There's something I see in the hospital with my doula clients that drives me a little bit crazy.
A brand-new baby is trying to breastfeed. Someone comes in to help, grabs the parent's breast, squishes it into a sandwich, and tries to get as much of it into the baby's mouth as possible.
Sometimes they're also holding the back of the baby's head and pushing them toward the breast.
And I'm standing there thinking, Can we please just give this baby a chance to latch?
Babies are born with reflexes and behaviors that help them find the breast and latch. And when we position them well, support their bodies, and give them the opportunity to use those reflexes, they do a remarkable amount of the work themselves.
That doesn't mean breastfeeding is always easy or that nobody ever needs help, but I think we've gotten a little too comfortable assuming that successful breastfeeding requires us to manipulate both the breast and the baby.
What makes this particularly frustrating is that I see these techniques taught by people with all the right letters after their names.
And I don't think they're trying to give bad advice!
Maybe it's how they were taught. Maybe they've watched other experienced professionals do it. Maybe they've seen it help in certain situations and started teaching it to everyone.
But when I'm standing beside a client who's exhausted, vulnerable, and trying to learn how to feed their brand-new baby, I'm left with an uncomfortable choice.
Do I contradict the person who just gave them instructions, potentially confusing them or undermining their confidence in their care team?
Or do I stay quiet when I know there's a simpler, more comfortable approach that deserves a chance?
What I Wish We Were Teaching Instead
Before we start squeezing breasts and directing babies' heads, can we please start with the basics?
Get the baby comfortably positioned, with their body supported and close to the parent.
Support their shoulders and upper back rather than restricting the back of their head, so they can tip their head back and open their mouth.
Bring baby toward the breast, with their nose near the nipple, and give them space to find their latch.
And then…actually give them a chance to do it.
Sometimes additional support is genuinely helpful. Gentle breast shaping may be useful for certain parent-baby pairs, and some babies need more specialized feeding assistance.
But that should be an individualized response to an actual need, not something we automatically do to every breast and every baby.
And if feeding is painful, milk transfer isn't going well, or baby is struggling to latch, that deserves skilled assessment, not just another round of pushing and squeezing.
This Is Why Prenatal Breastfeeding Education Matters
I wish every family could count on receiving consistent, individualized, up-to-date breastfeeding guidance in the hospital.
But the reality is that different providers sometimes teach different techniques, and not every approach is right for every family. One thing I consistently hear from newly postpartum parents is that they received different (often conflicting) advice from every nurse they encountered in the hospital, and left more confused than ever.
The first few hours after birth are a really difficult time to sort through conflicting information.
That's why I think prenatal breastfeeding preparation is so important.
You don’t have to become a lactation expert before your baby arrives, but understanding how babies latch, what effective feeding looks and feels like, and when to ask for additional help gives you a foundation for navigating all that advice.
You can ask questions. You can recognize when something isn't working. You can advocate for a different approach or request a more thorough assessment.
And perhaps most importantly, you can approach those first feeds knowing that breastfeeding is something you and your baby learn together, not something that has to be done to either of you.
That's the kind of confidence I want families to bring into the hospital.
Let's Get Breastfeeding Off to a Good Start
You don't have to wait until your baby arrives to start learning how breastfeeding works!
In my prenatal breastfeeding education sessions, we'll explore how babies instinctively find and latch onto the breast, what effective feeding actually looks like, common challenges in those early days, and how to recognize when you might need additional support.
My goal isn't to give you another list of rules to memorize. It's to help you understand the why behind breastfeeding, so you can feel more confident navigating those first feeds, asking questions, and making informed decisions for yourself and your baby.

