Breastfeeding positions

In the early days of breastfeeding, it is helpful for both mother and baby to experiment with different positions to promote effective latch, prevent potential issues, and make nursing a calm and relaxing moment for both. The choice of position depends on the mother’s comfort, the baby’s needs, and any specific circumstances such as a cesarean birth or latch difficulties. Below are the main recommended positions.

Semi-reclined position (breast crawl) 

This position is inspired by the newborn’s instinctive behavior immediately after birth. The mother leans back comfortably against pillows on a bed, couch, or armchair, while the newborn is placed vertically on her chest, tummy to tummy. The baby, following their natural instincts, searches for the nipple and begins to nurse independently.

This position encourages the initiation of breastfeeding, helps the mother relax, and allows the baby to move freely. It is especially useful in case of latch difficulties or a strong let-down reflex, as gravity helps moderate the milk flow.

Cross-cradle hold

Particularly suitable in the first few weeks, the cross-cradle hold allows the mother to better control the baby’s latch and gives the baby a sense of containment and security. In this position, the mother holds the baby with one arm, keeping them close to her body, possibly with the baby’s feet under the arm, and latches them to the opposite breast.

When the baby is well supported along the entire body, they learn more quickly how to position themselves correctly and suck effectively. This hold serves as a transition to more autonomous positions.

Cradle hold

The cradle hold is one of the most common and is often used outside the home. The mother supports the baby with the same arm as the breast used for nursing, holding them facing her body, with the nose aligned with the nipple. This position frees one of the mother’s hands and is ideal once breastfeeding is well established.

To help maintain proper posture and prevent muscle strain, it is advisable to use a pillow under the arm that supports the baby, thus reducing pressure on shoulders and neck.

Rugby (clutch) hold

In this position, the baby is placed under the mother’s arm on the same side as the nursing breast. The baby’s head is supported by the mother’s hand, with their feet pointing toward the mother’s back.

This hold is especially recommended after a cesarean birth since it avoids pressure on the abdomen. It is also useful for mothers with large breasts or with babies who are passive or reluctant to nurse, as milk flow is generally stronger in this position from the start.

Side-lying position

After birth, or when the mother wishes to rest during nursing, the side-lying position can be adopted. The mother lies on her side with the baby next to her, tummy to tummy, and the baby’s face turned toward the breast, with the nose level with the nipple. The mother’s arm can be placed behind the baby’s back to help them stay in position.

This is an ideal position for night feedings or times of increased tiredness, offering a comfortable solution for both mother and child.

“Wolf” Position 

This position is recommended in specific situations, such as when dealing with engorgement or blocked ducts. The baby lies flat on a bed or pillow, while the mother positions herself on all fours over the baby, feeding from above.

Gravity combined with the baby’s suction can help drain affected ducts and relieve breast tension. Although less common, this position can be effective in specific contexts.

Regardless of the chosen position, ensuring a proper latch is essential. The baby should be positioned with their nose aligned with the nipple, mouth wide open, and covering a good portion of the areola, not just the nipple. During feeding, sucking and swallowing alternate naturally without smacking or clicking sounds.