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Subject:
From:
"Kermaline J. Cotterman" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 23 Feb 2002 22:59:02 -0500
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Carol,

I never quite made it to the videos - I think my computer lacks a little
something. I'll try again soon. I don't know how much more of the site's
info you are responsible for, but I did note on the end of the
Breastfeeding Checklist:

4 ounce bottles with collars and nipples.
Bottle and nipple brushes for cleaning.

Tsk, tsk! Certainly not in the spirit of the code. But then I have begun
to see Johnson and Johnson bottles on display, so I guess that's the
bottom line showing again!

The illustrations of the various body positions of baby and mother while
nursing were better than a lot I've seen. But I was very aware of the
wording about "holding your baby's head" in the cross-cradle and football
holds.

Teaching mom to support the shoulders and neck, but leave the actual head
alone is important so the baby is free to tilt the head to free the nose
as it wants for breathing.

Nowhere in either of these, nor with the cradle hold, did I see a mention
of a pillow. I consider this a necessity in the learning stage so the
mom's arms don't fatigue and let the baby start to "droop" away from the
breast.

On the latching directions, I thought the first picture excellent, with
the nipple pointing above the center of the baby's mouth. I was hoping to
see the words continue on with some comment leading to an off-center
latch. Perhaps something about the importance of getting the tongue and
chin further on the breast.

Somehow "When she is properly positioned, her lips should cover the whole
nipple and much of the areola . . . ." just doesn't cut it for good latch
instructions in this day and age. Unfortunately, though, that's precisely
what too many HCP's would say was a good latch.

Then the words were ok as far as breaking suction, but there was a
mismatch with the picture, for there was clearly still a lot of
suction/traction going on and the baby was already inches away from the
breast itself, still holding on to the nipple!

Holding a baby very close until the suction is completely broken is
top-priority for avoiding nipple pain in my book.

Sorry if I'm raining on your parade, but I called it like I saw it. While
some of the information was more preparation than many moms get, I saw a
lot of mixed messages.

Jean
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