Ultimate Breastfeeding Guide The Thompson Method

The Ultimate
Guide To
Breastfeeding
Success
A 47 Page Step-By-Step Guide To Breastfeeding Success
For Pregnant Women & Breastfeeding Mothers
Written by Dr Robyn Thompson

Founder of The Thompson Method
© 2019 Dr Robyn Thompson. All rights reserved

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About the Author

Dr Robyn Thompson has over 43 years of
experience in midwifery, maternal and
child health nursing. Her midwifery role in
hospitals included management and
organisation associated with senior
administrative positions. Twenty-five of
those years were dedicated to Director of
her own private midwifery practice Dr Robyn emphasises how privileged she
Melbourne Midwifery Specialist Service Pty has been to ‘be with’ hundreds of women
Ltd. In this practice Dr Robyn provided giving birth in hospital or at home
pregnancy, labour, birthing, throughout her amazing career. During 25
breastfeeding and early parenting services years of providing homebirth services for
with women in their homes. When sharing women she had the golden opportunity to
her stories she proudly reflects on how she observe breastfeeding babies from the
feels about the privilege of being a very first undisturbed breastfeed,
midwife who has had the opportunity to through to six postnatal weeks. “When
mentor many of her colleagues over the given the chance” she says, “the highly
years. intelligent newborn and young baby is
capable of instinctively breastfeeding with
More recently, Dr Robyn was fortunate to only the gentle assistance of the mother”.
have had three of Australia’s best
academic professors (Sue Kildea, Sue Dr Robyn feels equally privileged to be
Kruske and Lesley Barclay (AO)) assist her given the opportunity to mindfully
direction toward a Doctorate of Philosophy observe breastfeeding women and their
(PhD) by research, awarded in 2014. The babies who present during difficult
main research question of interest being times with complications. Thousands of
“Why do so many women present with women have presented to her privately
breastfeeding complications, particularly and 653 women participated in her
varying degrees of painful nipple trauma research.
in the early postnatal period?”
2 © 2019 Dr Robyn Thompson. All rights reserved

Robyn says, “I have a responsibility before
leaving Mother Earth to share the
experience and knowledge that women
and their babies have taught me.” By
sharing the Thompson Method of
breastfeeding she hopes to encourage
women, midwives and others to understand
the importance of the woman’s unique
transitions through her pregnancy, her
labour, the birth of her baby, early
breastfeeding and parenting.
Robyn believes that respecting this primal

time can have profound benefits for the
mother and her baby by reducing and
preventing painful nipple trauma, breast
engorgement and early mastitis.
My Vision
“Even before the Thompson Method evolved I wanted the world to know what
women had taught me about their strength, competence and capability during
pregnancy, in giving birth and transitioning to breastfeeding. By being beside these
women, I emerged as a strong, competent, capable and proud midwife.
My vision in a highly institutionalised, interventionist and systemised world is to

reclaim respect for the innate knowledge, power and wisdom of women with
midwives. If one woman empowers one midwife during pregnancy, giving birth and
breastfeeding unhindered and they empower another woman and midwife and so
on, then the Thompson Method for reducing or preventing painful breastfeeding
complications can be fulfilled globally in good time.”

Table of Contents
About the Author 2-3
What is The Thompson Method? 6-7

Preparing for Breastfeeding 8
Understanding Your Rights 9
Nutrition & Supplements 10-11
The Birth of Your Baby 12
The First Breastfeed 13
Colostrum 14
The First 72 Hours 15-16
Commonly Taught Techniques 17
The Cross-Cradle Technique 18

Nipple-to-Nose 19
Cradling Your Baby 20-22
Face to Breast Symmetry 23
Face to Breast Asymmetry 24
Fine Tuning 25

Table of Contents Continued…
Both Breasts Each Feed 26-27

Instincts, Cues & Communication 28
The Intra-Oral Cavity 29
Stimulating Hormone Release 30
The Swallow Reflex 31
Caloric and Emotional Satisfaction 32-33
Rest and Digest 34-36
Nappy Change 37
Transition to Sleep 38
Effects of Feeding Apparatus 39-40
Common Complications 41
Nipple Trauma 41
Engorgement & Mastitis 42
Low Milk Volume 43-45
Online Education & Support 46
More Information 47

Chapter 1
What is The Thompson Method?

The Thompson Method evolved over almost 45 years of observing women giving birth
and breastfeeding without complications. Primarily the method aims to achieve
prevention of painful breastfeeding complications from the time of the first breastfeed.
The high prevalence of painful nipple trauma in the early days and weeks of
breastfeeding was the most common complication reported by women in my experience.
The primary principle is to improve the baby’s intra-oral function in the first instance and to
alleviate pain for the breastfeeding mother to continue, even with existing trauma. The
approach is based on respecting a woman and her baby’s innate,
instinctive and gentle way of knowing. The method is also based on anatomical
knowledge associated with functioning of the cranio-cervical spine, the small brain
(cerebellum) and the intra-oral cavity of the breastfeeding baby.
The Thompson Method promotes and encourages a relaxed and gentle approach to
breastfeeding so the mother with her baby can comfortably and confidently breastfeed
anywhere, at any time.
Pregnancy, labour, birth and breastfeeding are unique transitions.
Watch The Thompson Method

“A mindful transition from the moment of birth to breastfeeding
your baby is pivotal to avoiding early complications. A
synchronised sequence occurs as your newborn with only your
help, physically moves in harmony with sensory skills while
seeking your breast. Your baby’s intention is to locate and draw
your nipple with a unique amount of breast tissue, to stimulate
the release of hormones that invokes swallowing your nourishing
colostrum for the first time.”
- Dr Robyn Thompson

Chapter 2
Preparing for Breastfeeding
Do you envisage having a pregnancy,

birth and breastfeeding plan?
It is quite common for women to prepare a
“Birth Plan”, however surprisingly, the
majority of birth plans don’t include the first
breastfeed or the first 72 hours. As with any
plan, there’s no guarantee that everything
will go according to plan depending on the
circumstances. However, the process of
creating a plan during your pregnancy may
prompt you to consider your options during
the transition from your birth to
breastfeeding. A Birth &
Breastfeeding Plan can be particularly
useful for conveying information to your
midwife or other health professionals.
The following chapters explain how the first

breastfeed and first 72 hours following the
birth of your baby are primal to starting your
breastfeeding journey.
When developing your plan, it is imperative

to first understand and feel confident about
your ‘Rights’ as a consumer of health
services and as the mother who makes
informed decisions for herself and her baby.
Realistically, there will be times when
decisions may need to be made at short
notice, so having a clear plan and
understanding your rights will assist you in
these circumstances.

