It is easy to do, the mother's hand is in a "U" position with space between
thumb and index finger under baby's chin and the thumb on one side of the "jaw
hinge" and index finger on the other side. To provide jaw stablity. Kind of
like the "U" shape for breast support.
Old nursery nurses use this hand position when bottlefeeding a baby that had
a poor seal so it can work for breastfeeding. The comment about lack of fat
pads in the cheeks is the key here. Early babies or SGA babies don't have the
body fat needed on their bodies...anywhere. Maybe a smaller nipple shield would
help.

Childbirth Graphics has a brochure, written by Sarah Danner that has a
picture of this technique. I think it's the one on "Bfing a Neurologically
Challenged Baby"
The technique was named for Sarah and Dr. Ed Cerutti. I may have a copy
somewhere and will check today, if the poster would like to contact me off list at
[log in to unmask]

Mary Kay Smith, RN, IBCLC
Canton MI

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