Catherine writes;
>>The problem here is the writer is holding the back of the baby's head.
If mom scoops up the baby's rear end with her forearm just in front of
the elbow and presses his tummy against her chest under her other
breast, baby is usually all lined up for an asymmetrical latch with the
nipple by his nose.  If mom's hand is on baby's neck and shoulders where
it should be, all she has to do is gently push with the heel of her hand
between his shoulder blades when he opens up, and he's on, head slightly
extended for better tongue contact. <<

Very well described, Catherine!
I might also add that in terms of Mom's hand position while holding breast,
try the "u" hold vs. the "c" as this positions her breast in that *sandwich*
more readily.
I agree with BWC and Winnie (doesn't everybody :)!  ) regarding the idea that
flexibility and the willingness to evolve ideas and practice are the hallmark
of an experienced, well trained LC!

As Rheta suggests, the position becomes more awkward as time goes on. When I
teach the  position, I mention this to the Mom along with the message that
they won't *need* to use it as the baby becomes more *helpful* with the
latch. I suggest transitioning themselves by latching the baby xcradle but
once the correct latch is established, bring cradling arm around and switch
arms for comfort and eventually....latch in this position!
Lynn Shea Rn,Bsn,Ibclc
Franklin,Massachusetts

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