The

breastfeeding
atlas
Kay Hoover & Barbara
Module 01 – 24
Wilson-Clay
©2000 LactNews Press;
Austin, Texas
The
breastfeeding
atlas
Kay Hoover & Barbara
Module 01 – Infant state
Wilson-Clay
©2000 LactNews Press;
Austin, Texas
ABCD
ABCD
Module 01 Infant state
Figure 1 Deep sleep
ABCD
ABCD
Module 01 Infant state
Figure 2 Light sleep
ABCD
ABCD
Module 01 Infant state
Figure 3 Stressed expression
ABCD
ABCD
Module 01 Infant state
Figure 4 Quiet alert state
ABCD
ABCD
Module 01 Infant state
Figure 5 Active alert state
ABCD
ABCD
Module 01 Infant state
Figure 6 Stiffening with distress
ABCD
ABCD
Module 01 Infant state
Figure 7 Crying
ABCD
ABCD
Module 01 Infant state
Figure 8 Satiated baby
The
breastfeeding
atlas
Kay Hoover & Barbara
Module 02 – Infant
Wilson-Clay
appearance
©2000 LactNews Press;
Austin, Texas
ABCD
ABCD
Module 02 Infant appearance
Figure 9 Forceps bruised
ABCD
ABCD
Module 02 Infant appearance
Figure 10 Vacuum abrasion
ABCD
ABCD
Module 02 Infant appearance
Figure 11 Jaundice
ABCD
ABCD
Module 02 Infant appearance
Figure 12 Bili blanket
ABCD
ABCD
Module 02 Infant appearance
Figure 13 Hospital photo therapy
ABCD
ABCD
Module 02 Infant appearance
Figure 14 Mongolian spots
ABCD
ABCD
Module 02 Infant appearance
Figure 15 Nevus
The
breastfeeding
atlas
Kay Hoover & Barbara
Module 03 – Infant diapers
Wilson-Clay
©2000 LactNews Press;
Austin, Texas
ABCD
ABCD
Module 03 Infant diapers
Figure 16 Meconium
ABCD
ABCD
Module 03 Infant diapers
Figure 17 Transitional stool
ABCD
ABCD
Module 03 Infant diapers
Figure 18 Watery stool
ABCD
ABCD
Module 03 Infant diapers
Figure 19 Sesame seed stool
ABCD
ABCD
Module 03 Infant diapers
Figure 20 Curd-like stool
ABCD
ABCD
Module 03 Infant diapers
Figure 21 1-day-old’s diapers
ABCD
ABCD
Module 03 Infant diapers
Figure 22 3-day-old’s diapers
ABCD
ABCD
Module 03 Infant diapers
Figure 23 Tissue to see urine
Module
ABCD
ABCD 03 Infant diapers
Figure 24 Three teaspoons = Wet
diaper
ABCD
ABCD
Module 03 Infant diapers
Figure 25 Blood in the stool
ABCD
ABCD
Module 03 Infant diapers
Figure 26 Brick-dust urine
ABCD
ABCD
Module 03 Infant diapers
Figure 27 Concentrated urine
ABCD
ABCD
Module 03 Infant diapers
Figure 28 Bloody vaginal discharge
ABCD
ABCD
Module 03 Infant diapers
Figure 29 White vaginal discharge
ABCD
ABCD
Module 03 Infant diapers
Figure 30 Diaper rash from diet
The
breastfeeding
atlas
Kay Hoover & Barbara
Module 04 – Appearances of
Wilson-Clay
human milk
©2000 LactNews Press;
Austin, Texas
ABCD
ABCD
Module 04 Appearances of human milk
Figure 31 Clear colostrum
ABCD
ABCD
Module 04 Appearances of human milk
Figure 32 Light yellow colostruml
ABCD
ABCD
Module 04 Appearances of human milk
Figure 33 Bright yellow colostrum
ABCD
ABCD
Module 04 Appearances of human milk
Figure 34 White colostrum
ABCD
ABCD
Module 04 Appearances of human milk
Figure 35 Pink colostrum
ABCD
ABCD
Module 04 Appearances of human milk
Figure 36 “Rusty pipe” colostrum
ABCD
ABCD
Module 04 Appearances of human milk
