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Nursing Positions To Try With Your Newborn

July 20, 2021/0 Comments/in Breast Pumping, Breastfeeding, Breastfeeding tips /by Melissa Portunato

Melissa Portunato MPH, IBCLC, RLC

Mothers and babies learn to breastfeed by breastfeeding. Exploring different nursing positions can help lessen nipple pain, improve milk transfer and allow you to get more rest. Read on to discover some of our favorite breastfeeding holds to try with your new baby. 

First things first, start every feeding with skin to skin. Remove all pillows, blankets, and comforters nearby; this can make latching more cumbersome and difficult. Baby should only have a diaper and bare chest for the parent. Skin to skin helps engage baby’s inborn feeding behaviors and reflexes while contributing to a powerful hormone feedback system between mom and baby. Skin to skin is powerful! 

Laid – back
Breastfeeding in a reclining or laid-back position relaxes and stimulates reflexes in both mother and baby. Research shows mothers and babies have innate physical responses that are triggered with laid-back breastfeeding. Interestingly, mothers were found to stroke their baby’s feet at just the right time during latching and feeding, which triggers the release of the lip and tongue for a deeper, more nutritive latch. Babies feed using their whole bodies, not just their heads and mouth. Your nurs-ling is looking for a place to anchor their chin, push with their toes, and feel the warmth of their natural environment – mommy’s chest! 

Side-lying 
Mastering the Side-Lying Breastfeeding position can help you recover from a difficult labor or cesarean delivery and can naturally improve blood circulation as you recover from childbirth. Start lying down side by side with your baby. You should be facing each other – belly to belly. Your baby’s mouth should be even with your nipple. Next, lift your arm under your head and, with your other arm, cradle your baby on the back of the neck to assist them to the breast if needed. Cradling your baby with the opposite arm can keep your newborn close, preventing turning and unlatching from the breast. Baby’s arm should always be hugging the breast. 

Football 
Cradle your baby by supporting the back of the neck with the same arm you will be latching to the breast. With the opposite hand, lift your breast to aim your nipple above the baby’s nose. Wait for your baby to “gape” or open wide and quickly bring your baby towards you. Pillows should be used only to support YOUR arms and back, not the baby. 

Koala
Feeding your newborn in an upright position can lessen reflux and manage an overactive or forceful letdown. Sometimes called the koala hold, your newborn will latch to your breast, sitting up while straddled on your thigh or knee. Baby’s spine and head should remain upright throughout the feeding. With proper support, this position can easily be done with newborns and can be a convenient way to nurse older babies too! 

Practice these four simple to-do nursing positions that will ensure your baby is growing and thriving from your super milk. Remember that breastfeeding doesn’t have to be “all or nothing.” No matter if you are nursing at the breast, exclusively pumping or supplementing with formula – it’s still breastfeeding! We’re here to support you and offer any help we can as you navigate your breastfeeding journey. 

Email us at ibclc@spectrababyusa.com or set up a free consultation with one of our IBCLCs at www.spectrababyusa.com/lactationservices. 

 

Sources

Milinco, M., Travan, L., Cattaneo, A. et al. Effectiveness of biological nurturing on early breastfeeding problems: a randomized controlled trial. Int Breastfeed J 15, 21 (2020). https://doi.org/10.1186/s13006-020-00261-4

Positioning. La Leche League International. (2020, August 6). https://www.llli.org/breastfeeding-info/positioning/. 

Postpartum While Breastfeeding

October 15, 2018/0 Comments/in Exclusively Pumping /by sherley

by Jenn Foster, MA, IBCLC, RLC

You aren’t alone…don’t suffer in silence!
The prevalence of Postpartum Depression or Postnatal Depression has been documented in affecting an alarming 13-20% of women after the delivery of their baby. In fact, the U.S. Surgeon General Call to Action to Support Breastfeeding indicated that PPD affects a minimum of “13 percent of mothers” (Surgeon General, 2011, p.3).
The effects of PPD (Postpartum Depression) or PND (Postnatal Depression) are astounding and most commonly not understood or addressed by both the medical community or the expectant mother/family. Healthcare Providers (HCPs) are not well educated, equipped or informed to help women during the postpartum period outside of what the textbook and past experience has shown them. Postpartum depression, Prenatal depression, and Postpartum anxiety are closely related.

Does breastfeeding help?
Breastfeeding has historically been tied to the reduction of these symptoms (Fairlie, et. al., 2009, p.945) and even the U.S. Surgeon General indicated that due to the close bonding and psychological occurrences that happen during breastfeeding (including the release of Oxytocin) that “breastfeeding may help to lower the risk of postpartum depression, a serious condition” (Surgeon General, 2011, p.3). So, boob on Mommies!

How can I move forward, meet my personal breastfeeding goals, and be supported?
There needs to be more detection and awareness of depressive symptoms during pregnancy, supporting breastfeeding practices and knowledge of breastfeeding resources for those practitioners who can refer a mother/baby dyad. In the meantime, educate yourselves. This will help to better educate those around you, get the support you need and find a like-minded Healthcare Provider that can provide you guidance based on evidence-based information.
Find local support, whether online or in person through FB groups, mom to mom groups with baby and other such resources.

Can I breastfeed and get help for Postpartum Depression?
YES! Breastfeeding should be supported, whether at breast directly or expressed with a breast pump. The benefits of breastfeeding while dealing with any of these conditions indicated above is the degree of breastfeeding (exclusive, partial, token), support structure for the mother/baby dyad and education on what can be taken during the time of the mother’s symptoms being experienced.
There are many medications for depression, anxiety, and other conditions that are supported while breastfeeding. This includes whether baby is at breast or receiving your pumped mother’s milk. The find the most accurate information on how a specific medication, supplement or over the counter substance would affect you, your baby and/or milk supply you should consult a specialist. The Infant Risk Center is a great option: www.infantrisk.org

Leave us a comment letting us know your thoughts and stories.  We would love to learn how you’ve gotten through this period of life.

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