The major determinants of successful Breastfeeding can be determined by the SAIB scale,(Systematic Assessment of the Infant at breast), which is a four point system in which four areas are assessed and if each goal is reached the mother will get 4 points, if not then she may need more education or assistance in breastfeeding. The SAIB scale is broken down into: Alignment/Positioning, Areola Latch-On, Areola Compression/Sucking, Audible Swallowing. There are certain criteria for each of these categories as shown on the SAIB sheet that was received first day of class.
The other determinant is the LATCH system that looks for, Latch, Audible Swallowing, Type of Nipple, Comfort, Hold these are scored from 0-2 for how well each of these …show more content…
The first feed within 2 hours is an introduction of mom to baby and should be unobtrusive but assistance should be given to make the experience less frustrating. Charting by the nurse should be done with detail rather than just stating that the baby breastfed. Ie: infant held in cradle position, unable to arouse sleepy infant, latch-on not accomplished. The full systematic assessment of breastfeeding should be done for mother and baby before …show more content…
Head in crook of elbow, support back with your forearm and cup the bottom or upper thigh with hand. Arm tucked or behind you, roll his body toward you, pelvis against abdomen, chest on chest, mouth with nipple, align head with rest of body.l
The crossover hold, or cross cradle is the same except you support baby on opposite arm than breast feeding, support back and upper back rather than bottom, this position is good for a baby who is having difficulty latching on, since you have a better ability to turn and position the head.
The clutch or football hold, this is good for sections, twins, large breasts. Hold your baby the same way you would clutch a pocketbook underarm or a football. Place him beside you, head near breast, tuck body near your side, forearm supports upperback, hand and fingers support shoulders, neck and head.
Reclining or lying down, for sections. Pillows behind back and between knees, keep back and hips in straight line. Hold baby as close as possible, on his side, mouth even with nipples, and your lower arm around him. Support your breast with other hand while gently guiding baby to breast. No need to change position for other breast just put a pillow under baby to bring level with other