Bellatony911 at 15:38, 3 August 2019

2019-08-03T15:38:46Z

Bellatony911 at 13:43, 3 August 2019

2019-08-03T13:43:56Z

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

2019-07-31T07:41:32Z

Created page with "{|border=1 | <center>Visual Cue</center> |<center>Narration</center> |- |'''Slide Number 1''' '''Title Slide''' | Welcome to the '''Spoken Tutorial''' on Feeding expressed 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 Feeding expressed breastmilk to babies

|-
| Image: The caregiver is testing the temperature of the breastmilk on their wrist

Image: Woman is feeding milk from a glass container to the baby.

| In this tutorial we will learn,

* How to make stored breastmilk ready for a baby to drink
* And how to feed expressed breastmilk to a baby

|-
| Image: Collage of benefits of hand expression.

GIF: Hand expression of breastmilk

Image: Breast milk stored in a labelled closed glass container.

| Let us begin

Expressing breastmilk has many benefits for the baby and the caregiver

Expressing breastmilk and storing it safely are explained in other tutorials

|-
| Image: The caregiver is warming the breastmilk in warm water.

Image: The caregiver is checking temperature of breastmilk on their wrist

| Now, let us learn how to make the stored breastmilk ready for the baby to drink

|-
| Image: The caregiver is washing their hands.

Image: The caregiver is showing their dry and clean hands.

| Before handling breastmilk the caregiver must -

* wash their hands with soap and water
* And dry their hands well

|-
| Image: Caregiver is holding old dated milk container and doesn’t touch new container.

| Remember, the oldest stored breastmilk should always be used first

|-
| Image: Frozen breastmilk in freezer

Image: Frozen breastmilk transferred to fridge from the freezer

Image: Milk is defrosting

Image: 24 hours clock

| When using frozen breastmilk,

* Ideally, defrost it by keeping it overnight on the lowest shelf of the fridge
* And use this defrosted milk within the next 24 hours

|-
| Image: Cross mark on 12 hours

Image: Frozen breastmilk is kept in cold water outside the fridge

Image: Frozen breastmilk is kept in lukewarm water and shaken occasionally

| But if the frozen breastmilk is needed quickly, defrost it outside the fridge by -

* First, keeping it in a container of cold water
* And then keeping it in a container of lukewarm water

|-
| Image: Breastmilk container is shaken occasionally

| While defrosting in lukewarm water -

* shake the breastmilk container gently and occasionally

Do not shake it vigorously and continuously

|-
| Image: Drops on the outside of the frozen breastmilk container are wiped with a clean cloth.

Image: Condensation of water on the jar

| Dry the outside of the breastmilk container with a clean cloth before use

|-
| Image: Defrosted breast milk

Image: The caregiver feeding the defrosted milk to baby from a cup

Image: The caregiver is throwing away unused defrosted milk

| Use this defrosted breast milk within 2 hours and throw away any unused milk

|-
| Image: Defrosted breastmilk smells and tastes different than fresh breastmilk.

Image: Baby accepts defrosted breastmilk

|
* Defrosted breastmilk can smell and taste different than fresh breastmilk
* It is fine as long as the baby accepts it

|-
| Image: The caregiver is smelling spoilt milk

|
* The caregiver must always smell the breastmilk before feeding it to the baby
* If the milk smells sour, do not use it

|-
| Image: Stored breastmilk separates with cream rising to the top

Image: The caregiver shakes the milk gently

Image: The cream is mixed in the milk again.

| Please remember -

* When breastmilk is stored, it will separate with the cream rising to the top
* This is normal
* Shake gently to mix the cream back in the milk before use

|-
| Image: The caregiver puts the container filled with breastmilk in a bowl of warm water

| To warm the breastmilk just before feeding it to the baby-

* keep the breastmilk container in a bowl of lukewarm water for 20 to 30 minutes

|-
| Image: The caregiver tests how warm the milk is by dropping a little on her wrist

|
* Test how warm the milk is by dropping a little onto the wrist
* It is right when it feels warm

|-
| Image: The caregiver uses stored breastmilk straight from the fridge to feed the baby

Image: Milk is overheated

Image: The caregiver is scalded by overheated milk

|
* Do not use hot water to warm the breastmilk
* Try to use stored breast milk straight from the fridge
* This will help to avoid the risks of over-heating and burns

|-
| Image: The caregiver is heating breastmilk on a stove

Image: The caregiver is heating breastmilk in a microwave

Image: Heat destroys many infection-fighting factors present in breastmilk.

