Hi, my name is Regina Kincaid. I qualified as a midwife in 2005 in Germany. And since 2016. I'm also an international board certified lactation consultant. I left with my husband and four children in the Republic of Ireland. I'm here today with 19 day old Lucas Francis.

This is our fourth MIT miracle. And Lucas and I would like to show you today the science of effective lunch on the breath. And we just want to recap on the signs of effective lack because the largest so crucial to breastfeeding if you have a good laugh, Then you will be comfortable universe will not get sore, the baby will stimulate you appropriately that baby was stimulated effectively so that your brain releases the necessary hormones prolactin and oxytocin for men making and milk release. And also your baby will be able to transform it effectively. So that means if your baby is really deeply attached into the breast, they will be able to drain the breast effectively and fill up. So yeah, we'll talk you through the steps and the principles of a deep latch.

Once we look at Yeah, Lucas has been showing some early hunger cues, haven't you? You've been putting your hands towards your mouth. Yeah, I like there. You've been rooting a little bit. So if I stroke his cheek, he will turn towards the side that his stroke and also might open his mouth. That's a big yawn.

He's also been sticking out his tongue a little bit of it too. Yeah, you have. Okay, so we start. So we've heard in a previous video about good positioning, and how good and effective positioning enables a good latch and enables the baby to take the best interest mouse in a way that it will be effective for him to drain the brain. Okay, so we've heard about chain. So just to recap, if we memorize the word teen, what it stands for is C is for clothes so bring your baby really close.

Remove all towels and blankets around you I just have a burp cloth here in case in case we're leaking so see for closed for head free and in line with the body is for I and and for no snippets. So that's what we'll start with. Okay. Okay, Lucas, yeah. Just see what the site is do. Just I just the fuller site, so this site will be fine.

This is the site we flast finished feeding with So we cut the baby's neck and shoulders, just by the shoulders not by the head and they clamp baby's bottom under the elbow and bring the head and body in a straight line. Get your ankle so that you can see the actual latch on just a second. This will be good. So hands around. We want to relive wide open amount wide open maps And then bring the baby on to the quest. Now this is where we want to look at the science of good attachment or you've seen Lucas come on to the best with a smile really wide open.

Some people talk about the Special K shape mouth because the mouth is really wide open like a cave. And he came on to the breasts with his chin leading so his chain is touching the breast and you can see the way it is compressing the breast up and down. Then also his cheeks are full and round. And if you dig in under the breath, just lift up the breast a little bit to see Look at his lower lip, you can see his lower lip is curled out. And he's losing the last little bit tonight. So we'll start out again.

Let's see, I'm leaking a lot. So sometimes when the myth is flowing very fast, they can temporarily slip off and lose the latch. So this is what happened here. So we start out again. So sometimes what you have to do if you have a really fast letdown, you're gonna have to let the mix spray out a little bit first, so as the might be overwhelmed with the fast flow, so we start out again. So, so wide open mouth, and then nose to knipper wide open mouth and bring the baby on chin leading.

So you can see that the lower lip is curled out still losing the latch a little bit because of the fast flow. As you can see, it's good practice. So here the lower lip is curled out. The chain is touching the breast. His cheeks are full and round and you can hear him swallow. Listen.

Here he goes. The top lip can be quite neutral so it doesn't have to be completely crawled out. It's more important the bottom lip is corrode out. You will see more Arriola above the top lip and you should have hardly see any Arriola below the bottom lip, it depends a little bit on the size of your Arriola. But generally, Are y'all up off the top lip and land or very little below the bottom lip. And then as he comes on, we'll just show you once more, if you know so the signs of good attachment we've had, he comes on the breast with his mouth widely open.

He comes on chin leading, his lower lip is curved out. The top lip is neutral or curl out as well. You see more Arriola above the top, then below the bottom there and it is comfortable for you. So that's very crucial. That's why that it's comfortable. If you're not comfortable, you're better off taking him off and trying again because otherwise you'll get sore and he won't get much Mick anyhow.

So now we're looking at the sucking pattern as he comes off the science of detachment. If you have checked those, you also want to then observe the suckling pattern as they come on. So when babies come on to the best day initially suck quite fast, quite rapidly, and that will stimulate or trigger and letdown so your letdown reflex that means when the milk starts to flow, sure, the release of the hormone oxytocin, your milk starts to flow. And if your milk flow is good, it can even spray it like you've seen here now that I was sleeping when he came on to the breast. So when you make starts to flow, your baby then starts to suck and swallow. Because they'll get milk, they're in their mouth, their mouth fills up with milk, and they get a bolus of milk and then swallow and typically that ratio will be one to one or two to one.

