00:01
So let's talk about
that very first feeding,
because that's really
important in setting the stage
for how this breastfeeding
is going to happen
over the course of the next
hopefully months and year.
00:12
We want to encourage skin to skin
contact immediately after birth.
00:16
So you remember that kangaroo care,
it helps with thermoregulation.
00:20
But it also allows the baby to
kind of smell that breast milk,
you know, it's like pizza for
me, it's so good.
00:27
There's actually a video
where you can see the baby.
00:30
If you place the
baby on the chest,
they will over time crawl
their way up to the breast
and actually latch on if the birthing
person hasn't received any medication.
00:40
It's really cool.
00:41
It's a natural, automatic thing.
00:45
We also want to provide
support and encouragement,
because breastfeeding sometimes
is really challenging.
00:50
As natural as that
little video I described
makes it seem like it is,
sometimes it takes work.
00:56
And we need to be able to
support the birthing person
in the family as they
make this decision.
01:01
Now, we need to encourage that first
feeding within the first 30 minutes.
01:05
So that's important.
01:06
So anything that we can
do in our nursing care
to help get the baby to the
breast is going to be a priority,
because this again sets the stage
for what's going to happen later.
01:17
Because we also know if you remember
the lecture from newborn care
that the baby's gonna go
to sleep and a little bit,
and it's really hard to
eat when you're sleepy.
01:30
We've talked about benefits
and contraindications,
now let's get down to the work.
01:36
Let's talk about
breastfeeding positions,
and how we can encourage
the birthing person
to get in a position that's
going to optimize breastfeeding.
01:44
We're going to talk
about four positions.
01:46
And you want to make sure that you can
explain this to the birthing person
so that you can be in a
position to be helpful.
01:53
So the first position
is the cradle position.
01:55
And what you'll notice
about this position is that
we've got the baby turned
in to the birthing person.
02:00
You don't want to
breastfeed like this,
I think probably in movies
or something like that,
you might see something like
this, but as you can see our baby.
02:08
And by the way, our baby needs a
name can't be cleared as the fetus,
because clearly this
is no longer a fetus.
02:15
So if you've got a suggestion,
feel free to send it to me,
and maybe we'll come up with
a new name for this baby.
02:20
But anyway,
so we want to make sure that the baby
is actually turned towards
the birthing person,
so that the baby's head and mouth are
lined up in the appropriate position.
02:30
We want to make sure that
the baby's fully supported.
02:32
If the birthing
person is in a bed,
you can put a pillow
either behind the arm here
or behind the arm over here
to make sure there's support.
02:40
Because unless you're doing maybe
CrossFit or doing some lifting weights,
the baby can be really heavy.
02:45
In fact, my arms getting
really tired right now.
02:48
But anyway,
so now we're in this position here,
the baby's turned, the mouth is
ready right here for the breast.
02:55
And this is the cradle position.
02:58
Okay, the next position
is the cross cradle.
03:01
So the cross cradle,
as the name implies,
we're going to move the
baby over to this breast.
03:06
And instead of bringing our
hands around the baby this way,
we're going to hold
the breast here.
03:12
And then we're going to
feed the baby like this.
03:13
So you see cross cradle,
still want to use lots of pillows in
order to offer support them both sides,
we can also use a
clutch or football hold.
03:24
And as the name implies,
we're going to hold the baby
like we would a football.
03:28
Now I don't watch football.
03:29
So this is me guessing,
but this is what it looks like.
03:32
Okay, so now we have
the baby tucked behind.
03:35
And we have the mail here.
03:37
And we can breastfeed this way.
03:39
Now can you think of a time
when this might be beneficial,
thinking about like,
"Oh, surgery that somebody might have in
order to bring the baby into the world
and an incision that's
located in the look."
You got it, a cesarean birth.
03:53
So in a situation where we
have pain in the lower abdomen,
this is a really great position to
keep the baby off of that incision.
04:00
We can also do a
sideline position.
04:03
And I can't really lie down.
04:04
So I'm going to utilize our
pictures to show you this one.
04:07
So sideline works when you're
breastfeeding in the middle of the night.
04:11
Or again, maybe when you're experiencing
some pain from a cesarean birth.
04:15
And sometimes it's just
really comfortable.
04:17
And you can adjust the
position of the baby.
04:20
So you can actually
lay the baby down
so their feet is going the same
direction as a birthing person.
04:25
Or you can flip them the other way
and have their feet up by the head
because maybe they're some
blisters or lacerations
and you want to change
the direction of the suck.
04:33
So that works really well too.