<Here's my trick, and I am sure many of you will recognize a position you
have BF in without ever knowing it was a trick at all, as co-sleepers
everywhere probably use it several times a night:
Mother lies on one side, with the problem breast UP.  Baby lies on side
next to mother.  Mother rolls over until breast reaches down to baby, and
feeds
in this position. >

And here I thought I was just too lazy to turn over! And besides, then I
didn't bother my husband's sleep if I kept the baby on the outside edge
of the bed and using this position when done with the underneath breast!

Without ever hearing any name attached, (my colleagues and I tried to
make up one-we called it "top side nursing"), I have for years found this
especially feasible with moms with C cup and larger breasts.

For mothers with B cup breasts, I used to advise placing a firm pillow
like a private mattress, under the baby, to raise him closer to the
height of the breast on the topside!

And I was working from the timeframe of early postpartum. I also found
that it lends itself to easy massage by the mom, or if she must hold the
breast in some way, I demonstrated how the (invited) third hand of a
loving grandma or dad gently massaging for a few moments in the area of
the tail of spence can be very helpful.

In the days of the 5-7day hospital stay, I observed that this helped
prevent or lessen engorgement in that area,  and just plain felt better
there after nursing if moms would use this position for each breast once
every 12 hours or so, and I encouraged them to continue periodic use for
the first 1-2 weeks. (A great way to preserve rest and get more skin to
skin.)

As a hospital nurse in the early days of LLL, I had never heard of a
plugged duct then! Just personal experience with the comfort of this
position, and it seemed logical to use gravity to "keep the milk moving"
- another one of my mantras.

Anyway, I cast my vote for teaching this early on as one of the basic
positions for mothers with C cup sizes and beyond! And I don't care if
you claim it and name it, Rachel. In fact, this makes it easier to refer
to, and even adds "authenticity" to say it is frequently advised in
Scandinavia! Thanks for sharing!

Jean
**************
K. Jean Cotterman RNC, IBCLC
Dayton, Ohio, USA

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