Health-and-Nutrition/C2/Nipple-conditions/English-timed - Revision history

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PoojaMoolya: Created page with "{|border=1 | '''Time''' | '''Narration''' |- | 00:01 | Welcome to this '''Spoken Tutorial''' on Nipple conditions in lactating mothers. |..."

2018-06-27T09:41:14Z

Created page with "{|border=1 | <center> '''Time'''</center> | <center> '''Narration'''</center> |- | 00:01 | Welcome to this '''Spoken Tutorial''' on Nipple conditions in lactating mothers. |..."

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

|-
| 00:01
| Welcome to this '''Spoken Tutorial''' on Nipple conditions in lactating mothers.

|-
| 00:06
| In this tutorial, we will learn about- Sore or cracked nipples and

|-
| 00:11
| Flat or inverted nipples.

|-
| 00:15
| The first nipple condition is- Sore or cracked nipples

|-
| 00:20
| It is a condition where mother develops cracked and bleeding nipples.

|-
| 00:26
| This causes the nipples to become itchy and dry.

|-
| 00:30
| Now let’s discuss the various causes of sore or cracked nipples which are-

|-
| 00:36
| Nipple feeding,

|-
| 00:38
| Fungal or Bacterial infection,

|-
| 00:41
| Habit of cleaning the nipples after every feed and

|-
| 00:45
| Baby with tongue tie.

|-
| 00:47
| Let us begin with the nipple feeding

|-
| 00:50
|Nipple feeding is the first and foremost cause of sore or cracked nipples.

|-
| 00:56
| During nipple feeding- nipple gets rubbed on to the hard palate of the baby’s mouth.

|-
| 01:03
| Baby pinches this nipple between the hard palate and the tongue.

|-
| 01:08
| This pinching makes the breastfeeding painful and results into sore or cracked nipple.

|-
| 01:17
| Nipple feeding is the result of improper latching.

|-
| 01:20
|Therefore correct latching plays an important role to avoid sore or cracked nipples due to nipple feeding.

|-
| 01:29
|Note that, We have discussed the correct latching technique in another tutorial of the same series.

|-
| 01:37
|Remember, Sore or cracked nipples does hurt during correct latching.

|-
| 01:43
|If the mother continues with the correct latching technique then slowly and gradually it stops hurting.

|-
| 01:51
| Next is fungal or bacterial infection.

|-
| 01:56
| If the mother has fungal or bacterial infection she should consult the doctor.

|-
| 02:03
| Next, Some mothers have a habit of cleaning the nipples before every feed.

|-
| 02:09
| This causes dryness of nipples.

|-
| 02:13
| Thus, this routine should be avoided.

|-
| 02:16
| Remember, Mother can clean the nipples once during bath.

|-
| 02:21
| However, once a cracked nipple has developed mother should clean it after every feed.

|-
| 02:28
| After cleaning, mother should apply her hindmilk on the wound.

|-
| 02:32
| As hind milk contain substances that aids in healing and fighting infection.

|-
| 02:39
| Thus, preventing the organisms from baby's mouth to leak into the crack of the nipple.

|-
| 02:46
| Next is the baby with tongue tie.

|-
| 02:50
| Tongue tie is a condition- in which the tip of the baby’s tongue is attached to the inner bottom part of the mouth.

|-
| 02:58
| It is a very rare condition.

|-
| 03:01
| Nipple feeding is commonly observed in baby with tongue tie.

|-
| 03:06
|In case the baby has tongue tie then- mere correct latching is not enough and surgery is required.

|-
| 03:16
| Thus in such cases, mother should always consult the doctor.

|-
| 03:22
| Now let’s discuss the treatment for sore or cracked nipples

|-
| 03:27
| If a mother has sore or cracked nipples, then, the health worker should- examine the mother’s breast and nipple,

|-
| 03:37
| Tell the mother to express some breastmilk with her hand before breastfeeding.

|-
| 03:42
| It will soften the breast and baby will easily attach.

|-
| 03:47
| Apart from these expressing will reduce the risk of infections, nipple fissure and mastitis.

|-
| 03:55
| Then, guide the mother to attach her baby correctly to her breast.

|-
| 04:01
|Remember, Breastfeeding frequency is one of the factors which determines the breastmilk supply.

