La position d'or
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La position d'or
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Note: For clarity, we are referring to baby as “he” and mother as “she.”
Breastfeeding is a gift only you can give your baby. A healthy, full term baby is likely to know instinctively what to do at the breast.
During the early weeks skin-to-skin contact helps your baby be connected to his instinctive breastfeeding skills and helps you and baby enjoy breastfeeding. Each mother discovers what works for her, and what works for one mother may not work for another. Mary Renfrew wrote in Journal of Human Lactation that learning to breastfeed is like mother and baby learning a dance. Use what works in these suggestions and tailor them for you and your baby. Trust that you know what works for you and your baby. You will know when the positioning is ideal for you, when you and your baby are comfortable. When positioning is right for you, your nipples stay healthy and your baby can feed most efficiently. Concern about sore nipples or breastfeeding comfortably is a common reason that mothers contact La Leche League. Improving positioning helps eliminate many cases of sore nipples.
You may have noticed this description is long. Be assured that many mothers have successfully accomplished breastfeeding their babies for centuries and you too will learn how to best position your baby. These suggestions are not meant to tell the mother that if she follows all the steps the position will be “right”. The suggestions are meant to gives you ideas on how you and your baby can learn to breastfeed and enjoy the breastfeeding experience.
However, like other seemingly simple tasks, it takes a lot of words to describe what other mothers have found works well for them. LLL Leaders are experienced in guiding mothers through the positioning process. If you feel overwhelmed by preparing to breastfeed your baby, contact your local Leader for information and support. She will be happy to simplify matters for you.
In the first three to five days after birth, if you experience nipple soreness beyond a slight tenderness when your baby latches on, it may be a sign that something isn’t right with the baby latch, position, or suck. An adjustment to the latch or positioning can help your baby be more comfortable. When you have mastered the “dance” of breastfeeding, sore or cracked nipples are allowed to heal.
If nipple pain worsens after the early days of breastfeeding your nipple pain may be due to other causes like thrush, bacterial infection, or tongue-tie. Contact a La Leche League Leader or lactation consultant for help if you need further assistance to improve your sore nipples. See information on sore nipples for more information.
Learn to recognize your baby’s early feeding cues so you have time to get in a good position before he becomes desperately hungry. Early cues include opening his mouth, moving his head side to side – also known as rooting reflex or sucking on hands and fingers. Don’t wait for baby to cry to let you know he is hungry. Crying is a very late hunger cue.
We will discuss several different positions. If you have pain or feel uncomfortable, try a different position. Adjusting the position can significantly improve breastfeeding pain.
Some general tips are:
These steps may need to be repeated frequently during the early weeks. You and your baby will find a technique that works for you after some practice.
As you and your baby become more experienced at breastfeeding, you will find that breastfeeding positions can be altered in many ways, even from feeding to feeding. As long as you are comfortable and baby is nursing successfully, use what works for you. Try experimenting with the four positions below.
Remember, in any of these positions, it is very important to bring the baby to your nipple height.
Leaning over your baby can cause backaches, neck/shoulder strain or sore nipples.
Laid-back breastfeeding, or Biological Nurturing, means getting comfortable with your baby and encouraging you and your baby’s natural breastfeeding instincts.
The cradle position is most commonly used after the first few weeks. The cross-cradle position (see below) gives you more control.
During the early weeks, many mothers find a variation of the cradle position, called the cross-cradle position to be useful.
This is a good position for a mother who has had a Cesarean birth, as it keeps the baby away from the incision. Most newborns are very comfortable in this position. It also helps when a mother has a forceful milk ejection reflex (let down) because the baby can handle the flow more easily.
In the clutch position you support your baby’s head in your hand and his back along your arm beside you. You support your breast with a “C” hold. (See “Breast Support Techniques” section of this FAQ for a description of this hold.) He is facing you, with his mouth at nipple height. Your baby’s legs and feet are tucked under your arm with his hips flexed and his legs resting along the your back rest so the soles of his feet are pointed toward the ceiling. (This keeps him from being able to push against your chair.) Pillows help bring the baby to the correct height.
For some mothers, this position works best after the early days of breastfeeding. The other positions may be easier to learn first. Some mothers find that practicing with this position during the daytime is very helpful.
Many mothers find lying down to nurse a comfortable position, especially at night. Both mother and baby lie on their sides facing each other. You can use pillows behind your back and behind or between your knees to help get comfortable. A pillow or rolled blanket behind the baby’s back will keep him from rolling away from you. The baby can be cradled in your arm with his back along your forearm. Having his hips flexed and his ear, shoulder and hip in one line helps your baby get milk more easily.
As you hold your baby in any of the above positions, you may need to support your breast with your free hand. This removes the weight of the breast from the baby’s chin, allowing him to breastfeed more effectively.
