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Maternal breastfeeding positions: have we got it right? (2).
| Content Provider | Semantic Scholar |
|---|---|
| Author | Colson, Suzanne |
| Copyright Year | 2005 |
| Abstract | lthough exclusive breastfeeding is associated with significant health benefits, British mothers are some of the least likely in Europe to sustain breastfeeding (Hamlyn et al 2002). Knowledgeable support may be crucial in overcoming the problems that prompt early, unintended breast weaning (Renfrew et al 2005). Current breastfeeding support approaches suggest a fixed system of routine and early breastfeeding management using verbal instruction to enable mothers to learn correct positioning and attachment skills. The following points have been recently reported as best practice. To breastfeed, mothers should: ● sit in a chair with an upright back, at right angles to their 'almost flat lap' ● use a footstool (if needed) to support their feet ● swaddle the baby (if necessary), ensuring baby's arms are lying at the sides, not across the body ● support the baby on a pillow with nose and mouth in line with mother's nipple before beginning the feed ● attach the baby correctly, holding the breast, if necessary, but keeping the breast still ● elicit a mouth gape, by moving the baby against the breast and enabling the mouth to touch the nipple ● aim the baby's bottom lip as far away as possible from the base of the nipple to enable baby's tongue to scoop in as much breast as possible (Inch et al 2003a). The theory for this kind of instruction appears to originate from three primary sources: 1. Research examining the anatomy and physiology of infant sucking (Weber et al 1986, Woolridge,1986a; 1986b). 2. Research differentiating sore nipple types and expert clinical practice (Gunther 1945, 1973). 3. Experts' practice in English problem-solving hospital/community feeding clinics (Woolridge 1995). A recent systematic review highlights that poor positioning and breast attachment are associated with low milk supply, nipple trauma, breast engorgement and early weaning (Renfrew et al 2000). These risk factors were first identified through landmark research carried out by Woolridge in the 1980s. Studying the mechanisms of sucking through ultrasonic examination of the buccal cavity during breastfeeding, Woolridge (1986a, 1986b) replicated and further developed earlier cineradiographic studies made of both breast-and bottle-feeding episodes (Ardran et al 1958a, 1958b). Using video recordings of ultrasound scans to examine patterns and coordination between sucking, swallowing and breathing, Woolridge (1986a, 1986b) studied six breastfed and six bottlefed infants between the second and sixth postnatal day. Suzanne Colson reviews the theory supporting routine teaching of breastfeeding positioning and attachment skills, and … |
| Starting Page | 29 |
| Ending Page | 32 |
| Page Count | 4 |
| File Format | PDF HTM / HTML |
| PubMed reference number | 16372602 |
| Journal | Medline |
| Volume Number | 8 |
| Issue Number | 11 |
| Alternate Webpage(s) | http://biologicalnurturing.com/assets/articles/Colson%202005%20PM%208%2011%2029-32.pdf |
| Alternate Webpage(s) | http://biologicalnurturing.com/assets/articles/Colson%202005%20PM%208%2010%2024-27.pdf |
| Journal | The practising midwife |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