Figure 37 Light brown colostrum
ABCD
ABCD
Module 04 Appearances of human milk
Figure 38 2½ ounces, day 3
ABCD
ABCD
Module 04 Appearances of human milk
Figure 39 Day 4 milk
ABCD
ABCD
Module 04 Appearances of human milk
Figure 40 Mature milk
ABCD
ABCD
Module 04 Appearances of human milk
Figure 41 Type I (MICAM)
ABCD
ABCD
Module 04 Appearances of human milk
Figure 42 Type II (MICAM)
ABCD
ABCD
ABCD
ABCD
Module 04 Appearances of human milk
Figure 44 Type IV (MICAM)
ABCD
ABCD
Module 04 Appearances of human milk
Figure 45 Type V (MICAM)
The
breastfeeding
atlas
Kay Hoover & Barbara
Module 05 – Latch-on and
Wilson-Clay
positioning
©2000 LactNews Press;
Austin, Texas
ABCD
ABCD
Module 05 Latch-on and positioning
Figure 46 Chin too close to chest
ABCD
ABCD
Module 05 Latch-on and positioning
Figure 47 Lower jaw too far away
ABCD
ABCD
Module 05 Latch-on and positioning
Figure 48 Shallow latch
ABCD
ABCD
Module 05 Latch-on and positioning
Figure 49 Lip retraction
Module
ABCD
ABCD 05 Latch-on and positioning
Figure 50 Poor position and
attachment
Module
ABCD
ABCD 05 Latch-on and positioning
Figure 51 Poor position frustrates
baby
ABCD
ABCD
Module 05 Latch-on and positioning
Figure 52 Improved position
ABCD
ABCD
Module 05 Latch-on and positioning
Figure 53 Mouth starts to open
ABCD
ABCD
Module 05 Latch-on and positioning
Figure 54 Wide-open mouth
ABCD
ABCD
Module 05 Latch-on and positioning
Figure 55 Lower jaw latches first
Module
ABCD
ABCD 05 Latch-on and positioning
Figure 56 Baby’s arm crosses her
chest
Module
ABCD
ABCD 05 Latch-on and positioning
Figure 57 Normal shape after
breastfeeding
Module
ABCD
ABCD 05 Latch-on and positioning
Figure 58 Do not place in crook of
arm
ABCD
ABCD
Module 05 Latch-on and positioning
Figure 59 Upright position
ABCD
ABCD
Module 05 Latch-on and positioning
Figure 60 Side-lying position
The
breastfeeding
atlas
Kay Hoover & Barbara
Module 06 – Flat and inverted
Wilson-Clay
nipples
©2000 LactNews Press;
Austin, Texas
Module
ABCD
ABCD 06 Flat and inverted nipples
Figure 61 Flat nipple upon
compression
ABCD
ABCD
Module 06 Flat and inverted nipples
Figure 62 Sandwich technique
ABCD
ABCD
Module 06 Flat and inverted nipples
Figure 63 Nipple inversion
ABCD
ABCD
Module 06 Flat and inverted nipples
Figure 64 Inverted nipple at rest
Module
ABCD
ABCD 06 Flat and inverted nipples
Figure 65 Inverted nipple
compressed
Module
ABCD
ABCD 06 Flat and inverted nipples
Figure 66 Inverted nipple pulled
back
The
breastfeeding
atlas
Kay Hoover & Barbara
Module 07 – Palate length:
Wilson-Clay
Nipple shields
©2000 LactNews Press;
Austin, Texas
ABCD
ABCD
Module 07 Palate length: Nipple shields
Figure 67 Palate length – 7 weeks
ABCD
ABCD
Module 07 Palate length: Nipple shields
Figure 68 3 cm palate length
ABCD
ABCD
Module 07 Palate length: Nipple shields
Figure 69 7-day-old nipple shield
ABCD
ABCD
Module 07 Palate length: Nipple shields
Figure 70 Nipple drawn into shield
Module
ABCD