|-
| 04:09
| Therefore, mother should not stop breastfeeding.

|-
| 04:13
| During breastfeeding- She should begin to breastfeed on the side that hurts less.

|-
| 04:20
|If breastfeeding is still painful then- she can express the breast milk using her hand and feed it to the baby with a spoon or a cup.

|-
| 04:32
|Also, Apply few drops of hindmilk onto the affected area after each feed, as discussed earlier.

|-
| 04:42
| Remember, not to use the following on sore and cracked nipples and even on healthy nipples-

|-
| 04:49
| Soaps, oils, lotions, balms and perfumes.

|-
| 04:54
| They may contain irritants.

|-
| 04:57
| It will worsen the condition if a mother has sore or cracked nipples.

|-
| 05:03
| In severe conditions, mother should consult the doctor or the health worker.

|-
| 05:09
| For preventing sore or cracked nipples, start breastfeeding immediately after birth.

|-
| 05:15
| Always make sure that baby is latched on deeply while breastfeeding.

|-
| 05:22
| The nipple condition that we will discuss next is- flat or inverted nipples

|-
| 05:28
|Flat nipples are not protruded from the level of the areola.

|-
| 05:33
|Whereas, Inverted nipples are usually pointed in the inward direction.

|-
| 05:38
| It is very important for the mother to understand the fact that- flat or inverted nipple is not a hindrance to breastfeeding.

|-
| 05:48
|Since, during correct latching baby latches on to the areola and not on the nipple.

|-
| 05:56
| Note that, incase of flat or inverted nipples- mother requires help in first week of delivery.

|-
| 06:03
| During this period- health worker should guide the mother about correct latching.

|-
| 06:08
| This will build her confidence.

|-
| 06:11
| Remember, In case a mother has flat or inverted nipples then the best holds for effective attachment are- Cross cradle hold

|-
| 06:22
| Football hold and Semi-reclining position.

|-
| 06:26
| As explained in an earlier tutorial, In any hold, it is of utmost importance that- mother should hold the breast in the correct manner,

|-
| 06:37
| where baby’s lips and mother’s fingers will be in the same direction.

|-
| 06:42
| Note that, incorrect latching will result into sore nipples.

|-
| 06:47
| Remember- Do not use feeding bottles or nipple shields.

|-
| 06:52
| It will make it difficult for a baby to breastfeed from breasts having flat or inverted nipples.

|-
| 07:00
| Mother should provide plenty of skin to skin contact to the baby.

|-
| 07:04
| It helps stimulate oxytocin reflex in the mother and breast milk easily comes out.

|-
| 07:12
| Always remember, correct latching is the key to deal with most of these nipple conditions.

|-
| 07:19
| This brings us to the end of this tutorial on nipple conditions in lactating mothers.

|-
| 07:26
|In this tutorial, we learnt about- Sore or cracked nipples and

|-
| 07:31
| Flat or inverted nipples

|-
| 07:34
| This tutorial has been contributed by Spoken Tutorial Project, IIT Bombay

|-
| 07:40
| '''Spoken Tutorial Project '''is funded by''' NMEICT, MHRD, Government of India.'''

|-
| 07:47
|More information on this mission is available at this link.

|-
| 07:52
| This tutorial is partly funded by a generous contribution from WHEELS Global Foundation.

|-
| 07:59
| This tutorial is part of '''Maa aur Shishu Poshan project'''.

|-
| 08:04
| The domain reviewers for this tutorial are- '''Dr. Rupal Dalal''', MD Pediatrics and '''Dr. Taru Jindal''', MS Obstetrics and Gynaecology.

This is Nutritionist '''Rajani Sawant''' along with animator '''Arthi Anbalagan''' from''' IIT Bombay '''signing off.
Thanks for joining.
|}

@@ Line 12: / Line 12: @@
 |-
-| 00:12
+| 00:11
 | flat or inverted nipples.

