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		<id>https://script.spoken-tutorial.org/index.php?title=Health-and-Nutrition/C2/Preparation-for-breastfeeding-after-C-section/English&amp;diff=54946&amp;oldid=prev</id>
		<title>Bellatony911: Created page with &quot;   {|border=1 | &lt;center&gt;Visual Cue&lt;/center&gt; | &lt;center&gt;Narration&lt;/center&gt;  |- |'''Slide Number 1'''  '''Title Slide'''  | Welcome to the '''Spoken Tutorial''' on preparation fo...&quot;</title>
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				<updated>2021-03-25T15:57:28Z</updated>
		
		<summary type="html">&lt;p&gt;Created page with &amp;quot;   {|border=1 | &amp;lt;center&amp;gt;Visual Cue&amp;lt;/center&amp;gt; | &amp;lt;center&amp;gt;Narration&amp;lt;/center&amp;gt;  |- |&amp;#039;&amp;#039;&amp;#039;Slide Number 1&amp;#039;&amp;#039;&amp;#039;  &amp;#039;&amp;#039;&amp;#039;Title Slide&amp;#039;&amp;#039;&amp;#039;  | Welcome to the &amp;#039;&amp;#039;&amp;#039;Spoken Tutorial&amp;#039;&amp;#039;&amp;#039; on preparation fo...&amp;quot;&lt;/p&gt;
&lt;p&gt;&lt;b&gt;New page&lt;/b&gt;&lt;/p&gt;&lt;div&gt;&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
{|border=1&lt;br /&gt;
| &amp;lt;center&amp;gt;Visual Cue&amp;lt;/center&amp;gt;&lt;br /&gt;
| &amp;lt;center&amp;gt;Narration&amp;lt;/center&amp;gt;&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
|'''Slide Number 1'''&lt;br /&gt;
&lt;br /&gt;
'''Title Slide'''&lt;br /&gt;
&lt;br /&gt;
| Welcome to the '''Spoken Tutorial''' on preparation for breastfeeding after C-section.&lt;br /&gt;
|-&lt;br /&gt;
| Image: Collage of benefits of STS in the OR&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Collage of preparation for STS contact&lt;br /&gt;
| In this tutorial, we will learn about:&lt;br /&gt;
&lt;br /&gt;
* Benefits of skin-to-skin contact in the operating room and&lt;br /&gt;
* Preparation for skin-to-skin contact after C-section.&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| Image: Operating Room&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Skin-to-skin contact&lt;br /&gt;
&lt;br /&gt;
| In this tutorial, the Operating Room will be called '''OR'''.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Skin-To-Skin contact will be called STS.&lt;br /&gt;
|-&lt;br /&gt;
| Image: skin-to-skin contact&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
| Let us begin.&lt;br /&gt;
|-&lt;br /&gt;
| Image: STS in the OR&lt;br /&gt;
&lt;br /&gt;
Image: Benefits of STS during the surgery and the immediate postoperative period.&lt;br /&gt;
&lt;br /&gt;
Image: Short and long term health outcomes of a mother and baby&lt;br /&gt;
&lt;br /&gt;
Image: STS in OR = Easy breastfeeding after delivery&lt;br /&gt;
| Early STS in the operating room is important for the mother and the newborn.&lt;br /&gt;
&lt;br /&gt;
It could benefit them during the surgery and the immediate postoperative period.&lt;br /&gt;
&lt;br /&gt;
It strongly affects their long-term and short-term health.&lt;br /&gt;
&lt;br /&gt;
It makes breastfeeding easier.&lt;br /&gt;
|-&lt;br /&gt;
| Image: During STS, mother is highly focused on the new baby.&lt;br /&gt;
&lt;br /&gt;
Image: The focus on the baby diminishes mother’s perception of pain.&lt;br /&gt;
&lt;br /&gt;
Image: When mother feels less pain, her anxiety level decreases.&lt;br /&gt;
&lt;br /&gt;
Image: Increased stability of heart rates of the mother and baby.&lt;br /&gt;
&lt;br /&gt;
Image: Increased stability of blood pressures of baby and the mother.&lt;br /&gt;
&lt;br /&gt;
| During skin-to-skin contact, mothers are highly focused on their newborn baby.&lt;br /&gt;
&lt;br /&gt;
This focus on the baby helps them feel less pain.&lt;br /&gt;
&lt;br /&gt;
When they feel less pain, their anxiety level decreases.&lt;br /&gt;
&lt;br /&gt;
This helps in maintaining normal heart rates of the mother and the baby.&lt;br /&gt;
&lt;br /&gt;
This also helps in maintaining normal blood pressures of both.&lt;br /&gt;
|-&lt;br /&gt;
| Image: During STS contact, mothers and babies keep each other warm.&lt;br /&gt;
&lt;br /&gt;
Image: Body temperature.&lt;br /&gt;
