Newborn baby bottle feeding positions
How to Bottle Feed a Baby
Whether you’re using a bottle in addition to breastfeeding or you and baby use the bottle exclusively, certain bottle feeding techniques and positions can give you and baby a happier, healthier bottle-feeding experience. Check out the definitions and pros and cons to each, then speak with your pediatrician, lactation consultant or feeding specialist for advice before making any major changes to your feeding routines.
Bottle Feeding Techniques
Cue-Based Feeding
Cue-based feeding is actually an emerging technique born from hospitals and NICUs, originally for babies who are born premature or with other feeding difficulties. Cue-based feeding may include providing a more controlled (slower) flow rate to help preterm infants’ airways, using an elevated side-lying position with swaddling, pacing the feeding, providing regulatory support to keep baby in an even-keel state, and avoiding moving the nipple in baby’s mouth. The goal for nurses and caregivers is to get preterm and other high-risk babies to a state of “full oral feeding” – where babies don’t have to rely on feeding tubes in order to eat but can feed completely from breast or bottle.
When it comes to healthy, fully developed babies, cue-based feeding can also be employed. It’s simply watching for cues of hunger, cues of feeding problems (like too fast a flow), and cues of fullness. In effect, it’s a completely baby-led way of feeding. It differs from paced feeding in that mom or dad is not controlling the pace of the feeding and when baby is cut off from the milk flow – mom and dad are simply responding to the cues offered by baby.
Potential Benefits of Cue-Based Feeding:
- The quality-over-quantity approach shows improvement in baby’s feeding experience
- Research shows fewer feeding problems and improvement in health
- Increased emotional regulation, speech and language, and fine-motor skills in babies
- Helps baby develop their own understanding of satiety
Things to Think About:
- Feeding schedules are just about impossible to create
- Cues can be subtle, so complete attention is needed to watch baby during feeding
- Parents’ schedules may not be able to support this type of feeding
- Other caregivers may be unaware of this approach to feeding
Bottle Feeding Positions
Cradle Hold Feeding
One of the more traditional bottle-feeding positions, cradle hold feeding consists of placing baby’s head in the crook of your arm and wrapping your hand around his bum. Then, lift your elbow so that baby is at a slight angle, with their head higher than their body. The upside to this position is that it helps prevent ear infection and facial feeding cues are easier to spot – plus it can be done in public. The downside? Your arm can get tired after a 10 – 20-minute feeding session.
Upright Feeding
Upright feeding is just as it sounds: feeding baby when they are sitting upright. This position is best for older babies who have a bit more body control. You can sit them up on your lap and let their body rest against your chest or inside your arm. The upright feeding position is perfect for babies who are dealing with acid reflux or gas (the Dr. Brown’s bottle can help with that, too!) and can be performed anywhere. The con is that baby won’t be facing you, either at all or only partially, making bonding and cue-reading more difficult.
Lap Feeding
With lap feeding, you are either lying down all the way or sitting down and your legs are up and bent at the knees. You place baby with their back against your thighs, facing you, with his head against your knees and feet on your stomach. There’s plenty of bonding opportunity with this position and it gives your feeding arms a break. The only con is that it’s tough to do in public, so you might want to reserve this one for home.
Angled Feeding
Angled feeding is much like the cradle hold, only you aren’t using your arm to support the weight of baby. Instead, you use an angled feeding pillow that keeps baby snug in place against your body but still more upright for improved feeding. The best use of this type of feeding is when baby is going through their cluster feeding frenzy, which can happen to both breastfed and bottle-fed babies. That’s because your arms won’t get tired from frequent feedings and the feeding pillow keeps you feeling cozy.
Paced Feeding
Also called Paced Response Feeding, this technique mimics breastfeeding. Check out Dr. Mona Amin’s article How to Feed Baby a Bottle Using Paced Feeding to learn more!