Understanding your Rights
Further information on your ‘Rights’ that may help you feel confident with informed
decision-making as an individual consumer of health services can be accessed via links
on my website. Generally no intervention to assist your baby is necessary with an Apgar
score of 7 or above at 1 minute from birth. The Apgar score is repeated and recorded by
the midwife and/or doctor at 5 and 10 minutes, to ensure there are no changes in that
time. If the Apgar score is below 7 at 1 minute and does not recover in 5 or 10 minutes
then your baby does need assistance.
Based on being fully informed of the benefits, risks and alternatives, it is your Right to
accept, refuse or withhold your consent. In summary you have the Right to:
ü Have your baby in contact or near you at all times

ü Seek another opinion
ü Know the pros and cons of any drugs recommended for your baby
ü Ask how any drugs are being administered
ü Ask about all the known and harmful side effects
ü Delay or refuse routine procedures
ü Negotiate or decline policies that you consider inappropriate for you
Prior to your labour it is wise to obtain a documented copy of your consent details.
Consent in advance may not be appropriate and should be obtained each time there is a
request to perform another procedure.

Nutrition and Supplements
Healthy, nourishing non-chemical foods

and drinks are important to you in
pregnancy and to your growing baby. I’ve
shared two of my experiences with you
below, in the hope it will help you become
aware and raise questions about
supplements that you may take in
pregnancy and continue into
breastfeeding. Of the women in my
research there was a high proportion who
S h o r t D e s c r i p t i o n H e r e
were concerned about crying, unsettled,
fussing babies. The following two stories
led me to include additional information to
my research database.
Story 1
I was called to a home to see a mother whose baby was unsettled and refusing to
bottle-feed with expressed breast milk (ebm). The reason for the bottle-feed was for the
father to get the baby used to being fed with ebm while the mother returned to her salon
one day a week. When I arrived at the house I observed the little girl gagging when trying
to drink the milk from the bottle and she was obviously distressed. On taking a history to
gather more information with the mother’s consent, I began to think maybe there is
something wrong with the milk. The baby’s expression appeared to me one of feeling
nauseous, hence the gagging.
Was it that she was wanting to breastfeed and not bottle-feed? Was it something to do
with the teat? Was it something in the milk? I wasn’t really sure. I asked the mother if she
had any more of her expressed breast milk and she immediately took some out of the
fridge. I then asked her if I could smell the milk? My immediate response was a desire to
taste the milk. With permission I tasted the same batch of milk the baby was swallowing
from the bottle. Without saying anything to her, I asked if she would like to smell and taste
her milk. She agreed and without hesitation she realised something was wrong just like I
had. The expressed breast milk smelt and tasted of potent fish oil.

Story 2
This time I was asked to attend another mother at home
whose baby was fussing and refusing the breast. With the
previous knowledge, I asked if I could take a history with her
consent. I asked if she was swallowing anything on a regular
basis, in the way of food, drinks or any type of supplement(s);
something that was a common denominator. This mother was
taking a commonly recommended pregnancy multi vitamin
every day and had been taking it through pregnancy. I asked
her if she would be willing to taste some of her expressed milk
with me, she agreed and kindly expressed some. Together, at
the same time, we tasted that milk and both of us were
obviously aware of how bitter her expressed breast milk
tasted. We then decided to cut one of her vitamin tablets in
half to chew at the same time and we both experienced the
same reaction; a very bitter taste.
Both of these women agreed to stop taking their supplement

for around 4 days to see if there were any changes. Both
reported that their babies were more settled, less crying and
sleeping had improved around 48 hours after ceasing the oral
supplements. They both made a decision to discontinue the
routine.
Since then, my data has continued to show that three

common maternal supplements ingested in pregnancy and
during breastfeeding, appear to be associated with
crying-unsettled babies. These are fish oil, vitamin B and
powdered drink supplements as well as multiple
supplements, herbal remedies, Chinese medicines and a
range of other over the counter supplements that women are
swallowing regularly. Many of these products are cleverly
marketed and often the women are taking them because of a
health professional recommendation or it was advertised in
the media.
Based on these chance findings, it would appear that further

research into the possible effects of supplements and other
products on the unborn and newborn would be valuable.

Chapter 3
The Birth of Your Baby

Taking your baby into your arms and onto your skin, immediately after your baby
is born is primal to the security, physiological and emotional stabilisation for
both of you. This immediate once in a lifetime contact activates your protective
maternal skills, while your baby’s survival reflexes activate the desire for early
maternal nourishment, which is followed by a well needed, undisturbed rest
period for both of you.

The First Breastfeed
The first breastfeed may take a leisurely Natural physiological release of oxytocin
2 - 3 hours to complete. The baby feeds assists your desire to hold, protect and
and comes off, repeating this at intervals look at your baby. The impact of
while feeding from both breasts, stopping increasing oxytocin in your blood stream is
at times to look at your face. Unless the stimulation and flow of colostrum
absolutely necessary, it is important that through the ductal networks in your
your baby is not taken from you or breast tissue. Oxytocin benefits contraction
handled by others and that you continue and involution of the uterus, the separation,
to breastfeed uninterrupted for at least descent and birth of the placenta, which
the first 72 hours. assists in controlling excessive post birth
bleeding.
Painful nipple trauma, breast engorgement
and early mastitis may be avoided if the Among the many benefits of the hormone
first breastfeed can be uninterrupted, prolactin, also released by your pituitary
unless for emergency reasons. Equally gland into the blood stream, is the
important is the continuation of important role it plays in harmony with the
undisturbed breastfeeding, while breastfeeding baby to generate
mindfully observing, for at least the first 72 continuing milk production.
hours.
Along with the multiple benefits of the

hormone oxytocin is the immediate contact
with your baby and the gentle progress
toward breastfeeding soon after your baby
is born. The hormones oxytocin and
prolactin produced by your pituitary gland
play an important role for you and your
breastfeeding baby.

