Check List for Essentials of Positioning And Latch-on

Positioning
- Hold head behind ears
- Nose to nipple
- Belly to belly
Offer the breast
- Sandwich hold
- Stroke nipple from nose to chin rolling out lower lip
- Bring baby to breast, not breast to baby
Check the latch-on
- Flanged lips, open mouth to 140 degrees
- No pain, no wedged or creased nipple
- Chin touching breast, asymmetrical latch-on
Assess milk transfer
- Wide jaw excursion
- Consistent sucking
- Audible swallowing (after milk comes in)