As bottle feeding techniques and positions continue to improve, so, too, will your baby’s feeding experiences. Again, make sure to speak with your LC, pediatrician or feeding specialist before making changes to your feeding routines. For further Happy Feeding™ reading and more, check out the rest of the articles on our Parent Resources and Tips page!
Everything You Want to Know
Bottle-feeding an infant is not rocket science, but it’s not necessarily easy either. Some babies take to the bottle like champs, while others require a bit more coaxing. In fact, introducing a bottle can be a process of trial and error.
This seemingly simple undertaking is made exponentially more challenging by the staggering plethora of bottle options, varying nipple flows, different formula types, and multiple feeding positions.
Yes, there’s a whole lot more to bottle-feeding than what meets the eye, so don’t be discouraged if your wee one is a bit fussy at first. You’ll soon find the routine — and products — that work for your little one. In the meantime, we’ve got you covered with all the bottle basics.
Once your bottle is prepared and at the ideal temperature (find more details on these below), it’s time to start feeding your baby.
- First, find a position that’s comfortable for you and safe for your baby.
- Hold the bottle at a horizontal angle so that your little one has to gently suck to get the milk.
- Be sure that the milk fills the entire nipple so that your baby isn’t gulping lots of air, which may result in gas and fussiness.
- You’ll want to take breaks every few minutes to gently burp baby. If they seem particularly squirmy during a feeding, they may have a gas bubble; take a pause and gently rub or pat their back.
- Use this opportunity to bond with your baby. Hold them close, look into their wide eyes, sing soft songs, and make feeding time a happy time.
Be sure to pace your feeding. You can’t expect — nor do you want — a new baby to chug a bottle down in 5 minutes flat. It may take a while, and that’s a good thing.
You want a baby to regulate their own hunger, so slow down and allow an infant to go at their own speed. Be sure to follow their cues, pause to burp or reposition them, and put the bottle down if they seem bothered or disinterested. You can try again in a few minutes.
And if they seem to want a top off? Go ahead and offer a free refill if it seems necessary.
There are several positions you can try for bottle-feeding. Make sure you’re both comfortable so it’s a pleasant experience. Find a suitable place to sit comfortably, use pillows to support your arms if needed, and cozy up together during feeds.
Here are a few options to try:
Cradle your baby
When you think of holding a newborn baby, you probably envision yourself cradling them in the nook of your arm. This is a great position for feeding your wee one a bottle. Rest their head in your elbow bend, and tilt them up so they’re at a comfortable angle. This position is ideal for some bonus skin-to-skin contact.
Sitting position
Sit down and place baby upright in your lap with their back against your stomach and chest. This position is especially encouraged for infants with reflux. Just be sure that you’re tipping the bottle to completely fill the nipple with milk.
Rest baby on your legs
Sit or lay down, and prop your baby on your legs with their back against your thighs and their head near your bent knees. This position allows for eye contact and interaction.
Use a feeding pillow
Nursing pillows aren’t just for breastfeeding. Some babies enjoy being positioned on a pillow for mealtime. A traditional C-shaped nursing pillow works great for this purpose, allowing baby to relax and be comfortable during a feed.
While this option frees up your arms, you’ll still need to hold the bottle for your baby. Propping or rigging a hands-free situation has potentially dangerous consequences.
Once a baby is old enough and expresses interest in holding the bottle themselves (somewhere around 6–10 months of age), you can let them try. Just be sure to stay close and monitor them carefully.
Whatever position you try, make sure that your little one is angled, with their head raised. You don’t ever want your baby to be lying down flat while eating. This could enable milk to travel into the inner ear, potentially causing an ear infection.
Of course, feeding baby the bottle might be the easy part. Picking the right vessel to hold your breast milk or formula can be a whole other complicated story. The information below can help you master the art of preparing the perfect bottle for your baby.
Choose the right bottle for your baby
If you’ve ever browsed the feeding section of a baby store, you know that bottle options are seemingly endless.