Colostrum
Colostrum is the perfect substance produced by you and is readily stored in your
breasts during late pregnancy. Colostrum is an important substance that precedes the
change to dynamic breast milk. Colostrum is a thicker and creamier consistency than
your breast milk. It is lower in volume, a yellowish colour, rich in nutrients and immune
properties. Colostrum transfers specific microbes to prepare your baby’s
gastro-intestinal system prior to the increase in milk volume.
Given the chance, a healthy baby is instinctively capable of moving to seek the breast
and locate the nipple when gently guided by only the mother. As your baby draws
the nipple with some breast tissue to stimulate the flow of colostrum a distinctive
draw-swallow rhythm can be observed.
Your baby’s intention is to first move the thicker, rich colostrum through your
breasts during the early hours of breastfeeding. This clears the way for your
gradually increasing milk volume to move through the ductal networks over the first
72 - 96 hours following birth. In my experience, when these events follow without
the introduction of other milk substances, breast engorgement is less likely. Full
breasts, as opposed to engorged breasts, in the early weeks of breastfeeding is a
normal phenomenon.
14
The First 72 Hours
After the first uninterrupted breastfeed, your baby may sleep for up to 6 hours, sometimes
more. After waking from the first sleep, it’s really important that your newborn feeds
frequently from both breasts, preferably uninterrupted and not removed from your
security, for routine procedures, unless there is a genuine safety reason to do so. For
example, if you have been affected by opiates during your labour of birth, it is preferable to
have your baby near you but ensure that someone else and your midwife are regularly
observing.
Feeding frequently during the period after the first sleep until the milk volume gradually
increases enables your baby to maintain physiological stability. The frequent feeding
continues to move small amounts of milk through both breasts. This facilitates a clear
pathway through the ductal networks as the milk volume increases. In my experience, the
women who fed frequently in harmony with the baby’s cues rarely experienced breast
engorgement and early mastitis. This frequent feeding also has the benefit of oxytocin
contracting your uterus to reduce post birth bleeding.
Equally important during this time, is to gently cradle your baby if possible and above all
ensure symmetrical face-to-breast contact. These important features were paramount in
preventing early nipple trauma in my practice and research. For more details please refer to
chapters 4 and 8.
During this first 72 hours you will feel tired and maybe overwhelmed. You have just
completed the hard work of giving birth to your baby, your body is recovering and you will
feel the need to sleep. Short episodes of undisturbed sleep/rest in a quiet protected
environment are essential during this time to meet the breastfeeding needs of your baby
until your milk volume peaks.
It’s not uncommon that you may be offered to bottle, cup or syringe feed your baby during
this time. The general suggestion is centred on offers to feed your baby with
formula to allow you to sleep. Try to reassure yourself that this is only a short space of time
in the big picture. Frequent feeding and feeling tired are necessary components of the
postnatal period. They occur so that your milk volume increases naturally and that the risk of
low volume and then expressing your breasts becomes necessary to sustain breastfeeding.

Your baby’s behaviour will change as
the volume of milk increases. You will
notice the urine volume increase,
likewise the colour, volume and
consistency of the stools (poo). You will
notice deeper, more rhythmical
swallowing episodes in harmony with a
more relaxed body language and facial
expression, indicating more satisfied
feelings. You may even notice your baby
starting to sleep a little longer between
the start of one feed to the start of the
next. When you see these signs, your
maternal instinct will guide you to
knowing your baby is digesting sufficient
milk volume.
This is the time to commence feeding

your baby using both breasts each feed,
The First 72- with a rest and digest period in
96 Hours between the first and second breast.
Although there is no set timeframe, the
average breastfeed for a newborn may
take around 1 hour, which includes the
rest and digest period with a nappy
change, before commencing the second
breast.
In the event that your baby is not with you during this time, or the baby is too sleepy to
feed, it is important that you continue to express both breasts regularly (around 7 times in
24 hours) to simulate the baby being at your breast. Not only will simulation enable your
baby to be fed your breast milk rather than artificial formula, it will also assist in reducing
the risk of breast engorgement and early mastitis.

Chapter 4
Commonly Taught
Techniques
You may choose to breastfeed your

baby any way and at any time. However,
my experience and research has shown
that the commonly taught cross-cradle
technique is associated with nipple
trauma. When reviewing the associated
anatomy I was fortunate to have
permission from Visible Body to use the
specific models I had built from the
programme the Atlas of Human
Anatomy. (Argosy Publishing, Inc.:
Newton, Massachusetts, USA. p.
Interactive 3-D Anatomy and Physiology
Education.)

The Cross-Cradle Technique
Although the Cross-Cradle technique is commonly taught, many women have informed me
that it was “awkward and didn’t feel right”. The observed upper body twist didn’t appear to
be comfortable. During my research, women frequently complained of wrist, shoulder and
lower back pain when using this technique. This and many other observations alerted me
to investigate the technique in conjunction with the head, neck, shoulder and intra-oral
anatomy as well as exploring and simulating the function of drawing and swallowing with my
thumb in my own oral cavity. This actually gave me a greater understanding of the hard and
soft tissue, the bony and muscular function and the variations in vacuum compressions.
Later, I also reviewed the function of the cerebellum in relation to breastfeeding which
improved my understanding of the baby’s motor and sensory skills.
The cross-cradle technique involves holding the baby by the highly sensitive cervical spine
from the base of the head, down the neck and over the upper shoulder area. Holding the
base of the head interferes with the baby's small brain and therefore impedes the
freedom of instinctive sensory skills and movement of the arms, hands, fingers, legs,
feet and toes to locate the breast and nipple.
“Imagine how you would feel if someone held you by the base of your head, along your neck
to your shoulders and pushed you to your dinner plate, every time you ate!”
It is for this reason, I suggest the more gentle and natural way of cradling your baby. The
aim of gently cradling is to feel comfortable and confident to breastfeed your baby any
where, at any time. Refer to chapter 8.
18
© 2019 Dr Robyn Thompson. All rights reserved
Nipple-to-Nose
In addition to the cross-cradle technique I observed hundreds of women who had been
taught to direct their nipple to the baby’s nose. With this manoeuvre, pressure is
applied over your areola above your nipple. The baby’s natural head and neck movement
are impeded, such as turning the head to locate the nipple with the tongue. When the
nipple is directed to the baby’s nose, the baby actually hyperextends the head to try and
make oral contact with the nipple The nipple enters the mouth at the level of the hard bony
palate behind the corrugated area of the upper gum. It was these observations that led me
to review the anatomy, which undoubtedly informed me how important it was to suggest
changing this practice.
With the baby’s head restricted and the nipple in the hard palate, drawing of the nipple
and breast tissue into the oral cavity was clearly impeded. The women informed me they
could feel the tongue compressing sometimes grinding the nipple into the upper hard
palate in the roof of the mouth resulting mainly in painful nipple tip trauma. Because of the
variations and severity of painful nipple trauma I was observing, there had to be a better
way to understand reasons for such trauma. It was at this stage I had the idea to divide the
nipple into three anatomical parts. My research covered trauma to the nipple tip, nipple
body and nipple base. I then included the areola due to trauma resulting from the use of the
breast pump

Chapter 5
Cradling Your Baby

Your baby loves to be gently cradled in your arms relying on instinct to freely
move the head, neck, shoulders, arms, hands, fingers, legs, feet and toes with the
ultimate desire and intention to be satisfyingly nourished, hydrated and nurtured.
Any baby held by the head, neck or shoulders (cross-cradle) is anatomically

restricted, unable to freely coordinate head, neck and shoulder movement. Such
restriction impedes the unique ability of the baby to move toward the breast, locate
and draw the nipple and some breast tissue to full oral potential.
Cradling your baby in your arms facing your breast with elbows relaxed by your
side enables the baby’s head, face and hands to freely access to your breast. Your
baby is capable of engaging all the necessary skills to move, smell, taste and touch
while protruding the tongue to locate your nipple.

