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Date: | Sat, 13 May 2006 18:58:56 -0400 |
Content-Type: | text/plain |
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There was a ? asked about how I taught Assymetrical latch and
S2S sorry don't remember who asked. Haven't had time to
answer e-mails for a few days. I do not use the words
Assymetrical latch with patients. The patient I described had a
baby that wouldn't latch at all and never had. If a a baby is
latching and transferring without difficulty I don't fix what is not
broken. I do very little phone teaching, what I see is so often
very different from what is described. The patient I described
was not able to see an LC for several days so I tried to give
just basic latch info. I have them use breast
compression "breast sandwich" "U" hold for cradle and "C" for
football.Bring baby close to the breast, support the head and
neck and shoulders with the hand,fingers around the ears not
on cheeks. Let the baby tip head back just as we do to drink
and let the chin touch the breast first. If the baby isn't opening
mouth wide stroke from under the nose to the chin with the
nipple. Take advantage of the infant's great sense of smell and
have breastmilk on the nipple and the areola prior to latch. No
forcing, no pushing the back of the head letting the baby latch.
Just very basic stuff I think.
For S2S I like to let a baby start out on the abdomen when
they are just born but I don't usually see them until they are at
least 4-5 days old. I work in home care and they are usually
seen by a maternal child nurse first, i am called if they still have
difficulty. I have enough trouble getting most patients to try just
having the baby on their chest with baby in just a diaper with a
blanket around. Many think this is a little crazy. I tell them to
put the baby between their breasts or even just resting on the
center of their chest with the head to the side. Let the baby
sleep and rest there and the baby can decide to self latch if
they are ready and at times only half awake. If they are willing
to use prolonged S2S I tell them about Nils Bergman's shirts
that allow for safe prolonged S2S. i am open to any
suggestions. Chris Erland RN IBCLC
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