There are bottles designed for colicky babies, gassy babies, and breastfed babies. It’s daunting. The confounding truth is that some babies will take any old bottle you throw at them, while others will be far more discerning.
You might have to try a few different brands to find “the one” for your baby. If you have a gassy guzzler, you could go with one that uses a venting system. If you’ve been exclusively nursing up until now, you can try one that more readily resembles the shape and feel of mama’s breast.
You may also want to pick a bottle that has fewer parts to clean and reassemble. You’ll appreciate the lack of steps during that 2 a.m. feeding session.
Furthermore, start with a slow-flow nipple, and upgrade when your baby seems eager to get more milk, faster.
Prepare your formula or breast milk bottle
Feeding with formula? There are three types to choose from: powder, concentrate, and ready-to-pour.
Ready-to-pour formula is the easiest (and, yes, most expensive) option of the three. It involves no preparation and is as simple as opening and pouring it. You can purchase small, individual bottles that come with nipples, which are especially useful for those early infant feedings, or opt for larger bottles that need to be refrigerated. Either way, it’s fairly foolproof.
When using powder, you’ll need to measure out portions and mix them well with suitable water. It’s important to follow the directions and use the recommend water-to-formula ratio. Using too much water can dilute the nutrients; using not enough can cause dehydration. Both of these possibilities can have dangerous consequences, so use caution and care.
Similarly, concentrate formulas require a safe water source. Once again, measuring appropriately is key.
If you’re breastfeeding, preparing a bottle is pretty straightforward. Just pour pumped fresh or frozen breast milk into a bottle, and warm it up (if refrigerated and desired). Be sure to double-check the pump date, though; thawed and/or refrigerated breast milk has a short shelf life.
Warm your bottle
Some babies will take a bottle straight out of the refrigerator, but many prefer their milk slightly warmed.
The best way to warm up a cold formula or breast milk bottle is by submerging it in a cup of hot water for a few minutes. You can also use a bottle warmer. Test the milk temperature on your wrist before serving it to your baby.
Be sure to never microwave a bottle. This can cause an uneven temperature throughout and create hot spots that could burn baby’s mouth.
How long is a bottle good for?
It may seem painful to throw away precious pumped liquid gold or chuck expensive formula. Yet, at some point or another, you’ll probably watch wistfully as you pour some unused bottle milk down the drain.
If you’re using expressed breast milk, there are some important time frames to remember. Breast milk can be frozen for up to 6 to 12 months and refrigerated for 4 days. (If it has been thawed, though, you should use it within 24 hours.) Once you begin feeding a breast milk bottle, it’s safe for up to 2 hours.
A prepared bottle of formula can be refrigerated for 24 hours. Once baby has taken a sip from a bottle of formula, it must be used within 1 hour. Bacteria multiply quickly on milk-based products, so be sure to check the clock.
It may feel like you’re constantly preparing bottles, but don’t worry, this feeding frenzy phase will soon pass.
Yes, in the early days of parenthood, you’ll be feeding your little one every 2 to 4 hours. As a newborn, your baby will likely consume around 2 ounces per feed.
As they get older, the feedings may become spaced out, and the amount in each bottle will increase. Around the 2-month mark, your baby may start drinking 4 to 6 ounces each feeding. By 6 months, they’ll probably take in about 8 ounces.
Don’t feel tethered to a strict feeding schedule. It’s best to feed a baby when they seem hungry. Babies go through rapid growth spurts and may need to feed more frequently. Look for hunger cues to determine whether your little one is hankering for a bottle.
Your baby may be hungry if they begin gumming on their hands, sucking on their tongue, or rooting. Rub your finger or a bottle nipple at the side of their cheek or mouth, if they turn toward it, they’re probably ready for a feeding. Give that bottle a go!
If you’re a nursing mama, you may feel especially nervous about introducing a bottle. Rest assured that with a little patience and time, your baby will eventually get the hang of it.
