Mothering From the Heart 

A Professional Breastfeeding Consultation Service 
Crossville, Alabama 
256-528-7953
marsha@motheringfromtheheart.com 

When latching


Anne J Barnes – May 1995

 

Have nipple and baby’s nostrils in line before latching.

Baby held around shoulders.

Head supported but NOT pushed in against breast.

Head tilted back slightly.

Baby’s body and legs wrapped in around mother.

Push with base of hand on baby’s back and shoulders when MOUTH WIDE OPEN to move baby quickly onto breast, so chin and lower jaw touch breast first.

WATCH LOWER LIP, aim it as far from base of nipple as possible, so tongue draws LOTS OF BREAST in mouth.

Move baby’s body and head together – keep uncurled.

Once latched, top lip will be close to nipple, areola shows above lip. Keep chin close against breast.

latch01.gif (4732 bytes)

 WIDE MOUTH / GAPE

Need MOUTH WIDE BEFORE baby moved onto breast.

Teach baby to open wide/gape :

move baby toward breast, touch top lip against nipple

move mouth away SLIGHTLY

touch top lip against nipple again, move away again

REPEAT UNTIL BABY OPENS WIDE and has tongue forward

 

MOTHER’S VIEW WHILE LATCHING BABY

 latch02.gif (4394 bytes)

 MOTHER’S VIEW OF NURSING BABY

latch03.gif (3830 bytes)

 RECOMMANDATIONS FOR THE MOTHER

 

Mother’s posture

sit with straight, well-supported back

trunk facing forwards, lap flat

Baby’s position before feed begins

on pillow, nostril (not mouth) in line with nipple

Baby’s body

placed not quite tummy to tummy, but so that baby comes up to breast from below and baby’s upper eye makes eye contact with mother’s

Support breast

and firm inner breast tissue by raising breast slightly with fingers placed flat on chest wall and thumb pointing up (if helpful, also use sling of tensor bandage aroud breast)

Entice baby to gape

baby’s head and shoulders supported so head extends slightly as baby moved to breast

touch baby’s top lip to nipple and move baby away slightly and repeat until baby opens wide with tongue forward

Move baby quickly on to breast

head tilted back slightly, pushing in across shoulders so chin and lower jaw make first contact (not nose) while mouth still wide open, keep baby uncurled (means tongue nearer breast)

lower lip is aimed as far from nipple as possible so baby’s tongue draws in maximum amout of breast tissue

latch04.gif (4381 bytes)

Cautions

Mother needs to avoid:
    pushing her breast across her body
    chasing the baby with her breast
    flapping the breast up and down
    holding breast with scissor grip
    not supporting breast
    twisting her body towards the baby instead of slightly away
    aiming nipple to center of baby’s mouth
    pulling baby’s chin down to open mouth
    flexing baby’s head as is brought to breast
    moving breast into baby’s mouth instead of bringing baby to breast
    moving baby onto breast without a proper gape
    not moving baby onto breast quickly enough at height of gape
    having baby’s nose touch breast first and not the chin
    holding breast away for baby’s nose

 latch05.gif (6149 bytes)

 

 From : Breastfeeding : getting breastfeeding right for you

M Renfrew, C Fisher, S Arms

Index of Dr. Jack Newman's articles

 

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