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Approfondimenti scientifici

Ergonomic optimization of the breastfeeding angle: a postural and osteopathic approach

AUTORE: Dr. Alexandra Semjonova
FOCUS: Breastfeeding

Breastfeeding, though a primordial physiological act, involves considerable muscular and joint effort for the mother. Setting up an optimal breastfeeding corner, designed with specific ergonomic needs in mind, is essential not only for the comfort of both mother and baby but also to prevent musculoskeletal issues that may develop in the long term. The concept of a Nursing Station refers to a dedicated space that supports this activity and should be designed to facilitate proper posture and minimize the risk of muscular and joint overload.

The importance of ergonomics in the nursing station

On average, a newborn feeds 8 to 12 times a day, but each baby has its own rhythm. The duration of each feeding varies depending on factors like the baby’s sucking ability and the composition of the breast milk. Most milk is consumed in the first 7–10 minutes of breastfeeding, and many newborns finish feeding within 15 minutes. During this time, it is common for the baby to fall asleep and wake up several times. This requires the mother to maintain a static position for extended periods, increasing the risk of muscular overload and joint issues if posture is not carefully managed. Because breastfeeding sessions are frequent and prolonged, an efficiently organized space and proper posture management are essential.

The selection of a breastfeeding space depends on various factors, including the mother’s habits, the home layout, and the availability of ergonomic support tools. While there is no one-size-fits-all space, it is vital that the environment is safe, comfortable, and quiet, allowing the mother to maintain a proper and relaxed posture.

An ergonomically designed space supports a physiological posture, reducing the risk of musculoskeletal disorders. This not only increases maternal comfort but also stimulates the production of oxytocin, a key hormone in breastfeeding. Oxytocin aids milk ejection and strengthens mother-child bonding while lowering stress levels.

Essential elements of the breastfeeding corner

An ergonomically and functionally designed breastfeeding area should include:

  • Support pillows: a nursing pillow helps keep the baby at breast height, reducing muscular tension in the mother’s neck and shoulders.
  • Hygiene and comfort accessories: a burp cloth, a bib for the baby, and a blanket or scarf for night feeds.
  • Hydration and snacks: a bottle of water and a light snack (nuts, fresh fruit, chocolate) to help the mother stay hydrated and energized, as breastfeeding consumes significant energy.

 

Ergonomic principles of breastfeeding

Proper ergonomics during breastfeeding is essential for maternal comfort and musculoskeletal health. Key recommendations include:

  • Upright and supported posture: keep the spine in its natural curvature. Support for the lumbar and cervical areas is critical to avoid acute or chronic pain.
  • Alternating breastfeeding sides: feed from both breasts alternately to maintain postural balance and prevent unilateral muscular strain. This also supports even milk production and reduces spinal tension.
  • Stretching and strengthening exercises: regular spinal stretches and exercises to strengthen the trunk and shoulder muscles help prevent tension and build physical endurance.
  • Relaxation techniques: deep breathing, mindfulness, or yoga can reduce stress and promote the release of endorphins and oxytocin, enhancing the breastfeeding experience.

 

Common pain conditions related to breastfeeding

The most frequent musculoskeletal complaints during breastfeeding include:

  • Back pain: poor posture or prolonged static positions can cause acute or chronic spinal pain, particularly in the lumbar and cervical regions. Intervertebral disc involvement may result in radiculopathy.
  • Neck pain: cervical spine overload and muscular tension can cause stiffness, spasms, and pain.
  • Cervicogenic headaches: tension in the neck and shoulders may compress nerves and muscles, leading to tension headaches.
  • Mommy thumb“: tendon overload from repetitive gripping and lifting movements may cause painful inflammation of the thumb tendons.
Postural recommendations
  • Maintain a neutral posture: the spine should be in its natural alignment, with the torso upright and cervical and lumbar segments well-aligned. Use of an ergonomic chair and support cushions helps prevent muscular and joint discomfort.
  • Align the baby’s head and neck: ensure the baby’s head is aligned with the body to prevent twisting. Forced head movements may affect suction efficiency and strain the mother’s cervical spine.
  • Support arms and wrists: adequate support reduces peripheral nerve compression and minimizes the risk of overuse syndromes such as carpal tunnel or flexor tendonitis.

An ergonomically optimized breastfeeding corner is essential not only for immediate comfort but also for long-term maternal well-being. Preventing musculoskeletal issues during this delicate period ensures that breastfeeding remains a pleasant, pain-free experience. In cases of persistent or severe pain, consulting a specialized osteopath is highly recommended for personalized and targeted care.

Academy of Breastfeeding Medicine. “Cura fisiologica dei neonati”. Protocollo per l’allattamento al seno. Pubblicato il 17 giugno 2023.

Ministero della Salute. “Latte materno, istruzioni per l’uso”. Pubblicato il 17 giugno 2024.

Istituto Superiore di Sanità. “Vantaggi sanitari e psico-sociali dell’allattamento al seno per il bambino e la madre”. Pubblicato il 17 giugno 2024.