ABCD 07 Palate length: Nipple shields
Figure 71 Prone position with
Contact™ nipple shield
ABCD
ABCD
Module 07 Palate length: Nipple shields
Figure 72 Crawling to breast
ABCD
ABCD
Module 07 Palate length: Nipple shields
Figure 73 Could not latch
ABCD
ABCD
Module 07 Palate length: Nipple shields
Figure 74 Shield-assisted latch
ABCD
ABCD
Module 07 Palate length: Nipple shields
Figure 75 Cross-cradle position
The
breastfeeding
atlas
Kay Hoover & Barbara
Module 08 – Sore nipples
Wilson-Clay
©2000 LactNews Press;
Austin, Texas
Module
ABCD
ABCD 08 Sore nipples
Figure 76 Pinched nipple with
crack
Module
ABCD
ABCD 08 Sore nipples
Figure 77 Pinched nipple with
scabs
ABCD
ABCD
Module 08 Sore nipples
Figure 78 Bleb
Module
ABCD
ABCD 08 Sore nipples
Figure 79 Nipple erosion, fungal
infection
ABCD
ABCD
Module 08 Sore nipples
Figure 80 Badly eroded nipple
ABCD
ABCD
Module 08 Sore nipples
Figure 81 Some healing in 5 days
ABCD
ABCD
Module 08 Sore nipples
Figure 82 Infected nipple
ABCD
ABCD
Module 08 Sore nipples
Figure 83 Allergic reaction
ABCD
ABCD
Module 08 Sore nipples
Figure 84 Eczema
ABCD
ABCD
Module 08 Sore nipples
Figure 85 Psoriasis
ABCD
ABCD
Module 08 Sore nipples
Figure 86 Poison ivy
Module
ABCD
ABCD 08 Sore nipples
Figure 87 Dimpled nipple after
pumping
Module
ABCD
ABCD 08 Sore nipples
Figure 88 2 minutes later, nipple at
rest
ABCD
ABCD
Module 08 Sore nipples
Figure 89 Skin tag
ABCD
ABCD
Module 08 Sore nipples
Figure 90 Sebaceous cyst
The
breastfeeding
atlas
Kay Hoover & Barbara
Module 09 – Yeast infections/
Wilson-Clay
Thrush
©2000 LactNews Press;
Austin, Texas
ABCD
ABCD
Module 09 Yeast infections/ Thrush
Figure 91 Thrush on the tongue
ABCD
ABCD
Module 09 Yeast infections/ Thrush
Figure 92 Thrush on the lips
Module
ABCD
ABCD 09 Yeast infections/ Thrush
Figure 93 Thrush on the Buccal
Mucosa
ABCD
ABCD
Module 09 Yeast infections/ Thrush
Figure 94 Yeast diaper rash I
ABCD
ABCD
Module 09 Yeast infections/ Thrush
Figure 95 Yeast diaper rash II
ABCD
ABCD
Module 09 Yeast infections/ Thrush
Figure 96 Yeast infection I
ABCD
ABCD
Module 09 Yeast infections/ Thrush
Figure 97 Yeast infection II
ABCD
ABCD
Module 09 Yeast infections/ Thrush
Figure 98 Yeast infection III
ABCD
ABCD
Module 09 Yeast infections/ Thrush
Figure 99 Yeast infection IV
ABCD
ABCD
Module 09 Yeast infections/ Thrush
Figure 100 Yeast infection V
ABCD
ABCD
Module 09 Yeast infections/ Thrush
Figure 101 Yeast infection VI
ABCD
ABCD
Module 09 Yeast infections/ Thrush
Figure 102 Bacterial and fungal infection
ABCD
ABCD
Module 09 Yeast infections/ Thrush
Figure 103 Shells and antifungal cream
ABCD
ABCD
Module 09 Yeast infections/ Thrush
Figure 104 Case study I
ABCD
ABCD
Module 09 Yeast infections/ Thrush
Figure 105 Case study II
The
breastfeeding
atlas
Kay Hoover & Barbara
Module 10 – Appearances of
Wilson-Clay
breasts
©2000 LactNews Press;
Austin, Texas
ABCD
ABCD
Module 10 Appearances of breasts
Figure 106 Areolar hair
Module
ABCD
ABCD 10 Appearances of breasts
