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HOSPITAL TRUSTED S INCE 1942™
•Yourbaby’sheadshouldbetiltedbackalittlesoshecomesintothebreastchinfirst.Herchinshouldneverbetouchingherchest(thisplaceshertongueandjawinthewrongpositionforagoodlatch).
•Ifyourbabyneedsnecksupport,makeac-shapewithyourhandbyspreadingyourthumbandforefingerapart.Supportyourbaby’sneck/headinthewebofyourhand(betweenyourthumbandforefinger)sothatherheadistiltedbackalittleasyouguidehertowardsyourbreast.
•Thesepositionsaredescribedbelowonameda.com,butkeepinmindyoumayfindyouneedtochangethemalittletoworkforyouandyourbaby.
Laid-Back Position Side-Lying Position
Football Position Cross-Cradle Position
Cradle Position
HelpingYourBabyTaketheBreast
ByPamelaK.Murphy,PhD,MS,APRN-BC,CNM,IBCLC,Directorof Education,Research&ProfessionalDevelopment,Ameda,Inc.
QUESTION:HowdoIgetofftothe beststart?ANSWER:Didyouknowthatbabiesarebornwithfeedingreflexesthatcanhelpthemgettothebreastandlatchontheirown?Infact,whenmothersandbabiesarekeptskintoskininthefirsthourortwoafterbirth,mosthealthybabiesdemonstratetheseinstinctivebehaviorsbyslowlypushingtheirwayuptothebreast,openingtheirmouths,droppingtheirtonguesandlatchingontheirownorwithjustalittleguidance.•Rightafteryourbabyisborn,letherlieskintoskin
onyourchestuntilshebreastfeedsforthefirsttime.•Keepyourbabywithyou.Sharearoomwith
yournewborn.•Learntoidentifyyourbaby’searlyhungercuesasitis
besttostartbreastfeedingwithacalm,quietandalertbaby.Someearlyhungercuesinclude:- rooting(movingherheadsidetosidewithanopen mouthwhenhercheekistouched);- sticking her tongue out- sucking on her hands
•Ifyourbabyiscrying,don’tforcehertobreastfeed.First,sootheyourbabybyholding,swaying,walkingorrockingherthentryagain.
QUESTION:Whatpositionsshould Iusetobreastfeed?ANSWER:Itmaytakesometimetofigureoutthemostcomfortable,effectivebreastfeedingpositionsforyouandyourbaby.Whatmightworkforonemomandbabymaynotworkwellforanother.Dowhatfeelsgoodforbothofyouandwheneveryoucan,breastfeedskintoskin.•Somecommonlyusedpositionsincludelaid-back,
side-lying,football,cross-cradleandcradle.•Thekeyistobringyourbabyinclosetoyourbody
andturnyourbaby’schin,chestandkneesinastraightlinesotheyarefacingyourbody.
•Placeyourbabyatthelevelofyourbreastbyusingpillowsforcomfortandsupport.
26401155-1213
QUESTION:HowdoIhelpmybaby tolatchondeeply?ANSWER:Inlaid-backpositions,gravityhelpsthenipplereachthecomfortzone.Inotherpositions,youmayneedtoworkhardertohelpyourbabylatchdeeply.Asyouguideyourbabytoadeeplatch:•Guideyourbaby’sbodygently
intoyouwithhernosepointedupandherheadtiltedbackalittle(avoidpushingonthebackofherhead).
•Handexpressadroportwoofcolostrumorbreastmilk.
•Brushyournipplebackandforthonyourbaby’supperlipuntilyourbabyopensreallywide,aswideasayawn.
•Bringyourbabytowardsyou,chinfirst.Youcangentlypressbetweenyourbaby’sshoulderswiththepalmofyourhandthatissupportingher.Guidingherthisway,thenipplepointsup,towardsthesofterpartoftheroofofyourbaby’smouth-thecomfortzone.
Breastfeedingtendstofeelbetterwhenyourbabylatchesonasymmetrically,sothatmoreoftheareolaunderthenippleisinhermouththanontopofthenipple.(Theareolaisthedarkcircularareathatsurroundsyournipple.)
QUESTION:HowdoIknowmybabyis latchedonwell?ANSWER:Hereareafewsignsthatyourbabyislatchedonwell:•Youfeelatuggingbutnopain,rubbingorpinching
whilebreastfeeding.- Somediscomfortthefirstminuteortwoof breastfeedingasyourbabylatchesoncanbenormal thefirstfewweeks.
•Yourbaby’slowerlipisrolledout.•Yourbabyhasmostofyour
areolainhermouth.•Yourbaby’schinistouchingyour
breastandthereisasmallspacebetweenhernoseandyourbreast.
QUESTION:Iamstillhavingtroublegetting mybabytolatchonwell.Isthere anythingelseIshouldbedoing?ANSWER:Ifyourbabyhastroubletakingthebreast,shapingthebreastmayhelp.Shapingthebreastwillhelpmakeitliketheshapeofasandwichandalittleeasierforyourbabytogetadeeplatch:•Placeyourthumbandfingersinthesamedirectionas
baby’slips.(Imagineyourthumborfingerasyourbaby’smustache.)
•Keepyourfingersback,outofthewayofwhereshewilllatchon.Placeyourlowerfingerdownunderyourbreastandyourupperfingeraboveyourareola.
•YourfingerswillmaketheshapeofaCorUdependingonyourbaby’sposition.
Ifthesetipsdon’thelpand/orbreastfeedingisuncomfortableorpainful,seekbreastfeedinghelpfromaboard-certifiedlactationconsultant(IBCLC).Thesooneryougethelp,thebetter.
Ameda Breastfeeding Products • Ameda, Inc., 485 Half Day Road, Buffalo Grove, IL 60089 • 1.866.99.AMEDA (26332) Ameda and associated logos are trademarks of Ameda, Inc. • ©2013 Ameda, Inc.
This is general information and does not replace the advice of your healthcare provider. If you have a problem you cannot solve quickly, seek help right away.
Every baby is different, if in doubt, contact your physician or other healthcare provider.
ReferencesMohrbacherN.Breastfeeding Answers Made Simple: A Guide for Helping Mothers. Amarillo,TX:HalePublishing,LP;2010.SpanglerA.Breastfeeding: A Parent’s Guide.9thed.Cincinnati,OH:SpecialtyLithographingCo;2010.
ComfortZone
Some discomfort the first minute or two of breastfeeding as your baby latches on can be normal the first few weeks.
Areola
Nipple