Health-and-Nutrition/C2/Breast-crawl/English - Revision history

Bellatony911 at 14:19, 5 June 2018

2018-06-05T14:19:30Z

Show changes

Rajani st at 10:03, 3 May 2018

2018-05-03T10:03:18Z

Rajani st at 10:00, 3 May 2018

2018-05-03T10:00:58Z

Bellatony911 at 06:46, 2 May 2018

2018-05-02T06:46:50Z

Rajani st at 09:57, 25 April 2018

2018-04-25T09:57:59Z

Show changes

Bellatony911 at 07:37, 25 April 2018

2018-04-25T07:37:31Z

Bellatony911 at 07:14, 25 April 2018

2018-04-25T07:14:50Z

Rajani st at 06:29, 25 April 2018

2018-04-25T06:29:35Z

Rajani st at 10:37, 10 April 2018

2018-04-10T10:37:22Z

Rajani st: Created page with " {|border=1 | Visual cue | Narration |- |'''Slide number 1''' Title slide | Welcome to the '''spoken tutorial''' on '''breast crawl'''. |- | Ima..."

2018-03-01T17:09:18Z

Created page with " {|border=1 | <center> Visual cue </center> | <center> Narration |- |'''Slide number 1''' Title slide | Welcome to the '''spoken tutorial''' on '''breast crawl'''. |- | Ima..."

New page

{|border=1
| <center> Visual cue
</center>
| <center> Narration

|-
|'''Slide number 1'''

Title slide
| Welcome to the '''spoken tutorial''' on '''breast crawl'''.

|-
| Image: A baby is latching on the mother’s breast in the '''breast crawl''' position.

Image: A baby is looking at the mother’s face in '''breast crawl''' position.

Image: Importance of '''breast crawl''' for the baby.

| In this tutorial we will learn,

* What is '''breast crawl'''
* Procedure for '''breast crawl''' and
* Importance of '''breast crawl'''

|-
| Image: A baby is latching on the mother’s breast in the '''breast crawl''' position.

| Let us first understand, what is '''breast crawl'''?

|-
| Image: Structure of human brain.

Image: Birth attendant is keeping the baby on the mother’s abdomen.

Image: Baby is trying to take the breast in her mouth in '''breast crawl''' position.

Image: A baby is latching on the mother’s breast in the '''breast crawl''' position.

| A baby is born with an instinctive feeding behaviour.

Soon after delivery,

Upon placing her on the mother’s bare abdomen-

* she can find her mother’s breast and initiate breastfeeding.

This entire process is called '''breast crawl'''.

|-
| Image: Healthy full term baby.

| It is to be noted that, '''breast crawl''' can be done on full term, stable babies who are-

|-
| Image: Natural delivery.

Image: Cesarean delivery.

|
* born either by natural delivery

* or by a cesarean delivery

|-
| Image: Newborn baby.

|
* And who have cried well immediately after birth.

|-
| Image: Low weight newborn baby.

| '''breast crawl''' is not performed on unstable babies with low birth weight.

|-
| Image: Baby with respiratory problems.

| As they may suffer from respiratory problems like breathlessness.

|-
| Image: Baby on mother’s abdomen.

| Now, we will learn the procedure and later the importance for '''breast crawl'''.

|-
| Image: Delivery room and thermometer.

| First, ensure that-

Delivery room’s temperature is around 26 degree Celsius.

|-
| Image: Birth attendant is cleaning a baby by keeping her on mother’s abdomen.

| Next is to clean the baby by placing her on the mother’s bare abdomen.

|-
| Image: Birth attendant is cleaning the baby’s hand with red cross mark.

|
* Clean her entire body thoroughly except the hands with a clean dry cloth.

|-
| Image: Wet hand of a baby.

| Remember-

* The baby’s hands should be kept wet.

|-
| Image: Birth attendant is cleaning a baby.

|
* Do not remove the protective white coating on her skin while cleaning.
* It protects the baby if the weather is cold.
* After cleaning the baby remove the wet cloth.

|-
| Image: Birth attendant is cutting the umbilical cord.

| Next-

* The birth attendant should feel the pulsation of the cord.
* Once it stops pulsating, she should cut the cord.

|-
| Image: Birth attendant is keeping a baby on mother’s abdomen.

|
* Next, reposition the baby on her mother’s bare abdomen in such a way that-
* Her tummy touches the mother’s tummy.
* Her head should be placed between mother’s unwashed breasts.

|-
| Image: Birth attendant is keeping a baby on the mother’s abdomen.

|
* Her mouth should be below her mother’s breast.
* Now the baby is positioned correctly for '''breast crawl'''.

|-
| Image: Hand movements of a baby while crawling.

