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PBL Intermediate


  • The word 'latch' isn't a good description of what happens when your baby comes on to your breast
  • The gestalt method gives baby repeated doses of healing bodywork, day and night, and is good for your own body too
  • Why the ribcage wrap transforms newborn breastfeeding
  • Why do many women breastfeed successfully despite obvious breast tissue drag?
  • Is it a problem if you can't eye contact your baby during breastfeeding?
  • A little about the underlying theoretical frameworks from which the gestalt method has been built

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  • PBL Intermediate
  • S4: Getting fit and hold right for you and your baby
  • CH 1: Developing a new approach to helping women with fit and hold problems

Is it a problem if you can't eye contact your baby during breastfeeding?

Dr Pamela Douglas2nd of Jan 202410th of Jan 2026

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Not at all! It doesn't matter if your baby can't eye contact you during breastfeeding - mostly babies can't! The most important thing by far is that you and your baby have relaxed, enjoyable breastfeeds together. You will be communicating with your baby during breastfeeds using the primordial languages of your body: touch and sound.

You'll be able to create many delightful moments between breastfeeds, throughout the days (and nights) when you and your baby gaze at each other and communicate! This too is very important, but there's no need for this to happen during breastfeeds.

Often, especially in the early days, if baby can eye contact you while suckling, you might end up with nipple pain or baby fussing a lot at the breast, due to nipple and breast tissue drag.

Recommended resources

Why shared moments and enjoyable back and forth communication with your baby matters

It usually works best to have baby's chest and tummy flat against your body during breastfeeding, with good spinal alignment

Why the baby who doesn’t cue a lot needs extra attention

Selected references

Douglas PS, Keogh R. Gestalt breastfeeding: helping mothers and infants optimise positional stability and intra-oral breast tissue volume for effective, pain-free milk transfer. Journal of Human Lactation. 2017;33(3):509–518.

Douglas PS, Geddes DB. Practice-based interpretation of ultrasound studies leads the way to less pharmaceutical and surgical intervention for breastfeeding babies and more effective clinical support. Midwifery. 2018;58:145–155.

Douglas PS, Perrella SL, Geddes DT. A brief gestalt intervention changes ultrasound measures of tongue movement during breastfeeding: case series. BMC Pregnancy and Childbirth. 2022;22(1):94. DOI: 10.1186/s12884-12021-04363-12887.

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Next up in Developing a new approach to helping women with fit and hold problems

A little about the underlying theoretical frameworks from which the gestalt method has been built

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The gestalt method has been built by using the principles of implementation science

The gestalt method of fit and hold is just one part of the comprehensive Possums approaches to breastfeeding and lactation challenges, but experimenting with fit and hold is essential when problems arise - and also if we want to prevent problems.

It's important to name the kind of method that is being used when professionals help with fit and hold, and to be explicit about the models that the approach is built from. This is so that the method can then be evaluated in the research, and taught to other health professionals. The idea that naming a particular approach to fit and hold is…

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Possums acknowledges the traditional owners of the lands upon which The Possums Programs have been created, the Yuggera and Turrbal Peoples. We acknowledge that First Nations have breastfed, slept with, and lovingly raised their children on Australian lands for at least 65,000 years, to become the oldest continuous living culture on Earth. Possums stands with the Uluru Statement from the Heart.