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  • Demonstration of how the gestalt method works with a breastfeeding mother and baby
  • Two videos of mothers breastfeeding in the side-lying position using the gestalt method
  • GESTALT INTERVENTION: Kirsty and 6-week-old Alva PART 2. Dr Pamela Douglas, F2F Nova Health Co. October 2023
  • NIPPLE PAIN IN A MOTHER WITH PETITE BREASTS: clinical demonstration with a mother breastfeeding her three-week-old baby
  • BREASTFEEDING TWINS: Family #2. Dr Pamela Douglas, F2F Nova Health Co. October 2023
  • BREASTFEEDING TWINS: Family #1. Dr Pamela Douglas, F2F Nova Health Co. October 2023

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  • Parent Stories
  • S1: Breastfeeding
  • CH 1: Demonstrating the gestalt method of fit and hold

Two videos of mothers breastfeeding in the side-lying position using the gestalt method

Dr Pamela Douglas2nd of Apr 202417th of Dec 2025

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The baby in the photo above seems to be breastfeeding happily. If there were any problems, the mother might try spreading out her fingers and placing her hand over her little one's bottom and lower back, to pull her in tighter. Then she'd experiment with micromovements.

You can find out about how to apply micromovements and the gestalt method in the side-lying position here.

Here are two videos of babies breastfeeding happily in the side-lying position, as their mothers apply the gestalt method.

Baby 1

Baby 2

You can see the little one in the video below has something of a 'banana back', with the mother's hand supporting the baby over the upper back. Many babies will not be happy with the hyperextension of the spine which results, and will feel much more stable if the mother's hand is spread out firmly over their little bottoms and lower backs, pressing them in.

Acknowledgements

I gratefully acknowledge the generosity of the women who agreed to share their experiences in these videos, recorded in 2016, for the sake of helping others.

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 Demonstrating the gestalt method of fit and hold

GESTALT INTERVENTION: Kirsty and 6-week-old Alva PART 2. Dr Pamela Douglas, F2F Nova Health Co. October 2023

Kirsty is mother of a six week old Alva. Alva has had poor weight gain and fussy behaviour, and feeds both from the breast and the bottle with formula. Kirsty consults with Dr Pamela Douglas for a review at Nova Health Co, Wagga Wagga, Australia, October 2023. This is PART 2 of that consultation.

For PART 1, see here. Thanks to Kirsty for her great generosity to other breastfeeding women in agreeing to participate in this educational video.

The video below demonstrates:

  • Use of clinicians arm supporting forearm to give the mother the experience of micromovements, which helps her lay down the neural pathways for experimenting with tiny micromovements.

  • Symmetrical face-breast bury…

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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.