I like the hold where the baby lies along the mother's left arm, baby's
neck and shoulders supported by left hand.  Her right hand supports right
breast and  she brings baby TO her right breast--no leaning forward.
Reverse for beginning feed on left breast.

This has several advantages although, depending on a woman's body
shape, arm length etc, it isn't good for all women.

1:  Gives good head control for baby

2. Gives good visibility for mother.

3.  Allows baby to be brought close to mother ( No arm between baby and
mother's body as can happen in Madonna hold)

4. Needs to be followed up by teaching  mother to bring right arm back
down around baby i.e., convert to classic Madonna hold..... Mother seldom
needs to continue supporting her breast throughout feed.

5.  LC needs to realize that no one "hold" will work for all mothers
and babies and that no one hold will always work for one particular
mother and baby.

Eileen Shea, BSc, IBCLC

P.S. I don't use pillows very often, but when I do they support the
mother's arms, not very often the baby.  I find they tend to bring
the baby up too high.  However, I very often use a small footstool and a
frequent comment that I hear is " Can I take you and the chair home with
me? "