Figure 107 Engorgement of Tail of
Spence
Module
ABCD
ABCD 10 Appearances of breasts
Figure 108 Engorgement of extra breast
tissue
ABCD
ABCD
Module 10 Appearances of breasts
Figure 109 Ectopic ducts
Module
ABCD
ABCD 10 Appearances of breasts
Figure 110 Periareolar incision for
implants
ABCD
ABCD
Module 10 Appearances of breasts
Figure 111 Large breasts
ABCD
ABCD
Module 10 Appearances of breasts
Figure 112 After reduction surgery
Module
ABCD
ABCD 10 Appearances of breasts
Figure 113 Asymmetry, insufficient
glandular tissue
Module
ABCD
ABCD 10 Appearances of breasts
Figure 114 Unusual breasts – Normal
supply
Module
ABCD
ABCD 10 Appearances of breasts
Figure 115 Unusual breasts – Impaired
supply
Module
ABCD
ABCD 10 Appearances of breasts
Figure 116 Underdeveloped breasts –
Impaired supply
ABCD
ABCD
Module 10 Appearances of breasts
Figure 117 Hives
ABCD
ABCD
Module 10 Appearances of breasts
Figure 118 Infected Montgomery Gland
ABCD
ABCD
Module 10 Appearances of breasts
Figure 119 Unusual nipple shape
ABCD
ABCD
Module 10 Appearances of breasts
Figure 120 Double nipples
The
breastfeeding
atlas
Kay Hoover & Barbara
Module 11 – Engorgement,
Wilson-Clay
mastitis, abscesses
©2000 LactNews Press;
Austin, Texas
Module
ABCD
11 Engorgement, mastitis,
ABCD
abscesses
Figure 121 Pathologic breast
engorgement
Module
ABCD
ABCD 11 Engorgement, mastitis,
abscesses
Figure 122 Cabbage to soothe breasts
Module
ABCD
ABCD 11 Engorgement, mastitis,
abscesses
Figure 123 Lateral compression
Module
ABCD
ABCD 11 Engorgement, mastitis,
abscesses
Figure 124 Breast inflammation – Day 4
Module
ABCD
ABCD 11 Engorgement, mastitis,
abscesses
Figure 125 Breast infection
Module
ABCD
ABCD 11 Engorgement, mastitis,
abscesses
Figure 126 Abscess
Module
ABCD
11 Engorgement, mastitis,
ABCD
abscesses
Figure 127 Post-surgery scars for
abscesses
Module
ABCD
ABCD 11 Engorgement, mastitis,
abscesses
Figure 128 Breast support post-surgery
Module
ABCD
ABCD 11 Engorgement, mastitis,
abscesses
Figure 129 Surgery for a Galactocele
The
breastfeeding
atlas
Kay Hoover & Barbara
Module 12 – Miscellaneous
Wilson-Clay
issues
©2000 LactNews Press;
Austin, Texas
ABCD
ABCD
Module 12 Miscellaneous issues
Figure 130 Thyroid surgical scar
ABCD
ABCD
Module 12 Miscellaneous issues
Figure 131 Large nipple, small baby
ABCD
ABCD
Module 12 Miscellaneous issues
Figure 132 Poor fit, gagging
ABCD
ABCD
Module 12 Miscellaneous issues
Figure 133 Large-size pump flanges
ABCD
ABCD
Module 12 Miscellaneous issues
Figure 134 Milk ejection
Module
ABCD
ABCD 12 Miscellaneous issues
Figure 135 Clumps in milk-breast
infection
b
Module 13 – Nursing
multiples/ Tandem nursing
©2000 LactNews Press;
Austin, Texas
Module
ABCD
ABCD 13 Nursing multiples/ Tandem
nursing
Figure 136 36-week twins
Module
ABCD
ABCD 13 Nursing multiples/ Tandem
nursing
Figure 137 Cradle-V position
Module
ABCD
ABCD 13 Nursing multiples/ Tandem
nursing
Figure 138 Cradle on a pillow
Module
ABCD
ABCD 13 Nursing multiples/ Tandem
