Breastfeeding & Lactation
Updated on 25 October 2023
Breastfeeding is a beautiful and natural way to nourish a baby, but it can also be physically demanding for the mother. Many mothers explore different breastfeeding positions to find the most comfortable and convenient one. One position that has gained popularity is breastfeeding while lying down. This position allows the mother to rest and relax while feeding her baby.
However, like any other breastfeeding position, breastfeeding in sleeping position has its own set of side effects and risks. In this article, we will explore the side effects of breastfeeding while lying down and debate whether it is worth the risk.
Breastfeeding while lying down, also known as side lying breastfeeding, is a position where the mother lies on her side while the baby nurses. It involves placing the baby beside the mother on the bed or another comfortable surface. This position allows the mother to lie down and relax while nursing, which can be especially beneficial during nighttime feedings when both the mother and baby are tired.
Before we understand the disadvantages of breastfeeding in sleeping position, let us understand the advantages that make it so popular:
Breastfeeding while lying down can provide much-needed comfort for both the mother and the baby. The mother can lie in a relaxed position, which reduces muscle strain and fatigue. The baby can snuggle close to the mother, promoting a sense of security and comfort.
It can enhance the bond between the mother and the baby. The close physical contact and skin-to-skin contact during nursing promote feelings of love, security, and attachment.
Breastfeeding while lying down at night can make nighttime feeding much more convenient. The mother can easily nurse the baby without having to fully wake up or sit up, allowing both the mother and baby to go back to sleep more quickly.
Lying down while breastfeeding can help stimulate milk flow. The natural force of gravity can assist in the flow of milk, making it easier for the baby to nurse effectively.
Let us now understand the disadvantages of breastfeeding in sleeping position or side lying position:
When the baby is lying down while nursing, the milk may flow into the Eustachian tubes, increasing the risk of ear infections. The horizontal position can cause the milk to pool inside the baby's ears, creating a breeding ground for bacteria.
Breastfeeding while lying down can increase the risk of choking in babies, especially those who have difficulty swallowing or have a weak suck. The milk may flow too quickly, overwhelming the baby's ability to manage the flow.
In some cases, breastfeeding while lying down may lead to a decrease in milk supply. The gravitational force may interfere with the baby's ability to effectively drain the breast, resulting in a decreased milk production over time.
While side lying breastfeeding can provide comfort, it can also lead to back and neck pain for the mother. Lying in the same position for extended periods can strain the muscles and cause discomfort.
The decision to breastfeed while lying down at night is a personal one that depends on the individual circumstances. It is essential to weigh the benefits and risks before making a decision. If the mother is comfortable and experiences no side effects, breastfeeding while lying down at night can be a convenient and soothing option. However, if the baby is prone to ear infections or experiences difficulties with choking, it may be best to explore other breastfeeding positions.
Let us now understand some tips that can help make breastfeeding while lying on your side safe and comfortable for both you and your baby:
Make sure the bed or surface where you lie down to breastfeed is free from pillows, blankets, or any other potential hazards. Use a firm mattress and remove any loose bedding that could pose a suffocation risk.
Ensure that the baby is positioned securely and is not at risk of rolling off the bed. Place pillows or a rolled-up blanket behind the baby to prevent accidental rolling.
To avoid developing a preference for one breast, alternate the side you lie on during breastfeeding sessions. This will help ensure that both breasts are adequately stimulated and milk production remains balanced.
While it may be tempting to doze off during nighttime feedings, it is crucial to stay awake and alert. Falling asleep while breastfeeding in a lying position can increase the risk of accidental suffocation or injury to the baby.
If you have any concerns or difficulties with breastfeeding while lying down, consult a lactation consultant or healthcare provider. They can provide personalized advice and guidance to ensure safe and effective breastfeeding.
Keeping in mind the side effects of breastfeeding while lying down, it’s important to know if there are any alternatives to this position:
The cradle hold is a classic breastfeeding position where the baby is held in the crook of the mother's arm. This position allows for a secure latch and provides good visibility for both the mother and baby.
In the football hold position, the baby is positioned upright at the side of the mother, with the baby's legs tucked under the mother's arm. This position is particularly helpful for mothers who have had a cesarean section or have large breasts.
The cross-cradle hold involves the mother using the opposite arm to support the baby's head while nursing. This position provides excellent control and support for the baby's latch.
Laid-back breastfeeding, also known as biological nurturing, involves reclining in a semi-reclined position while nursing. This position allows the baby to self-attach and find their most comfortable nursing position.
Breastfeeding while lying down does not directly cause gas in babies. It is essential to ensure a good latch and burp the baby after nursing to minimize the risk of gas.
The best way to breastfeed while lying down is to lie on your side with your baby lying beside you. Ensure that the baby is positioned at breast level, with their nose aligned with the nipple. Use pillows or rolled-up blankets to support your back and legs, ensuring a comfortable and relaxed position.
Side lying breastfeeding position can be started once the baby has gained sufficient head control and can turn their head independently. This usually occurs around 4 to 6 months of age.
Breastfeeding while lying down can provide comfort, convenience, and bonding opportunities for both the mother and the baby. However, it is crucial to be aware of the potential side effects of breastfeeding while lying down. By considering the benefits and risks, following safety precautions, and exploring alternative breastfeeding positions, mothers can make an informed decision that works best for them and their baby.
1. Byard RW. (1998). Is breast feeding in bed always a safe practice? J Paediatr Child Health.
2. Degefa N, Tariku B, Bancha T, Amana G, Hajo A, Kusse Y .(2019).Breast Feeding Practice: Positioning and Attachment during Breast Feeding among Lactating Mothers Visiting Health Facility in Areka Town, Southern Ethiopia. Int J Pediatr.
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Written by
Anupama Chadha
Anupama Chadha, born and raised in Delhi is a content writer who has written extensively for industries such as HR, Healthcare, Finance, Retail and Tech.
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