Bellatony911 at 14:55, 27 May 2020

2020-05-27T14:55:08Z

Bellatony911: Created page with " {|border=1 | '''Visual Cue''' | '''Narration''' |- |'''Slide Number 1''' '''Title Slide''' | Welcome to the '''spoken tutorial''' on b..."

2020-05-27T14:22:40Z

Created page with " {|border=1 | <center>'''Visual Cue'''</center> | <center>'''Narration'''</center> |- |'''Slide Number 1''' '''Title Slide''' | Welcome to the '''spoken tutorial''' on b..."

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{|border=1
| <center>'''Visual Cue'''</center>
| <center>'''Narration'''</center>

|-
|'''Slide Number 1'''

'''Title Slide'''

| Welcome to the '''spoken tutorial''' on breastfeeding during '''COVID-19'''.
|-
| Image: '''COVID-19''' = Infection caused by '''coronavirus'''

Image: Collage of guidelines for breastfeeding during '''COVID-19'''
| In this tutorial, we will learn:
* What is '''COVID-19?'''
* Guidelines for breastfeeding during '''COVID-19'''.

|-
| Image: '''COVID-19''' = Infection caused by '''coronavirus'''
| Let us first understand what is '''COVID-19'''?
|-
| Image: '''COVID-19''' is an infectious disease caused by '''coronavirus'''

Image: '''coronavirus''' present in the world

| '''COVID-19''' is an infectious disease caused by a virus called '''coronavirus'''.

This virus has spread throughout the world.
|-
| Image: Infected person sneezes and generates droplets

Image: Infected person coughs and generates droplets

Image: Healthy person inhales the infected droplets

| When infected people sneeze or cough, they generate droplets.

These droplets contain the '''coronavirus'''.

The infection spreads when other people inhale these infected droplets.
|-
| Image: Infected droplets travel for 1 to 2 m and settle on surfaces

Image: Infected droplets remain alive on the door knob for hours or days

Image: Healthy person touches the surface which has the infected droplets

Image: Healthy person touches their eyes without washing hands and gets infected

Image: Healthy person touches their nose without washing hands and gets infected

Image: Healthy person touches their mouth without washing hands and gets infected

| These droplets can also travel for 1 to 2 metres and settle on surfaces.

There they remain alive for hours or days.

Other people touch such infected surfaces with their hands.

Then, they touch their eyes, nose or mouth without washing their hands.

This is another way in which the infection spreads.
|-
| Image: Infected person is looking healthy but is spreading the virus on surfaces

Image: The virus does not travel from the pregnant woman to the baby in her uterus

Image: Breastmilk of infected mothers does not contain '''coronavirus'''

Image: '''coronavirus''' is not transmitted to the baby through breastfeeding
| Infected people can spread the virus even before the onset of symptoms.

There is no clear evidence of intrauterine transmission of this virus to date.

This virus has not yet been detected in the breastmilk of infected mothers.

There is no evidence so far that it is transmitted through breastfeeding.
|-
| Image: Collage of symptoms of '''coronavirus'''

Image: fever

Image: Cough

Image: Breathlessness

Image: fatigue

Image: Headache

Image: Sore throat

Image: Vomiting

Image: Diarrhoea

Image: Sneezing

Image: Conjunctivitis

Image: Infected person looks healthy and doesn’t show any symptoms.
| The clinical symptoms of the '''coronavirus''' infection are variable.

Fever, cough, breathlessness, fatigue, headache, sore throat are common.

Vomiting, diarrhoea, sneezing and conjunctivitis are uncommon.

Infected people can also show no symptoms.
|-
| Image: Newborn baby and 6-month-old baby are not affected by the '''coronavirus'''

Image: Very few young children have '''coronavirus''' infection

Image: Infected babies have mild or no symptoms
| Newborns and infants are at low risk of '''COVID-19'''.

There are only a few cases of confirmed '''COVID-19''' in young children.

Most of the infected babies have experienced only mild or no symptoms.
|-
| Image: Collage of guidelines for breastfeeding during '''COVID-19'''

Image: Breastfeeding and hand expression of breastmilk

Image: '''coronavirus''' infected mother’s baby

Image: '''coronavirus''' infected baby

Image: Collage of standard infant feeding guidelines
| Now, let’s discuss the guidelines for breastfeeding during '''COVID-19'''.

Breast milk is essential for all babies.

This includes babies born to mothers with suspected or confirmed '''COVID-19'''.

This also includes babies with suspected or confirmed '''COVID-19'''.

All babies should be fed according to the standard infant feeding guidelines.
|-
| Image: Breastfeeding is starting within 1 hour after birth

Image: Exclusive breastfeeding for 6 months

Image: Mother’s expressed milk is fed to an infant

Image: Complementary feeding is started at 6 months

Image: Breastfeeding or hand expressed milk is given until 2 years of age.