Still, before you offer a bottle, you’ll want to feel confident that nursing has been well established. As such, you should consider waiting 2 to 3 weeks after your baby is born to introduce the bottle to avoid potential nipple confusion and ensure that your milk supply is adequate.
If you need to transition your baby to the bottle before returning to work, cushion in some extra time to normalize this routine. While your breastfed baby may happily accept the first bottle you offer, they may also turn their tiny nose up at it. Spare yourself and your baby unnecessary pressure, and give yourselves some wiggle room to adjust.
And if your baby does resist the bottle? Walk out of the room and have a partner or caregiver try. Your baby knows that you have the real deal under your shirt, and they may respond more readily to someone else.
Furthermore, don’t try to introduce the bottle when your little one is impatiently ravenous. Wait until they’re in a pleasant mood, and offer a bit when their tummies aren’t entirely empty. You may get a better reaction.
Even if you plan to be home and available to nurse around the clock, you should still try to introduce the occasional bottle. It’s good to know that your baby will accept it in a pinch.
Bottle-feeding has its challenges and rewards. There are a few other tips to keep in mind to help set you and your baby up for success.
Washing and sterilizing bottles
You may want to sterilize your bottles before their first use. You can do this with a steam sterilizer or in the dishwasher.
Sanitizing them between uses is probably unnecessary, but you do want to ensure that you always have a clean supply on hand — lest you have to wash one in the middle of the night while a crying baby impatiently awaits their bottle.
That said, a bottle requires a thorough scrubbing between uses, especially if it has pieces and parts with nooks and crannies. You can, of course, also use your trusty dishwasher. Either way, it’s smart to at least pour out any unused formula or breastmilk right away and give the bottle a quick rinse after a feeding session.
Mixing breast milk and formula
Want to slowly introduce formula to your breastfed baby? You can mix breast milk and formula in the same bottle. This can get baby more readily adjusted to the unique flavor of formula.
Just be sure to prepare the formula separately. If you’re using powder or concentrate formula, you’ll still need to add water first; don’t use breast milk as a liquid substitute. Once the formula is prepared, pour in the breast milk.
Finally, heed the time restrictions. While breast milk on its own can be used for up to 2 hours, the addition of formula means the bottle is only good for 60 minutes.
Adding cereal to a bottle
Has a well-meaning grandparent suggested adding cereal to your baby’s bottle?
Generally speaking, doctors advise against this practice. While many people assume it will keep their baby fuller for longer — and even help them sleep for a longer chunk of time — it can have a few negative consequences, including excessive weight gain and constipation.
Occasionally, doctors will recommend adding a bit of oatmeal cereal to a bottle to help a baby with gastroesophageal reflux disease (GERD). Talk to your pediatrician before making this decision on your own.
No doubt, the idea of bottle service takes on a whole new meaning these days, but you’re going to love this new adventure.
And while it may seem like a lot to take in, bottle-feeding your baby will soon become second nature. You may encounter some hurdles or missteps along the way, but you’ll quickly discover what works for you and your baby.
Good luck, you’ve got this!
How to properly bottle feed
Feeding your baby is not only an important process for healthy growth and development, but also a way to establish close emotional contact with the baby and build trusting and loving relationships. The transition from breastfeeding to bottle feeding should be carried out after the mother and the child are fully prepared for this. We are talking about both the moral aspect, and about choosing the right bottle and getting adults the necessary skills so that eating brings only positive emotions and benefits to the baby. In this article, we will talk more about how to properly bottle feed your baby and where to start.
How to prepare your baby for bottle feeding
If this method of feeding is a completely new experience for the baby, or if parents decide to bottle feed their baby from a very young age, slow flow nipples should be preferred. So you protect the child from the possibility of choking while eating. Over time, you can gradually switch to bottles with nipples, which would provide faster and more intense feeding.
