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

Bellatony911 at 12:48, 11 February 2019

2019-02-11T12:48:01Z

Tasneemiitb at 06:18, 5 February 2019

2019-02-05T06:18:56Z

Tasneemiitb: Created page with "{|border=1 | Visual Cue |Narration |- |'''Slide Number 1''' '''Title Slide''' | Welcome to the '''Spoken Tutorial''' on '''Cradle''' hold f..."

2019-02-05T06:14:54Z

Created page with "{|border=1 | <center>Visual Cue</center> |<center>Narration</center> |- |'''Slide Number 1''' '''Title Slide''' | Welcome to the '''Spoken Tutorial''' on '''Cradle''' hold f..."

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{|border=1

| <center>Visual Cue</center>
|<center>Narration</center>

|-
|'''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 ml.

| Lactating mothers produce 750 to 850 ml 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 and support with the arm.

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 on 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.

Image: Baby’s nose is not in line with the nipple.

Image: Weak 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.
* 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.

* This distance will ensure that-

|-
| Image: Mother’s fingers holding breast in U shape at a distance of 1 finger from the nipple.

Image: Bad attachment in Cradle hold.

|
*
** 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 video 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.

|}

@@ Line 39: / Line 39: @@
 | As discussed in an earlier tutorial -
-The best breastfeeding hold for a mother and her baby is the one in which-
+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
+* both mother and baby are comfortable for the entire duration of breastfeeding
 |-
@@ Line 82: / Line 82: @@
 |-
-| Image: Breastmilk filling a 1 litre jug till 750 ml.
+| Image: Breastmilk filling a 1 litre jug till 750 millilitres.
-| Lactating mothers produce 750 to 850 ml of milk per day on an average.
+| Lactating mothers produce 750 to 850 millilitres of milk per day on an average.
 Therefore, they need to increase their daily water intake.
@@ Line 174: / Line 174: @@
 | Image: Mother is holding the baby with her right arm.
-| Mother should hold her baby  and support with the arm.
+| Mother should hold her baby with the arm -
+*on the same side of the breast that she will feed from.
-with the arm on the same side of the breast that she will feed from.
 |-
@@ Line 182: / Line 181: @@
-| Baby’s head should rest comfortably in the inner bend of the elbow of that arm.
+| Baby’s head -
 |-
@@ Line 223: / Line 223: @@
 | Next, let us learn how to position baby’s body correctly.
-* The baby’s stomach should be gently pressed on the mother’s body.
+* The baby’s stomach should be gently pressed by the mother’s body.
 |-
@@ Line 229: / Line 229: @@
+|
-* Lesser distance between their bodies will reduce the baby’s effort to reach the breast.
+Lesser distance between their bodies will -
 |-
@@ Line 239: / Line 240: @@
 | Image: Mother holding baby in Cradle hold.
-| Then, the second important point is the direction in which the baby’s entire body is held.
+| Then, the second important point is -
 |-
@@ Line 283: / Line 285: @@
 Image: Strong baby.
 | Next, let’s look at the position of the baby’s nose and chin.
@@ Line 292: / Line 290: @@
 * Baby’s nose should be in line with the nipple.
 * And her chin should be forward and very close to the breast.
-* 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.
+|-
 |-
@@ Line 375: / Line 379: @@
+|
-* In addition to being in the direction of the baby’s lips,
+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.
 |-
@@ Line 403: / Line 410: @@
 * Similarly for the baby,
 ** the right distance is of 3 fingers from the nipple, as shown in this picture.
 |-
@@ Line 412: / Line 417: @@
+|
+This distance will ensure that-
-** mother’s fingers do not block the baby from taking a big part of the '''areola''' in her mouth
+*mother’s fingers do not block the baby from taking a big part of the '''areola''' in her mouth
 |-
@@ Line 461: / Line 466: @@
+|
-* Let’s go back to the example of 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.
@@ Line 522: / Line 527: @@
+|
-* Correct attachment of the baby to the breast is explained in another video in the same series.
+Correct attachment of the baby to the breast -
 |-

@@ Line 6: / Line 6: @@
 |-
 |'''Slide Number 1'''
-'''Title Slide'''
+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: 5 common breastfeeding holds- cross cradle, football, cradle, laid back and side lying.
 Image: Mother washing her hands.
@@ Line 62: / Line 62: @@
 | Image: Cradle hold
-| Let us learn about one of the holds called Cradle hold.
+| Let us learn about one of the holds called '''Cradle''' hold.
 |-
@@ Line 514: / Line 514: @@
+|
-* Now, the baby is in Cradle hold and ready to attach to the breast for breastfeeding.
+* Now, the baby is in '''Cradle''' hold and ready to attach to the breast for breastfeeding.
 |-
@@ Line 544: / Line 544: @@
 |-
-| Slide Number 2
+| '''Slide Number 2'''
 Acknowledgement