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Dr. Jack Newman graduated from the University of Toronto medical school in 1970, interning at the Vancouver General Hospital. He did his training in paediatrics in Quebec City and at the Hospital for Sick Children in Toronto from 1977-1981, to become a Fellow of the Royal College of Physicians of Canada in 1981 as well as Board Certified by the AAP in 1981. He has worked as a physician in Central America, New Zealand and South Africa. He founded the first hospital based breastfeeding clinic in Canada in 1984. He has been a consultant for UNICEF for the Baby Friendly Hospital Initiative, evaluating the first Baby Friendly Hospitals in Gabon, the Ivory Coast and Canada.
Dr. Newman was a staff paediatrician at the Hospital for Sick Children emergency department from 1983 to 1992, and was, for a period of time the acting chief of the emergency services. However, once the breastfeeding clinic started functioning, it took more and more of his time, and he eventually worked full time helping mothers and babies succeed with breastfeeding. He now works in several clinics around the city of Toronto.
Dr. Newman has several publications on breastfeeding, and in 2000 published a help guide for professionals and mothers on breastfeeding, called, Dr. Jack Newman's Guide to Breastfeeding in Canada (revised edition, January 2003), and The Ultimate Breastfeeding Book of Answers in the US.
Video Clips
First Latch - How to achieve the "asymmetrical" latch. Shows some drinking by the baby (see Third Latch for more obvious drinking), some nibbling.
Second Latch, Some compression - Baby is mostly nibbling at the breast. Compression is being used to get the baby to drink more. Another "asymmetric" latch is shown. Note that after re-latching the baby drinks better than before, and compression is not necessary to get the baby to drink.
Third Latch - Shows baby latching on with "asymmetric" latch. Then later, video shows the baby getting milk. The pause in the chin tells us when the baby is getting milk and the absence of the pause means the baby is not getting milk. The pause can be seen even on the very first day of life, though obviously not as obviously, as the more milk the baby gets, the longer the pause. The pause does not represent swallowing, but rather the baby's mouth filling up with milk.
Poor Latch/Good Latch - When the baby latches on over the nipple, he gets very little milk. When the baby latches on properly, he gets more milk. It's as simple as that.
Poor Latch/Good Latch 2 - Even in the first few days, before the milk 'comes in', a good latch is important so that the baby gets the colostrum. There is enough colostrum in the first few days, if the baby gets it. He needs a good latch in order to get it. Note that a pump does not work in the same as the baby, so that if you cannot pump colostrum easily, it doesn't mean you don't have any milk. Often it is easier to express colostrum by hand than by pump.
Pause in Chin - Shows baby drinking from the breast. Edith Kernerman is explaining the pause in the chin - which is a mouth full of milk. This clip shows an adoptive baby getting breastmilk and supplement from a lactation aid.
Pause in Chin 2 - Continued from first clip.
Compression - The technique of compression is demonstrated, and it can be seen that the baby drinks more milk as the breast is compressed. The mother starts the compression as the baby sucks, but does not get milk. It is important to work with the baby and compress only when the baby is sucking (moving his/her mouth).
Compression, Nibbles, & Opens Eyes - Young babies tend to fall asleep at the breast when the flow of milk slows. This clip shows that as the baby gets more milk, the baby opens up her eyes. The technique of compression is shown.
Shift to asymmetric-1 - This clip shows how, by pushing in the baby's bottom with her forearm (with help), the mother moves the baby around into a more "asymmetric" latch, gets the baby to drink more (more obvious "pauses" at the point of the chin). The mother's right hand should be palm up under the baby's face, rather than on the baby's shoulder.
Shift to asymmetric-2 - The mother shifts the baby around on her own, at about 30 seconds and 38 seconds into the clip, with the baby obviously starting to drink more once she is positioned more asymmetrically.
Lactation Aid - Shows how to use lactation aid. Note that when it is working, the baby shows he is getting more milk because the pause in the chin is more obvious. In the second attempt to use the lactation aid, though the tube seems to be well placed, it is not. The baby was not getting more milk, as there were no pauses in the chin. Fiddling with the tube gets the baby drinking again. The lactation aid does not work well if the baby is poorly latched on and/or the tube is poorly placed, but it can be made to work well with practice.
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