Feeding bottle selection and daily care
All baby accessories should be kept clean and sterilized regularly and thoroughly.
There are several ways to sterilize dishes:
- select the appropriate mode when using the dishwasher;
- or place the bottle and teat in a vessel of boiling water for 5 minutes.
Before using this method of cleaning the bottle, make sure that the material it is made of can be exposed to high temperatures. Since some types of plastic contain various chemicals in their composition, after sterilization they can become dangerous for their little user. For this reason, experts recommend choosing glass bottles.
The need for thorough cleansing of everything that the baby will touch is caused by the fact that in the first months of life, the child's immune system is just beginning to strengthen. Before sterilizing the teat, it can be cleaned with dishwashing detergent. There are special products for washing children's dishes, without a strong odor and with a safe composition.
How to bottle feed your baby
Before starting a meal, mom or dad should wash their hands well with soap and warm running water. Particular attention should be paid to the area between the fingers and under the nails. The hand washing process should take at least 20 seconds. And after carrying out this hygienic procedure, hands should be wiped dry with a paper towel or clean towel.
The next step is to prepare for the meal. If you plan to fill the bottle with formula, then dilute it with water in accordance with the instructions in the instructions. Improper proportions can lead to dehydration or bloating. It should also be remembered that for the preparation of the mixture you need to use only clean drinking water.
Breast milk is the most beneficial for a newborn. Despite this, pediatricians advise breastfeeding babies for as long as possible. Even if the mother is ready to give up breastfeeding, milk can be expressed into a bottle and gradually accustom the baby to the nipple. If, for one reason or another, the mother does not have the opportunity to feed herself, then the only alternative is feeding with a special mixture.
In the first six months after birth, cow's or goat's milk or its substitute in the form of soy milk should not be included in the baby's diet. Valid options for supporting healthy development of a newborn are breast milk or formula milk only.
What temperature should the bottle filler be? Under no circumstances should the bottle be heated on the stove or in the microwave. If the temperature of the bottle and its filling exceed 37°C, the baby may be burned. It is recommended to use special bottle warmers. If this is not possible, then use the following method:
- put a saucepan on the stove with a little water;
- bring the water to a boil, then remove the pan from the heat;
- place a bottle of milk in a vessel and heat it up to 37◦С;
- check the temperature with a pre-cleaned thermometer or a special device for measuring the temperature of foodstuffs.
You can also check the temperature of the ready-to-use bottle as follows:
- turn the bottle over;
- drip several times into your wrist area.
In this way, you can check not only the temperature of the milk or formula, but also how well the liquid flows out of the bottle. If you have to shake or squeeze the bottle hard to drip, the nipple is blocked and needs to be cleaned out. If, on the contrary, the filler pours out when the bottle is turned over, this means that the nipple is damaged and another nipple should be used to feed the baby, having previously sterilized it.
How to bottle feed your baby lying down
There are several techniques for feeding your baby. However, it is the feeding of the child lying down from the bottle that young parents consider the most comfortable. It is worth noting that eating in this position will only be safe when the baby's head is slightly raised. Otherwise, the child may simply choke. In the prone position, the child should be placed on his arm bent at the elbow. After feeding, you should place the baby in an upright position, taking him in your arms and putting his stomach to your chest.
Make sure that the feeding bottle is closed correctly: the ring at the connection of the nipple to the bottle must not be too tight. Air must enter the bottle, otherwise a vacuum will be created there, which, in turn, will complicate the consumption of food for the child.
How to bottle feed without spitting up
Since the newborn is not able to fully control the process of feeding, along with milk, he can also take in air. This may be the reason that at one meal the child could not master the planned portion. In view of this, it is recommended to take small breaks during feeding.
As soon as you notice that the baby has stopped sucking on the pacifier, is tired or thoughtful, pick him up and press his face to you, holding his head and back. To help burp excess air, you can make a light massage between the shoulder blades, pat on the back or pope.