“C” hold–See the cradle hold illustration above. Support your breast with your thumb on top, well back from your areola (the darker skin surrounding the nipple) and the fingers underneath. Your fingers should also be well back from your baby’s mouth. This hold is helpful when breastfeeding in the clutch or football position as well as the cradle position.
“U” hold–Place your fingers flat on your ribcage under your breast with your index finger in the crease under your breast. Drop your elbow so that your breast is supported between your thumb and index finger. Your thumb will be on the outer area of your breast and your fingers will be on the inner area. This hold is helpful when breastfeeding in the cradle and cross-cradle positions.
When latching on your baby, use your nipple to tickle the center of your baby’s bottom lip. This will encourage him to open his mouth wide (like he is yawning). Aim your nipple slightly towards the roof of his mouth, bringing baby to you, chin first.
Good latch-on checkpoints for your baby include:
If the latch is uncomfortable or painful, gently place your finger in the baby’s mouth, between his gums, to detach him and try again.
A baby who is offered the breast will suck without swallowing as he positions the nipple in his mouth and tells your breast he is ready for the milk to let down. When he begins to receive milk, you will see his jaw working all the way back to his ear. His temples will wiggle. You will also hear him swallowing, quickly at first, then more slowly, as his appetite is satisfied.
Our FAQs present information on topics of interest to parents of breastfed children. Not all of the information may be pertinent to your family’s lifestyle. This information is general in nature and not intended to be advice, medical or otherwise.
Medical questions and legal questions should be directed to appropriate health care and legal professionals.
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po·si·tion
| \ pə-ˈzi-shən
\
1
: an act of placing or arranging: such as
a
: the laying down of a proposition or thesis
b
: an arranging in order
2
: a point of view adopted and held to
made my position on the issue clear
3 a
: the point or area occupied by a physical object : location
took her position at the head of the line
b
: a certain arrangement of bodily parts
rose to a standing position
4
: a market commitment in securities or commodities
also
: the inventory of a market trader
5 a
: relative place, situation, or standing
is now in a position to make decisions on his own
b
: social or official rank or status
c
: an employment for which one has been hired : job
a position with a brokerage firm
d
: a situation that confers advantage or preference
positioned ; positioning \
pə-ˈzi-sh(ə-)niŋ
\
: to put in a certain position
positioned the chairs around the room positioned the company in the global market
I was in an uncomfortable position and had to move.
I was uncomfortable, so I shifted position .
Return your seat to an upright position for landing. Verb
He positioned the chairs around the table.
The company is positioning itself to take advantage of a new market.
The shortstop was positioned well to make the play.
She positioned herself by the door.
The standard at the safety position is sky high at the University of Cincinnati.
—
Keith Jenkins, The Enquirer , 12 Aug. 2022
Big, physical presence up front and at the nose position .
—
Alexis Cubit, The Courier-Journal , 12 Aug. 2022
Does that include athletes outdoors — for example, during football practice — or indoors during classroom settings — for example, in position group meetings — with their coaches?
—
San Diego Union-Tribune , 11 Aug. 2022
And on a recent, sweltering summer afternoon at a position dug into a tree line of oak and acacia, a drone strike was the only military action, other than distant artillery shelling.
—
Andrew E. Kramer, BostonGlobe.com , 10 Aug. 2022
HoopsHype is unveiling its rankings of the Top 25 players in the NBA at each position and three Phoenix Suns starters have been in the Top 10 of each list so far.
—
Jeremy Cluff, The Arizona Republic , 8 Aug. 2022
Recent Examples on the Web: Verb
In my experience, managing pricing is a fundamental building block to preserve revenue and position the business to come out of a recession even stronger.
—
James Wilton, Forbes , 15 Aug. 2022
While China is busy building and financing rudimentary infrastructure, American legislators are angling to position the U.S. as a premier destination for pioneering electronics and automotive technology.
—
Jacob Carpenter, Fortune , 12 Aug. 2022
Meanwhile, the president plans to travel around the country to get his message across and hopefully position Democrats as a party for the working class, rather than one of economic and political elite.
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At the heart of Sony’s concern was Microsoft potentially owning Call of Duty, which Sony claimed would position Microsoft at the critical mass of a gaming monopoly.
—
Jonathan Lee, Washington Post , 11 Aug. 2022
From Theory to Practice With either method, a robotic arm serves to precisely position the antenna.
—
Neil J. Rubenking, PCMAG , 11 Aug. 2022
The task force plans to release its first report later this month, hoping to position Oregon to pursue a share of the $280 billion in new federal funding for scientific research and chips manufacturing.
—
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The leaning effect could be a result of phototropism, where plants naturally position themselves toward sunlight.
—
Samantha Chery, Washington Post , 2 Aug. 2022
Grant spoke toward the assumption that nightlife and dance music were tools of avoidance in stating that Above & Beyond aims to position people to work through their feelings.
—
Alex Wagner, SPIN , 29 July 2022
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