Presentation Information

From Containment to Coordination: Positioning for Stable Breastfeeding in the NICU

• Speaker: Emily Spaeth , PT, DPT, IBCLC, CNT, TIP, CIMT II, RPYT, BRM®Pro, EBB®Instructor
• Presentation Type:
• Duration: 60 Mins
• Credits:

Abstract:

Breastfeeding in the neonatal intensive care unit (NICU) requires more than a good latch—it depends on supporting the infant’s overall physiologic and autonomic stability. Premature and medically fragile infants often face challenges with muscle tone, endurance, and the suck-swallow-breathe sequence, while also managing medical interventions such as oxygen support, NG tubes, or IV access. In this context, positioning becomes a critical tool not only for feeding success, but also for safety, regulation, and developmental support.
This presentation will explore evidence-based strategies for promoting stability during breastfeeding in the NICU. We will review how positioning impacts autonomic function, oxygenation, and energy expenditure, and identify signs of stability versus stress or disengagement during feeding. Practical positioning adaptations—such as swaddle-assist, modified football hold, and semi-reclined—will be highlighted, along with the role of containment and flexion in supporting immature nervous and respiratory systems. Practical scenarios will illustrate how small adjustments in support can lead to significant improvements in both physiologic regulation and breastfeeding efficiency.
Participants will leave with practical tools to recognize readiness cues, apply positioning strategies that prioritize stability, and collaborate across disciplines to support safe, effective breastfeeding experiences for NICU families.