The air will quickly rise up and the baby will burp it without any extra effort. However, you should be prepared for the fact that, along with the air, part of the consumed mixture or milk may also return. Therefore, before taking the baby in your arms, cover yourself with a diaper, because it will be easier to wash it than clothes.
Never leave your baby alone with the bottle or let him fall asleep while using it. After eating, mom or dad must help their child burp. This will help to avoid colic, bloating and other manifestations of stomach discomfort.
Where to buy baby accessories
It's safe to say that I Love Mommy online store is one of the best places to buy baby food. Our catalogs feature products from world-famous brands, the quality of which you will not have to doubt for a minute. Bottles, baby dishes, pacifiers, baby bibs - all this and much more you can buy for your son or daughter from us at affordable prices in just a few minutes.
Various breastfeeding positions
Try different breastfeeding positions to find the one that works best for you and your baby. You can see the options in our selection of photos
Share this information
There is no right or wrong way to hold the baby while feeding
, and mom and baby are sure to find their favorite position.
It is important that both you and your child feel comfortable. 1.2 It's good to learn a few different breastfeeding positions and techniques because life's circumstances often require us to be flexible, especially as your baby gets older and you start to leave the house more often.
Whatever position you choose to breastfeed your baby, remember a few simple rules.
- Prepare everything you need before feeding, including drinks, food, mobile phone, TV remote control, book or magazine. And do not forget to go to the toilet - the feeding process can take a long time!
- Make sure your baby is comfortable. Whichever position you choose, it's important to keep your baby strong, level, and provide good support for their head, neck, and spine.
- You should also be comfortable. Don't stress. If necessary, use pillows of different sizes or rolls of towels to support your back or arms.
- Make sure your baby is latching on correctly. Proper grip is the key to comfort when breastfeeding.
- If your baby does not latch on well or you experience pain while feeding, contact a lactation consultant for help. The specialist will also be able to show you how to hold your baby more comfortably.
1. Relaxed feeding or reclining position
The relaxed feeding position, also known as biological feeding, 1 is often the first position for most mothers. If, immediately after birth, the baby is placed on the mother’s chest or stomach, normally, he instinctively reaches for the breast and tries to grab the nipple. This phenomenon is known as the breast seeking reflex. Skin-to-skin contact stimulates the infant's feeding instinct, and gravity helps him to latch onto the breast and maintain balance.
But it's not just newborns that can be fed in the reclining position - this position is great for babies of all ages. It can be especially helpful if your baby does not latch well in other positions or does not like to be touched during feeding, and also if you have too much milk flow or too large breasts. Isabelle, a mother from the UK, shares her experience: “I had large breasts, and the baby was born small - 2.7 kg, so it was not easy to find a comfortable position at first. After a few weeks, it became clear that there was no “correct” posture for me. As a result, I most often fed lying down, putting the baby on my chest. ”
It is more convenient to feed not lying flat on your back, but half-sitting, leaning on pillows. So you will have a back support and you will be able to watch the baby during feeding.
2. Cradle position
This is the classic position that comes to mind first when
the subject of breastfeeding is mentioned. Mom sits
straight, and the baby lies on her side on her arm, pressing her stomach against her stomach. 3 Although this is a very popular position, it is not always easy to master with newborns because it gives the baby less support. Try putting a pillow under your back, and put a special breastfeeding pillow on your knees and lean on it with your hands. So you can more reliably support the child, without overstraining your back and shoulders. Just make sure that the baby does not lie too high on the pillow for feeding. The breast should remain at a natural level so that the baby can grab it without effort, otherwise sore nipples cannot be avoided.
“I breastfed in the cradle position because it suited me perfectly! It was comfortable and I loved just sitting and looking at my little one,” recalls Rachel, a mother of two from Italy.
