Koala

The koala hold, also known as the upright or straddle hold, is a breastfeeding position where the baby is held in an upright, seated position facing the mother’s breast. This position is particularly useful for newborns and smaller babies, especially those with reflux, ear infections, tongue-tie or low muscle tone, as it allows gravity to assist with latching and swallowing. 

To use the koala hold, the mother sits in a comfortable chair with good back support. The baby sits astride the mother’s thigh or is supported against her body, facing the breast directly. The mother uses one arm to support the baby’s back and neck, ensuring his head remains steady. Newborns and younger babies may need additional support, while older babies with good head control can maintain a more stable posture themselves.

Once positioned, the baby is brought close to the breast, allowing him to latch deeply, with his chin pressed into the breast and nose clear for breathing. The mother can use her free hand to support the breast if needed.

The koala hold encourages eye contact and bonding and is particularly beneficial for mothers with a forceful let-down, as the upright position helps babies handle the milk flow more comfortably. However, as babies grow, this position may become less practical due to the limited space between the breast and lap.