Continued…
Cradling Your Baby
When cradling your baby for the first breast, gently turn the little body and hips over so your
baby is lying on his/her side and facing your breast. Looking down, observe that your baby's
lips align centrally over the nipple (preferably not nipple to nose or nipple to chin). Be sure
not to push your breast and nipple to the baby. To achieve the importance of lips over
nipple, you can improve the alignment by gently fine-tuning at this stage if necessary.
You will observe your baby's tongue protruding instinctively to locate the nipple. The
protruding tongue gradually and gently rolls the lower lip outward. The baby’s mouth opens
to a natural width and the lips seal the outside as the nipple and some breast tissue is drawn
inward with increasing vacuum pressure. The nipple and some breast tissue is drawn along
the upper surface of the tongue. When full potential has been reached the nipple rests at the
level of the soft palate, at the junction of the hard and soft palate. You can feel the soft area
in your mouth by moving the tip of your tongue backwards to the end of your hard palate.
At the same time, the nipple and a unique amount of breast tissue is drawn inwardly, both
lips roll outward gently and naturally to create an external seal on the breast. When the baby
is ready you will see short, stop-start episodes associated with stimulating hormone
production. This is your baby stimulating your breast to increase the hormones oxytocin and
prolactin to be released into your blood stream.
When these hormones have reached an appropriate level, the draw-swallow action begins.
You can observe your baby’s deep and rhythmical swallowing continue in harmony while the
milk is flowing out of the nipple ducts and over the back of the tongue into the throat,
activating the draw-swallow-breathe sequence. These stimulating & swallowing episodes
continue intermittently until the baby shows cues of reaching satisfaction after transferring an
appropriate volume of milk that comfortably fills the stomach.
Frequently observing that your baby maintains symmetrical face-to-breast contact is

important to reducing the risk of painful nipple trauma. Symmetrical means the four points;
the nostrils, chin and both cheeks are contacting the breast with no visible gaps. Rhythmical
breathing is enabled comfortably when both nostrils are resting gently on and contouring the
individual shape of your breast.

Another important tip while cradling your baby is to avoid
extending your arm to hold your baby by the nappy.
Extending your arm to reach the nappy results in the upper
arm and elbow pushing forward, which impedes the baby’s
ability to have clear access to your breast.
Say for example you are holding your baby in your left arm
and your left hand is holding the nappy, the baby’s body is
moved further toward the left. If this occurs the baby is
restricted in achieving lips contacting centrally over the nipple
and may tilt the head. Depending on close observation it is
more likely your nipple will be directed to the baby’s chin or
chest. Most women at this point can be observed holding and
pushing the breast toward the left while trying to get the
nipple into the baby’s mouth. To overcome any distortion,
please see Chapter 9.

Chapter 6
Face to Breast
Symmetry
Face-to-Breast Symmetry is essential in preventing painful nipple trauma and for

reducing pain when breastfeeding over existing nipple trauma.
The four facial points to observe are the nostrils resting on and contouring the breast, the
point of the chin to be deep in your breast and both cheeks to be snug against your
breast. No visible gaps around these four points.
When the nipple is drawn to the distance of the soft palatal cleft, the remaining breast
tissue forms a unique shape between the upper surface of the tongue and the curve of
the hard palatal bone in the roof of the mouth.
If the head tilts back, the nostrils move away from contacting the breast. Alternatively if
the point of the chin is not in contact with the breast, it cannot massage the breast tissue
to stimulate hormone production adequately. The nipple is compressed by the anterior
tongue into the roof of the mouth resulting in nipple trauma.

Face to Breast Asymmetry
Nipple base damage appears to be associated with drawing of the nipple only
and/or offset nose or chin. The gums compress the base of the nipple and the
women describe a biting sensation.
When the head tilts and one cheek is offset from the breast, this appears to be
associated with a ridge formation. Both gums, often described by the women as a
pinching sensation, compress the edge forming a painful ridge on the nipple.
If asymmetrical face to breast contact is observed, some fine-tuning may

be required.
This photo demonstrates a baby who is asymmetrical at the breast.

Notice both cheeks are not snug and the nostrils are not resting
comfortably on and contouring the shape of the breast.

Chapter 7
Fine Tuning
Fine tuning asymmetrical face to breast contact assists in the prevention of painful nipple
trauma. Mindfully observe that all four (4) facial points (nose, chin and both cheeks) are
snugly in contact with your breast with no visible gaps.
Fine-tuning is easy with very slight and gentle movements.
To fine-tune the nose or chin, gently slide your baby's body to the left or right or vice
versa (only about 1cm), until the nostrils touch and contour the breast and the point of the
chin massages the breast.
To fine-tune both cheeks, use your hand on the upper or lower shoulder to gently tilt
your baby's body over, for the upper cheek or under, for the lower cheek. These two
slight movements ensure that the baby's upper cheek and lower cheek are in contact
with your breast.
If you notice any gaps of the four (4) points, fine-tuning can be revised at any time
throughout the breastfeed

Chapter 8
Both Breasts Each Feed

In my experience many women
breastfeed from only one breast per feed.
It is preferable that your baby feeds to
self-indicated satisfaction from both
breasts each feed. Milk that is flowing
through both breasts regularly maintains
adequate hormone release for continued
milk production. Regular release of milk
through the ductal networks reduces the
risk of blockages and mastitis. In my
experience it also reduces the risk of low
volume at around three months. When
feeding both breasts each feed in
uncomplicated circumstances, it is
preferable to start the next breastfeed
with the breast last used in the previous
feed. For example, if you start on the left,
finish on the right; next feed start on the
right and finish on the left. Alternating
breasts assists in maintaining hormone
release for milk production and reduces
the risk of complications..