nursing
Figure 139 Football or clutch position
Module
ABCD
ABCD 13 Nursing multiples/ Tandem
nursing
Figure 140 Along the side
Module
ABCD
ABCD 13 Nursing multiples/ Tandem
nursing
Figure 141 Kneeling, 5 months
Module
ABCD
ABCD 13 Nursing multiples/ Tandem
nursing
Figure 142 Twin carrier
Module
ABCD
ABCD 13 Nursing multiples/ Tandem
nursing
Figure 143 Cradle-football combination
Module
ABCD
ABCD 13 Nursing multiples/ Tandem
nursing
Figure 144 Triplets, 8 months
Module
ABCD
ABCD 13 Nursing multiples/ Tandem
nursing
Figure 145 Along the side
Module
ABCD
ABCD 13 Nursing multiples/ Tandem
nursing
Figure 146 Standing
Module
ABCD
13 Nursing multiples/ Tandem
ABCD
nursing
Figure 147 Breastfeeding during
pregnancy
Module
ABCD
13 Nursing multiples/ Tandem
ABCD
nursing
Figure 148 Tandem breastfeeding (4
years and 16 months)
Module
ABCD
13 Nursing multiples/ Tandem
ABCD
nursing
Figure 149 Tandem breastfeeding (4
years and 19 months)
Module
ABCD
13 Nursing multiples/ Tandem
ABCD
nursing
Figure 150 Tandem breastfeeding (4
years and 2 years)
The
breastfeeding
atlas
Kay Hoover & Barbara
Module 14 – Alternate feeding
Wilson-Clay
methods
©2000 LactNews Press;
Austin, Texas
ABCD
ABCD
Module 14 Alternate feeding methods
Figure 151 Supplementing at breast I
ABCD
ABCD
Module 14 Alternate feeding methods
Figure 152 Supplementing at breast II
ABCD
ABCD
Module 14 Alternate feeding methods
Figure 153 Supplementing at breast III
ABCD
ABCD
Module 14 Alternate feeding methods
Figure 154 Supplementing at breast IV
ABCD
ABCD
Module 14 Alternate feeding methods
Figure 155 Spoon-feeding
ABCD
ABCD
Module 14 Alternate feeding methods
Figure 156 Help to wakeup baby
ABCD
ABCD
Module 14 Alternate feeding methods
Figure 157 Finger feeding I
ABCD
ABCD
Module 14 Alternate feeding methods
Figure 158 Finger feeding II
ABCD
ABCD
Module 14 Alternate feeding methods
Figure 159 Finger feeding III
ABCD
ABCD
Module 14 Alternate feeding methods
Figure 160 Cup feeding I
ABCD
ABCD
Module 14 Alternate feeding methods
Figure 161 Cup feeding II
ABCD
ABCD
Module 14 Alternate feeding methods
Figure 162 NG tube feeding
Module
ABCD
ABCD 14 Alternate feeding methods
Figure 163 Stress cues during bottle
feeding
ABCD
ABCD
Module 14 Alternate feeding methods
Figure 164 Hip flexion helps feedings
ABCD
ABCD
Module 14 Alternate feeding methods
Figure 165 Bottle feeding at breast
The
breastfeeding
atlas
Kay Hoover & Barbara
Module 15 – Special babies
Wilson-Clay
©2000 LactNews Press;
Austin, Texas
ABCD
ABCD
Module 15 Special babies
Figure 166 Baby with Down’s syndrome
ABCD
ABCD
Module 15 Special babies
Figure 167 “Pear-shaped” body
ABCD
ABCD
Module 15 Special babies
Figure 168 Simian crease
Module
ABCD
ABCD 15 Special babies
Figure 169 Head lag – 4 month-old with
Down’s syndrome
ABCD
ABCD
Module 15 Special babies
Figure 170 Dancer hand position
ABCD
ABCD
Module 15 Special babies
Figure 171 Hydrocephalus with shunt
ABCD
ABCD
Module 15 Special babies
