Technique of Breast Feeding (Position of Breast Feeding)

TECHNIQUES OF BREASTFEEDING
(BREAST FEEDING POSITIONS)
Presented by: Rajeev Nepal

Lecturer: Universal college of medical sciences, Bhairahawa
Email:[email protected]
Techniques of Breastfeeding
Signs of Good Attachment
 Baby opens his mouth wide, with lips flange out.
 More areola is seen above the baby’s lips than below.
 Baby's chin is pressed onto the breast.
 Pause notices in between suckling.

 Breastfeeding positions
Cradle Hold
 With the mother comfortably seated, the

newborn is held in a side-lying position
with his or her entire body completely
facing the mother.
 Held on a slight incline, the newborn’s

lower arm is tucked around the outside of
the breast.
 The newborn’s body is in complete

contact with the mother; the newborn’s
legs are wrapped around her waist.
Contd…
 The newborn’s head rests on the mother’s

forearm, which along with her wrist and hands,
supports the baby’s back and bottom.
 Specially designed L-shaped pillows fit around

the mother’s waist and help to elevate and
support her arm.
 Use of this pillow has been associated with

increased length of breastfeeding at 2 and 8
weeks .
 Regular bed pillows may also be used.

Cross-Cradle Hold
 This gives the mother The cradle position can be modified
by having the woman alter the position of her arms, using
what is called the cross-cradle hold.
 This is a good position to use for preterm infants and
infants with fractured clavicles.
 The newborn is placed in the same position as in the cradle
hold but held with the opposite arm such that the head is in
the mother’s hand and her forearm is supporting the back.
 much more control over positioning and, along with the
clutch hold, may be easier to learn.

Clutch Hold
 The clutch position (i.e., football hold) is useful for

feeding preterm infants or twins and for mothers who
have had a cesarean birth.
 The newborn is positioned to the mother’s side.
 Placing a pillow under the newborn raises the infant

slightly and decreases the weight the mother needs to
lift.
 The newborn’s head is in her hand, and its feet are

positioned toward her back.
 Care should be taken to ensure that the full weight of

the breast does not rest on the newborn’s chest.
Side Lying
 In this position, the mother lies on her side with pillows

under her head and behind her back.
 The infant would be lying on his or her side facing the

mother with his or her stomach to the mother's stomach,
and with the infant's mouth up to nipple level.
 Small pillows can be placed either under the infant's

head to bring the infant's mouth to nipple level or under
the mother's arm which is holding the infant.
 She can shift her body or roll to the other side with the
infant to switch breasts, being careful not to let the infant
pull down on the nipple.
Prone Position (Posture Feeding)
 If the mother has overabundant milk production

that causes excessive amounts of milk to gush
into her baby’s mouth, the prone position-also
called posture feeding- is useful.
 In this position, the mother places her baby above

the breast to achieve better control over milk
flow.
 The mother lies on her back, or semi-reclined,

with her baby lying in stomach-to-stomach
position on top of her.
Contd…
 To get into this position easily, the mother can

begin in a sitting position, put her baby to
breast, and then lean back.
 This position is essentially the one described
in the biological nurturing approach.
 Prone feeding may be useful at times when
letdown seems strongest, such as in the early
morning.
 It is also useful for babies who bite or retract
their tongues, as gravity encourages the
infant’s jaw to fall forward.
Sign of Effective Breastfeeding
INFANT
 Latches on without difficulty
 Has bursts of 15-20 sucks/swallows at a time
 Audible swallowing is present
 Easily releases breast at the end of feeding
 Infant appears contended after feeding
 Has a least three substantive bowel movements and six to

eight wet diapers every 24 hour after day 4
Sign of Effective Breastfeeding
Mother
 Onset of copious milk production (milk is ‘in’) by day 3-4
 Firm tugging sensation on nipple as infant sucks, but no pain
 Uterine contractions and increased vaginal bleeding while feeding (first

week or less)
 Feels relaxed and drowsy while feeding
 Increased thirst
 Breasts soften or lighten while feeding
 With milk ejection (let-down), may feel warm, rush or tingling in breasts,
leaking of milk from opposite breast
 Thank you

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TECHNIQUES OF BREASTFEEDING

(BREAST FEEDING POSITIONS)

Presented by: Rajeev Nepal

 Baby opens his mouth wide, with lips flange out.

 More areola is seen above the baby’s lips than below.

 Baby's chin is pressed onto the breast.

 Pause notices in between suckling.

 With the mother comfortably seated, the

 Held on a slight incline, the newborn’s

 The newborn’s body is in complete

 The newborn’s head rests on the mother’s

 Specially designed L-shaped pillows fit around

 Use of this pillow has been associated with

 Regular bed pillows may also be used.

 This gives the mother The cradle position can be modified

by having the woman alter the position of her arms, using

what is called the cross-cradle hold.

 This is a good position to use for preterm infants and

infants with fractured clavicles.

 The newborn is placed in the same position as in the cradle

the mother’s hand and her forearm is supporting the back.

 much more control over positioning and, along with the

clutch hold, may be easier to learn.

 The clutch position (i.e., football hold) is useful for

 The newborn is positioned to the mother’s side.

 Placing a pillow under the newborn raises the infant

 The newborn’s head is in her hand, and its feet are

 Care should be taken to ensure that the full weight of

 In this position, the mother lies on her side with pillows

 The infant would be lying on his or her side facing the

 Small pillows can be placed either under the infant's

 If the mother has overabundant milk production

 In this position, the mother places her baby above

 The mother lies on her back, or semi-reclined,

 To get into this position easily, the mother can

 Latches on without difficulty

 Has bursts of 15-20 sucks/swallows at a time

 Audible swallowing is present

 Easily releases breast at the end of feeding

 Infant appears contended after feeding

 Has a least three substantive bowel movements and six to

 Firm tugging sensation on nipple as infant sucks, but no pain

 Uterine contractions and increased vaginal bleeding while feeding (first

 Feels relaxed and drowsy while feeding

 Breasts soften or lighten while feeding

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