Image: Breastfeeding

Image: Expressing milk

Image: Complementary feeding
| Breastfeeding should be initiated within 1 hour of birth.

Exclusive breastfeeding should continue for 6 months.

If needed, the mother’s expressed breast milk can be given.

Complementary feeding must be started at 6 months of age.

Breast milk must be fed at least up to 2 years of age.

Breastfeeding, expressing milk and complementary feeding are essential skills.

They are discussed in other tutorials.

Please watch the prerequisite health and nutrition series on our website.
|-
| Image: Collage of hygiene guidelines for feeding the baby during '''COVID-19'''

Image: Mother washes hands before and after touching the baby.

Image: Mother washes hands before and after breastfeeding

Image: Mother washes hands before and after expressing milk

Image: Alcohol-based hand rub

| During '''COVID-19''', special care must be taken to feed the baby hygienically.

Mother should wash her hands before and after touching the baby.

She should also wash hands before and after breastfeeding or expressing milk.

An alcohol-based hand rub can also be used to clean hands.
|-
| Image: Mother is a suspected or confirmed case of '''COVID-19'''

Image: Medical masks

Image: Mother wears a medical mask during breastfeeding and expressing milk

Image: Mask becomes damp while she is wearing it.

Image: Mother wears a new medical mask

Image: The damp mask is thrown in the dustbin

Image: Wrong - Mother is washing and reusing the old damp mask

Image: Wrong - Mother is touching the front part of the mask while wearing it

Image: Right - Mother is removing the mask from behind without touching the front part.

| If she is a suspected or confirmed case of '''COVID-19''', medical masks are needed.

She should wear a mask during breastfeeding and expressing milk.

The mask must be replaced as soon as it becomes damp.

The used mask should be disposed of immediately.

It should not be re-used.

Mother should not touch the front surface of the mask.

She should remove it from behind.
|-
| Image: Medical mask is not available

Image: Tissues

Image: Clean cloth

Image: Handkerchief

Image: Mother sneezes and coughs into a tissue/ clean cloth/ handkerchief

Image: Used tissue/ handkerchief/ cloth

Image: Used tissue/ handkerchief/cloth is thrown in the dustbin

Image: Mother washes hands after throwing the tissue

Image: Mother changes the soiled tissue/ cloth/ handkerchief as often as needed

Image: cloth masks

Image: Mother wearing a cloth mask while breastfeeding
| Sometimes, medical masks may not be available.

In such cases, mother should use a tissue or a clean cloth or a handkerchief.

She should always sneeze or cough into it.

She must immediately dispose of it and wash her hands.

A soiled tissue or cloth or handkerchief should be changed as often as needed.

Cloth masks can also be used if medical masks are not available.
|-
| Image: Mother is washing her breasts before every feeding

Image: Mother bends her head, coughs on her chest and then washes it

Image: Mother uses soap and warm water to gently wash the breasts for 20 seconds
| The mother need not wash her breasts before every feeding.

She should wash them if she has been coughing on her chest.

She should use soap and warm water to wash them gently for at least 20 seconds.
|-
| Image: Caretaker of the baby washes hands before and after touching the baby

Image: Surfaces in the room are routinely cleaned and disinfected
| Baby’s caretakers must wash their hands before and after touching the baby.

All the surfaces in the room must be routinely cleaned and disinfected.
|-
| Image: infected mother is too unwell to breastfeed

Image: Baby is fed mother’s expressed milk by another person

Image: Nurse

Image: Family member

Image: Family member has not been in contact with infected people.

Image: Family member washes hands and wears a mask before touching the baby
| Some infected mothers may be too unwell to breastfeed.

In such cases, the baby should be fed expressed breast milk of the mother.

A nurse or family member can feed the milk to the baby.

The feeder should not have been in contact with infected people.

They must wash hands and wear a mask before touching the baby or milk.
|-
| Image: Expressed breastmilk does not need pasteurization before feeding it to the baby

Image: Expression of breastmilk

Image: Breastmilk filled container is being transported from the mother to the baby carefully

Image: Breastfeeding is started when the mother recovers
| Expressed milk can be fed to the baby without pasteurization.

The collection and transport of expressed milk should be done very carefully.

Breastfeeding should be started again when the mother recovers.
|-
| Image: '''coronavirus''' infected mother is too unwell to express milk

Image: Collage of alternative options

Image: Human milk from a donor milk bank

Image: Donor milk is fed to the baby
| Some infected mothers may be too unwell to express milk.

In such cases, try other options to nourish the baby.

Check if human milk is available from a donor human milk bank.

Feed donor human milk to the baby until the mother recovers.
|-
| Image: Donor human milk is not available.

Image: Wet-nursing is done till the mother recovers

Image: A woman, who isn’t the mother, feeds the baby.

Image: wet-nurse is not available

Image: Animal milk is given to the baby

Image: Mother asks the healthcare provider for their opinion
| If donor human milk is not available, try wet-nursing until the mother recovers.

