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Sally Tedstone, UNICEF UK Baby Friendly Initiative
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Breastfeeding Expert Midwife and Breastfeeding Educator with UNICEF UK Baby Friendly Initiative
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Breastfeeding

Latching on

Breastfeeding often takes a bit of practice to master. Getting the latch right is crucial to success - the tips here should help you and your baby get the hang of things early on.
Video Tutorial
In Short

For a good latch follow these steps - described in more detail below:

Keep your baby close, supporting his neck but allowing his head to move.

Your baby needs to start with his nose opposite your nipple and then come in chin first.

Wait for your baby to open his mouth really wide, then take a big mouthful of breast.

Latching on is the key to good breastfeeding

Getting your baby to latch on properly to your breast is the key to painless and effective breastfeeding.

Here are some top tips from our experts to improve your baby’s latch.

Tip 1 – Feed your baby in the ‘Golden Hour’

Newborn cute infant baby with hand holding clip on umbilical cord at a hospital nursery.

If you are able to in the first hour after the birth, try to offer your baby his first breastfeed. Babies who are offered a feed soon after the birth will often display an instinctive feeding behaviour, including using their arms to crawl to the breast, rooting for the nipple and achieving a spontaneous latch. ‘Golden Hour’ feeding also stimulates your oxytocin production which will in turn stimulate your milk production.

Tip 2 – What’s the position I should be aiming for?

If you use your own tongue to feel the roof of your mouth, right at the back, you will find a soft squishy bit. This is where the nipple should be in your baby’s mouth. If your nipple ends up on the baby’s hard palate at the front it can quickly become sore for you.

This means your nipple only just slips underneath your baby’s top lip and their bottom lip is at a distance away from it. As a result, he should take a big mouthful of breast so that he is not just sucking on the nipple.

Tip 3 – How should I hold my baby?
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Let’s assume to start off with that you’re going to use the classic cradle hold, where you hold your baby across your body, cradled in your arms.

You need to support the baby’s neck and shoulders (not the head) so that your baby is free to throw his head back and come in towards the breast chin first.

Try to get your baby in really close and in a nice straight line, facing the breast. Your baby will open his mouth really wide.

As soon as he does this, he’ll come in close and latch on.

Tip 4 – How should I help my baby latch on?

You need to learn to wait until your baby’s mouth is really wide open, at which point you bring him quickly towards the nipple. Remember – he will have opened his mouth wide and thrown his head back and will then come to the breast chin first. Then he’ll scoop up a really big mouthful of breast so that the nipple will end up on that soft cushion at the back of his mouth.

Tip 5 – How can I tell if my baby is properly attached?
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Latching on properly means a quick feed and no pain.

If your baby is properly attached at the breast there shouldn’t be any pain or pinching. However, it is an unusual feeling that takes a little bit of time to get used to.

There might be an odd sensation when they first latch on, but after 10 seconds or so it shouldn’t be painful at all as your nipple should have been drawn into the soft cushion area at the back of your baby’s mouth.

Tip 6 – Good latching on equals big cheeks, plus lots of sucking and swallowing

Your baby will look like he has big cheeks because his mouth will be full of your breast. There should be a steady sucking rhythm.

You should be able to hear your baby swallowing milk.

Tip 7 – Where should my baby is nose be?

Lots of mums worry that if their baby’s nose is pressed against the breast, they might not be able to breathe.

If your baby is free to throw back his head then he’ll simply just pull himself off if he can’t breathe. That’s one of the main reasons for you not to hold onto him too tightly!

Get help quickly if your baby isn’t latching on well

It looks simple enough, and once you’ve been shown how to do it properly, and had some practice, it is. But it’s not something you’ll necessarily just be able to do instinctively, and a good or bad latch makes a big difference to how well breastfeeding goes.

Midwives, health visitors, lactation consultants or breastfeeding counsellors in your local community are all there to help you. Get some guidance up front, and go back as often as you need for help, lessons and advice afterwards.

Without a good latch, your baby won’t feed as well and become hungry and unsettled, and you might get very sore nipples or have other problems. This is one of the main reasons that new mums give up breastfeeding.

The good news is that as soon as your baby learns to latch on properly, breastfeeding becomes easy and comfortable. The more help you get upfront, the quicker this will happen.

To recap, you need to support your baby so he can get a big mouthful of breast. Here’s how:

  • Hold your baby really close.
  • Make sure that he is free to throw his head back. This means you need to support his neck and shoulders, rather than holding on to his head.
  • This will allow your baby to open his mouth wide to take in a nice big mouthful of breast. He will want to throw his head back and come in towards the breast chin first.
  • Then your baby will have a moment where he opens his mouth really wide.
  • WAIT until the baby’s mouth is REALLY wide open and at that point you have to be quite quick and he will come into the breast chin first. Then he will scoop up a really big mouthful of breast and then your nipple will end up on that soft cushion in his mouth.

DISCLAIMER
This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Essential Parent has used all reasonable care in compiling the information from leading experts and institutions but makes no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details click here.