holding my baby close with the baby’s head and body in a straight line while my baby’s mouth is open wide, aiming the nipple to the roof of the baby’s mouth, with the baby’s chin and lower lip touching the breast first below the nipple after this first contact, the baby’s upper lip follows forming a seal I know why my baby has a good attachment because: my baby is content both of my baby’s lips are turned out and the baby has rapid sucks and swallows more of the areola is seen above the top lip than the bottom my baby’s chin is indenting the breast and the baby’s cheeks are rounded I know how to hand express my breast milk. To do this I: stimulate the breast with massage and nipple rolling gently grasp the breast with thumb and forefinger about 1 inch back from the nipple forming a and pull the breast back to the chest wall “C” compress the thumb and forefinger together without sliding fingers along the skin release and repeat and release” knowing that it may take a few minutes for milk to “compress flow rotate the position of my fingers around the breast and alternate sides I know why hand expression of breast milk is important. Hand expression: is the best way to express colostrum helps my baby to attach to my breast can help to deal with a blocked duct will help relieve breast engorgement Patient Signature:_______________________________________________Date:___________________ *Adapted with permission from Massachusetts General Hospital
holding my baby close with the baby’s head and body in a straight line while my baby’s mouth is open wide, aiming the nipple to the roof of the baby’s mouth, with the baby’s chin and lower lip touching the breast first below the nipple after this first contact, the baby’s upper lip follows forming a seal I know why my baby has a good attachment because: my baby is content both of my baby’s lips are turned out and the baby has rapid sucks and swallows more of the areola is seen above the top lip than the bottom my baby’s chin is indenting the breast and the baby’s cheeks are rounded I know how to hand express my breast milk. To do this I: stimulate the breast with massage and nipple rolling gently grasp the breast with thumb and forefinger about 1 inch back from the nipple forming a “C” and pull the breast back to the chest wall compress the thumb and forefinger together without sliding fingers along the skin release and repeat “compress and release” knowing that it may take a few minutes for milk to flow rotate the position of my fingers around the breast and alternate sides I know why hand expression of breast milk is important. Hand expression: is the best way to express colostrum helps my baby to attach to my breast can help to deal with a blocked duct will help relieve breast engorgement Patient Signature:_______________________________________________Date:___________________ *Adapted with permission from Massachusetts General Hospital
sample-patient-education-checklist.docx