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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. |
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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.
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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. |
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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
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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
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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. |
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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.
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