You could have mom try using a sling or even wrap (I helped a mom today  
with this for her reluctant nurser) and position baby upright and somewhat 
below  the breast.  It would be hands free, just make sure the sling/wrap is  
secure, going from just below baby's neck to upper thighs--baby just "sits" 
then  in the carrier.  I would think the wrap may work better for a mom who 
has  no arms to use and distribute older baby's weight more comfortably from 
both her  shoulders.  Prone positioning with mom on bed (older baby can 
kneel next to  her side) or even mom on floor with her breasts exposed and again 
baby either  draped across her or kneeling next to her could work, too.
 
Barbara Latterner, BSN, RN, IBCLC

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