Figure 172 Hyper-extended body
The
breastfeeding
atlas
Kay Hoover & Barbara
Module 16 – Failure to thrive
Wilson-Clay
©2000 LactNews Press;
Austin, Texas
Module
ABCD
ABCD 16 Failure to thrive
Figure 173 35 days – 5 ounces above
birth weight
Module
ABCD
ABCD 16 Failure to thrive
Figure 174 18 days – 1 pound below
birth weight
Module
ABCD
ABCD 16 Failure to thrive
Figure 175 19 days – 10 ounces below
birth weight
ABCD
ABCD
Module 16 Failure to thrive
Figure 176 Deep breast compression
The
breastfeeding
atlas
Kay Hoover & Barbara
Module 17 – Breast cancer
Wilson-Clay
©2000 LactNews Press;
Austin, Texas
ABCD
ABCD
Module 17 Breast cancer
Figure 177 Lumpectomy
Module
ABCD
ABCD 17 Breast cancer
Figure 178 Breastfeeding post-
mastectomy
Module
ABCD
ABCD 17 Breast cancer
Figure 179 Biopsy scar at 8h00 – Left
breast
ABCD
ABCD
Module 17 Breast cancer
Figure 180 Induration at tumor site
The
breastfeeding
atlas
Kay Hoover & Barbara
Module 18 – Tongue-tie
Wilson-Clay
©2000 LactNews Press;
Austin, Texas
ABCD
ABCD
Module 18 Tongue-tie
Figure 181 Normal range of motion
ABCD
ABCD
Module 18 Tongue-tie
Figure 182 Tongue-tie in an adult
ABCD
ABCD
Module 18 Tongue-tie
Figure 183 Heart-shaped tongue
ABCD
ABCD
Module 18 Tongue-tie
Figure 184 No latch
ABCD
ABCD
Module 18 Tongue-tie
Figure 185 Her tight frenulum
ABCD
ABCD
Module 18 Tongue-tie
Figure 186 Evaluating the frenulum
ABCD
ABCD
Module 18 Tongue-tie
Figure 187 Topical antiseptic
ABCD
ABCD
Module 18 Tongue-tie
Figure 188 Clipping the frenulum
ABCD
ABCD
Module 18 Tongue-tie
Figure 189 Pressure with a gauze pad
ABCD
ABCD
Module 18 Tongue-tie
Figure 190 Latch, 10 minutes later
ABCD
ABCD
Module 18 Tongue-tie
Figure 191 One week later
ABCD
ABCD
Module 18 Tongue-tie
Figure 192 Two weeks later
ABCD
ABCD
Module 18 Tongue-tie
Figure 193 Three weeks after frenotomy
Module
ABCD
ABCD 18 Tongue-tie
Figure 194 Tongue-tie and damage to
nipple
ABCD
ABCD
Module 18 Tongue-tie
Figure 195 No breastfeeding problems
The
breastfeeding
atlas
Kay Hoover & Barbara
Module 19 – Cleft palates/
Wilson-Clay
Other abnormalities
©2000 LactNews Press;
Austin, Texas
Module
ABCD
ABCD 19 Cleft palates/ Other
abnormalities
Figure 196 Cleft of the lip
Module
ABCD
ABCD 19 Cleft palates/ Other
abnormalities
Figure 197 Cleft of the palate and lip
Module
ABCD
ABCD 19 Cleft palates/ Other
abnormalities
Figure 198 Bilateral of the lip and palate
Module
ABCD
19 Cleft palates/ Other
ABCD
abnormalities
Figure 199 Grooved palate from
intubation tube
Module
ABCD
19 Cleft palates/ Other
ABCD
abnormalities
Figure 200 Grooved palate that occurred
naturally
Module
ABCD
19 Cleft palates/ Other
ABCD
abnormalities
Figure 201 Normal chin versus receding
chin
Module
ABCD
ABCD 19 Cleft palates/ Other
abnormalities
Figure 202 Labial frenum in a baby
Module
ABCD
ABCD 19 Cleft palates/ Other
abnormalities
Figure 203 Labial frenum in an adult
Module
ABCD
ABCD 19 Cleft palates/ Other
abnormalities
Figure 204 Long tongue
