Baby 28 hrs old, Baby-Led Mother-Guided Latching:

The baby starts searching for the breast. The mother guides him towards the nipple. The baby opens up fairly wide, but the mother does not bring the baby on as well as she could and the baby has a shallow latch. He should have more of the breast in his mouth.

The baby is mostly nibbling at first though there is an occasional pause in the movement of the chin (see other videos showing good drinking).

The mother starts compressing around 1 minute and 10 seconds, and the baby responds by starting to have pausing-types of sucks that indicate he is getting milk well.

Video not available yet
Baby 28 hrs old, Assisted Latching

Shows latching on.  Not perfect, but good enough.  The mother had no pain.  It did take two tries to get the baby to latch on, but that’s okay; there’s no point in trying to force a baby who does not take the breast to stay on the breast.  It won’t work.  Note the baby has an “asymmetric” latch, with the chin touching the breast, the nose not touching the breast, and he covers more of the areola with his lower lip than the upper.

Compressions help the baby get more milk.

 

RPS by mother, with guidance-1.wmv
Engorgement: Reverse Pressure Softening

For mothers who are experiencing engorgement. In this video clip this mother is really not very engorged at all, so the benefits of the technique are seen as drastically.

This technique is best used a minute or so before baby takes the breast. Pressure is applied to the areola around the base of the nipple. It would have been better to arrange the fingers like the petals of a flower so no space comes in between. The objective is to push back the interstitial fluid so it goes back into the breast and softens the nipple-areolar complex of ligaments, thus allowing fro baby to latch on.

2 day old-1.wmv
2 day old

The baby in this video is only 40 hours old. Baby has a pretty good latch. Notice his chin is in the breast, his nose is away from the breast and he covers more of the areola with his lower lip than the upper lip.  MORE

Good drinking-1.wmv
Good drinking

Note the position of the baby at the breast. Chin in the breast, nose not touching, baby’s lower lip covering more of the areola with the lower lip than the upper. An asymmetric latch. MORE

Not yet latching, finger feed to latch.wmv
Not yet latching, finger feed to latch

Finger feeding is to be used primarily to prepare a baby who does not latch on to take the breast. MORE


4 day old after tongue-tie with compressions-1.wmv
4 day old after tongue-tie with compressions

The baby just had a tongue tie release.

The mother is doing compressions appropriately. She waits to see if the baby is drinking or not (pause in the chin). If the baby is not drinking, she compresses, holds the compression until the baby stops sucking or stops drinking and then releases. She waits for the baby to start sucking and if the baby starts sucking but does not drink, she repeats the process.

jiggling and pulling-1.wmv
Jiggling and pulling

An older baby whose mother’s supply has decreased.

He is jiggling and unsettled at the breast because the flow of milk is slow. Note that he hardly drinks at the breast, though his chin is a little bit difficult to see.

This sort of behaviour is often said to be due to an over rapid milk flow but by watching the chin one can see that this behaviour in this case is due to too slow milk flow.

Tongue–tie release

A simple and quick procedure that can make a significant difference in breastfeeding success.  The research supporting tongue-tie release is compelling.

 

 
 
baby led mother guided success.wmv
Baby led mother guided success

(Please excuse that the video is turned sideways at first)

This technique is one of a number of approaches used for the baby who does not yet take the breast, or who has been actively refusing, helps get baby in the appropriate state ready to take the breast. Here, by keeping baby naked skin to skin, the Baby indicates when he is ready to start searching for the breast, and then, when starting to search the Mother helps to guide him by providing good support to his back, and she is careful not to hold his head. Baby’s need their necks supported, not their heads.

 

baby led mother guided started upright left breast, latches -1.wmv
Baby led mother guided started upright left breast, latches

This technique for the baby who does not yet take the breast, or who has been actively refusing, helps get baby in the appropriate state ready to take the breast. Baby indicates when he is ready to start searching for the breast, and then, when starting to search mother helps to guide him by providing good support to his back, and she is careful not to hold his head. Baby’s need their necks supported, not their heads.

baby led mother guided started upright rigt breast, latches1-1.wmv
Baby led mother guided started upright rigt breast, latches1

Same mother/baby, on the other breast now.

nibbling-1.wmv
Nibbling

Baby is doing almost no drinking. A baby who breastfeeds only with this type of sucking could stay on the breast for hours and still not get enough milk. Something needs to be done here and if achieving a better latch, using compression doesn’t help, the baby almost certainly needs to be supplemented.

great vasosapsm turns pink-1.wmv
Vasospasm turns pink

This mother’s nipples turn white after baby has finished feeding. They turn white for some time and then eventually turn pink again. This change in colour is sometimes accompanied by throbbing and burning in the nipples. This is often due to poor latching and/or a yeast infection.

really good drinking-1.wmv
Really good drinking

This baby drinks very well. The pauses are very long.

This baby could spend a very short period of time on the breast and still be getting plenty of milk.

cup feeding-1.wmv
Cup feeding

A good alternative to the bottle. Particularly useful for the baby who is refusing the breast.

Note that the baby laps the milk up with his tongue. One does not pour the milk down his throat.

squeezing nipple demonstrating difference between Poor latch-1.wmv
Squeezing nipple demonstrating difference between Poor latch

When the baby latches on to the nipple only, he gets very little milk.

When the baby latches on where he should, the milk flows rapidly.


 
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