The best times to use the rulebreaking baby lying almost on the back 
position are when baby has torticollis or the mother's nipples point 
almost to the floor. A lot of the knowing how to put mom and baby 
together successfully comes from intuition and experience. The key is to 
keep flexible in your approach, even if you generally try your favorite 
thing first at most consults. When it's not working, try something else 
to get that chin on breast, philtrum (that little ridge between nose and 
upper lip) to nipple lineup.
Catherine Watson Genna, IBCLC  NYC

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