View source for Health-and-Nutrition/C2/Preparation-for-breastfeeding-after-C-section/English-timed

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| <center>Time</center>
|<center>Narration</center>

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| 00:02
| Welcome to the spoken tutorial on preparation for breastfeeding after C-section.

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| 00:09
| In this tutorial, we will learn about:

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| 00:12
| Benefits of skin-to-skin contact in the operating room and

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| 00:19
| Preparation for skin-to-skin contact after C-section.

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| 00:26
| In this tutorial, the Operating Room will be called '''OR'''.

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| 00:33
| Skin-To-Skin contact will be called STS.

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| 00:38
| Let us begin.

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| 00:40
| Early STS in the operating room is important for the mother and the newborn.

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| 00:47
| It could benefit them during the surgery and the immediate postoperative period.

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| 00:56
| It strongly affects their long-term and short-term health.

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| 01:03
| It makes breastfeeding easier.

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| 01:07
| During skin-to-skin contact, mothers are highly focused on their newborn baby.

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| 01:15
| This focus on the baby helps them feel less pain.

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| 01:22
| When they feel less pain, their anxiety level decreases.

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| 01:29
| This helps in maintaining normal heart rates of the mother and the baby.

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| 01:36
| This also helps in maintaining normal blood pressures of both.

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| 01:43
| During skin-to-skin contact, mothers and babies keep each other warm.

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| 01:51
| This helps in maintaining their normal body temperature.

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| 01:57
| So, '''STS''' should be done in the operating room immediately after delivery.

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| 02:05
| It is essential that the hospital staff is comfortable with the process.

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| 02:12
| For this, adequate and appropriate preparation is necessary.

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| 02:19
| Such preparation must be done both before and during the cesarean delivery.

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| 02:27
| It involves all those responsible for newborn care.

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| 02:33
| They include the mother and her immediate relatives.

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| 02:39
| They also include the doctors, 

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| 02:42
| nurses 

and the operating room staff.

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| 02:47
| Educate these people about the reason for introducing '''STS''' in the operating room.

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| 02:55
| Explain to them as to how the mother and newborn baby will benefit.

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| 03:03
| They may be anxious about beginning skin-to-skin contact in the operating room.

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| 03:10
| To reduce their worry, assure them of the safety of mothers and babies.

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| 03:18
| Safety and well-being of mothers and babies will always be the first priority.

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| 03:26
| Concerns arising in the operating room are to be calmly and clearly dealt with.

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| 03:34
| During the surgery, doctors may sense a medical emergency related to the mother.

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| 03:42
| In such cases, skin-to-skin contact in the operating room may not be completed.

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| 03:50
| The newborn will be taken up for requisite care in an appropriate setting.

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| 03:57
| Before the delivery, a nurse should be assigned to help in the operating room.

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| 04:04
| She should introduce herself to the mother.

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| 04:08
| She must confirm that the mother wants STS in the operating room.

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| 04:15
| Next, let’s discuss the steps to be followed in the '''OR''', before the delivery.

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| 04:23
| In the operating room, the mother’s arms may be tied to the arm boards.

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| 04:29
| The arm board with the '''IV''' line is preferred to be tied to the left arm.

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| 04:37
| The other board with the blood pressure cuff is tied to the right arm.

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| 04:44
| In such cases, the assigned nurse can be helpful.

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| 04:50
| She should ask the doctor if the right arm can be released for '''STS'''.

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| 04:57
| She should tell the mother that this arm would be used to hold the baby for '''STS'''.

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| 05:05
| This arm will be straightened every few minutes to measure her blood pressure.

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| 05:12
| She must maintain the room temperature at 25 degree celsius.

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| 05:19
| This temperature is suitable for the baby’s arrival.

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| 05:25
| The nurse must ensure that the mother is not wearing a bra.

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| 05:31
| Mother’s gown should be unbuttoned.

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| 05:35
| This will help lower it easily to uncover her chest when placing the baby.

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| 05:42
| The nurse must notice the position of intravenous lines.

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| 05:49
| This will help her avoid them when placing the baby.

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| 05:54
| Lastly, she must keep a diaper or nappy, 

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| 05:58
| warmed towels 

and blankets ready.

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| 06:03
| They will be used to dry and cover the baby.

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| 06:08
| The preparation for skin-to-skin contact in the operating room is now complete.

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| 06:15
| How to start '''STS''' in the operating room is discussed in another tutorial.

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| 06:23 
| Please visit our website for more details.

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| 06:28
| This brings us to the end of this tutorial.

Thank you for joining.
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