By feeding from the second breast too soon after completion of the first, it may overfill
your baby’s stomach. Overfilling is uncomfortable for the baby and is commonly associated
reflux and colic. The excess volume increases the pressure in the stomach. Two sphincters,
the upper into the oesophagus and the lower into the intestine, act like pressure valves,
rapidly releasing the excess milk before it has had time to predigest in the stomach. Breast
milk requires time to predigest with the gastric enzymes before transfer into the intestine for
further digestion.
I commonly use the analogy for the size of the baby’s stomach as being similar to the size of
the baby’s closed fist. The stomach and fist continue to grow comparatively into adulthood,
which provides a reasonable understanding of volume capacity and the importance of the
rest & digest period. This also helps to understand why the newborn and young baby
needs to feed from both breasts around 7 times in 24-hours to maintain adequate hydration
and nutrition.
Implications
of one breast each feed
Regular milk flow through the ductal networks of your breasts is important to
maintaining adequate milk volume and reduces the risk of milk pooling in the
ductal networks, breast engorgement and mastitis. If you are only feeding with
one breast per feed, by the time you reach the next feed the breast not used in the
previous feed is most likely to be overfull.
This increases the risk of:
Ø Your baby’s stomach rapidly overfilling
Ø Baby pulling back or off when unable to cope with fast flow
Ø Compression of the baby’s stomach against the diaphragm
Ø Reflux and/or colic due to the stomach being under pressure
Ø A crying and unsettled baby with gastro-intestinal disturbance
Ø Blocked ducts due to pooling of milk, resulting in milk stasis
Ø Engorgement, mastitis and possible breast abscess
Ø Low volume at around three months

Chapter 9
Instincts, Cues &

Communication
It is highly recommended that no one else touch the mammal mother and her newborn
baby. Unmedicated, healthy babies are capable of self-locating the breast and nipple from
birth. Your baby is instinctively intent on breastfeeding and nurturing. Time, patience, respect
and mindful observation are essential for you as you breastfeed your newborn.
Your maternal instincts harmonise with your baby. Similarly your baby’s instinctive skills
harmonise with you. Together you are very capable of guiding and understanding each
other. Your baby indicates most needs by body language, facial expression and
sensory skills needing only your gentle guidance while communicating through physical
movements and primal sensory behaviours. For example:
Ø Moving on your body toward your breast

Ø Stopping at intervals to listen to your soothing voice and look at your face
Ø Walking and crawling reflexes activate as arms, hands, fingers, legs, feet and toes
manoeuvre on your body toward your breast
Ø Head bobbing, turning freely, while seeking the breast
Ø Highly alert sensory organs activate with the:
Ø Nose smelling your familiar body
Ø Lips sensing and tongue protruding while locating your nipple

Ø Eyes focusing on your face
Ø Ears listening and responding to the dulcet tones of your voice

Ø Tactile fingers touching, hands and closed fist pressing

Chapter 10
The Intra-Oral Cavity

Knowledge about your baby’s oral function may be helpful in understanding the importance
of ensuring Face to Breast Symmetry (Chapter 8).
Ø The lower lip rolls gently outwards as the tongue protrudes to locate the nipple
Ø The mouth opens to an individual width
Ø The vacuum pressure inside the baby’s mouth increases
Ø The nipple with a unique amount of breast tissue is drawn inward
Ø The nipple and breast tissue moves through the lips
Ø The increasing vacuum draws the nipple and breast tissue along the centre of
the tongue
Ø The lips roll naturally outward to create an external seal against the breast
Ø The nostrils rest on and contour the natural shape of your breast
Ø The nostrils remain gently in contact with your breast throughout the feed
Ø The centre of the upper lip rests under the centre of the baby’s nostrils
Ø A clear channel either side of the upper lip facilitates nasal breathing
Ø The hard surface of the roof of the mouth joins with the soft palatal cleft
Ø The nipple is drawn back to the distance of the soft palatal cleft
Ø The soft palatal cleft and the upper surface of the tongue protects the nipple
Ø The soft, pliable breast tissue forms a unique oral shape (perfect maternal teat)
Ø The unique shape fits between the surface of the tongue and the roof of mouth
If your baby’s face to breast contact is asymmetrical, i.e. one or more of the four facial
points are not contacting the breast, the risk of painful nipple trauma increases

Chapter 11
Stimulating Hormone
Release
Your baby first stimulates the breast to
release the hormones prolactin and
oxytocin into your blood stream. These
intermittent stimulating episodes continue
until sufficient hormone levels in your
blood stream create the milk to flow
through the nipple ducts. Oral stimulation
for hormone release is distinctly different
to swallowing milk flowing through the
nipple ducts.
While observing your baby during the

stimulating phase you will see an
intermittent series of short episodes
where drawing begins then stops. For
example, it may an episode similar to
stimulate – stimulate – stop and then
repeat on and off until the hormones
increase. These intermittent episodes are
not rhythmical and they continue until the
milk begins to flow and your baby begins
to swallow. There is a distinct visible
change in the rhythm when the draw-
swallow reflex begins.

Chapter 12
The Swallow Reflex

The swallow reflex is first observed by a distinct change in the facial muscle activity and
the lower jaw movement. This change occurs during the transition from stimulation (see
previous chapter) to the milk flowing (commonly known as the let down). Milk flows
rhythmically from the nipple ducts over the back of the tongue and into the throat
activating the rhythmical swallow reflex. The change in the movement of the lower jaw is
evident with milk flow. You will observe a longer, deeper rhythm that continues
intermittently until that milk flow slows.
The rhythmical movement of the point of the chin massages the glandular breast tissue.
The muscle under the tongue is anatomically attached to the chin inside the mouth. The
tongue muscle movement harmonises with the point of the chin in massaging the breast.
The lower jaw, chin and tongue movements coordinate with changing intra-oral vacuum.
Your baby may be heard and observed swallowing in rhythm as the milk flows from your
nipple ducts over the back of the tongue into the throat.
This intermittent drawing, swallowing and breathing is repeated with each let down until
the pressure in the breast reduces as the volume of milk from the breast is transferred to
your baby’s stomach.
Note
If breast milk volume is high, the pressure in the breast is high. Breast
milk may flow quite fast through the nipple ducts on these occasions.
Deep rhythmical swallowing may be evident with very little or no
stimulation if the volume is high. Some babies have difficulty coping with
a fast milk flow, as the milk tends to pool forward in the mouth,
sometimes impeding the breathing rhythm. Under these circumstances
the baby may pull on and off the breast.

Chapter 13
Caloric and Emotional Satisfaction

Your baby’s signs of satisfaction can be Emotional satisfaction can be observed as
observed by behavioural cues. These your baby drifts into a dream state, often
cues communicate your baby’s feelings referred to as euphoric or drunk on mother’s
of reaching gastric volume and emotional milk. This period is important to a calm baby
satisfaction before relinquishing the and slowing of gastro-intestinal digestion. At
breast. this time, your baby releases the nipple and
breast. The head moves away from the breast
As an approximate visual guide, the size and your baby is ready to rest and digest.
of your baby’s stomach is relative to the
size of the small closed fist. Generally The ‘Rest and Digest’ time follows after the
your baby will feed until the stomach first breast and this continues until your
capacity reaches satisfaction. This is baby communicates cues to commence the
followed by a period of time where your second breast. This occurs once that volume
baby remains nurturing at your breast of milk has been predigested in the stomach
until self-relinquishing and slipping off and is moving into the intestine for further
when emotional satisfaction is reached. digestion. Your baby will then begin to request
These behaviours are clearly evident on the second breast. Please see next chapter.
observation of a complete feed.

