days is actually one of the best things you can do to get breastfeeding off to a good start. You can bring books and magazines or even a television set into your room, have drinks and snacks near the bed, and get up only to go to the bathroom and bathe. Spending concentrated time snuggling and nursing your baby whenever he wants will ensure the greatest possible milk supply. Tell everyone it is "doctor's orders" if you feel you need justification; many doctors instruct their postpartum patients to do just this, because even though you may feel happy and exhilarated, your body has just been through a great deal of physical exertion and it needs time to recuperate. If you do not take the time to rest and recuperate now, the next few months will be much harder for you, which could impact your milk supply.

Meals and Housework

Among the obligations that you should not feel responsibility for are meals and housework. When your friends and family ask what they can do for you, request that they bring in dinner or lunch. Even if two friends bring a meal the same day, graciously accept both and freeze one. People like to feel helpful and a meal is much more valuable to a newly expanded family than another baby outfit.

Housework, especially if you have been gone a few days, can seem very compelling and yet daunting. This is not the time to resume your household chores, no matter how much they need doing or how many visitors you're likely to have. Having a tidy and clean house simply doesn't matter a fraction as much as your critical need for rest. Resist the temptation to do the housework yourself because it's easier than telling someone else how to do it. The truth is that explaining where the dishes go requires far less of your limited energy than unloading the dishwasher yourself. Remind yourself over and over again that for right now housework is not your responsibility. If it is not done, it does not reflect poorly on you at all. Only the most insensitive, unrealistic person could possibly think less of a new mother because she has a less-than-perfect house. One breastfeeding mother hit the nail on the head when she said:

Easier said than done, but—relax, ignore the house, and just nurse! Take it easy and just nurse! Forget about obligations and just nurse!

I can say this because I didn't do it and I really regret it. You have the perfect excuse to take it easy and focus just on your new little bundle and everybody understands. It makes a tremendous difference in your long-term nursing. I really wish I would have listened to this advice.

It all boils down to this: Don't expend one ounce of unnecessary energy; save all of it for nursing your baby.

Postpartum Doula Care

Many new mothers are blessed with having a partner or family member who is wonderfully supportive and quite capable of performing all of the household tasks. Even so, there is more to do than take care of the household now. You are caring for your baby, but you need special nurturing care yourself. You may also be feeling a great deal of anxiety. Having a professional postpartum doula, a woman who cares for a new mother by helping around the home and giving support and encouragement, can make all the difference. Doulas mother the mother. Some doulas help during the actual birth, but most will also help at home during the postpartum time. A doula can do household chores, help with older children, or simply focus on nurturing you. It almost does not matter what she actually does; the presence of a mature, reassuring, and non-judgmental woman will build your confidence while you focus on bonding with your new baby.

When hiring a doula, do ask about her infant care philosophies. Does she believe in demand (cue) feeding or does she favor putting babies on a schedule? Does she believe in keeping you and baby together, or does she view her responsibility as taking care of baby for you? Is she knowledgeable in breastfeeding issues? Does she refer mothers to a lactation specialist when necessary? Knowing her philosophy in advance ensures smoother sailing at home. And if any questions arise, do not hesitate to contact a breastfeeding specialist for more help—or just another viewpoint if breastfeeding is not going as well as should.

Eating, Drinking, and Sleeping Well

To have enough energy for nursing and baby care, you need nutritious meals, sufficient fluids, and a lot of sleep. Never skip a meal. In fact, try to have several nutritious snacks throughout the day in addition to regular meals. In general, the quantity and quality of your diet is more important for you than it is for your milk supply. Your body will make good milk for your baby even if your diet is less than ideal. Eating foods that you enjoy and that are good for you will nourish both your body and your soul.

Drinking properly is every bit as important as eating properly. It is important to stay hydrated by drinking to thirst. Do not, however, drink large amounts of fluids with the idea that this will increase your milk supply. It does not work that way and ingesting too much liquid can actually reduce your supply.

Water is the best fluid, although non-caffeinated teas are a good choice for their soothing properties. Fruit and citrus juice are also beneficial, and can be nutritious as well. But you need to read the labels to be sure the fruit juice you are drinking does not contain added sugar—empty unnecessary calories. Some mothers have found that drinking excessive amounts of citrus juice can cause fussiness in their babies.

It is not necessary to drink cow's milk. Some babies are sensitive to the proteins in cow's milk that may be present in their mother's milk and it is not at all essential for adults to drink milk. Mothers have sometimes been told that they must drink milk to make milk. This is not true; milk is made from the nutrients we take in from many sources, not from drinking the milk of another species. Adult cows certainly do not drink milk and are able to lactate quite sufficiently.

