COVID19/C2/Breastfeeding-during-COVID-19/English-timed
From Script | Spoken-Tutorial
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| 00:02 | Welcome to the spoken tutorial on breastfeeding during COVID-19. |
| 00:09 | In this tutorial, we will learn |
| 00:12 | What is COVID-19 and |
| 00:14 | Guidelines for breastfeeding during COVID-19. |
| 00:19 | Let us first understand what is COVID-19? |
| 00:24 | COVID-19 is an infectious disease caused by a virus called coronavirus. |
| 00:33 | This virus has spread throughout the world. |
| 00:37 | When infected people sneeze or cough, they generate droplets. |
| 00:44 | These droplets contain the corona virus. |
| 00:49 | The infection spreads when other people inhale these infected droplets. |
| 00:56 | These droplets can also travel for 1 to 2 metres and settle on surfaces. |
| 01:04 | There they remain alive for hours or days. |
| 01:09 | Other people touch such infected surfaces with their hands. |
| 01:15 | Then, they touch their eyes, |
| 01:18 | nose
or mouth without washing their hands. |
| 01:23 | This is another way in which the infection spreads. |
| 01:28 | Infected people can spread the virus even before the onset of symptoms. |
| 01:35 | There is no clear evidence of intrauterine transmission of this virus to date. |
| 01:43 | This virus has not yet been detected in the breastmilk of infected mothers. |
| 01:51 | There is no evidence so far that it is transmitted through breastfeeding. |
| 01:57 | The clinical symptoms of the coronavirus infection are various. |
| 02:03 | Fever,
cough, |
| 02:05 | breathlessness,
fatigue, |
| 02:07 | headache,
sore throat are common. |
| 02:12 | Vomiting,
diarrhoea, |
| 02:14 | sneezing
and conjunctivitis are uncommon. |
| 02:19 | Infected people can also show no symptoms. |
| 02:25 | Newborns and infants are at low risk of COVID-19. |
| 02:30 | There are only a few cases of confirmed COVID-19 in young children. |
| 02:37 | Most of the infected babies have experienced only mild or no symptoms. |
| 02:44 | Now, let’s discuss the guidelines for breastfeeding during COVID-19. |
| 02:51 | Breast milk is essential for all babies. |
| 02:56 | This includes babies born to mothers with suspected or confirmed COVID-19. |
| 03:03 | This also includes babies with suspected or confirmed COVID-19. |
| 03:10 | All babies should be fed according to the standard infant feeding guidelines. |
| 03:17 | Breastfeeding should be initiated within 1 hour of birth. |
| 03:22 | Exclusive breastfeeding should continue for 6 months. |
| 03:28 | If needed, the mother’s expressed breast milk can be given. |
| 03:34 | Complementary feeding must be started at 6 months of age. |
| 03:40 | Breast milk must be fed at least up to 2 years of age. |
| 03:46 | Breastfeeding, expressing milk and complementary feeding are essential skills. |
| 03:54 | They are discussed in other tutorials. |
| 03:59 | Please watch the prerequisite health and nutrition series on our website. |
| 04:06 | During COVID-19, special care must be taken to feed the baby hygienically. |
| 04:13 | Mother should wash her hands for 20 seconds, before and after touching the baby. |
| 04:21 | She should also wash hands before and after breastfeeding or expressing milk. |
| 04:28 | An alcohol-based hand rub can also be used to clean hands. |
| 04:34 | If she is a suspected or confirmed case of COVID-19, medical masks are needed. |
| 04:43 | She should wear a mask during breastfeeding |
| 04:46 | and expressing milk. |
| 04:49 | The mask must be replaced as soon as it becomes damp. |
| 04:55 | The used mask should be disposed of immediately. |
| 05:01 | It should not be re-used. |
| 05:04 | Mother should not touch the front surface of the mask. |
| 05:09 | She should remove it from behind. |
| 05:13 | Sometimes, medical masks may not be available. |
| 05:19 | In such cases, mother should use a tissue |
| 05:22 | or a clean cloth
or a handkerchief. |
| 05:27 | She should always sneeze or cough into it. |
| 05:31 | She must immediately throw it in the dustbin and wash her hands. |
| 05:38 | A soiled tissue
or cloth |
| 05:40 | or handkerchief should be changed as often as needed. |
| 05:46 | Cloth masks can also be used if medical masks are not available. |
| 05:53 | The mother need not wash her breast before every feeding. |
| 05:58 | She should wash them if she has been coughing on her chest. |
| 06:04 | She should use soap and warm water to wash them gently for at least 20 seconds. |
| 06:12 | Baby’s caretakers must wash their hands before and after touching the baby. |
| 06:19 | All the surfaces in the room must be routinely cleaned and disinfected. |
| 06:26 | Some infected mothers may be too unwell to breastfeed. |
| 06:32 | In such cases, the baby should be fed expressed breast milk of the mother. |
| 06:39 | A nurse or family member can feed this milk to the baby. |
| 06:45 | The feeder should not have been in contact with infected people. |
| 06:51 | Before touching the baby or the milk, they must wash their hands for 20 seconds. |
| 06:59 | After washing their hands, they must also wear a mask. |
| 07:05 | Expressed milk can be fed to the baby without pasteurization. |
| 07:11 | The collection and transport of expressed milk should be done very carefully. |
| 07:18 | Breastfeeding should be started again when the mother recovers. |
| 07:24 | Some infected mothers may be too unwell to express milk. |
| 07:29 | In such cases, try other options to nourish the baby. |
| 07:35 | Check if human milk is available from a donor human milk bank. |
| 07:41 | Feed donor human milk to the baby until the mother recovers. |
| 07:47 | If donor human milk is not available, try wet-nursing until the mother recovers. |
| 07:55 | Wet-nursing means to let a woman, who isn’t the mother, breastfeed the baby. |
| 08:03 | If wet-nursing is not possible, feed animal milk to the baby. |
| 08:10 | Always boil the animal milk before feeding it to the baby. |
| 08:16 | Please ask your healthcare provider for their opinion on these options. |
| 08:23 | Don’t use formula milk, |
| 08:25 | feeding bottles |
| 08:27 | and plastic, rubber or silicone nipples. |
| 08:32 | Help the mother to start breastfeeding again when she recovers. |
| 08:38 | Another important practice is skin-to-skin contact between the mother and baby. |
| 08:46 | It must start immediately after birth even if the mother has COVID-19. |
| 08:53 | This will help in initiating breastfeeding. |
| 08:58 | Kangaroo mother care should be performed throughout the day and night. |
| 09:04 | Breastfeeding and skin-to-skin contact reduces the risk of death in babies. |
| 09:12 | They provide immediate and lifelong health and development advantages. |
| 09:20 | Breastfeeding also reduces the risk of breast and ovarian cancer for mothers. |
| 09:27 | These benefits are substantially greater than the risk of getting infected. |
| 09:34 | Lastly, mother and family members must be counselled regarding the warning signs. |
| 09:42 | They must be trained to look for the warning signs in the baby. |
| 09:48 | If they see any signs, they should report back to the doctor. |
| 09:53 | The guidelines in this tutorial are based on limited evidence as available now. |
| 10:01 | As new evidence accumulates, some of the recommendations may change. |
| 10:08 | Please use these guidelines in accordance with the latest government regulations. |
| 10:14 | This brings us to the end of this tutorial.
Thank you for joining. |
