Health-and-Nutrition/C2/Cradle-Hold-for-Breastfeeding/English

Visual Cue	Narration
Slide Number 1 Title Slide	Welcome to the Spoken Tutorial on Cradle hold for breastfeeding.
Image: 5 common breastfeeding holds- cross cradle, football, cradle, laid back and side lying. Image: Mother washing her hands. Image: Cradle hold.	In this tutorial we will learn about- Choosing the correct breastfeeding hold for a mother and her baby Mother’s preparation before breastfeeding and How to do the Cradle hold.
Image: Cradle hold.	Let us begin.
Image: 5 common breastfeeding holds-cross cradle, football, cradle, laid back and side lying.	Across the world, mothers breastfeed their babies using various types of holds.
Image: Mother and baby relaxed in cradle hold. Image: Mother in Cradle hold with back bent forward, hand abducted and baby crying.	As discussed in an earlier tutorial - The best breastfeeding hold for a mother and her baby is the one in which - both mother and baby are comfortable for the entire duration of breastfeeding
Image: Good attachment in cradle hold. Image: Bad attachment in cradle hold.	The baby is able to attach deeply to the mother’s breast
Image: Strong baby with right tick. Image: Weak baby with a wrong tick.	And get sufficient milk.
Image: Cradle hold	Let us learn about one of the holds called Cradle hold.
Image: Mother washing her hands.	Before feeding her baby, the mother must wash her hands with soap and water.
Image: Mother showing dry and clean hands.	And dry her hands properly.
Image: Mother drinking a glass of water. Image: Boiling water.	Then she should drink a glass of boiled and cooled water.
Image: Breastmilk filling a 1 litre jug till 750 millilitres.	Lactating mothers produce 750 to 850 millilitres of milk per day on an average. Therefore, they need to increase their daily water intake.
Image: Mother sitting on floor without baby.	Next, let’s discuss the position of the mother.
Image: Mother sitting on floor without baby.	Mother should sit on the floor or on the bed in cross legged position.
Image: Mother sitting on chair with feet flat on the ground. Image: Mother sitting on a chair with her feet not touching the floor.	Or on a chair with her feet flat on the ground.
Image: Mother sitting on a chair with her feet not touching the floor. Image: Mother sitting on a chair with her feet flat on a stool.	If the chair is too high and her feet do not reach the floor then- she can rest her feet flat on a small stool or pillows kept on the floor.
Image: Mother sitting on the floor with her back straight. Image: Mother sitting on the floor with her back curved and shoulders elevated. Image: Mother sitting on the chair with her back straight. Image: Mother sitting on a chair with her feet on a stool and back straight. Image: Mother sitting on a chair with her back curved and shoulders elevated.	While sitting, she should ensure that - Her back is straight so as to avoid back pain
Image: Mother sitting on the floor with her back straight. Image: Mother sitting on the floor with her back curved and shoulders elevated. Image: Mother sitting on the chair with her back straight. Image: Mother sitting on a chair with her feet on a stool and back straight. Image: Mother sitting on a chair with her back curved and shoulders elevated.	Her shoulders are relaxed and not elevated or curved
Image: Mother sitting on the floor with her back straight. Image: Mother sitting on the floor with her back curved and shoulders elevated. Image: Mother breastfeeding in cradle position. Image: Mother breastfeeding in wrong Cradle hold.	And this relaxed position is maintained throughout the breastfeeding session.
Image: Mother completely removing the cloth covering the breast.	Now, the mother should uncover the breast from which she wants to feed the baby.
Image: Mother has not removed her bra completely.	She should ensure not to put pressure of her bra or blouse on the breast.
Image: Mother is holding the baby with her right arm.	After sitting comfortably, bring the baby to the mother.
Image: Mother is holding the baby with her right arm.	Mother should hold her baby with the arm - on the same side of the breast that she will feed from.
Image: Baby’s head resting in the bend of mother’s right elbow.	Baby’s head - should rest comfortably in the inner bend of the elbow of that arm.
Image: Mother is supporting baby’s head, neck and torso with her right hand.	With the same arm, mother should support the head, neck and torso of her baby.