|
* Do not heat breastmilk by keeping it directly on a stove or in a microwave
* Direct heat destroys many of the infection-fighting factors present in the breastmilk

|-
| Image: The caregiver is feeding expressed breastmilk to baby

| When the breastmilk is ready, offer it to the baby

|-
| Image: Paladai

Image: Small cup

Image: Spoon

Image: Nifty cup

| To do so, the following utensils can be used:

* A Paladai
* A small cup
* A spoon or
* A nifty cup

Out of these, it is preferable to use a spoon or a cup to feed the baby

|-
| Image: The caregiver is washing the cup with soap and water

Image: Cup is air-dried

Image: The caregiver is wiping the cup with a clean unused cloth.

| Firstly, the caregiver must -

* wash the chosen utensil with soap and water
* and then air dry it completely
* Or wipe it dry with a clean unused cloth

|-
| Image: The caregiver is washing their hands with soap and water

Image: The caregiver is showing dry hands

| Then, the caregiver must wash and dry their hands properly

|-
| Image: half-filled cup

Image: two-thirds filled cup

| They should half-fill or two-thirds fill the chosen utensil with breastmilk

|-
| Image: The caregiver is holding the baby in a nearly upright position on her lap

Image: The caregiver’s hand is supporting the baby’s head and neck

|
* Then, they should hold the baby in a nearly upright position on their lap

* Their hand should support the baby’s head and neck

|-
| Image: Paladai

Image: Tip of the paladai is positioned inside the baby’s mouth. It is resting lightly on the baby’s lower lip. Milk is at the rim of the beak of the paladai.

| If they are using a Paladai to feed the baby-

* They should position the tip of the paladai inside the corner of the baby’s mouth
* It should be held lightly between the baby’s lips
* The tip of the paladai should lightly touch the baby’s upper lip
* In this position, the milk should stay at the rim of the beak of the paladai

|-
| GIF: Baby is suckling milk from the paladai

Image: The caregiver slightly tilts the paladai to keep the milk at the rim

| As the baby slurps milk, the caregiver should tilt the paladai slightly to keep the milk at the rim

|-
| Image: Small cup

Image: Cup is resting on the lower lip of the baby.

Image: The caregiver slightly tilts the cup so that the milk reached the top edge of the cup

Image or GIF: Baby is drinking milk from the rim of the cup

| If the caregiver is using a small cup to feed the baby-

* They should hold the cup lightly between the baby’s lips
* The rim of the cup should lightly touch the baby’s upper lip
* They should tilt the cup slightly until the milk reaches the top edge of the cup
* This should let the baby take the milk from the rim of the cup

|-
| Image: Spoon

Image: The caregiver is holding the spoon next to the baby’s lower lip

Image: The caregiver tilts the spoon so that the milk is at the edge of the spoon

GIF: The caregiver is feeding the baby with a spoon in the first few days of birth.

Image: Spoon filled with milk

| If the caregiver is using a spoon to feed the baby-

* They should hold the spoon between the baby’s lips
* The edge of the spoon should lightly touch the baby’s upper lip
* Then they should tilt the spoon slightly until the milk is at the edge of the spoon

|-
| Image: Feeding the baby with a spoon first few days after birth

|
* Feeding with a spoon is good for the first few days after birth
* Because during these days only a small amount of milk is needed

|-
| Image: Nifty cup

Image: The caregiver positions small reservoir of the nifty cup just inside the baby’s mouth

GIF: Baby is suckling milk from the nifty cup

Image: The caregiver slightly tilts the cup up to add milk to the reservoir as it empties.

| If the caregiver is using a nifty cup to feed the baby -

* They should position the small reservoir of the nifty cup just inside the baby’s mouth
* As the baby slurps the milk, they should tilt the cup up slightly
* This will add milk to the reservoir as it empties

|-
| Image: The caregiver is feeding expressed breastmilk to the baby

Image: The caregiver is pouring the milk in baby’s mouth

Image: Baby is choking on milk

Image: The caregiver has kept milk at the rim of the cup throughout the feed

| When feeding expressed breastmilk to the baby-

* Never pour milk into the baby’s mouth
* This may cause the baby to choke
* Instead, keep the milk at the rim and leave it in that position throughout the feed

|-
| Image: Baby is fully awake and alert in the feeding position.

