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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,


02:05 breathlessness,


02:07 headache,

sore throat are common.

02:12 Vomiting,


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.

Contributors and Content Editors

Bellatony911, Debosmita