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Breastfeeding: attachment

5.10.07


A major share of breastfeeding difficulties, especially in first-time mothers, is because of difficulties with attachment of the baby to the breast during a feed.
Many difficulties and discomforts such as:


  • Sore nipple (whether pain during or after a feed)

  • Cracked nipple (whether with or without bleeding)

  • Apparent inability for baby to suckle

  • Refusal by baby to feedcould be because of difficulties with attachment that lead to poor attachment.

What are the signs of a good attachment?


The following features are seen when a baby and nursing mother achieves a good attachment.



  • Baby's chin will be touching the mother’s breast. (This reduces the distance between the baby's mouth and the nipple making it easier for him to get a good attachment).

  • Baby's mouth will be seen to be widely open (if the baby only has the nipple in his mouth it only need to be open big enough to let the nipple in his mouth, but because he needs to have the nipple and part of the areola - the dark pigmented area surrounding the nipple - in his mouth, it will have to be widely open).

  • Baby's lower lip will be turned outward (meaning that you will be able to see the inner pink surface of the lower lip, sometimes baby's tongue may be visible during suckling action).

  • More of the mothers areola will be visible above than below the level of baby's mouth (this is a sign to show that baby has taken part of the areola into his mouth. This maybe difficult to appreciate if the areola is small -the size of the areola does not affect breastfeeding!).


(a) And (b) show good attachment (c) and (d) show poor attachment.


Some babies would feed very well indeed, even without all the features above being present. If the baby and you are comfortable with the attachment then it is good enough.One dominant feature of a good attachment is that feeding becomes pain free, even in those who have a sore nipple.

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5.10.07