Image: Mother is holding the baby with her right arm. Baby’s head resting in the bend of the right elbow.	The mother in this picture, will feed the baby from her right breast. Therefore, she is using her right arm to support the baby’s head, neck and torso and The baby’s head is resting in the inner bend of her right elbow.
Image: Mother has kept a pillow below the baby on her lap.	If the mother wants additional support to lift the baby- she can keep a pillow under the baby on her lap.
Image: Mother bending her back to bring the breast to the baby.	Remember, the mother should never bring the breast to the baby by bending her back. This will make her uncomfortable and cause back pain.
Image: Mother keeping her back straight and bringing the baby to her breast.	She should always keep her back straight and lift the baby to reach her breast.
Image: Mother holding baby in cradle position.	Next, let us learn how to position baby’s body correctly. The baby’s stomach should be gently pressed by the mother’s body.
Image: Less distance between baby and breast.	Lesser distance between their bodies will - reduce the baby’s effort to reach the breast.
Image: Deep attachment in Cradle hold.	And it will become easier for the baby to attach deeply.
Image: Mother holding baby in Cradle hold.	Then, the second important point is - the direction in which the baby’s entire body is held.
Image: Adult eating food with head-neck-body in straight line.	You may have noticed that - When we eat food, our head, neck and body are always in the same direction.
Image: Baby’s head neck body not aligned.	But, while breastfeeding, the baby’s head is often turned sideways by many mothers. This will make feeding uncomfortable for the baby.
Image: Baby’s neck-head-body aligned.	Baby’s head, neck and body should always be in the same direction while breastfeeding.
Image: gif of baby swallowing milk.	This will make swallowing milk easier for the baby.
Image: Mother supporting baby’s full body.	Now we come to the third point in positioning the baby’s body. The mother should support the head, neck and torso of her baby.
Image: Mother not supporting the entire body, baby being pulled down.	Otherwise the baby will have to take a lot of effort to attach deeply to the breast.
Image: Baby’s nose is in line with the nipple. Image: Strong baby.	Next, let’s look at the position of the baby’s nose and chin. Baby’s nose should be in line with the nipple. And her chin should be forward and very close to the breast.
Image: Baby’s nose is not in line with the nipple. Image: Weak baby.	This will ensure that - the baby takes in more of the lower part of the areola while latching. and therefore, will use the lower jaw to drink more milk efficiently.
Image: Breast.	Please note- Areola is the dark area around the nipple.
Image: Correct Cradle hold.	Now that the baby is positioned correctly,
Image: Mother holding her breast with her right hand in a U shape hold from above. Image: U shape hold from above.	Let us learn, how to hold the breast. Using the fingers of the hand that is free, the mother should cup her breast in a U shape hold from the top. The mother in this picture will use her left hand to hold her right breast.
Image: Clock drawn on the breast with U shape hold.	To understand the correct position of thumb and fingers, Imagine the nipple to be the center of a clock on the mother’s right breast. Mother should place her left thumb at 3’O clock position on this clock. While her left index finger and middle finger should be placed at 9’O clock position.
Image: Baby’s lips and U shape hold are both vertical.	Mother’s fingers, holding the breast, should always be in the direction of the baby’s lips.
Image: Adult holding vada pav or burger horizontally. Image: Adult’s lips and fingers holding vada pav or burger are both horizontal. Image: Adult taking a big bite of vada pav or burger while holding it horizontally.	Why? Let’s understand this using a simple example. When we eat a vada pav or burger, our lips open horizontally. We hold the vada pav or burger horizontally to take a big bite. Here, the thumb and fingers are placed in the direction of the lips.
Image: Adult holding vada pav or burger vertically. Image: Adult’s lips shown perpendicular to adult’s fingers holding vada pav or burger vertically. Image: Adult trying to eat vada pav or burger while holding it vertically.	If we hold the vada pav or burger vertically, we won’t be able to take a big bite.
Image: Baby’s lips and mother’s fingers in U shape hold shown parallel to each other. Image: Good attachment in Cradle hold.	Similarly, observe the direction of baby’s lips. The lips are vertical here. Therefore, the fingers and thumb should also be placed vertically on the breast. This will help the baby to take a big part of the lower areola in her mouth.