Image: Baby is interested in feeding. She is asking for milk.

|
* Always ensure that the baby is fully awake, alert and interested in feeding

|-
| Image: Baby is wrapped in a cloth while the caregiver feeds her expressed breastmilk

Image: Baby knocks the cup out of the caregiver’s hands while feeding.

|
* If needed, wrap the baby to prevent her from knocking the cup out of the feeder’s hands

|-
| GIF: baby is suckling milk from a cup

|
* Always let the baby slurp milk at her own pace

|-
| Image: 60 to 90 ml milk

Image: Baby is holding her hands up while the caregiver is feeding from a cup

Image: Baby falls asleep while the caregiver is feeding her from a cup

Image: Baby closes her mouth while the caregiver is feeding her from a spoon

| Look for signs which show that the baby has had enough milk

Signs such as -

* Holding her hands up
* Falling asleep or
* Closing her mouth

|-
| Image: The caregiver is applying too much pressure on the lower lip of the baby with the cup.

Image: The caregiver has kept the cup very lightly on the baby’s lower lip.

| Remember-

* Do not apply too much pressure on the lower lip of the baby
* Always let the edge of the utensil touch the baby’s upper lip lightly

|-
| Image: The caregiver has put the paladai too far inside the baby’s mouth

Image: The caregiver has kept the paladai at the right place on baby’s mouth

| Do not put the cup, paladai or spoon too far inside the baby’s mouth

|-
| Image: The caregiver is feeding the baby in a lying down position

| Never feed a baby in a lying down position

|-
| Image: The caregiver is bottle feeding the baby

| Do not use a feeding bottle to feed the expressed breastmilk to the baby

|-
| Image: The caregiver is feeding expressed milk to baby from a cup

Image: The caregiver is washing the used cup with soap and clean water

Image: Feeding cup is air dried

| After feeding the baby -

* Wash the cup, paladai or spoon well with soap and clean water
* And let it air dry completely

|-
| Image: Baby is rejecting expressed breastmilk when uncle is trying to feed her

Image: Baby is feeding properly when grandmother feeds her

|
* Some babies are reluctant to take expressed breastmilk-
** particularly at first from some people

* They may be less reluctant when someone else gives it to them

|-
| Image: Baby is refusing expressed milk when uncle is feeding her

Image: The mother comes back from work

Image: Mother breastfeeds the baby after coming home from work.

GIF: Clock

|
* If expressed milk is refused by the baby, try not to worry
* On the mother’s return from work-
** The baby will make up any missed feeds by breastfeeding more often or for longer

|-
| Image: Safe breastmilk in a container

Image: The caregiver is washing their hands

Image: The caregiver is washing the container

Image: The caregiver is feeding milk to the baby from a cup

GIF: Clock

Image: Breastmilk filled container is stored safely in the fridge

Image: Breastmilk filled container is stored safely in a room.

| Remember,

Keep the breastmilk safe by-

* washing hands, containers and utensils
* feeding milk as soon as needed
* or storing it safely

|-
| Slide Number 2

Acknowledgement

| This brings us to the end of this tutorial

Thank you for joining

|}

@@ Line 28: / Line 28: @@
 | Let us begin
-Expressing breastmilk has many benefits for the baby and the caregiver
+Expressing breastmilk has many benefits for the baby and the Mother
 |-

@@ Line 30: / Line 30: @@
 Expressing breastmilk has many benefits for the baby and the caregiver
-Expressing breastmilk and storing it safely are explained in other tutorials
+|-
 |-
@@ Line 131: / Line 137: @@
 * When breastmilk is stored, it will separate with the cream rising to the top
-* This is normal
+* This is normal. Shake gently to mix the cream back in the milk before use
-* Shake gently to mix the cream back in the milk before use
 |-
@@ Line 248: / Line 253: @@
 Image: The caregiver slightly tilts the paladai to keep the milk at the rim
-| As the baby slurps milk, the caregiver should tilt the paladai slightly to keep the milk at the rim
+| As the baby slurps milk -
 |-

Health-and-Nutrition/C2/Feeding-expressed-breastmilk-to-babies/English - Revision history

Bellatony911 at 15:38, 3 August 2019

Bellatony911 at 13:43, 3 August 2019

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