Health-and-Nutrition/C2/Kangaroo-Mother-Care/English-timed - Revision history

Debosmita at 09:10, 4 July 2020

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Debosmita at 06:45, 6 March 2020

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PoojaMoolya at 11:47, 3 October 2019

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Rajani st at 10:24, 18 March 2019

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Rajani st at 11:43, 15 February 2019

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Rajani st at 05:52, 15 February 2019

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Rajani st: Created page with " {|border=1 | '''Time''' | '''Narration''' |- | 00:00 | Welcome to the Spoken Tutorial on '''Kangaroo mother care'''. |- | 00:0..."

2019-02-14T11:57:38Z

Created page with " {|border=1 | <center> '''Time''' </center> | <center> '''Narration''' </center> |- | 00:00 | Welcome to the Spoken Tutorial on '''Kangaroo mother care'''. |- | 00:0..."

New page

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

|-
| 00:00
| Welcome to the Spoken Tutorial on '''Kangaroo mother care'''.

|-
| 00:05
| In this tutorial, we will learn -

|-
| 0:08
| What is '''Kangaroo mother care'''?

|-
| 0:10
| The components, importance and

|-
| 0:13
| Procedure of '''Kangaroo mother care'''

|-
| 0:17
| Let us first begin with the introduction of '''Kangaroo mother care'''?

|-
| 0:22
| As the name suggests -

|-
| 0:24
| it involves, keeping the baby in skin to skin contact with the mother.

|-
| 0:29
| and it is popularly known as '''KMC'''.

|-
| 0:32
| Remember, '''KMC''' should be given as soon as the baby is born.

|-
| 0:39
| It is especially recommended for low birth weight babies-

|-
| 0:44
| whose birth weight is less than 2.5 kilograms and

|-
| 0:48
| who do not require continuous monitoring

|-
| 0:52
| However, it can be used for all normal, healthy full-term babies too.

|-
| 0:59
| '''KMC''' consists of two main components:

|-
| 1:03
| Continuous and prolonged skin to skin contact between the mother and her baby.

|-
| 1:09
| and Exclusive breastfeeding

|-
| 1:13
| Let’s discuss these components in detail.

|-
| 1:17
| The first component is skin to skin contact.

|-
| 1:21
| it improves the Let down reflex

|-
| 1:24
| and ultimately increases the breast milk production.

|-
| 1:28
| Let down reflex has been explained in another tutorial of the same series.

|-
| 1:34
| The second component is exclusive breastfeeding.

|-
| 1:38
| Note that-

|-
| 1:40
| Exclusive breastfeeding is recommended for the first 6 months.

|-
| 1:45
| Next, let’s discuss the importance of '''Kangaroo care'''.

|-
| 1:50
| Prolonged skin to skin contact during '''KMC''' helps maintain the baby's body temperature

|-
| 1:57
| and the baby feels more secure.

|-
| 2:01
| '''KMC''' also decreases -

|-
| 2:03
| the frequency of infection and

|-
| 2:05
| the rate of apnea in babies.

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| 2:09
| Apnea is defined as long pauses in breathing.

|-
| 2:13
| Apart from these-

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| 2:15
| '''KMC''' improves the frequency and duration of breastfeeding.

|-
| 2:20
| And it strengthens the emotional bonding between the mother and her baby.

|-
| 2:26
| '''KMC''' also helps the baby-

|-
| 2:28
| to gain weight than any other conventional methods such as-

|-
| 2:33
| keeping the baby in radiant warmer.

|-
| 2:36
| which creates stress for the baby and the mother.

|-
| 2:40
| It also improves the satisfaction and confidence in the mother-

|-
| 2:45
| as she takes extra effort for her baby.

|-
| 2:49
| Interestingly, apart from mothers, '''KMC''' can be provided by-

|-
| 2:54
| Father or

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| 2:49
| Any adult family member too.

|-
| 2:58
| We will now discuss the points to be followed by '''KMC''' provider:

|-
| 3:04
| The '''KMC''' provider should be healthy and free from illness.

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| 3:09
| He or she should follow basic hygiene practices such as-

|-
| 3:14
| hand washing,

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| 3:16
| daily bath,

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| 3:17
| clipped fingernails,

|-
| 3:18
| tied up hair

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| 3:20
| and clean clothes.

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| 3:22
| He or she should not wear any jewellery, watches and threads -

|-
| 3:26
| as these may become the barriers to maintain the hygiene.

|-
| 3:31
| and it can cause injury to the baby.

|-
| 3:35
| Now, let us discuss the type of clothes the provider should wear during '''KMC''' -

|-
| 3:42
| clothes should be front open and lightweight.

