hello,
I have found very interesting elements in
Supporting sucking skills in bfed infants, Catherine Watson Genna, JB
publishers 2012;
I won't give you much right now, because I need to go soon, but some
elements I just shared with a Mom one hour ago, (I had this Mom in
consultation, because Nurture Breastfeeding did not work well for
her-nor Cradles ; she had tried both positions; she called me, I said
come ; she just knew about the prone position of the baby on the
laid-back positionned mom; and there were a few things to adjust. Note
the face of her baby seemed to be buried in the breast in her case and
it was not the only problem.
Maybe it comes from the chin that is not fit enough in the breast before
latching?
And the following elements may help:
"rigid enough" back for the mom who is reclined, in order to open really
her torso; if the mom has shoulders frontwards because the back of the
sofa is too floppy/soft, there won't be so much space/volume for the
baby and all positive points from the NB may be lost;
also:
start the baby having his/her cheek (and not mouth) on the skin of the
breast
and: normally NB achieves the proximal stability by itself; maybe
(depending on valleys and hills of mom/baby) maybe a proximal stability
(with hand on the midline of back/hips of the baby) would adds to the
proximal stability promoted by the NB then => better distal mobility =>
better mobility of muscles allowing head to tilt back etc?
But I wonder if the chin fit in the breast would not be a trail?
However, there are many elements in that book Supporting skills... ,
just right now, those few elements are "bursting out" related to my
consultation :-)
Sure other colleagues of the list will give you more elements :-) and
time allows me to complete :-)
Then you will see that there is no need anymore to put your hands on.
The comment of the father is worth :-)
Warmly,
Françoise Coudray
Le 25/01/2013 01:29, Kathleen Gale a écrit :
> I work in the hospital environment, and encourage laid back skin to skin with all of our new mothers, so the baby can have a baby led feeding at least once. It is amazing to see the baby head over the breast and latch on, and just to watch the interaction of the mother and infant--it is so amazing. Since I have never had another IBCLC to work with in the hospital, I have no colleague to learn from. As you probably know, once the baby latches in the laid back position, gravity is often pulling the head downward--depending on mother's anatomy. I often find myself propping up the baby's forehead a little, and teaching the partner to do the same. At other times, once the baby is well latched, I raise the head of the bed some, so the head can fall back and rest on mother's forearm....
>
> I would love to know if any of you have suggestions to make it easier to prop the baby's head etc. I had a most amusing comment from a father last week--which really deserves a cartoon. He said, "Will it always take this many people to breastfeed?"
> Loved it!
>
> Looking forward to your ideas!
> Kathleen Gale RN, IBCLC, RLC
>
> ***********************************************
>
> Archives: http://community.lsoft.com/archives/LACTNET.html
> To reach list owners: [log in to unmask]
> Mail all list management commands to: [log in to unmask]
> COMMANDS:
> 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
> 2. To start it again: set lactnet mail
> 3. To unsubscribe: unsubscribe lactnet
> 4. To get a comprehensive list of rules and directions: get lactnet welcome
>
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome
|