So it will be one step one swallow or two sex, one swallow and You will then also want to listen out for the swallows. And then you will know that your baby's actually drinking. By the end of the feed, the mid slow will slow down, your milk fat content will become higher at the end of the feed. And babies slow down this looking pattern. It's a little bit more like flutter stalking. They can also do some non-nutritive sucking at the end of the feed, because part of breastfeeding as comforting your baby as well.

Like you want to make sure that most of the time when they're on the graphs that they are drinking, especially at the beginning of the feed, and then coming towards the end of the feed. They can do a little bit of comfort sucking, but also you want to still hear some swallows because they will then by the end of the feed, drink back very rich man, that's fine. Okay, so we'll start out together and we'll now look at the sucking pattern knipper wide open mouth bring him on cheerleading. Straight away you can hear, suck and swallow So you can hear him swallow and you can also see that he swallows. If you look at their neck, you get should also be able to see the swallows here and here, here. I'm here.

I'm here, here. Yeah. Yeah. Yeah. Usually if you're leaking out Meg You know, then you do, you can be quite reassured that your baby would get some something. You will also see as the feed goes on as he comes closer towards the end of the feed where his sucking Putin will slow down a little bit beforehand.

And when they've had their first soft socks and swallows, they take little pauses, which is very normal because breastfeeding is hard work for them, and they take little pauses, brief and then start again. So that's very normal. It's not like usually when you're bottle feeding, they might not take as many pauses because the floor is constant. As the flow slows down after the initial letdown, they will have to work hard again to get another delivery. Commit, and then take a little pause after they've swallow. Take a little rest and then start again.

Like here is pausing a bit. Now we starting again, pause and starting again and a little pause, a little bit of movement, and he starts again. If you have a very sleepy baby and your baby takes very long pauses, let's say the pauses are longer than 30 seconds at a time. You want to ensure your babies still actively drinking and you can do so by compressing your breasts. So if your baby is falling asleep or it looks like your baby's going to fall asleep at the grass, taking very long pauses, they will wake up if they get more milk in their mouth, because that triggers their swallow also and they will get making energy so they will wake up again and, and swallow. So you can do breast compression.

So let's say your baby is falling asleep at the breast. You want them to drink bit more. So you go ahead and just start the base of the breast. As they pose, you will compress the breast and baby starts sucking again because to get another delivery another spray of myth, depending on your Mithra compress hold to they're finished. They're sucking burst Then when they close to release, give them a little break. And with their next sucking burst, you start again or if they don't start sucking by themselves, you also just compress and you're hoping that this will get them sucking again.

And that way you can work your way around the best or the top so you can make the C shape as well. compress the best you don't want to compress too close to air to the area, low knipper because that will pull the nipple out or you will baby will slip off and lose the latch. So you want to go to the base of the breast compress and there will start drinking. This is very helpful for CP babies as I said babies who are slow to put on weight and also if you have a slow milk flow, or if you're struggling a little bit with your plie he's starting to get a little sleepy. So that way you will let him finish one breast, then make sure that's there. Especially if you've had a fast flow, especially if you make space.

You want to ensure that they're bringing up the wind, because otherwise that can cause them a lot of pain and discomfort. Before you offer, the other side is falling asleep. So if you want to attempt to start sucking again, with breast compressions, you could compress the breast and he's doing a little bit of flutter sucking now I don't know whether you can see that here. And he's just felt his nappy so obviously you have to allow for time for that as well. filling them Paid wingding and then offering the other side. And then for the next feed, you would typically start with the site that you finished.

Like either they fall asleep at the breast or they detach themselves if they've, if you're sure they've fallen asleep. You can also take them off. I think he needs to burp anyway. Before we go on to Lucas Smith is making a very sleepy drunk. Oh, there he's already brought up a little bit of wind and then offer him the other side next. By viewing the material of this online course, you're agreeing to accept all parts of the terms and conditions and medical disclaimer and This online course is not intended to be a substitute for the professional medical advice, diagnosis or treatment provided by your own medical provider.

The information provided is for educational and informational purposes only, and not to be regarded as individual medical advice. The information has not been evaluated by any governing or professional body. Please refer to the full terms and conditions for more details.