Lori and all,
I have enjoyed the discussions regarding positioning. We have not defined
"good" positioning. Probably there are some guidelines;  however,  as so
many have eloquently stated, because of the uniqueness of mother-baby
dyads, no one position is perfect for every mother and baby. I feel the "C"
hold is too awkward for the mother with short fingers, the cigarette hold
may be very comfortable for a mother with long fingers and the "right"
breast, and that "tummy to tummy" for the long waisted women may put the
baby too far from the breast. I made a home visit with a woman(complaining
of sore nipples) who was told to feed "tummy to tummy" which she "heard" as
navel to navel. Thus, her baby's mouth was so far away from her nipples
that he had to send a letter to get a letdown. So, I prefer tummy to chest
or simply chest to chest.
Carol L'Esperance, RN, MSN, IBCLC
Albuquerque, NM 87106 USA

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