![]() ![]() Child and Youth Health Practice Manual, Queensland Government (PDF, 3.Teach the mother to recognise the baby’s feeding cues.Demonstrate attachment and hand expressing using cloth breast and doll.Use teaching aids such as videos and posters.Discuss what is ‘normal’ for a breastfeeding infant (attachment, signs that the baby is getting enough milk).Describe infant nutritive and non-nutritive sucking.Encourage the mother to observe what her infant is doing at the breast.Rather than ‘doing’ the attachment for the mother, encourage, support and facilitate the mother and baby to attach independently: Hands-off approachĮncourage the mother and baby to breastfeed independently with minimal intervention, while still receiving optimal care and assistance. The breast can then be removed from the baby’s mouth and the mother can try re-attaching the baby again. This will break the suction and the baby will release the breast. If there are no signs of effective attachment, encourage the mother to detach and re-attach by sliding a clean finger into the corner of the baby’s mouth between the gums. The nipples are slightly longer after feeding, not flattened, white or ridged.Baby and mother will be able to see each other if the baby is positioned well.The mother can see and hear the baby swallowing.The baby’s chin is against the breast, and cheeks are not sucking in.The baby has a large mouthful of breast, not just the nipple.Look for, or discuss, signs of effective attachment with the breastfeeding parents: If the mother experiences continued pain during a breastfeed, this may mean the baby is not attached correctly. Head slightly tilted back with support from across back and shoulders, not the head.The baby is positioned correctly when held close to the mother’s breast with: Regardless of the mother’s choice of breastfeeding position, ensure the baby is positioned at the breast to allow efficient milk transfer. As they get more used to breastfeeding it becomes easier to feed in different positions. Encourage mothers to experiment until they find a feeding position that is comfortable and works well for them and their baby. If baby is reluctant to nurse because of reflux, try standing or walking while breastfeeding, Nguyen says. For babies with reflux, upright or semi-upright positions are best, like the koala hold or laid-back position, since gravity will help with digestion, Sriraman says. There are many different options for positioning both mother and baby while breastfeeding, including lying and sitting. Breastfeeding positions for babies with reflux. Please refer to Raising Children Breastfeeding videos and Raising Children Breastfeeding positions in pictures in the interim. ![]() This webpage is currently being reviewed and some outdated content has been removed. Positioning and attachment, including hands-off approach Health workers can assist in preventing or managing many early breastfeeding problems by discussing the importance of correct positioning and attachment with the new parents. Attachment refers to the amount of breast tissue in the baby’s mouth during a breastfeed. Positioning refers to how the baby is held/positioned at the breast. ![]()
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