Module
ABCD
ABCD 19 Cleft palates/ Other
abnormalities
Figure 205 Short tongue on the right
Module
ABCD
ABCD 19 Cleft palates/ Other
abnormalities
Figure 206 Sucking blister
The
breastfeeding
atlas
Kay Hoover & Barbara
Module 20 – Skin issues
Wilson-Clay
©2000 LactNews Press;
Austin, Texas
ABCD
ABCD
Module 20 Skin issues
Figure 207 Milia
ABCD
ABCD
Module 20 Skin issues
Figure 208 Normal newborn rash
ABCD
ABCD
Module 20 Skin issues
Figure 209 Serious condition
ABCD
ABCD
Module 20 Skin issues
Figure 210 Eczema
The
breastfeeding
atlas
Kay Hoover & Barbara
Module 21 – Nipple shield
Wilson-Clay
case study
©2000 LactNews Press;
Austin, Texas
ABCD
ABCD
Module 21 Nipple shield case study
Figure 211 Dripping milk on the nipple
ABCD
ABCD
Module 21 Nipple shield case study
Figure 212 Encourages baby to latch on
Module
ABCD
ABCD 21 Nipple shield case study
Figure 213 Size comparison of two
nipple shields
ABCD
ABCD
Module 21 Nipple shield case study
Figure 214 Measuring a bottle nipple
ABCD
ABCD
Module 21 Nipple shield case study
Figure 215 Newborn small nipple shield
The
breastfeeding
atlas
Kay Hoover & Barbara
Module 22 – Unusual
Wilson-Clay
presentations of the breast
©2000 LactNews Press;
Austin, Texas
ABCD
ABCD
Module
ABCD
ABCD 22 Unusual presentations of the
breast
Figure 217 Pierced nipple
Module
ABCD
ABCD 22 Unusual presentations of the
breast
Figure 218 Tattoo
The
breastfeeding
atlas
Kay Hoover & Barbara
Module 23 – Poor latch
Wilson-Clay
©2000 LactNews Press;
Austin, Texas
ABCD
ABCD
Module 23 Poor latch
Figure 219 Thumb and finger placement
ABCD
ABCD
Module 23 Poor latch
Figure 220a Gum pinching - Drawing
 ABCD
ABCD
Module 23 Poor latch
Figure 220b Attaching to nipple – Slide
Module
ABCD
ABCD 23 Poor latch
Figure 221a Tongue tip pinching –
Drawing
Module
ABCD
ABCD 23 Poor latch
Figure 221b Face of the nipple is angled –
Slide
Module
ABCD
ABCD 23 Poor latch
Figure 222a Centre of tongue pinching –
Drawing
Module
ABCD
ABCD 23 Poor latch
Figure 222b Pinched nipple (notice
shadow) – Slide
The
breastfeeding
atlas
Kay Hoover & Barbara
Module 24 – Various nursing
Wilson-Clay
positions
©2000 LactNews Press;
Austin, Texas
Module
ABCD
ABCD 24 Various nursing positions
Figure 223 Football, clutch, underarm
hold
Module
ABCD
ABCD 24 Various nursing positions
Figure 224 Cross-cradle, transition,
across the lap
ABCD
ABCD
Module 24 Various nursing positions
Figure 225 Side lying, lying down
ABCD
ABCD
Module 24 Various nursing positions
Figure 226 Cradle hold
The
breastfeeding
atlas
Kay Hoover & Barbara
Module 25 – Hand signals and
Wilson-Clay
baby satiety
©2000 LactNews Press;
Austin, Texas
Module
ABCD
ABCD 25 Hand signals and baby
satiety
Figure 227 Start of feeding, tight fist
Module
ABCD
ABCD 25 Hand signals and baby
satiety
Figure 228 Gradual relaxation
Module
ABCD
ABCD 25 Hand signals and baby
satiety
Figure 229 Hand relaxed
Module
ABCD
ABCD 25 Hand signals and baby
satiety
Figure 230 Baby lets go of the breast