&lt;br /&gt;
| During skin-to-skin contact, mothers and babies keep each other warm.&lt;br /&gt;
&lt;br /&gt;
This helps in maintaining their normal body temperature.&lt;br /&gt;
|-&lt;br /&gt;
| Image: STS contact in the OR is done immediately after delivery.&lt;br /&gt;
&lt;br /&gt;
Image: Hospital staff is comfortable with the process of STS.&lt;br /&gt;
&lt;br /&gt;
Image: Collage of adequate and appropriate preparation for STS.&lt;br /&gt;
&lt;br /&gt;
Image: Preparation done before the delivery.&lt;br /&gt;
&lt;br /&gt;
Image: Preparation done during the delivery&lt;br /&gt;
&lt;br /&gt;
| So, '''STS''' should be done in the operating room immediately after delivery.&lt;br /&gt;
&lt;br /&gt;
It is essential that the hospital staff is comfortable with the process.&lt;br /&gt;
&lt;br /&gt;
For this, adequate and appropriate preparation is necessary.&lt;br /&gt;
&lt;br /&gt;
Such preparation must be done both before and during the cesarean delivery.&lt;br /&gt;
|-&lt;br /&gt;
| Image: Collage of all the people responsible for newborn care.&lt;br /&gt;
&lt;br /&gt;
Image: Mother&lt;br /&gt;
&lt;br /&gt;
Image: Mother’s immediate relatives&lt;br /&gt;
&lt;br /&gt;
Image: Attendant nurses&lt;br /&gt;
&lt;br /&gt;
Image: Doctors&lt;br /&gt;
&lt;br /&gt;
Image: OR staff&lt;br /&gt;
&lt;br /&gt;
| It involves all those responsible for newborn care.&lt;br /&gt;
&lt;br /&gt;
They include the mother and her immediate relatives.&lt;br /&gt;
&lt;br /&gt;
They also include the doctors, nurses and the operating room staff.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| Image: Educating all the people about the reason for introducing STS in the OR&lt;br /&gt;
&lt;br /&gt;
Image: Collage of benefits of STS for mother and a stable baby.&lt;br /&gt;
| Educate these people about the reason for introducing '''STS''' in the operating room.&lt;br /&gt;
&lt;br /&gt;
Explain to them as to how the mother and newborn baby will benefit.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
|-&lt;br /&gt;
| Image: Hospital staff is anxious about beginning skin-to-skin contact in the OR.&lt;br /&gt;
&lt;br /&gt;
Image: To reduce their anxiety, they are assured of the safety of mothers and babies.&lt;br /&gt;
| They may be anxious about beginning skin-to-skin contact in the operating room.&lt;br /&gt;
&lt;br /&gt;
To reduce their worry, assure them of the safety of mothers and babies.&lt;br /&gt;
|-&lt;br /&gt;
| Image: Safety and well-being of mothers and babies is always the 1st priority.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Concerns arising in the OR are calmly and clearly dealt with by the staff.&lt;br /&gt;
| Safety and well-being of mothers and babies will always be the first priority.&lt;br /&gt;
&lt;br /&gt;
Concerns arising in the operating room are to be calmly and clearly dealt with.&lt;br /&gt;
|-&lt;br /&gt;
| Image: Doctors sense a medical emergency related to the mother during the surgery.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: STS in the OR is abandoned.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Newborn is taken up for requisite care in an appropriate setting.&lt;br /&gt;
| During the surgery, doctors may sense a medical emergency related to the mother.&lt;br /&gt;
&lt;br /&gt;
In such cases, skin-to-skin contact in the operating room may not be completed.&lt;br /&gt;
&lt;br /&gt;
The newborn will be taken up for requisite care in an appropriate setting.&lt;br /&gt;
|-&lt;br /&gt;
| Image: Before the delivery, a nurse is assigned to help in the OR.&lt;br /&gt;
| Before the delivery, a nurse should be assigned to help in the operating room.&lt;br /&gt;
|-&lt;br /&gt;
| Image: The nurse introduces herself to the mother.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Nurse confirms that the mother wants skin-to-skin contact in the OR.&lt;br /&gt;
| She should introduce herself to the mother.&lt;br /&gt;
&lt;br /&gt;
She must confirm that the mother wants STS in the operating room.&lt;br /&gt;
|-&lt;br /&gt;