3. Cross Cradle
This breastfeeding position looks almost the same as the Cradle, but the baby is on the other arm. 3 This gives your baby support around the neck and shoulders so he can tilt his head to latch on. This position is great for breastfeeding newborns and small babies, as well as for babies who do not latch well. Since the baby lies completely on the other hand, it becomes easier to control his position and you can adjust the chest with your free hand.
Julie, a UK mother of two, finds this position very practical: “I usually breastfeed my youngest in the cross cradle position. So I have a free second hand, and I can take care of an older baby at the same time. ”
Do not hold the baby's head at first, otherwise you may inadvertently press his chin against his chest. Because of this, the child will not be able to take the breast deeply, because the nipple will rest against the base of the tongue, and not against the palate, which will lead to inflammation of the nipples. As the child grows, this position becomes more comfortable, and he can rest his head on your palm (as shown in the photo above).
4. Underarm breastfeeding
In this position, also known as the "ball grip", the mother is seated and the baby lies along her arm at the side, legs towards the back of a chair (or any other seat). 3 This is another comfortable position for newborn breastfeeding, in which you can give your baby good support, have full control of his position and have a good view of his face. And the baby feels safe in close contact with the mother's body. This position is especially good for those who have had a caesarean section or a premature birth, as well as mothers of twins and women with large breasts.
“When I breastfed my first daughter, I had very large K-sized breasts—twice the size of her head,” recalls Amy, an Australian mother of two. - I put rolls of towels under each breast, because they were very heavy, and fed my daughter in a pose from under the arm, but only sitting straighter so as not to crush her. This position was also convenient because I had a caesarean section and could not put the baby on my stomach.”
5. Side-lying position
The side-lying position is ideal for relaxed
feedings at night in bed or on the couch. If you had a
caesarean section or ruptures during childbirth, this position may be more comfortable than sitting down. 3 In this position, mother and baby lie side by side, tummy to tummy.
“It was difficult for me to sit during endless night feedings, firstly because of the caesarean section, and secondly because of lack of sleep,” recalls Francesca, a mother from the UK. “And then I discovered that you can feed your baby lying on your side and rest at the same time.”
“Because of the short tongue frenulum, Maisie could only properly latch on to her breasts while lying on her side. The lactation consultant showed me how it's done. In this position, the flow of milk was optimal for my daughter, and it was easier for her to keep the nipple in her mouth. As she got older, she became much better at grabbing her breasts in normal positions,” says Sarah, mother of two from Australia.
6. Relaxed breastfeeding after caesarean section
If you can't find a comfortable position for breastfeeding after caesarean section, 3 try to hold the baby on the shoulder while reclining — this does not put pressure on the postoperative suture and allows you to breastfeed the baby comfortably. You can also try side feeding.
7. Upright breastfeeding or “koala pose”
When breastfeeding in an upright position or “koala pose”, the baby sits with a straight back and a raised head on the mother's hip. 4 This position can be tried even with a newborn if it is well supported, but it is especially convenient for feeding an older child who can already sit up by himself. The upright sitting position, or “koala pose,” is great for toddlers who suffer from reflux or ear infections and feel better sitting. In addition, this pose may be suitable for children with a shortened frenulum of the tongue or reduced muscle tone.
“When my daughter got a little older, I would often feed her in an upright position, which was more comfortable for both of us, and I could still hold her close,” recalls Peggy, a mother from Switzerland. “Besides, it was possible to discreetly breastfeed her in public places.”
8. Overhanging position
In this position, the baby lies on his back, and the mother bends over him
on all fours so that the nipple falls directly into his mouth. 4 According to some mothers, this breastfeeding position is good to use from time to time for mastitis, when touching the breast is especially unpleasant. Some say that this breastfeeding position helps with blockage of the milk ducts, although there is no scientific evidence for this yet. You can also feed in the “overhanging” position while sitting, kneeling over the baby on a bed or sofa, as well as reclining on your stomach with support on your elbows. Pillows of various sizes that you can lean on will help you avoid back and shoulder strain.
