En "bruksanvisning" for de med ammeproblemer!

[den fabelaktige milly]

Jeg hadde store problemer i begynnelsen med å få lillemann til å koble seg på puppen, og denne "bruksanvisninga" hjalp meg veldig. (kopiert herfra: http://www.sdgp.com.au/client_images/18166.pdf)

 

 

POSITIONING AND ATTACHMENT CHECKLIST

 

Incorrect positioning and attachment of a baby to the breast is the cause of many problems with breastfeeding.

 

While it is invaluable to observe a feed when a positioning or attachment problem is suspected, the check-list may also be found helpful in telephone counselling. It is not intended to ‘pass’ or ‘fail’ babies or mothers - remember, if there is not a problem, don’t fix it! If there are problems, however, this list may help to clarify

or even correct them.

 

1. Mother’s and baby’s clothing adjusted so there are no restrictions.

2. Mother positioned comfortably, well supported, neither leaning back nor hunched forward.

3. Whatever the position, the baby’s whole body would be turned towards mother, supported behind shoulders not head, which is free to tilt back slightly.

4. Baby’s lower arm out of the way around the mother’s waist or tucked at baby’s side, body flexed around hers, chest and hips held in close, neck slightly extended.

5. Baby at the same level as breast.

6. While attaching, use thumb on top and fingers below to tilt the nipple towards the baby’s nose,

making the breast tissue below more accessible to latch onto.

7. Instead of aiming the nipple at the baby’s mouth, start attachment with the nipple just above the mouth, towards the baby’s nose. Aim to offer areola/breast tissue rather than the nipple itself.

8. A crying baby will have difficulty latching on because tongue will be up, soothe, try again.

9. Encourage wide gape, with tongue well down, by stroking lower lip with breast tissue rather than the

nipple. Repeat till wide gape, be patient, it may take time.

10. Bring baby onto the breast rather than the nipple. Plant lower lip first, well down on areola/breast, then roll baby on, aiming top lip just above the nipple. Try to get breast tissue against the tongue

and not so much against the roof of the mouth. If the areola is large, more should be visible above the top lip than below the lower lip.

11. Check that the chin is well against the breast, this will also leave the nose clear.

12. Baby should have mouth wide against the breast, not pursed lips. Baby’s lips should be flanged out, creating a seal, not rolled in.

13. Baby’s tongue is over lower gum, and is sometimes visible, or can be checked by gently rolling down lower lip.

14. Fast ‘sucking’ rate (2+ per second) slowing to about 1 per second, as milk volume per ‘suck’ increases after let-down, with occasional pauses; more irregular later in the feed.

15. A baby actively feeding is working hard, jaws and even whole head will move, ears may wriggle. Frequent swallows should be observable.

16. The baby should stay attached and not keep sliding on and off the nipple.

 

If any of the following occur baby is not well attached;

1. Pain.

2. The nipple has a blanched, squashed area across the top or a red stripe.

3. Feeding is noisy with loud clicking.

4. Baby’s cheeks are drawn in or hollowed with each suck.

5. The nipple slides in and out of the baby’s mouth.

6. The breast is stretched and distorted.