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| 3:46
| for example, sari-blouse or front open gown.

|-
| 3:51
| Note that,

|-
| 3:52
| The '''KMC''' provider should wear this front open gown or blouse around '''KMC''' wrap.

|-
| 3:58
| '''Kangaroo''' bags or binders can be bought from the market as well.

|-
| 4:04
| These are useful if '''KMC''' has to be done for an extended period.

|-
| 4:09
| Alternately, the '''KMC''' provider can use soft clean cotton fabric.

|-
| 4:16
| Whereas, the baby during '''KMC''' should -

|-
| 4:19
| wear a cap and a nappy.

|-
| 4:22
| if the baby passes stool or urine during '''KMC''' then -

|-
| 4:27
| she should be cleaned and dried thoroughly.

|-
| 4:30
| Next, we will move ahead to the procedure of '''Kangaroo care''' in detail.

|-
| 4:36
| Firstly, the mother should stand in an upright position.

|-
| 4:40
| Then, either a health worker or any family member should do the following things, step-wise-

|-
| 4:48
| By supporting the baby’s bottom and head-

|-
| 4:51
| place the baby between the mother’s bare breasts in an upright position.

|-
| 4:56
| then, turn the baby’s head to one side.

|-
| 5:00
| Make sure,
the baby’s head is slightly bending backward.

|-
| 5:04
| This position will -
keep the baby’s nose airways open

|-
| 5:08
| and will allow the baby to make eye to eye contact with the mother.

|-
| 5:14
| Then bend the baby’s hips slightly outward.

|-
| 5:18
| Remember -
to keep baby’s arms above the mother’s breast and

|-
| 5:23
| legs below the mother’s breast and

|-
| 5:27
| the baby’s abdomen on the chest of the mother.

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| 5:29
| Before wrapping with the cloth-

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| 5:32
| Cover the baby with a blanket if environment is cold.

|-
| 5:36
| It will keep the baby and the mother warm.

|-
| 5:39
|
Then,
Wrap a cloth around the baby and mother’s chest and abdomen.

|-
| 5:45
| While wrapping make sure -

|-
| 5:47
| The center of the cloth is on the baby.

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| 5:50
| And both ends of the cloth should -

|-
| 5:53
| pass through the armpits of the mother

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| 5:56
| and should cross at the back.

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| 5:59
| After that bring the edges of the cloth in the front.

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| 6:03
| Secure these edges of the cloth with a safe knot under the baby’s bottom.

|-
| 6:09
| This is comfortable and helps support the baby.

|-
| 6:14
| Also it avoids slipping of the baby.

|-
| 6:17
| Remember-

|-
| 6:18
| as the mother becomes comfortable, she should learn to wrap the cloth by herself.

|-
| 6:24
| The technique of -
Self-wrapping during '''KMC''' will be explained in another tutorial of the same series.

|-
| 6:32
| It will increase the mother’s confidence and make her independent.

|-
| 6:37
| If mother is uncomfortable while using a cloth then she can use a stretchy band.

|-
| 6:43
| It is easy and comfortable to use.

|-
| 6:46
| While using a stretchy band-

|-
| 6:49
| adjust the edge of the band above the baby’s ear to support his head.

|-
| 6:54
| Then, tilt the baby’s head slightly-

|-
| 6:57
| to breathe freely and

|-
| 6:59
| to make eye to eye contact with the mother as explained earlier.

|-
| 7:04
| The wrapped cloth or stretchy band should not be too tight or too loose.

|-
| 7:11
| it should be comfortable enough for the baby to breathe freely.

|-
| 7:15
| Remember, while carrying a baby in '''KMC''' position, mother should be able to-

|-
| 7:20
| walk,

|-
| 7:21
| stand,

|-
| 7:22
| sit or

|-
| 7:23
| involve in different activities.

|-
| 7:26
| If a mother is very comfortable then-

|-
| 7:29
| she can even sleep during '''Kangaroo care''' in a reclined or a semi-reclined position.

|-
| 7:35
| Now let’s discuss how to feed the baby during '''KMC'''-

|-
| 7:40
| Either mother can feed the baby-

|-
| 7:43
| by simply loosening the wrapped cloth and

|-
| 7:46
| positioning the baby for breastfeeding.

|-
| 7:50
| Or she can manually express breast milk and

|-
| 7:54
| feed the baby using a cup or spoon.

|-
| 7:57
| Remember,
Each day baby should gain up to 25 to 30 grams of weight.

|-
| 8:03
| Expected weight gain of a baby in a month is up to 900 to 1,000 grams.

|-
| 8:10
| Hence, mother or health worker should -

|-
| 8:13
| monitor the weight of the baby during routine check-ups.

|-
| 8:17
| If the baby fails to gain sufficient weight-

|-
| 8:21
| health worker should monitor the breastfeeding technique of the mother or

|-
| 8:25
| check how many times the baby urinates

|-
| 8:28
| also, guide the mother about the correct latching.

|-
| 8:32
| Correct latching has been explained in an another tutorial of the same series.

|-
| 8:39
| Next,
Let’s learn how to remove the baby from the wrapped cloth -

|-
| 8:44
| firstly, the mother should sit in the upright position.

|-
| 8:48
| then, start untying the knot with one hand and

|-
| 8:53
| support the baby’s bottom with other hand on the outside of wrapped cloth.

