The "breast (or nipple) sandwich" technique involves the gentle compression of breast tissue to provide the appropriate filling of the infant's mouth with breast tissue to elicit the sucking reflex. This technique has been likened to an adult who is trying to take a bite out of a large sandwich or hamburger on a bun; the height of the sandwich is too big for the mouth, so the sandwich is compressed to help it fit into the mouth.
•Compression should not cause the mother pain.
•The mother's fingers and thumb should be well behind the milk sinuses where the infant's jaws and lips will be.
•The mother may need to maintain support of the "sandwich" through out the feeding until the infant learns how to achieve this on his own.
•The shape of the "sandwich" needs to match the position of the infant's mouth.