I teach pretty much the same, depending on when I see them (i.e. day 1 or
day 4).  If I see a mom who is going through engorgement, with a yellow,
sleepy baby, I really stress compression and massage of breasts with that
other arm.  I find that moms do a better job of compression and massage if
they're not putting their hand between the baby's chest and their breast.
That also tends to push the baby's chin away, even when I emphasize keeping
their fingers to the chest wall.  It just doesn't seem natural to them, they
say.  Of course, if I have a family like I did today, Dad offers to do the
compression and massage and I show mom how to get comfortable as Dee
explained.

Regards,
Cindi Swisher, IBCLC
Colorado Springs, CO



>        So I tell moms that they should only maintain the cross cradle hold
> until the baby has started sucking vigorously.  Then they can pull baby in
> closer to their body with the arm that's behind baby, and quickly
> let go of the
> breast and move that arm into the traditional cradle position.
> Once that arm is
> in place, they can move the other arm around to the front of baby
> and use the
> hand to support the breast.  I show them how to accomplish this maneuver
> quickly, and point out how much more comfortable they are sitting
> now.  (If mom
> tries to switch arms before baby is sucking vigorously, baby is
> likely to be
> distracted by mom's motion and come off breast.)  I find that when moms

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