Image: Leg movements of a baby while crawling.

| As moving forward is very natural for a newborn baby,

* she can easily crawl forward towards mother’s breast.

|-
| Image: Birth attendant is placing a cap and cloth on a baby.

|
* Next thing to do is-
* cover the baby and mother together with a dry cloth to keep them warm,
* place a cap on the baby’s head.

Please note-

* We have not shown the cap and cloth in subsequent images.

* This will help us to clearly observe the position of the baby during '''breast crawl'''.

|-
| Image: Mother is supporting baby’s back with her hands in '''breast crawl''' position.

|After covering the baby with the cloth-

* make the mother support the baby's back with her hand.

|-
| Image: Newborn baby.

| Let’s discuss a baby’s abilities which helps in '''breast crawl''',

|-
| Image: Baby’s hand is in her mouth and baby is salivating.

|* Baby's are very alert and instinctive after delivery.

* The smell of her unclean hands stimulates her to salivate.

|-
| Image: Baby is looking at the mother in '''breast crawl''' position.

|* Also the baby, with her limited vision, can see her mother’s face and the areola.

|-
| Image: Mother’s breast.

|*Areola is the dark area around the nipple.

|-
| Image: Baby is moving her limbs and crawling towards the mother’s breast.

| Eventually, the baby starts moving-

* Using her hands and legs, she gradually crawls towards her mother’s breast.
* However, some babies starts crawling immediately and some take time.

|-
| Image: Baby is trying to grasp the mother’s breast in '''breast crawl''' position.

|
* Upon reaching the breast, the baby first tries to grasp the breast with her hands.

|-
| Image: Baby is latching on mother’s breast in '''breast crawl''' position.

|
* Do not disturb the baby and the mother at this point until she takes her first breastfeed.
* Both, health worker and the mother should have patience during this procedure.

|-
| Image: GIF animation: clock.

|
*A baby may take 30-60 minutes to reach upto the mother’s breast for her first feed.

|-
| Image: Baby is latching on mother’s breast in '''breast crawl''' position.

| During initiation of breastfeeding-

* baby will open her mouth wide

and attach deeply to her mother’s breast.

|-
| GIF Animation: Clock.

|
* After finishing the feeding, let the baby be in the same position for an hour or so.

|-
| Image: Baby is latching on mother’s breast in '''breast crawl''' position.

Image: Injection and doctor.

|
* Doing so, helps improve the bonding between mother and baby.

* However if the mother has taken any medicines please consult her doctor.

|-
| Image: Mother is lying on the stretcher.

|
*Sometimes it might happen that after delivery-

* mother will have to move from the delivery room to another room.

|-
| Image: Baby is kept on mother’s abdomen.

| In such cases, after shifting the mother to another room-

* Give skin to skin contact to mother and the baby immediately,
* by placing the baby on the mother’s abdomen as discussed earlier.

|-
| Image: Birth attendant has held the baby in breastfeeding position where baby’s legs are towards mother’s head.

| Now let’s discuss '''breast crawl''' for babies born by cesarean section-

To do so:

Babies should be placed on their mother's chest instead of the abdomen in such a way that-
* Baby’s legs should be towards mother’s head.
* The chest and tummy should be on mother’s shoulder.
* And mouth should be on the breast.

|-
| Image: Birth attendant is holding the baby in breastfeeding position where,
baby’s body is on mother’s shoulder and baby’s legs are towards mother’s head and mother is supporting baby’s back.

|
* Allow the baby to suckle on the breast as long as possible in the operation theatre.

|-
| Image: Birth attendant is placing the baby on mother’s abdomen.

| Remember-

* Immediately after delivery skin to skin contact is most important than any other newborn care.

|-
| Image: Injections and Ointment.

| Note that-

Only after completion of the '''breast crawl''', post delivery newborn care should be given.

|-
| Image: Human brain structure.

Image: Colostrum.

Image: Outline of baby’s gut.

Image: Baby is kept on mother’s abdomen.

Image: Baby and the mother.

| First, let’s discuss the importance of '''breast crawl''' for the baby,

|-
| Image: Colostrum.

|
* '''breast crawl''' enables the baby to get mother’s first milk called '''colostrum.'''

* It is yellowish in colour and thick in consistency.

|-
| Image: Calendar.

Image: Mother’s breast.

Image: 5 Spoons filled with colostrum.

|
*Note that, after delivery-

the quantity of colostrum that a baby will consume during each breastfeeding session will increase gradually.

Baby will consume -

* 5 ml on first day,
* 10 ml on second day,
* 25 ml on third day,
* 40 ml on fourth day and
* 55 ml on fifth day from each breast during each breastfeeding session.

|-
| Image: Formula powder with red cross mark.

| This is sufficient for a newborn baby.

Therefore baby should not be fed anything apart from colostrum.

|-
|Image: New born baby and injection.

|
* It is considered as the first vaccination for a baby,
* And contains infection fighting proteins which boosts the immunity of a baby.

|-
|Image: Glucometer.

|
* It is the first source of energy for a baby after the mother’s delivery,
* '''Colostrum''' also prevents low blood '''glucose''' level.

|-
| Image: Thermometer.

|
* Helps to maintain other body processes of a baby.

|-
| Image: Baby’s brain.

|
* It supports healthy brain development,

|-
| Image: Baby is passing her first stool

|
* Helps the baby to pass her first stool.

|-
| Image: Baby is trying to grasp mother’s breast in '''breast crawl''' position.

|
* '''breast crawl''' also keeps
the baby warm due to skin to skin contact with the mother.

|-
| Image: Baby is breastfeeding in '''breast crawl''' position.

|
* Baby self-learns how to attach deeply to her mother’s breast.

|-
| "| Image: Outline of baby’s intestine.

|
* '''breast crawl''' passes on mother’s healthy bacteria to her baby,
* These bacteria enter the baby’s gut and fight infections.

|-
| Image: Mother and baby both are laughing.

|
* Ultimately this boosts the immunity of the baby.

|-
| Image: Baby is initiating her first breastfeeding in '''breast crawl''' position.

|
* '''breast crawl''' also provides a feeling of love and security to a baby and
* Initiates the bond between mother and her baby.

|-
| Image: Mother’s uterus and baby’s lower limbs are on mother’s lower abdominal area.

| Benefits of ''''breast crawl''' extends to the mother as well

* Leg movements of a baby puts pressure on her mother’s womb,
* this pressure helps in uterine contraction and in removal of placenta.

|-
| Image: Baby is coming out of womb.

Image: Placenta is coming out.

|
* Initiation of breastfeeding increases '''oxytocin''' in the mother’s body,
* the rise in '''oxytocin''' helps in removal of placenta too.

Thus, '''breast crawl''' reduces
* the blood loss and
* prevents '''anaemia''' in mothers.

|-
| Image: Higher number of red blood cells on one side which is a interpretation for normal adult.

Image: Lower number of blood cells which is interpretation for anaemic adult.

|
* '''Anaemia''' is a condition where number of red blood cells goes down,
* It could lead to fatigue and weakness in the mother.

|-
| Image: Baby is initiating her first breastfeeding in '''breast crawl''' position.

| Therefore, '''breast crawl''' is a highly beneficial natural process for both the mother and her baby,

This brings us to the end of this tutorial on '''breast crawl'''.

|-
| Image: A baby is latching on the mother’s breast in the '''breast crawl''' position.

Image: A baby is looking at the mother’s face in '''breast crawl''' position.

Image: Importance of '''breast crawl''' for the baby.

| In this tutorial we learnt,

* What is '''breast crawl'''
* Procedure for '''breast crawl''' and
* Importance of '''breast crawl'''

|-
| Image: Spoken tutorial logo.

Image: IIT Bombay logo.

| This tutorial has been contributed by

* the '''Spoken Tutorial Project''', '''IIT Bombay'''

|-
| Image: NMEICT Logo.

Image: MHRD, Government of India logo
http://spoken-tutorial.org

|
* '''Spoken Tutorial Project '''is funded by''' NMEICT, MHRD, Government of India.'''

*More information on this mission is available at this link.

|-
| Image: WHEELS Global Foundation Logo.

| This tutorial is partly funded by a generous contribution from '''WHEELS Global Foundation'''.

|-
| Image: Maa aur Shishu Poshan Project logo.

| This tutorial is a part of '''Maa aur Shishu Poshan project'''.

The domain reviewer for this tutorial is
* '''Dr. Taru Jindal''', MS Obstetrics and Gynaecology
* '''Dr. Rupal Dalal''', MD Pediatrics

This is '''Rajani Sawant''' along with animator '''Arthi anbalagan''' from''' IIT Bombay '''signing off.

Thanks for joining.

|}

@@ Line 166: / Line 166: @@
 |-
-| Image: Birth attendant is keeping a baby on mother’s abdomen.
+| Image: A birth attendant is keeping a baby on mother’s abdomen.
+|
-* Next, reposition the baby on her mother’s bare abdomen in such a way that-
+* Next is to reposition the baby on her mother’s bare abdomen in such a way that-
 * Her tummy touches the mother’s tummy.
 * Her head is placed between mother’s unwashed breasts.
@@ Line 265: / Line 265: @@
 * Using her hands and legs, she gradually crawls towards her mother’s breast.
-* However, some babies starts crawling immediately and some take time.
+* However, some babies start crawling immediately and some take time.
@@ Line 283: / Line 283: @@
+|
 * Do not disturb the baby and the mother at this point until she takes her first breastfeed.
-* Both, health worker and the mother should have patience during this procedure.
+* Both, the birth attendant and the mother should have patience during this procedure.
 |-
@@ Line 324: / Line 324: @@
 |-
-| Image: Mother is lying on the stretcher.
+| Image: A mother is lying on the stretcher.
@@ Line 331: / Line 331: @@
 *Sometimes it might happen that after delivery-
-* mother will have to move from the delivery room to another room.
+ mother will have to move from the delivery room to another room.
@@ Line 395: / Line 395: @@
-Only after completion of the '''breast crawl''', post delivery newborn care should be given.
+Only after completion of '''breast crawl''', post delivery newborn care should be given.
@@ Line 442: / Line 442: @@
 Baby will consume -
-* 5 ml on first day,
+* 5 mililiters on first day,
-* 10 ml on second day,
+* 10 mililiters on second day,
-* 25 ml on third day,
+* 25 mililiters on third day,
-* 40 ml on fourth day and
+* 40 mililiters on fourth day and
-* 55 ml on fifth day from each breast in each breastfeeding session.
+* 55 mililiters on fifth day from each breast in each breastfeeding session.

@@ Line 382: / Line 382: @@
 |-
 | Image: Thermometer.
+|
 * It helps to maintain other body processes of a baby.
 |-
@@ Line 394: / Line 391: @@
+|
 * It supports healthy brain development.
 |-
 | Image: Baby is passing her first stool
+|
 * It helps the baby to pass her first stool.
 |-
 | Image: Baby is trying to grasp mother’s breast in '''breast crawl''' position.
+|
 * '''breast crawl''' also keeps
 the baby warm due to skin to skin contact with the mother.
 |-
 | Image: Baby is breastfeeding in '''breast crawl''' position.
+|
 * Baby self-learns how to attach deeply to her mother’s breast.
 |-
@@ Line 426: / Line 415: @@
 Image: Mother and baby both are laughing.
+|
@@ Line 432: / Line 420: @@
 * These bacteria enter the baby’s gut and fight infections.
 * Ultimately this boosts the immunity of the baby.
 |-
 | Image: Baby is initiating her first breastfeeding in '''breast crawl''' position.
+|
 * '''breast crawl''' also provides a feeling of love and security to a baby and
 * Initiates the bond between mother and her baby.
 |-

@@ Line 6: / Line 6: @@
 |-
-|'''Slide number 1'''
+|Title slide
-−
 Title slide
 | Welcome to the '''Spoken tutorial''' on '''Breast crawl'''.
@@ Line 231: / Line 229: @@
 * Do not disturb the baby and the mother at this poin-t until she takes her first breastfeed.
 * Both, the birth attendant and the mother should have patience during this procedure.
-*A baby may take 30-60 minutes to reach upto the mother’s breast for her first feed.
+* A baby may take 30-60 minutes to reach upto the mother’s breast for her first feed.
@@ Line 274: / Line 272: @@
 |-
-| Image: Birth attendant has held the baby
+| Image: Birth attendant has held the baby in breastfeeding position where baby’s legs are towards mother’s head.
 in breastfeeding position
 where baby’s legs are towards mother’s head.
-Image: Birth attendant is holding the baby
+Image: Birth attendant is holding the baby in breastfeeding position where, baby’s body is on mother’s shoulder and baby’s legs are towards mother’s head and mother is supporting baby’s back.
 in breastfeeding position where,
 baby’s body is on mother’s shoulder and
 baby’s legs are towards mother’s head
 and mother is supporting baby’s back.
@@ Line 570: / Line 562: @@
-This is Nutritionist'''Rajani Sawant''' along with animator '''Arthi anbalagan''' from''' IIT Bombay '''signing off.
+This is Nutritionist '''Rajani Sawant''' along with animator '''Arthi Anbalagan''' from''' IIT Bombay '''signing off.

@@ Line 21: / Line 21: @@
 | In this tutorial we will learn,
+* What is '''breast crawl'''?
 * What is '''breast crawl'''
 * Procedure for '''breast crawl''' and
 * Importance of '''breast crawl'''
 |-
 | Image: A baby is latching on the mother’s breast in the '''breast crawl''' position.
 | Let us first understand what is '''breast crawl'''?
 |-
 | Image: Structure of human brain.
@@ Line 58: / Line 49: @@
 This entire process is called '''breast crawl'''.
 |-
@@ Line 71: / Line 60: @@
-| It is to be noted that, '''breast crawl''' can be done on full term, stable babies who are-
+| It is to be noted that:
 * born either by natural delivery
-* or by a cesarean delivery
+'''breast crawl''' can be done on full term, stable babies who are-
 * And who have cried well immediately after birth.
 |-
 | Image: Low weight newborn baby.
@@ Line 85: / Line 73: @@
 | '''Breast crawl''' is not performed on unstable babies with low birth weight.
 * As they may suffer from respiratory problems like breathlessness.
 |-
 | Image: Baby on mother’s abdomen.
@@ Line 92: / Line 78: @@
 | Now, we will learn the procedure and later the importance for '''breast crawl'''.
 |-

@@ Line 51: / Line 51: @@
-Soon after delivery,
+Soon after delivery, upon placing her on the mother’s bare abdomen-
-−
-Upon placing her on the mother’s bare abdomen-
 * she can find her mother’s breast and initiate breastfeeding.
 This entire process is called '''breast crawl'''.
@@ Line 92: / Line 92: @@
-| '''breast crawl''' is not performed on unstable babies with low birth weight.
+| '''Breast crawl''' is not performed on unstable babies with low birth weight.

@@ Line 9: / Line 9: @@
 Title slide
-| Welcome to the '''spoken tutorial''' on '''breast crawl'''.
+| Welcome to the '''Spoken tutorial''' on '''Breast crawl'''.
 |-
 | Image: A baby is latching on the mother’s breast in the '''breast crawl''' position.
-Image: A baby is looking at the mother’s face in '''breast crawl''' position.
+Image: A baby is facing the mother’s face in '''breast crawl''' position.
 Image: Importance of '''breast crawl''' for the baby.
@@ Line 32: / Line 32: @@
-| Let us first understand, what is '''breast crawl'''?
+| Let us first understand what is '''breast crawl'''?
@@ Line 244: / Line 244: @@
 |-
-| Image: Baby is looking at the mother in '''breast crawl''' position.
+| Image: Baby is facing the mother in '''breast crawl''' position.
@@ Line 603: / Line 603: @@
 | Image: A baby is latching on the mother’s breast in the '''breast crawl''' position.
-Image: A baby is looking at the mother’s face in '''breast crawl''' position.
+Image: A baby is facing the mother’s face in '''breast crawl''' position.
 Image: Importance of '''breast crawl''' for the baby.

@@ Line 157: / Line 157: @@
 | Image: Birth attendant is cutting the umbilical cord.
-| Next-
+| After drying the baby-
-* The birth attendant should feel the pulsation of the cord.
+* The birth attendant should feel pulsation of the cord.
 * Once it stops pulsating, she should cut the cord.
@@ Line 173: / Line 173: @@
 * Next, reposition the baby on her mother’s bare abdomen in such a way that-
 * Her tummy touches the mother’s tummy.
-* Her head should be placed between mother’s unwashed breasts.
+* Her head is placed between mother’s unwashed breasts.
@@ Line 182: / Line 182: @@
+|
-* Her mouth should be below her mother’s breast.
+* Her mouth is below her mother’s breast.
 * Now the baby is positioned correctly for '''breast crawl'''.
@@ Line 205: / Line 205: @@
+|
 * Next thing to do is-
-* cover the baby and mother together with a dry cloth to keep them warm,
+* cover the baby and mother together with a clean dry cloth to keep them warm,
 * place a cap on the baby’s head.
@@ Line 236: / Line 236: @@
-|* Baby's are very alert and instinctive after delivery.
 * The smell of her unclean hands stimulates her to salivate.
@@ Line 246: / Line 247: @@
 |* Also the baby, with her limited vision, can see her mother’s face and the areola.
@@ Line 253: / Line 255: @@
 | Image: Mother’s breast.
 |*Areola is the dark area around the nipple.
 |-
@@ Line 314: / Line 317: @@
+|
-* Doing so, helps improve the bonding between mother and baby.
+* Doing so, helps improve the bonding between the mother and the baby.
 * However if the mother has taken any medicines please consult her doctor.
@@ Line 408: / Line 411: @@
-| First, let’s discuss the importance of '''breast crawl''' for the baby,
+| Now, let’s discuss the importance of '''breast crawl''' for the new born baby,
@@ Line 435: / Line 438: @@
 *Note that, after delivery-
-the quantity of colostrum that a baby will consume during each breastfeeding session will increase gradually.
+the quantity of colostrum that the baby will consume during each breastfeeding session will increase gradually.
 Baby will consume -
@@ Line 443: / Line 446: @@
 * 25 ml on third day,
 * 40 ml on fourth day and
-* 55 ml on fifth day from each breast during each breastfeeding session.
+* 55 ml on fifth day from each breast in each breastfeeding session.
@@ Line 459: / Line 462: @@
+|
-* It is considered as the first vaccination for a baby,
+* Colostrum is considered as the first vaccination for a baby,
-* And contains infection fighting proteins which boosts the immunity of a baby.
+* And contains infection fighting protein which boosts the immunity of a baby.
@@ Line 477: / Line 480: @@
+|
-* Helps to maintain other body processes of a baby.
+* It helps to maintain other body processes of a baby.
@@ Line 493: / Line 496: @@
+|
-* Helps the baby to pass her first stool.
+* It helps the baby to pass her first stool.
@@ Line 657: / Line 660: @@
 The domain reviewer for this tutorial is
-* '''Dr. Taru Jindal''', MS Obstetrics and Gynaecology
+* '''Dr. Rupal Dalal''', MD Pediatrics and
-* '''Dr. Rupal Dalal''', MD Pediatrics
+* '''Dr. Taru Jindal''', MS Obstetrics and Gynaecology.
-This is '''Rajani Sawant''' along with animator '''Arthi anbalagan''' from''' IIT Bombay '''signing off.
+This is Nutritionist'''Rajani Sawant''' along with animator '''Arthi anbalagan''' from''' IIT Bombay '''signing off.