Next to food and water, sleep is your most critical necessity. You need as much of it as you can get. Take at least one nap a day—preferably when the baby does. The baby will be awake during portions of what would otherwise be your normal sleeping time, so you will need to make up for this lost sleep. The best way to do this is to sleep when the baby does. When the baby falls asleep for a nap during the day, it may be tempting to use that time to catch up on thank-you notes, birth announcements, housework, and phone calls. But this is precious time that can be much better spent resting. It may be hard to simply drop off to sleep—you may be on edge wondering if the baby will suddenly wake up again. But it is important to learn not to worry about that and fall asleep as quickly as possible. If the baby wakes, you will, too, and you can try to nap again later. But if baby sleeps for a long time, you will get some valuable rest.

The Low Milk Supply Balancing Act

Working to increase your milk supply while you take care of your baby and your family, not to mention yourself, can be a balancing act. The needs of your baby, your family, and yourself must be carefully juggled many times a day. Sometimes it is easy to put yourself last in this difficult equation. Try to keep in mind, though, that it is only when you are at your best that you can give your best to your family. Pushing too hard will only exhaust you. It is important to find a reasonable balance in your plan and be kind to yourself through this process. Remember to take time to fall more deeply in love with your baby, who is only little for such a short time.

maggiemom2000
by Ruby Member on Feb. 15, 2013 at 11:42 PM
1 mom liked this

maggiemom2000
by Ruby Member on Feb. 15, 2013 at 11:43 PM

https://www.breastfeeding.asn.au/bfinfo/attachment-breast

Attachment to the breast

Why attachment is important

A baby who attaches well to the breast can help prevent many breastfeeding problems. The well-attached baby causes no nipple pain and drains the breast well. This helps ensure a good milk supply so the baby grows well.

Sore, grazed or cracked nipples usually mean your baby is not attached properly and has damaged your nipples. A poorly attached baby is not usually taking enough milk. This can lead to a blocked duct or mastitis.

Breastfeeding — natural but also learned

Breastfeeding, although natural, is also a learned skill. This is especially true in modern westernised culture.

All baby mammals have natural instincts which enable them to find their mother’s breast from birth with little or no help from anyone. These instinctive behaviours include the following:

  • sticking tongue out
  • turning head from side to side
  • wriggling
  • finding and grasping the nipple
  • latching-on to the breast
  • suckling.

These instinctive behaviours are seen as early as the first 1–2 hours after birth and continue for at least 3 months after birth. So, even if a mother’s (and her baby’s) instincts are affected by drugs used in labour or by hospital policies and procedures, these instincts will be there once they are together. A mother can be sure that she doesn’t have to know it all and that her baby is born hardwired to breastfeed.

Baby led attachment

‘Baby-led attachment’ (BLA) is often the term used to describe the process of a baby seeking out his mother’s breast. BLA offers your baby the most natural introduction to breastfeeding. It is particularly helpful for babies who are reluctant starters. Here is a step-by-step guide to BLA. 

bla1_1.jpgbla2_1.jpg    bla3_1.jpg

Start with a calm baby. A calm baby is more likely to be able to follow through on his instincts than a baby who is upset. His tongue will be down and forward which is where it needs to be to help achieve good attachment to the breast.

Get to know your baby’s feeding cues. Crying is a late feeding cue so it is important to recognise earlier feeding cues such as:

  • turning head from side to side
  • sticking tongue out
  • wriggling
  • hands to mouth.

If a baby is upset, try the following to calm your baby:

  • skin-to-skin contact
  • stroking your baby’s back in one direction
  • talking to your baby
  • gentle rocking movements
  • letting him suck on your clean finger.

Skin-to-skin contact. Some mothers find being completely skin-to-skin with their baby helpful, ie not wearing a bra and baby in just a nappy. A mother’s body can help to regulate her baby’s temperature by changing her own chest temperature. Skin-to-skin contact also helps to regulate a baby’s blood sugar levels and breathing and stabilise his heart rate. However, skin-to-skin is not essential at feeding time if the mother feels more comfortable with both of them lightly dressed, as long as the breast is available to the baby.

Positioning. A mother can hold her baby to her body in the way that feels right for her. Many mothers choose to hold their baby upright on their chest and between their breasts. Many mothers also find that a semi-reclined position works well. In a semi-reclined position, it is easier for a baby to make his own way to his mother’s breasts, gently supported by his mother. It can also help to minimise nipple trauma, as it reduces the drag on a mother’s nipple that may occur when a mother is sitting upright.