Wet-nursing means to let a woman, who isn’t the mother, breastfeed the baby.

If wet-nursing is not possible, feed animal milk to the baby.

Always boil the animal milk before feeding it to the baby.

Please ask your healthcare provider for their opinion on these options.
|-
| Image: Formula milk

Image: Feeding bottle

Image: Plastic nipples

Image: Rubber nipples

Image: Silicone nipples

Image: Health worker helps the mother in relactation
| Don’t use formula milk, feeding bottles and plastic, rubber or silicone nipples.

Help the mother to start breastfeeding again when she recovers.
|-
| Image: Skin-to-skin contact between the mother and the baby

Image: STS is done immediately after birth even when the mother is infected with '''COVID-19'''

Image: Breastfeeding starts after birth

Image: KMC is performed throughout day and night
| Another important practice is skin-to-skin contact between the mother and baby.

It must start immediately after birth even if the mother has '''COVID-19'''.

This will help in initiating breastfeeding.

Kangaroo mother care should be performed throughout the day and night.
|-
| Image: Breastfeeding

Image: Skin-to-skin contact

Image: The risk of death in babies is reduced

Image: Collage of the benefits of breastfeeding and skin-to-skin contact.

Image: Breastfeeding reduces the risk of breast and ovarian cancer for mothers.

Image: More benefits as compared to the risk of infection.
| Breastfeeding and skin-to-skin contact reduce the risk of death in babies.

They provide immediate and lifelong health and development advantages.

Breastfeeding also reduces the risk of breast and ovarian cancer for mothers.

These benefits are substantially greater than the risks of getting infected.
|-
| Image: Mother and family members are counselled regarding the danger signs by a doctor

Image: Mother looks for danger signs in the baby

Image: Mother takes the baby to the doctor
| Lastly, mother and family members must be counselled regarding the warning signs.

They must be trained to look for the warning signs in the baby.

If they see any signs, they should report back to the doctor.
|-
| Image: Collage of guidelines in the tutorial.

Image: Evidence

Image: Collage of guidelines in the tutorial
| The guidelines in this tutorial are based on limited evidence as available now.

As new evidence accumulates, some of the recommendations may change.

Please use these guidelines in accordance with the latest government regulations.
|-
| Slide Number 2

Acknowledgement
| This brings us to the end of this tutorial.

Thank you for joining.
|-
|}

@@ Line 129: / Line 129: @@
 Image: Infected person looks healthy and doesn’t show any symptoms.
-| The clinical symptoms of the '''coronavirus''' infection are variable.
+| The clinical symptoms of the '''coronavirus''' infection are various.
 Fever, cough, breathlessness, fatigue, headache, sore throat are common.
@@ Line 212: / Line 212: @@
 | During '''COVID-19''', special care must be taken to feed the baby hygienically.
-Mother should wash her hands before and after touching the baby.
+Mother should wash her hands for 20 seconds before and after touching the baby.
 She should also wash hands before and after breastfeeding or expressing milk.
@@ Line 283: / Line 283: @@
 She should always sneeze or cough into it.
-She must immediately dispose of it and wash her hands.
+She must immediately throw it in the dustbin and wash her hands.
 A soiled tissue or cloth or handkerchief should be changed as often as needed.
@@ Line 322: / Line 322: @@
 In such cases, the baby should be fed expressed breast milk of the mother.
-A nurse or family member can feed the milk to the baby.
+A nurse or family member can feed this milk to the baby.
 The feeder should not have been in contact with infected people.
-They must wash hands and wear a mask before touching the baby or milk.
+Before touching the baby or the milk they must wash their hands for 20 seconds.
 |-
 | Image: Expressed breastmilk does not need pasteurization before feeding it to the baby
@@ Line 418: / Line 420: @@
 Image: More benefits as compared to the risk of infection.
-| Breastfeeding and skin-to-skin contact reduce the risk of death in babies.
+| Breastfeeding and skin-to-skin contact reduces the risk of death in babies.
 They provide immediate and lifelong health and development advantages.
@@ Line 424: / Line 426: @@
 Breastfeeding also reduces the risk of breast and ovarian cancer for mothers.
-These benefits are substantially greater than the risks of getting infected.
+These benefits are substantially greater than the risk of getting infected.
 |-
 | Image: Mother and family members are counselled regarding the danger signs by a doctor

COVID19/C2/Breastfeeding-during-COVID-19/English - Revision history

Bellatony911 at 14:55, 27 May 2020

Bellatony911: Created page with "﻿ {|border=1 | '''Visual Cue''' | '''Narration''' |- |'''Slide Number 1''' '''Title Slide''' | Welcome to the '''spoken tutorial''' on b..."

Bellatony911: Created page with " {|border=1 | '''Visual Cue''' | '''Narration''' |- |'''Slide Number 1''' '''Title Slide''' | Welcome to the '''spoken tutorial''' on b..."