@@ Line 4: / Line 4: @@
 |-
-| 00:01
+| 00:00
 | Welcome to this '''Spoken Tutorial''' on '''Nipple conditions in lactating mothers'''.
@@ Line 12: / Line 12: @@
 |-
-| 00:11
+| 00:12
 | flat or inverted nipples.
@@ Line 76: / Line 76: @@
 |-
-| 01:29
+| 01:28
 |Note that we have discussed the correct latching technique in another tutorial of the same series.
 |-
-| 01:37
+| 01:36
-|Remember, sore or cracked nipples do hurt during correct latching.
+|Remember, sore or cracked nipples does hurt during correct latching.
 |-
@@ Line 92: / Line 92: @@
 |-
-| 01:56
+| 01:55
 |  If the mother has fungal or bacterial infection, she should consult the doctor.
 |-
-| 02:03
+| 02:02
 | Next,  some mothers have a habit of cleaning the nipples before every feed.
@@ Line 104: / Line 104: @@
 |-
-| 02:13
+| 02:12
 | Thus, this routine should be avoided.
@@ Line 116: / Line 116: @@
 |-
-| 02:28
+| 02:27
 | After cleaning, mother should apply her hind-milk on the wound
@@ Line 152: / Line 152: @@
 |-
-| 03:22
+| 03:21
 | Now, let’s discuss the treatment for sore or cracked nipples.
@@ Line 160: / Line 160: @@
 |-
-| 03:37
+| 03:36
 | tell the mother to express some breast milk with her hand before breastfeeding.
@@ Line 196: / Line 196: @@
 |-
-| 04:42
+| 04:41
-| Remember, not to use the following on sore and cracked nipples and even on healthy nipples-
+| Remember, not to use the following on sore or cracked nipples and even on healthy nipples-
 |-
@@ Line 232: / Line 232: @@
 |-
-| 05:33
+| 05:32
 |Whereas,  inverted nipples are usually pointed in the inward direction.
@@ Line 244: / Line 244: @@
 |-
-| 05:56
+| 05:55
 |  Note that in case of flat or inverted nipples, mother requires help in first week of delivery.
@@ Line 284: / Line 284: @@
 |-
-| 07:00
+| 06:59
 |  Mother should provide plenty of skin to skin contact to the baby.
@@ Line 296: / Line 296: @@
 |-
-| 07:19
+| 07:20
-| This brings us to the end of this tutorial on nipple conditions in lactating mothers.
+| This brings us to the end of this tutorial.
 |-
 |}

@@ Line 5: / Line 5: @@
 |-
 | 00:01
-| Welcome to this '''Spoken Tutorial''' on '''Nipple conditions''' in lactating mothers.
+| Welcome to this '''Spoken Tutorial''' on '''Nipple conditions in lactating mothers'''.
 |-
@@ Line 37: / Line 37: @@
 |-
 | 00:38
-| '''fungal''' or '''bacterial''' infection,
+| fungal or bacterial infection,
 |-
@@ Line 89: / Line 89: @@
 |-
 | 01:51
-| Next is '''fungal''' or '''bacterial''' infection.
+| Next is fungal or bacterial infection.
 |-
@@ Line 113: / Line 113: @@
 |-
 | 02:21
-| However, once a cracked nipple has developed mother should clean it after every feed.
+| However, once a cracked nipple has developed, mother should clean it after every feed.
 |-
@@ Line 121: / Line 121: @@
 |-
 | 02:32
-| as hind-milk contain substances that aid in healing and fighting infection.
+| as hind-milk contains substances that aid in healing and fighting infection.
 |-
@@ Line 145: / Line 145: @@
 |-
 | 03:06
-|In case the baby has tongue tie then  mere correct latching is not enough and  surgery is required.
+|In case, the baby has tongue tie then  mere correct latching is not enough and  surgery is required.
 |-
 | 03:16
-| Thus in such cases, mother should always consult the doctor.
+| Thus, in such cases, mother should always consult the doctor.
 |-
@@ Line 193: / Line 193: @@
 |-
 | 04:32
-|Also,  apply few drops of hind-milk onto the affected area after each feed, as discussed earlier.
+|Also, apply few drops of hind-milk onto the affected area after each feed as discussed earlier.
 |-
@@ Line 265: / Line 265: @@
 |-
 |  06:26
-| As explained in an earlier tutorial, in any hold, it is of utmost importance that mother should hold the breast in the correct manner,
+| As explained in an earlier tutorial, in any hold, it is of utmost importance that mother should hold the breast in the correct manner
 |-

@@ Line 41: / Line 41: @@
 |-
 | 00:41
-| Habit of cleaning the nipples after every feed and
+| Habit of cleaning the nipples after every feed and,
 |-