My very able co-worker ibclc recommends that mothers support the breast
throughout the entire feeding, which I do not recommend (may be useful in
some cases). She recommends the nose touch the nipple or be very close,
which I do not. Everyone has a different way. I do find many non-latching
babies will latch in the sidelying position. I find many mothers are
resistant to using this position, esp. after a c/s birth. I usually give the
option of lying down or sitting up. Almost always the mom will choose
sitting up. If sidelying I use a pillow to support her back and often one
between the legs. I use a small rolled blanket behind baby's back not head.
Baby should be extending up slightly to breast and nose tipped back. When
babies achieve a 'good' latch it is as if the baby and breast are one, the
baby has a face full of breast, looks somewhat like a little chipmunk with
full cheeks. When the baby is not latching well it is hard to explain to the
mother what we are trying to achieve, she often thinks the barely hanging on
baby is bf well. He is making sucking maneuvers but not really "attaching"
to the breast. Once she sees it/experiences it she knows what it is.

Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA

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