Caloric & Emotional Satisfaction
The same sensory and feeding behaviours repeat on the second breast until your baby
reaches caloric and emotional satisfaction. Satisfied behaviour in summary is observed as:
Ø A fine tremor of the chin and lower lip may be felt when capacity is reached
Ø The intra-oral vacuum pressure reduces
Ø Drawing and swallowing slows and stops
Ø The baby’s body language, facial expression and muscle tone changes
Ø Your baby’s face, hands and body relaxes
Ø Your baby changes to gentle nurturing with the tongue and lips at your breast
Ø Gentle intra-oral nurturing continues
Ø The baby stays at the breast until emotional satisfaction is reached
Ø The baby self-relinquishes the breast and may stretch, often arms raised
above the head
Ø Stretching relieves pressure between stomach and the diaphragm
Ø Rest and Digest continues until cues for second breast are evident
Ø Second breast commences as the cues become more focused, protruding
tongue and increased vocal sounds
Ø A nappy change is preferable after the first breast, so that the baby can rest,
digest and fall asleep after the second breast without being disturbed.
Although, there is no set time the newborn and young baby may take around 1 hour to complete
a breastfeed. This includes both breasts with the rest and digest periods after each breast and
the nappy change. You healthy baby may feed both breasts around 7 times in 24 hours.

Chapter 14
Rest & Digest

After your baby is satisfied from the
first breast, it is important to allow
time for the 'Rest & Digest' period.
This provides time for the gastric
enzymes to predigest the milk into a
curdled state prior to further digestion in
the intestine.
This time is beneficial to calming the

digestive system.
Skipping the Rest and Digest period for

the newborn and young baby, before
commencing the second breast, may
result in overfilling the stomach and
reduced time for pre-digestion. This may
result in some babies experiencing
crying, unsettled episodes associated
with gastric reflux and intestinal colic.

Rest & Digest
During the Rest and Digest time following the first breast:
Ø Place your baby comfortably lying out on your knee
Ø Mindfully observe your baby’s behaviours during this time
Ø Your baby is likely to knowingly stretch the upper body
Ø Little arms and hands stretch above the head
Ø Stretching provides space between the diaphragm and stomach
Ø Burping is unnecessary as air rises naturally during stretching
Ø A special time to ensure the milk predigests with the stomach enzymes
Ø Predigestion curdles the milk in preparation for transfer to the intestine
Ø The peristaltic wave of the gastro-intestinal system transfers the milk
Ø The volume in the stomach reduces during transfer to the intestine
Towards the end of the Rest and Digest period, the volume of milk in the stomach
decreases and you will observe your baby becoming more active, indicating a need to
feed again. The baby repeats the cues such as increased movement of the arms and legs,
turning and gently lifting the head at times, seeking, smelling, tasting, touching. The last of
these cues is generally the tongue protruding and the voice begins to call. This is a good
time for a nappy change as your baby is not disturbed entering the sleep state on
completion of the second breast.

Once completed, snuggle your baby upright on your body to provide time
and room for the stomach to predigest the second breast milk volume and
for the baby to gradually settle. The upright position allows any air to
gradually rise.
If the baby is sitting on your knee to be burped, often the head supported
by a hand under the chin, while the other hand pats the baby’s back, it is
difficult for air to rise. The diaphragm and stomach are compressed in this
curved position making it uncomfortable for the baby who needs to
burp.
Just think of, how we as adults need to stretch out the middle of our body providing
space for the stomach and diaphragm after completing a meal.

Chapter 15
Nappy Change
You may like to consider changing your baby's nappy between the first and second
breast, toward the end of the rest and digest period. My experience and observations
suggest that the benefits of this may be two-fold:
When your baby wakes from sleep, ready to feed it is preferable that he/she comes to
the breast calmly and not crying. So unless necessary, consider delaying the nappy
change so that your baby’s feed is not delayed. Of course common sense prevails.
There will always be exceptions to this suggestion.
When the second breast is completed, you may observe your baby drifting off to a
satisfied and calm sleepy state. It's preferable not to disturb this sleep state with a nappy
change. Enjoy that calm transition to sleep when your baby is calorically and
emotionally satisfied.
After completing the first breast your baby is more likely to be feeling satisfied and calm,
but perhaps not asleep. Therefore, this may be a preferable time for a nappy change.

Chapter 16
Transition to Sleep
Transitioning from feeding to sleeping is generally calm after your baby is calorically and
emotionally satisfied from both breasts and the gastro-intestinal system is comfortable.
You may like to cuddle your baby gently in the upright position against your body with
the little face snuggled into your neck until the little body tone and breathing relaxes.
The transition to sleep is soothing when your baby feels nurtured, satisfied and
reassured by resting on your body and by being connected to the security of your
familiar smell, touch and voice.
The baby who feeds from both breasts each feed, with a rest and digest period after,
is more likely to be happy, calm and will drift off peacefully to sleep.

Chapter 17
Effects of Feeding Apparatus

Bottles, Teats, Dummies and Nipple Shields
In my experience there is not a teat or dummy (pacifier) that can form the unique
shape inside your baby’s mouth. Intra-oral devices are non-pliable, silicone, fixed
items. The baby has to adapt to the texture, shape, length and width of any intra-oral
device. If multiple oral devices are used such as a teat, dummy or nipple shield, the
baby’s oral cavity has to adapt to each one, which results in a more complex intra-oral
function. This can be confusing for the baby and more difficult if the baby is
transitioning to, or returning to breastfeeding. In the instance of changing from teat to
breast or vice versa, cup feeding is preferable. This means there is less confusion and
most babies, with the gentle guidance of the mother or other, can drink from a cup.
The decision of which silicone teat, dummy or nipple shield is the best for your baby
can be most confusing when looking at the large range of apparatus along with
enticing marketing. It is difficult to know and decide which device may have a better fit
or function for the oral cavity when following the advertising language. These items
are hard for your baby’s oral cavity function to adapt as opposed to your soft, pliable
nipple and breast, which moulds to the unique shape and size of your baby’s oral
cavity.
Each of these items has different effects within intra-oral cavity. The baby uses the
anterior tongue (tip of the tongue) and the gums in a chewing action and the bottle is
elevated for gravity flow of the milk. The tip of the apparatus is unable to reach the
distance of the soft palatal cleft. A chewing effect can be observed.
These devices are used with gravity feeding from the bottle as they cannot let the
milk down with intermittent ejections like the breast does under the influence of
hormones. Gravity feeding may result in a rapid volume transfer or an excessive
volume of milk over-filling your baby’s stomach. The digestive system may not be
able to cope with the high volume and the baby may experience similar symptoms of
reflux and sometimes vomiting.

