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6.positioning and Attachment

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41 views12 pages

6.positioning and Attachment

Uploaded by

naziashujah02
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Positioning a Baby at the Breast

o At the completion of this module the


participants will be able to:
o Explain the 4 key points of positioning
o Describe how a mother should support
her breast for feeding
Objectives o Demonstrate the main positions – sitting,
lying, underarm and across
o Help a mother to position her baby at the
breast, using the 4 key points in different
positions
Possible in all mothers who have had:
o A vaginal delivery
Initiation of
o A caesarean section delivery under
Breastfeeding spinal anaesthesia
within ½ - 1 o An episiotomy
hour o A forceps delivery
o A vacuum extraction
Initiation of Breastfeeding on the Delivery Table

o Aids in expulsion of placenta


o Prevents postpartum haemorrhage
o Stimulates milk let-down
o Encourages mother to feed colostrum and avoid excessive prelacteal feeds
o Promotes emotional bonding
o Prevents serious infections in the neonatal period
Positions

5
Good Position

Slide #8.6
1.Cradle Position
2.Modified Cradle
Position
3.Football Hold Position
4.Side-lying Position
5.Supine Position
Observation of Positioning and Attachment during Breastfeeding

Signs of Good Positioning and Attachment Signs of Bad Positioning and Attachment
1. Baby’s body in straight line 1. Baby’s body twisted
2. Mother sitting or lying comfortably 2. Mother anxious, looks uncomfortable, or in pain
3. Baby’s body held close to mother and well-supported 3. Baby held loosely or on mother’s lap
4. Whole body facing breast 4. Only head turned to breast
5. Baby’s chin close to breast 5. Space between chin and breast
6. Mouth open wide with lips flared out 6. Lips pursed, like bottle-feeding
7. Nipple and areola in mouth 7. Only nipple in mouth
8. Tongue visible, cupped under breast 8. Tongue inside mouth (not visible under lower lip)
9. Cheeks plump 9. Cheeks sucked in
10. Deep sucks, swallowing every 1-2 sucks 10. Many shallow sucks per swallow
11. Baby relaxed and satisfied 11. Baby fussy, restless, or slipping off the breast

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