Image: Mother’s fingers holding the breast in U shape hold at a distance of 3 fingers from the nipple. Image: Deep attachment in Cradle hold	In addition to being in the direction of the baby’s lips - Mother’s thumb and fingers should always be: at a distance of 3 fingers from the nipple.
Image: Adult trying to eat vada pav or burger while holding it too close to the edge.	Again, while eating a vada pav or burger, If we hold it too close, our fingers will block our mouth from taking a big bite.
Image: Adult trying to eat vada pav or burger while holding it far away from the edge.	If we hold it too far away, it will not be shaped correctly to fit in our mouth.
Image: Holding vada pav or burger at the right distance.	Therefore, we hold it at the right distance to take a big bite.
Image: Mother’s fingers holding the breast in U shape hold at a distance of 3 fingers from the nipple.	Similarly for the baby, the right distance is of 3 fingers from the nipple, as shown in this picture.
Image: Mother’s fingers holding breast in U shape at a distance of 1 finger from the nipple. Image: Bad attachment in Cradle hold.	This distance will ensure that- mother’s fingers do not block the baby from taking a big part of the areola in her mouth
Image: mother pressing only the nipple and drops of milk coming out.	Mother does not compress only the nipple which will give very little milk
Image: Mother compressing the breast at a distance of 3 fingers and more milk coming out.	Mother compresses the larger milk ducts beneath the areola to express more milk out
Image: Mother’s holding breast 5 fingers away from the nipple. Image: Bad attachment in Cradle hold. Image: Mother’s fingers holding the breast in a U shape hold at a distance of 3 fingers from the nipple. Image: Good attachment in Cradle hold.	And the breast is shaped correctly to help the baby attach deeply.
Image: Mother’s thumb on the side of the breast where the baby’s chin is present.	Remember- Mother’s thumb should be on the side of the breast where the baby’s chin is present.
Image: Mother’s 2 fingers on the side of the breast where baby’s nose is present.	And her 2 fingers should be on the side of the breast where baby’s nose is present.
Image: Uncompressed vada pav or burger. Image: Compressed vada pav or burger.	Let’s go back to the example of vada pav or burger. After holding the vada pav or burger correctly, we always press it to take a big bite.
Image: Compression of breast in U shape hold from above. Image: Good attachment in Cradle hold.	Similarly, the mother should lightly press her breast in a U shape hold from the top. This will help the baby to take a big part of the lower areola in her mouth.
Image: Compression of breast in an inverted V shape hold. Image: Nipple feeding in cradle position.	But remember, Mother should not press her breast in an inverted V shape hold. V shape compression will pinch the breast and cause nipple feeding.
Image: Equal compression of breast. Image: Unequal compression of breast towards right side. Image: Unequal compression of breast towards left side. Image: Poor attachment in cradle hold.	Also make sure that there is equal compression of the breast with the thumb and the fingers. Otherwise, the nipple will shift either to the right or the left side. And the baby will not be able to attach deeply to the breast.
Image: Mother pushing her breast inside towards baby. Image: Mother bringing the baby towards her breast.	Remember, Never bring the breast to the baby by pushing it sideways towards the baby. Always bring the baby towards the breast.
Image: Cradle hold	Now, the baby is in Cradle hold and ready to attach to the breast for breastfeeding.
Image: Deeply attached baby in Cradle hold. Image: Baby attached only to the nipple in Cradle hold.	Correct attachment of the baby to the breast - is explained in another tutorial in the same series.
Image: Cradle hold. Image: Cradle hold with mother’s both arms holding the baby.	As soon as the baby is attached deeply to the breast and if the breast is not too heavy then- mother should release her breast from her hand and bring that hand underneath the baby for support.
Image: Cradle hold with mother’s both arms holding the baby	In this position, mother should bring both her arms very close to her body. This will keep her comfortable during breastfeeding. This brings us to the end of this tutorial.
Slide Number 2 Acknowledgement	Thank you for joining.

Contributors and Content Editors

Bellatony911, Tasneemiitb