Continued…
Effects of Feeding Apparatus

There is no oral apparatus on the market that can be effective in the baby's oral cavity.
Unlike the soft, pliable breast tissue that moulds to fit the unique oral cavity; the
apparatus are fixed, hard, items varying in shape, length, width and texture. The
adaption by the baby to any apparatus alters the unique oral cavity function
The short-flat or ‘orthodontic’ teat is compressed by the anterior tongue (tip) into the
shape of the roof of the mouth. If the baby is alternating between teat and breast,
often the mother’s nipple shape can be observed to change to be similar to the shape
of the teat. Most often, this frequent compression results in painful nipples.
If a teat is to be used it is preferable to seek the longest and narrowest (No. 1 in the
image), simplest and softest available that fits with the lid of a narrow-neck bottle.
These are generally the least expensive. Image No. 2 is unsuitable, one-third of the
teat is taken up by attaching to a disposable bottle, which shortens the length of the
teat. Both 2 and 3 condition the baby to use the anterior tip of the tongue. If they
become conditioned to this and transition back to breastfeeding, painful nipple
compression and possible trauma is likely.
To gauge the preferable length, you

can compare the length from the tip
of the teat to the distance of the
plastic lid on the bottle, with the
distance from the tip of your little
finger (nipple) down to the second
joint. A longer, narrow teat (No. 1)
may reach or be close to reaching
the soft palatal cleft depending on
the age and size of your baby.
In the event that you are unable to breastfeed your baby temporarily, it may be
preferable to express your breast milk and use a small cup to simulate intermittent
milk flows rather than a bottle or other feeding apparatus, unless absolutely
necessary.

Chapter 18
Common Complications
Over almost 45 years of midwifery experience the most common complications I
have observed for breastfeeding women have been Nipple Trauma, Breast
Engorgement and Mastitis.
Nipple Trauma
Based on my observations and research the most common potential predictors of

nipple trauma were found to be associated with:
Ø Face-to-breast asymmetry (Chapter 8)

Ø Directing the nipple to the nose (Chapter 4)
Ø The Cross-Cradle Technique (Chapter 4)
Ø Engorgement and Mastitis
Together with these findings women were taught to hold the baby by the base of the
head, neck or shoulders while concentrating on trying to open the baby’s mouth wider
than normal and then rapidly push the baby onto the breast to get as much breast tissue
into the mouth as possible. These manoeuvres were taught in the belief they would
prevent nipple trauma.
Cradling your baby with your elbows relaxed by your side and mindful observation that
the four (4) facial points (nostrils, chin and both cheeks) are in contact with your breast
with no visible gaps, will help you avoid painful nipple trauma.

Engorgement & Mastitis
Engorgement is more likely to occur when milk is not moving regularly through the
ductal networks in your breasts. Starting from birth and over the first 72-96 hours,
moving colostrum is very important. If milk remains too long in the ductal networks, it
thickens and the flow may become obstructed. In my research, a common
association with engorgement was related to the history of a delayed, interrupted or
short first breastfeed following the birth of the baby.
Any interruption to breastfeeding, or feeding with other milk products over the first 72
hours can compound the regular flow of gradually increasing breast milk volume
reducing the risk of breast engorgement and early mastitis. Many women have also
experienced engorgement when a breastfeed is replaced with a bottle feed and
the breasts are not expressed at the same time or they miss a feed (say overnight),
or when the baby starts extending sleep periods. If in doubt, it is best express
enough, just for comfort, to ensure the milk flows and prevent or reduce the risk of
mastitis.
There is always the possibility of infectious mastitis that can lead to breast abscess.
Infectious mastitis is extremely painful and can make you feel very ill. Care should be
taken to differentiate the severity so that treatment for infectious mastitis with specific,
rather than broad-spectrum antibiotics, can commence early rather than later. In my
experience infectious mastitis and breast abscess were rare. These were associated
with the symptoms of breast pain, feeling hot and cold, which women described as
feeling like they have the flu, sometimes with aching joints. These symptoms
generally resolved before the redness on the breast.
If in doubt, gently and rhythmically express your breasts to keep the milk flowing and
relieve pressure.
Reference
Visible Body, Human Anatomy Atlas. 2007-2013, Argosy Publishing, Inc.: Newton,
Massachusetts, USA. Interactive 3-D Anatomy and Physiology Education.

Low Milk Volume
In Chapter 3, I discussed at length based on my experience and research, just how

important the first breastfeed and the first 72-96 hours are for initiating, establishing
and maintaining a regulated breast milk volume.
Once you feel the sensation of your milk volume peaking around 72-96 hours, it’s really
important to change from frequent feeding both breasts to The Thompson Method.
This is where it’s best to commence feeding from both breasts each feed to baby’s
satisfaction. For the newborn and young baby, this includes a rest to pre-digest time,
after each breast.
You will note under these circumstances your newborn (if not sleepy as a result of
maternal opioids) will feed only to gastric capacity satisfaction from the first breast,
then enter what I refer to as the emotional nurturing time, before slipping off the first
breast having reached that lovely euphoric state.
Then it’s time to rest to pre-digest the milk volume from the first breast by the baby
stretching out naturally, so the middle body is extended, reducing the pressure of the
full stomach compressing against the diaphragm. This allows time for any air to rise
and the milk to be curdled before entering the intestine for further digestion. After the
first rest to predigest period your baby will guide you with distinctive cues, requesting
to feed from the second breast.

Low Milk Volume
Continued…
If you can, it’s preferable to nappy change before commencing the second breast. Nappy
change at this time reduces the risk of having your baby coming to your first breast crying
or being woken after reaching that wonderful emotional nurturing and euphoric state
following natural release of your second breast. Being held upright, snuggled against your
body after the second breast assists pre-digestion again and it may take a little time.
When ready, your baby reaches a state of comfort drifting peacefully off to sleep.
There are no rules as such. On average, over my years of experience and documentation
of observations of thousands of mothers and their baby’s, a full breast feed as above takes
around an hour. On average the newborn and young baby breastfeeds both breast as
above around 7 times in 24 hours. (Refer to Chapter 8). The reality is, it may be different for
every individual Mother and her baby, it maybe different for each feed or each 24 hours. It’s
not a mathematical process; it’s a real instinctiveness, a very sensory communication you
learn between each other.
By understanding the importance of gradual maternal milk production in the first 72-96
hours, begins the process of maintaining milk volume according to your baby’s individual
needs. Being mindful of the relatively natural human process and mammal behaviours
increases the benefits of sustaining breastfeeding for the period of time you desire.
Understanding the process reduces the risk of painful nipple trauma, breast engorgement
and early mastitis as your breast milk is regularly moved through the ductal networks of
both breasts, each feed. The baby creates its own supply and demand by regulating your
milk volume during the first 6 postnatal weeks, particularly with the principle of milk flow to
satisfaction using both breasts each feed.

