Bringing Your Baby to Breast: Positioning And Latch
Getting Started: Self-attached Breastfeeding
New babies have a stepping-crawling reflex that can help them seek out the breast. Give your new baby many chances to self-attach in the first few days. Right after birth is a good time to start. Keep your baby on your chest skin-to-skin. Babies often nurse about 10 to 12 (or more) times in 24 hours when they are using the self-attached way to latch.
Choose A Time When Your Baby Is Ready To Feed. Watch For These Signs of Readiness:
- Rooting (turning the head with searching movements of the mouth)
- Increased alertness (especially rapid eye movement, the wiggling of the eyes under closed eyelids)
- Bringing a hand toward the mouth
- Sucking on a fist of finger
- Mouthing motions of the lips and tongue
- Crying is a late feeding cue. If the baby is crying, calm the baby and attempt to feed
Sit in a Posture Where You Feel Comfortable, Securely But Gently Holding the Baby
- Cross cradle (your baby is held in front of you, one hand is on the base of the baby’s neck and the body is supported with that same arm)
- Football/clutch hold (the baby is held next to you with your hand on the base of the baby’s neck, baby’s legs toward your back)
- Cradle/Madonna hold (baby is rested on your forearm, not in the crook of your arm, your forearm is brought closer to bring the baby to breast)
- Side lying (you are lying on your side, the baby is in front of you on his/her side, the arm that is higher is the one that helps bring the baby to breast).
Getting A Good Latch
- Loosen your baby’s blanket so she can move her arms. Breastfeeding will work better for both of you if her arms are free to move and touch your breast.
- Start with his nose opposite your nipple.
- Be patient and wait until she opens her mouth very wide.
- Move him to your breast, don’t move your breast to him. His chin should reach your breast first.
- The nose and chin should be close to the breast but not pushed into the breast. More of the top of the areola will be showing and less of the bottom.
- The baby’s lips should make a seal around the breast and his mouth will look a little bit like a fish with the lips rolled outward and visible. You can help adjust his lips by pulling gently on the skin by his nose and chin in order to help the lips make a seal.
What if it Hurts?
Pain is a sign that you need help. You may have hear that it’s supposed to hurt in the early, weeks and that the initial latch may be painful—this is not the case. If there is any pain with breastfeeding, be sure to ask for help. Break the seal by inserting a finger into the corner of the baby’s mouth. You will feel the release of the suction and then move the baby back away from the nipple. Get the baby back into position and try latching again.