When your baby is ready to feed, he will start to lift and bob his head around. Some babies will bob their way down to a breast, others will gently glide towards a breast while others will quite dramatically throw themselves towards a breast. All these movements have a definite purpose — to find the breast!

As your baby moves closer to your breast and nuzzles towards your nipple, he may bring his hand(s) to his mouth and begin to feel around with his fists and move his head from side to side. Don’t worry if he sucks his fist. He will soon figure out that is not the breast. Some babies will suck their fist to calm themselves. It’s all part of the process. Don’t hurry him. Let him do it in his own time.

When your baby finds your breast, he will bring his tongue forward and may lick at the breast. He may press into your breast with his fists and may even move his feet up and down to rub the top of your womb (for the very early feeds), this helps to get the hormone oxytocin to be released which helps to get your breastmilk flowing).

When your baby finds just the right spot, he will dig his chin into your breast, reach up with an open mouth, attach to your breast and begin sucking. Let your baby lead the way as much as possible. However, if not in a reclining position, some mothers find it helpful to pull their baby’s bottom closer in to their body, or to provide some firm support to their baby’s neck or shoulders while avoiding pressure on their baby’s head. In a reclining position, gravity will act on the baby’s body, making these actions by the mother unnecessary. A baby needs to have his head free to be able to position his head to latch on effectively.

A baby who has had many chances to seek out his mother’s breast using his instincts usually quickly becomes skilful at breastfeeding, no matter the position his mother chooses. After all, it is only the baby who can open his mouth wide, attach and begin suckling.

The cross-cradle hold

When you have visitors or are out in public, you may like to use the cross-cradle or cradle hold (see photo below). Many of the points listed below apply to any way you feed your baby. Remember, there is no one right way for every mother and baby. The right way is what works for you and your baby.

Steps to attach your baby in the cross-cradle hold

  • Sit comfortably with your back and feet supported.
  • Unwrap your baby and hold him close, along your forearm.
  • Support your baby's neck and shoulder blade with your hand, so that your baby is able to move his head into the right position to attach well. Don’t hold his head.
  • Turn him onto his side with his chest towards you, head tilted slightly back, at the same level as your breast. His nose will be level with your nipple.
  • Tuck your baby’s feet around your side and his lower arm near your waist.
  • Gently brush your baby's mouth with the underside of your areola. Your baby should open his mouth wide when you do this. You may find holding your breast like you would a sandwich allows him to take in more of your breast and makes it easier for him to attach. When your baby opens his mouth wide and his tongue comes forward over his lower gum, bring him quickly to the breast with your nipple aimed at the roof of his mouth. His first point of contact will be his lower jaw or chin, on your areola well down from the nipple.
  • As his mouth closes over the breast he should take in a large mouthful of breast.
  • If you are engorged, expressing to soften around the areola may allow him to attach more easily.

To check that baby is attached well, look for these signs:

  • Chin is pressed into the breast and nose is clear or only just touching the breast.
  • Lips are flanged out, not sucked in.
  • Tongue is forward over the lower gum (may be difficult to see — don’t pull him away to check or you might detach him).
  • Your baby has much of the areola in his mouth, more so on the 'chin side'.
  • There is no pain (new mums may feel a stretching sensation as the nipple adjusts to being drawn out).
  • You may notice your baby's whole jaw moving as he sucks and even his ears wiggling. He should not be sucking in air or slipping off the breast. His cheeks should not hollow as he sucks.

Other breastfeeding positions

Cradle hold

Amanda%20Radovic%20AP0_0187.jpg

Underarm (football) hold

Amanda%20Radovic%20AP0_0468.jpg

Lying down

Amanda%20Radovic%20AP0_0113.jpg

If it hurts

  • Take your baby off the breast. Insert a clean little finger in the corner of his mouth to break the suction.
  • Nipples that are creased, ridged or squashed, blistered, cracked or bleeding mean the baby is not properly attached. He does not have the nipple far enough back in his mouth and it is being squashed against his hard palate.
  • Wait for the baby to open his mouth wide and then reattach.
  • Sometimes a small change in the baby's position can help. For example, hugging the lower half of your baby’s body in, as this helps to allow your baby’s chin to further press into your breast. Ensure that there is no bunched clothing between you or your baby’s arm is getting in the way.
  • Chest to chest and chin to breast is a quick way of describing good positioning. His whole body should be very close to yours, like you are ‘wearing’ him.
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