| Image: Collage of steps to be followed in the OR before the delivery.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Mother’s arms are tied to arm boards in the OR.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Left hand is tied to the arm board with the IV line&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Right hand is tied to the arm board with the BP cuff&lt;br /&gt;
| Next, let’s discuss the steps to be followed in the '''OR''', before the delivery.&lt;br /&gt;
&lt;br /&gt;
In the operating room, the mother’s arms may be tied to the arm boards.&lt;br /&gt;
&lt;br /&gt;
The arm board with the '''IV''' line is preferred to be tied to the left arm.&lt;br /&gt;
&lt;br /&gt;
The other board with the blood pressure cuff is tied to the right arm.&lt;br /&gt;
|-&lt;br /&gt;
| Image: Assigned nurse&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Nurse asks the doctor if the right arm can be released for STS.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Nurse tells the mother that her right arm will be used to hold the baby for STS.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Nurse tells the mother that her right arm will also be straightened every few minutes to measure her BP.&lt;br /&gt;
| In such cases, the assigned nurse can be helpful.&lt;br /&gt;
&lt;br /&gt;
She should ask the doctor if the right arm can be released for '''STS'''.&lt;br /&gt;
&lt;br /&gt;
She should tell the mother that this arm would be used to hold the baby for '''STS'''.&lt;br /&gt;
&lt;br /&gt;
This arm will be straightened every few minutes to measure her blood pressure.&lt;br /&gt;
|-&lt;br /&gt;
| Image: The nurse keeps the operating room at 25 degree celsius.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: 25 degree celsius is the temperature suitable for baby’s arrival&lt;br /&gt;
| She must maintain the room temperature at 25 degree celsius.&lt;br /&gt;
&lt;br /&gt;
This temperature is suitable for the baby’s arrival.&lt;br /&gt;
|-&lt;br /&gt;
| Image: The nurse checks that the mother is not wearing a bra&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: The nurse checks that the mother’s gown is unbuttoned.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Unbuttoning the gown helps in lowering it easily to uncover the mother’s chest when placing the baby.&lt;br /&gt;
| The nurse must ensure that the mother is not wearing a bra.&lt;br /&gt;
&lt;br /&gt;
Mother’s gown should be unbuttoned.&lt;br /&gt;
&lt;br /&gt;
This will help lower it easily to uncover her chest when placing the baby.&lt;br /&gt;
|-&lt;br /&gt;
| Image: The nurse takes note of intravenous lines and poles&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Nurses notes help her in avoiding the IV lines and poles while placing the baby on the mother’s chest.&lt;br /&gt;
| The nurse must notice the position of intravenous lines.&lt;br /&gt;
&lt;br /&gt;
This will help her avoid them when placing the baby.&lt;br /&gt;
|-&lt;br /&gt;
| Image: Nurse keeps a diaper, warmed towels and blankets ready.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Drying the baby&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Covering the baby&lt;br /&gt;
| Lastly, she must keep a diaper or nappy, warmed towels and blankets ready.&lt;br /&gt;
&lt;br /&gt;
They will be used to dry and cover the baby.&lt;br /&gt;
|-&lt;br /&gt;
| Image: Collage of preparation steps for STS&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: Collage of steps from procedure of STS in the OR tutorial&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
Image: ST website&lt;br /&gt;
| The preparation for skin-to-skin contact in the operating room is now complete.&lt;br /&gt;
&lt;br /&gt;
How to start '''STS''' in the operating room is discussed in another tutorial.&lt;br /&gt;
&lt;br /&gt;
Please visit our website for more details.&lt;br /&gt;
|-&lt;br /&gt;
| Slide Number 2&lt;br /&gt;
&lt;br /&gt;
Acknowledgement&lt;br /&gt;
| This brings us to the end of this tutorial.&lt;br /&gt;
&lt;br /&gt;
Thank you for joining.&lt;br /&gt;
|-&lt;br /&gt;
|}&lt;/div&gt;</summary>
		<author><name>Bellatony911</name></author>	</entry>

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