Source: 0 to 2 – Baby & You. A Pediatrician’s Handbook for practical parenting
Published with permission from the authors: Dr. Mahesh Balsekar and Malvika Choudhary & publisher- Vakils, Feffer and Simons Pvt. Ltd.
|Mother Position||Sit up in a chair or on the bed. May use a foot stool or a pillow under the thigh for better positioning.||Sit up in a chair or on the bed.||Sit up in a chair or on the bed.||Mother lies on her side.|
|Baby Position||Baby is cradled in the same arm as the breast she is feeding on. E.g. baby held in the right arm when feeding on left breast.||Baby is cradled in the arm opposite to the breast the baby is feeding on. E.g. baby held in the left arm when feeding on right breast.||Baby is cradled in the same arm as the breast she is feeding on.||Baby lies with the body completely facing the mothers.|
|Details on Position||Support her breast with 4 fingers underneath and thumb on top in a C Position.||Support the baby’s head between thumb and fingers.||Baby’s body placed between the mother’s arm and body, with legs pointing backwards.||Baby and mother lie completely facing one another.|
|Which Position?||Commonly used.||Small babies.
Babies with trouble latching on.
Babies with ‘breast preference.’
Any position in which the mother and baby are comfortable, are good enough for breastfeeding.
You may use different breastfeeding positions at different times.
All babies: This is the most commonly used position.
Small babies: Useful if the baby is small and needs better head support.
Difficult to latch baby: Useful for better head control for a baby who finds difficulty in latching.
Babies with breast preference: Useful for a baby who prefers to feed only on one breast. If a baby prefers to feed say only on the left side and refuses to feed on the right side, you might try the football position on the right side.
After caesarean: Convenient way to feed after a caesarean.
Night feeds: When the mother needs rest.
The most important point is to get the baby to position or ‘latch on’ correctly.
A few points may help mothers make sure they are doing it right.
• The position will be comfortable.
• You will see the baby’s mouth wide open and most of the areola is in the baby’s mouth.
• You will hear the baby gulp milk and appear satisfied.
• You will feel fullness before the feed and emptying after the feed.
• There will be no soreness, cracks and pain.
• There will be no lumps or engorgement.
• You hear lip smacking sounds instead of the normal gulping sounds.
• When the baby feeds, the pain is severe and persistent.
• If the latch is not right, detach the baby and try again. Inserting your finger inside the baby’s cheek releases the vacuum. The baby will let go. Try again and make sure you have a comfortable latch.
To better understand how to get the correct latch, view this video by Stanford Children’s Hospital on breastfeeding.
Some babies refuse to latch and struggle and fight the breast on attempting feeds:
‘Latch on’ problems are the cause of most of the breast feeding problems.
With an incorrect latch: