Debosmita at 08:24, 4 July 2020

2020-07-04T08:24:42Z

Debosmita at 12:07, 5 March 2020

2020-03-05T12:07:01Z

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PoojaMoolya at 12:42, 26 April 2019

2019-04-26T12:42:09Z

Sandhya.np14 at 10:47, 28 August 2018

2018-08-28T10:47:44Z

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PoojaMoolya: Created page with " {| border =1 | ''' Time ''' | '''Narration''' |- | 00:02 | Welcome to the Spoken Tutorial on Breastfeeding Latching. |- | 00:07 |..."

2018-06-27T09:49:18Z

Created page with " {| border =1 | <center>''' Time '''</center> | <center>'''Narration'''</center> |- | 00:02 | Welcome to the Spoken Tutorial on Breastfeeding Latching. |- | 00:07 |..."

New page

{| border =1
| <center>''' Time '''</center>
| <center>'''Narration'''</center>

|-
| 00:02
| Welcome to the Spoken Tutorial on Breastfeeding Latching.

|-
| 00:07
| In this tutorial we will learn about, Correct latching technique for deep attachment of the baby to the breast and Breastfeeding frequency.

|-
| 00:20
| Before we begin, please note that- for effective breastfeeding, correct latching is most important.

|-
| 02:29
| Poor attachment of the baby’s mouth to the breast will allow only nipple feeding.

|-
| 00:36
| This will give very little milk to the baby.

|-
| 00:40
| Whereas deep attachment of the baby to the lower part of the areola of the breast, will give sufficient milk to the baby.

|-
| 00:50
| Please note- Areola is the dark area around the nipple.

|-
| 00:56
| Now, let us begin. To start with, the mother should hold her baby in a suitable breastfeeding hold.

|-
| 01:05
| These holds are explained in detail in other videos of the same series.

|-
| 01:11
| This tutorial will be explained using the cross cradle hold.

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| 01:16
| Remember, Positioning the baby correctly is necessary for successful latching and breastfeeding.

|-
| 01:24
| In this picture, the mother is holding the baby correctly in the cross cradle hold.

|-
| 01:31
| And the baby is ready to latch on for breastfeeding.

|-
| 01:35
| Before latching- It is important that the baby opens her mouth widely like a yawn.

|-
| 01:42
| Why? Let’s understand this, by looking at an adult eating vada pav or burger.

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| 01:49
| We open our mouth wide to take a big bite of the vada pav or burger.

|-
| 01:56
| Similarly- A wide open mouth will help the baby to take a big part of the breast in her mouth.

|-
| 02:04
| To encourage the baby to open her mouth widely- Mother should lightly brush her nipple against baby’s upper lip till she opens her mouth widely.

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| 02:16
| Be patient. Sometimes, it may take a few seconds to 2 minutes for the baby to open her mouth widely.

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| 02:25
| Remember, For any breastfeeding position- mother’s fingers and thumb, holding the breast, should always be parallel to the baby’s lips.

|-
| 02:36
| When the baby opens her mouth widely, her lower lip should be at the base of the areola

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| 02:43
| And the nipple should be aimed towards the top of her mouth and not the middle of her mouth.

|-
| 02:50
| Now, Mother should quickly put her breast in the baby’s mouth.

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| 02:55
| She should press the baby’s chin into the breast first by slightly bending baby’s head outwards.

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| 03:02
| She should not bend her back or push her breast to reach the baby’s mouth.

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| 03:08
| Bring the baby to the breast by a gentle push from behind the baby’s shoulders.

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| 03:15
| The most important point in latching is Lower part of the mother’s aerola should be in the baby’s mouth.

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| 03:25
| This will help the nipple to reach a comfortable area in the baby’s mouth.

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| 03:31
| Baby should be pressing her tongue against the part of the areola near her lower lip.

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| 03:37
| This will compress the larger milk ducts and more milk will come out.

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| 03:42
| Next step is to check whether the baby is attached deeply to the breast.

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| 03:48
| To ensure deep attachment, mother should look for the following signs:

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| 03:54
| Baby’s mouth is wide open

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| 03:57
| The part of the areola visible near the baby’s upper lip is more than that near the baby's lower lip.

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| 04:06
| Baby’s lower chin is completely embedded into the mother’s breast.

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| 04:11
| Baby’s jaw drops distinctly as she swallows milk.

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| 04:16
| And the baby’s lower lip is curled in the outward direction.

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| 04:22
| Although, it mostly gets hidden in the breast in a very well attached baby.

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| 04:28
| In such cases, lightly press the breast near the lower lip of the baby. And check if the baby’s lower lip is curled in the outward direction.

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| 04:41
| Next, look at the baby’s nose. If the baby’s nose is pressed against mother’s breast, then-

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| 04:49
| mother can bend baby’s head slightly outwards so that the baby’s chin is pushed further into the breast,

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| 04:58
| And the baby’s nose and forehead are pulled away from the breast.

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| 05:04
| Doing so, will deepen the baby’s attachment to the breast.

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| 05:09
| Do not pull baby’s entire face away from the breast.

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| 05:13
| This can cause nipple feeding.

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| 05:16
| Remember- Breastfeeding should be comfortable for the mother.

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| 05:21
| She should not feel pinching, pulling, or rubbing on her nipple.

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| 05:27
| If breastfeeding is painful for the mother, then the baby is probably not well attached.

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| 05:35
| Let’s look at one of the common reasons for poor attachment.

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| 05:40
| Many mothers pinch their areola to put only the nipple in the middle of the baby’s mouth.

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| 05:48
| Here, the baby’s mouth is not wide open.

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| 05:52
| Baby gets attached only to the nipple.

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| 05:56
| Here, an equal part of the areola is seen near the upper and lower lip of the baby.

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| 06:04
| Baby’s chin is off the breast.

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| 06:07
| Baby has a continuous fast sucking pattern of drinking milk.

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| 06:14
| While sucking, Baby’s cheeks dimple

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| 06:17
| Her jaw does not drop distinctly as she swallows milk

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| 06:23
| And the nipple gets pinched and pressed against the hard part of the baby’s mouth.

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| 06:31
| This is painful for the mother and may injure the nipple.

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| 06:37
| Also, during nipple-feeding, baby cannot get milk from the larger milk ducts beneath the areola.

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| 06:45
| Therefore, the baby doesn’t get sufficient milk.

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| 06:50
| If the baby is feeding only from the nipple then,

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| 06:54
|Mother should put her clean little finger inside the corner of the baby’s mouth.

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| 06:59
| She should use it to release the baby’s pull on her nipple.

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| 07:04
| Then she should re-attach the baby on the same breast ensuring a good latch.

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| 07:11
| After proper latching- mother should ensure that the baby gets both foremilk and hindmilk adequately.

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| 07:19
| Foremilk is the watery milk stored in the front part of the breast.

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| 07:25
| It is made up of water and protein.

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| 07:29
| It is necessary for baby’s growth and for making the baby strong.

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| 07:36
| Hind milk is the thick milk stored in the back part of the breast.

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| 07:42
| It is mainly made up of fats.

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| 07:46
| It is necessary for baby’s brain development and weight gain.

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| 07:53
| To ensure that the baby gets both foremilk and hindmilk- mother should feed the baby from one breast completely before offering the other breast.

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| 08:05
| To check whether she has fed the baby from one breast completely - mother should express milk from that breast with her hand.

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| 08:15
| If thin watery milk comes out of the breast,

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| 08:19
| Or if there is good flow of thick hindmilk on expression

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| 08:24
| Then, Mother should re-attach her baby to the same breast.

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| 08:29
| When the flow of thick hindmilk reduces to a few drops on expression with hand,

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| 08:35
| It means that mother has fed the baby from that breast completely.

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| 08:41
| But, before offering the other breast, Mother should encourage the baby to burp by- making the baby sit on her lap then, slightly bending the baby’s torso forward and cupping the baby’s jaw with her hand.

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|09:00
| Baby should burp within 2 to 3 minutes.

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| 09:04
| If there is no burp in the next 5 minutes,

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| 09:08
| It means that the attachment of the baby to the breast was very good.

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| 09:14
| The baby has not taken in excess air in her stomach while feeding.

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| 09:21
| Now, the mother should offer her other breast to the baby.

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| 09:26
| If baby’s stomach is full, she may not feed from the other breast.

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| 09:32
| But mother should always offer both breasts to the baby for feeding.

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| 09:39
| She should let the baby make the final decision.

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| 09:45
| If baby goes to sleep while breastfeeding, mother should wake her up by- Gently tapping the sole of the baby’s feet

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| 09:55
| or gently tickling the baby’s back

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| 09:59
| Or by making the baby sit in the position shown for burping.

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| 10:04
| Along with the right technique, breastfeeding frequency is also important.

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| 10:12
| Mother should breastfeed her baby at least 12 times in 24 hours.

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| 10:17
| Out of which she must breastfeed at least 2 to 3 times in the night.

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| 10:24
| To offer breast milk to the baby, mother should look for baby’s hunger signals like- Stirring

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| 10:32
| Mouth opening Head turning Bringing her hand to mouth

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| 10:37
| Sucking fingers And stretching her body.

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| 10:42
| If the baby starts crying for breast milk, then it means that it is too late.

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| 10:49
| Please note- there is a rapid increase in the baby’s growth around 2 weeks, 6 weeks and 3 months of age.

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| 10:59
| And the baby will require more milk.

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| 11:05
| Also, mother’s breast milk output will increase if the baby is fed more frequently.

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| 11:12
| Therefore, mother should feed more often during such rapid growth periods.

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| 11:19
| Remember- Breast milk is the best nutrition for the baby for the first 6 months of life.

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| 11:30
| And good attachment is the key to successful breastfeeding.

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| 11:36
| This brings us to the end of this tutorial.

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| 11:41
| In this tutorial we learnt about, Correct latching technique for deep attachment of the baby to the breast. And breastfeeding frequency

|-
| 11:54
| This tutorial has been contributed by the Spoken Tutorial Project, IIT Bombay

|-
| 12:02
| '''Spoken Tutorial Project '''is funded by '''NMEICT, MHRD, Government of India.'''

More information on this mission is available at this link.

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| 12:15
| This tutorial is partly funded by a generous contribution from WHEELS Global Foundation.

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| 12:22
| This tutorial is a part of Maa aur Shishu Poshan project.

The domain reviewer for this tutorial is Dr. Rupal Dalal, MD Pediatrics.

|-
| 12:34
|This is dietitian Tasneem Shaikh along with animator Shital Joshi from '''IIT Bombay '''signing off.

Thank you for joining.

|}

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-| 10:12
+| 10:11
 | Mother should breastfeed her baby at least 12 times in 24 hours
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 |-
-| 11:36
+| 11:35
 | This brings us to the end of this tutorial.

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-| 02:29
+| 00:29
 |  Poor attachment of the baby’s mouth to the breast will allow only nipple feeding.

Health-and-Nutrition/C2/Breastfeeding-latching/English-timed - Revision history

Debosmita at 08:24, 4 July 2020

Debosmita at 12:07, 5 March 2020

PoojaMoolya at 12:42, 26 April 2019

Sandhya.np14 at 10:47, 28 August 2018

PoojaMoolya: Created page with " {| border =1 | ''' Time ''' | '''Narration''' |- | 00:02 | Welcome to the Spoken Tutorial on Breastfeeding Latching. |- | 00:07 |..."