Continued…
Low Milk Volume
One of the most common reasons why Women experience low milk volume in
association with the newborn and young baby is by changing breastfeeds to bottle-
feeding overnight. Generally when this change occurs over a sequence of nights,
hormone production gradually reduces, due to lack of breast (glandular tissue)
stimulation to maintain increasing hormone levels around 7 times in 24 hours. These
changes occur naturally when the baby is older. In my practice, Women who were
presenting with a story of low volume, commonly occurring around 3 months. On
taking a history and documenting the information, it appeared to be associated with
feeding one breast per feed over a long period of time, or commonly offering cow's
milk formula at night. The interruption to the regular release of maternal hormone
production appeared to be the most common experience.
The principles of overcoming low milk volume is best if the baby can continue to
create regular maternal hormone release by breastfeeding from both breasts around
7 times in 24 hours, until the baby is older and decides to reduce the cycle.
Depending on the individual circumstances this may be assisted by breast expressing,
however that’s another subject. It does take time and patience, but over a period of
days, sometimes weeks with gentle rhythm and maintained cycle of regular hormone
release, your milk volume will gradually increase. It’s about returning to the basics of
understanding how human breast milk is produced by regular hormone release from
the pituitary gland, cradled in the base of the brain.
Prevention is best, with time and patience and understanding the process, it is
possible for most Women (not all, for varying reasons) to increase their milk volume
without depending on cleverly marketed supplements, drinks, cookies and or
medications that alter the taste and smell of the breast milk.
Overcoming low milk volume is based on stimulating hormone production in both

breasts around 7 times in 24 hours.

The Gentle Birth &
Breastfeeding Program
The perfect preparation for your labour, birth and
breastfeeding from experienced midwife and breastfeeding
consultant Dr Robyn Thompson.
Start NOW and stay in the program til 6 Weeks Postpartum
You will learn how to reduce the risk of unnecessary

intervention during labour, to enjoy a natural and
gentle birth and avoid the common complications
with breastfeeding.
Who is this Program for?

If you're a First Time Mother
passionate about breastfeeding
If you've had a previous traumatic birth

or breastfeeding experience
If you've never successfully breastfed

before
LEARN MORE ABOUT THIS AMAZING PROGRAM

46
More Information
Dr Robyn Thompson has dedicated her life to helping women in their pregnancy,
labour, birth and breastfeeding journeys.
Her aim is to share her experience, knowledge and wisdom in the hope of guiding
you towards pain-free breastfeeding.
Should you feel you need more help, please visit her website at
www.thethompsonmethod.com and see the range of resources available.
If your matter is urgent, please consult your midwife or qualified health
professional.
“I want to hug each new mother and say you and your baby already know how this
works. Just take a deep breath, trust your instincts and enjoy every moment.”
- Dr Robyn Thompson
Disclaimer: Certain sections of this e-book may deal with health, midwifery and medical related issues. Please
note that the information contained in this e-book is not intended to be medical advice, nor does anything
contained in this e-book create any health, midwifery or medical practitioner-woman relationship, or supplant
any in-person health, midwifery or medical consultation or examination. Always seek the advice of a qualified
healthcare professional with any questions you may have regarding any medical condition and before seeking
any treatment. Professional advice should always be sought for specific conditions and specific circumstances.
Never disregard professional health or medical advice or delay in seeking medical treatment due to
information obtained from this e-book. Any information from this e-book is not intended to diagnose, treat,
cure, or prevent any disease or illness. This e-book is for information purposes only. The information in this e-
book is not intended to replace health, midwifery or medical care, nor is it is intended to be (or should be taken
for) medical diagnosis or treatment.

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The Ultimate

Written by Dr Robyn Thompson

© 2019 Dr Robyn Thompson. All rights reserved

About the Author

2 © 2019 Dr Robyn Thompson. All rights reserved

Robyn believes that respecting this primal

My vision in a highly institutionalised, interventionist and systemised world is to

3 © 2019 Dr Robyn Thompson. All rights reserved

About the Author 2-3

What is The Thompson Method? 6-7

Commonly Taught Techniques 17

The Cross-Cradle Technique 18

4 © 2019 Dr Robyn Thompson. All rights reserved

Both Breasts Each Feed 26-27

Effects of Feeding Apparatus 39-40

5 © 2019 Dr Robyn Thompson. All rights reserved

What is The Thompson Method?

Pregnancy, labour, birth and breastfeeding are unique transitions.

Watch The Thompson Method

7 © 2019 Dr Robyn Thompson. All rights reserved

Preparing for Breastfeeding

Do you envisage having a pregnancy,

The following chapters explain how the first

When developing your plan, it is imperative

8 © 2019 Dr Robyn Thompson. All rights reserved

ü Have your baby in contact or near you at all times

9 © 2019 Dr Robyn Thompson. All rights reserved

Healthy, nourishing non-chemical foods

10 © 2019 Dr Robyn Thompson. All rights reserved

Both of these women agreed to stop taking their supplement

Since then, my data has continued to show that three

Based on these chance findings, it would appear that further

11 © 2019 Dr Robyn Thompson. All rights reserved

The Birth of Your Baby

12 © 2019 Dr Robyn Thompson. All rights reserved

Along with the multiple benefits of the

13 © 2019 Dr Robyn Thompson. All rights reserved

15 © 2019 Dr Robyn Thompson. All rights reserved

This is the time to commence feeding

16 © 2019 Dr Robyn Thompson. All rights reserved

You may choose to breastfeed your

17 © 2019 Dr Robyn Thompson. All rights reserved

19 © 2019 Dr Robyn Thompson. All rights reserved

Cradling Your Baby

Any baby held by the head, neck or shoulders (cross-cradle) is anatomically

20 © 2019 Dr Robyn Thompson. All rights reserved

Frequently observing that your baby maintains symmetrical face-to-breast contact is

21 © 2019 Dr Robyn Thompson. All rights reserved

22 © 2019 Dr Robyn Thompson. All rights reserved

Face-to-Breast Symmetry is essential in preventing painful nipple trauma and for

23 © 2019 Dr Robyn Thompson. All rights reserved

If asymmetrical face to breast contact is observed, some fine-tuning may

This photo demonstrates a baby who is asymmetrical at the breast.

24 © 2019 Dr Robyn Thompson. All rights reserved

Fine-tuning is easy with very slight and gentle movements.

25 © 2019 Dr Robyn Thompson. All rights reserved

Both Breasts Each Feed

26 © 2019 Dr Robyn Thompson. All rights reserved

Ø Your baby’s stomach rapidly overfilling

Ø Compression of the baby’s stomach against the diaphragm

Ø Reflux and/or colic due to the stomach being under pressure

Ø A crying and unsettled baby with gastro-intestinal disturbance