|-
| 8:58
| After that-
loosen the wrapped cloth with the same hand which was earlier used for untying the knot.

|-
| 9:04
|
Then-
shift the hand under the cloth which was supporting the baby’s bottom and

|-
| 9:11
| use the other hand to support the baby’s bottom from outside the cloth.

|-
| 9:16
| Then, lift the baby up and free her from the wrapped cloth.

|-
| 9:21
| After that, remember to hold the baby’s head in a way-

|-
| 9:26
| where the thumb is behind one ear and

|-
| 9:28
| other fingers are around the other ear.

|-
| 9:30
| During '''KMC'''-

|-
| 9:32
| the mother should immediately consult the doctor and the health worker -

|-
| 9:37
| if the baby is not alert and active.

|-
| 9:41
| if the baby is breathing too fast or taking too long pauses.

|-
| 9:46
| if the baby’s lips or tongue turns blue

|-
| 9:50
| and if baby’s feet are cold
|-
| 9:53
| This brings us to the end of this tutorial on '''Kangaroo mother care'''.

|-
| 9:58
| Thanks for joining.
|}

@@ Line 566: / Line 566: @@
 |-
-|09:53
+|09:54
 |This brings us to the end of this tutorial

@@ Line 1: / Line 1: @@
-−
 {|border=1
 |<center>Time</center>
 |<center>Narration</center>
 |-

@@ Line 112: / Line 112: @@
 |-
 |01:50
-|Prolonged skin to skin contact during '''KMC''' helps maintain the baby's body 			temperature
+|Prolonged skin to skin contact during '''KMC''' helps maintain the baby's body temperature
 |-
@@ Line 201: / Line 201: @@
 |03:16
 |daily bath,
 clipped fingernails,
-|-
-|03:17
-|clipped fingernails,
 |-
@@ Line 241: / Line 238: @@
 |03:51
 |Note that,
 The '''KMC''' provider should wear this front open gown or blouse around '''KMC''' wrap.
-|-
-|03:52
-|The '''KMC''' provider should wear this front open gown or blouse around '''KMC''' wrap.
 |-
@@ Line 385: / Line 379: @@
 |06:17
 |Remember-
 as the mother becomes comfortable, she should learn to wrap the cloth by herself.
-|-
-|06:18
-|as the mother becomes comfortable, she should learn to wrap the cloth by herself.
 |-
@@ Line 442: / Line 433: @@
 |07:20
 |walk,
 stand,
-|-
+sit or
-|07:21
-|stand,
-−
-|-
-|07:22
-|sit or
 |-

@@ Line 15: / Line 15: @@
 |-
-|0:08
+|00:08
 |What is '''Kangaroo mother care'''?

@@ Line 299: / Line 299: @@
 |-
 | 5:00
-| Make sure,
+|Make sure,
-  the baby’s head is slightly bending backward.
+the baby’s head is slightly bending backward.
 |-
 | 5:04
 | This position will -
-  keep the baby’s nose airways open
+keep the baby’s nose airways open
 |-
@@ Line 318: / Line 318: @@
 | 5:18
 | Remember -
-  to keep baby’s arms above the mother’s breast and
+to keep baby’s arms above the mother’s breast and
 |-
@@ Line 377: / Line 377: @@
 | 6:09
 | This is comfortable and helps support the baby.
-−
-−
 |-
 | 6:14
@@ Line 390: / Line 389: @@
 | 6:18
 | as the mother becomes comfortable, she should learn to wrap the cloth by herself.
 |-
 | 6:24
 | The technique of -
 Self-wrapping during '''KMC''' will be explained in another tutorial of the same series.
 |-
 | 6:32
@@ Line 460: / Line 457: @@
 | If a mother is very comfortable then-
 |-
 | 7:29
@@ Line 473: / Line 469: @@
 | Either mother can feed the baby-
 |-
 | 7:43
 | by simply loosening the wrapped cloth and
 |-
 | 7:46
@@ Line 494: / Line 488: @@
 | 7:57
 | Remember,
-  Each day baby should gain up to 25 to 30 grams of weight.
+Each day baby should gain up to 25 to 30 grams of weight.
 |-
@@ Line 504: / Line 498: @@
 | Hence, mother or health worker should -
 |-
 | 8:13
@@ Line 513: / Line 506: @@
 | If the baby fails to gain sufficient weight-
 |-
 | 8:21
@@ Line 533: / Line 525: @@
 | 8:39
 |  Next,
-   Let’s learn how to remove the baby from the wrapped cloth -
+Let’s learn how to remove the baby from the wrapped cloth -
 |-
 | 8:44
 | firstly, the mother should sit in the upright position.
-−
-−
 |-
 | 8:48
@@ Line 551: / Line 542: @@
 | 8:58
 | After that-
-  loosen the wrapped cloth with the same hand which was earlier used for untying the knot.
+loosen the wrapped cloth with the same hand which was earlier used for untying the knot.
-−
 |-