“I have breastfed several times in the 'overhang' position for clogged milk ducts when no other means of dissolving the blockage worked. And this pose seems to have helped. I think it's because of gravity, and also because the breasts were at a completely different angle than with normal feeding, and my daughter sucked her differently, ”says Ellie, a mother of two from the UK.
Feeding in the "overhanging" position is unlikely to be practiced regularly, but in some cases this position may be useful.
“I used to breastfeed in the overhang position when my baby was having trouble latch-on,” says Lorna, mother of two in the UK. - This, of course, is not the most convenient way, but then I was ready for anything, if only he could capture the chest. We succeeded and have been breastfeeding for eight months now!”
9. Feeding a baby in a sling or “on the fly”
Breastfeeding in a sling takes some practice, but you can go out, look after older children or even do a little household chores.
The sling is also useful if the baby does not like to lie down or is often attached to the breast. Lindsey, a mother of two in the US, notes: “I used the carrier frequently for both of my children. When we were out, I tied the sarong around my neck and covered the carrier with it. Under such a cape, the baby can eat as much as he wants until he falls asleep.
This breastfeeding position is best when the baby is already good at breastfeeding and can hold his head up by himself. Any slings are suitable for breastfeeding, including elastic and rings, as well as carrying bags. Whatever option you choose, the main thing is that you can always see the face of the child, and his chin does not rest against his chest.
10. Double hand-held breastfeeding
Double hand-held breastfeeding (or “double-ball grab”) is great for mothers of twins—you can breastfeed both at the same time, with your arms relatively free. 4 When feeding in this position, it is advisable to use a special pillow for breastfeeding twins, especially at first. It will provide extra support and help keep both babies in the correct position, as well as reduce the burden on the abdomen if you had a caesarean section. In addition, the hands are freer, and if necessary, you can deal with one child without interfering with the second.
“My twins were born very tiny and had to be fed every two hours at any time of the day or night. Very soon it became clear: if I want to do anything besides feeding, I need to feed them both at the same time, - says Emma, mother of two children from the UK. “I breastfed them two by hand using a breastfeeding pillow.”
Other good positions for breastfeeding twins are two criss-cross cradles, one baby in the cradle and the other close at hand, reclining feeding, or sitting upright (one baby on one side, the other on the other).
11. Feeding in the position “with breast support by hand” or “hand of dancer”
muscle tone (which is typical for premature babies, children suffering from various diseases or Down syndrome), try supporting his head and your chest at the same time. 4 Grab your chest with your palm underneath so that your thumb is on one side and all the others are on the other. Move your hand slightly forward so that your thumb and forefinger form a "U" just in front of your chest. With the other three fingers, continue to support the chest. With your thumb and forefinger, hold the baby's head while feeding so that his chin rests on the part of the palm between them, your thumb gently holds the baby on one cheek, and your index finger on the other. So the baby gets excellent support, and you can control his position and see if he is holding his breast.
Literature
1 Colson SD et al. Optimal positions for the release of primitive neonatal reflexes stimulating breastfeeding. Early Hum Dev . 2008;84(7):441-449. - Colson S.D. et al., "Optimal Positions for Provoking Primitive Innate Reflexes to Induce Breastfeeding." Early Hume Dev. 2008;84(7):441-449.
2 UNICEF UK BFHI [ Internet ]. Off to the best start ; 2015 [ cited 2018 Feb ]. - UNICEF UK, Baby-Friendly Hospital Initiative, Start the Best You Can [Internet]. 2015 [cited February 2018].
3 Cadwell K. Latching - On and Suckling of the Healthy Term Neonate: Breastfeeding Assessment. J Midwifery & Women's Health. 2007;52(6):638-642. — Cadwell, K., "Latching and sucking in healthy newborns: evaluation of breastfeeding." F Midwifery Women Health. 2007;52(6):638-642.
4 Wambach K, Riordan J, editors.