I have instructed breast compression to improve milk transfer for sleepy  
babies, babies struggling to maintain active suck/swallow for years, as 
others  have mentioned in this thread.  Positive feedback from moms and observed  
feeds attest to its effectiveness.  I instruct moms, only when milk intake  
is a concern, to pay attention to baby's swallowing and when it becomes too 
 sporadic, one to two swallows every few minutes, the use of compression to 
push  milk forward and if baby handling that flow without gulping, to 
continue while  baby is sucking, then when baby pauses, release compression but 
not to move  breast hold which is far back on the breast and not interfering 
with breast  attachment.  Then when breast compression no longer works, 
switch  breasts.  I find moms will let baby stay at breast for too long thinking 
 the non nutritive suck is giving baby milk.  This has been my  
interpretation of Dr Newman's handout.    
 
Use of breast compression encourages moms to pay attention to baby when at  
breast and understand what active feeding looks and feels like.  I also  
like to add a bit of humor to my instructions and moms relax more visibly  and 
remember the process better.  I say, squeeze the breast firmly but not  to 
point of discomfort, keep it squozen (no such word, and this is the chuckle  
part), then release when baby stops sucking.  
 
Barbara Latterner, BSN, RN, IBCLC
Brewster, NY

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