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)