Bellatony911 at 07:48, 2 January 2019

2019-01-02T07:48:32Z

Bellatony911 at 06:22, 2 January 2019

2019-01-02T06:22:31Z

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

2018-12-26T09:16:59Z

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

New page

{|border=1

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

|-
|'''Slide Number 1'''
'''Title Slide'''
| Welcome to the '''Spoken Tutorial''' on '''Side-Lying''' hold for breastfeeding.

|-
| Image: 5 common breastfeeding holds-cross cradle, football, cradle, laid back and side lying.

Image: Mother washing her hands.

Image: Side-lying hold.

|In this tutorial we will learn,

* Choosing the correct breastfeeding hold for a mother and her baby
* Mother’s preparation before breastfeeding and
* How to do the '''side-lying''' hold.

|-
|Image: Side-lying 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: Side-lying hold.

Image: Wrong side-lying hold.

Image: Crying baby.

| 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: Deep attachment in side-lying hold.

Image: Bad attachment in side-lying 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: Side-lying hold

| Let us learn about a new hold called '''Side-lying''' hold.

|-
| Image: Mother is breastfeeding in side-lying hold at night time.

| This hold is recommended when -

* The mother is breastfeeding at night

|-
| Image: C-section delivery.

|
* Or when the mother has had a caesarean section delivery

|-
| Image: Tired mother

|
* Or when the mother is tired.

|-
|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.

Image: Cool 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 completely removing cloth covering the breast.

| Next, mother should uncover the breast from which she wants to feed the baby.

|-
| Image: Mother has not removed bra completely.

| She should ensure not to put pressure of her bra or blouse on the breast.

|-
| Image: Mother is lying on her side without the baby

| Next, the mother should lie down comfortably on the side of the breast that she will feed from.

|-
| Image: Pillow under the mother’s head.

| She should keep a pillow under her head.

|-
| Image: Pillow between mother’s legs.

| And a pillow between her legs to avoid rolling over in her sleep.

|-
| Image: Mother lying on her right side.

|
* The mother in this picture, will be feeding her baby from her right breast.
* Therefore, she is lying on her right side.

|-
| Image: Mother lying on her right side with the baby.

| Next, let us learn how to position baby’s body correctly.

|-
| Image: Mother lying on her right side with the baby.

| Place the baby on her side such that her stomach is gently pressed by the mother’s body.

|-
| Image: Mother supporting her baby’s back with her right hand.

| The mother should support her baby's back with the hand on the side that she is lying on.

|-
| Image: Mother supporting her baby’s back with her right hand.

| The mother in this picture is supporting her baby’s back with her right hand.

|-
| Image: Mother has placed a pillow behind baby’s back to keep her close

| The mother can place a pillow behind her baby’s back to hold her close to her body.

|-
| Image: Baby near breast.

| Lesser distance between their bodies will reduce the baby’s effort to reach the breast

|-
| Image: Deep attachment in side-lying hold.

| And it will become easier for the baby to attach deeply to the breast.

|-
| Image: Mother bending her back to bring breast closer to baby’s mouth. Increased distance between the baby’s and mother’s tummy.

| Remember-

* The mother should never bring the breast to the baby by bending her back
* This will increase the distance between the baby’s stomach and mother’s body.

|-
| Image: Side- lying hold

|
* She should always keep her back straight and bring the baby to her breast.

|-
| Image: Side-lying hold.

| 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 body is facing upwards and head is turned sideways while breastfeeding in side-lying hold.

Image: Side lying hold.

|Similarly, baby’s head, neck and body should always be in the same direction while breastfeeding

|-
| GIF: Baby swallowing milk.

| This will make swallowing milk easier for the baby.

|-
| Image: Side-lying hold.

| Now, we come to the third point in positioning the baby’s body.

|-
| Image: Mother is supporting baby’s full body.

| Mother should support the baby’s back with her hand.

|-
| Image: Mother not supporting the entire body, baby is being pulled away.

| 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: Baby is deeply attached in side lying hold.

Image: Strong baby.

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

Image: Bad attachment in side lying.

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: Areola.

| Please note-

* Areola is the dark area around the nipple.

|-
| Image: Side lying hold.

| Now that the baby is held correctly,

|-
| Image: Mother holding her breast with her left hand in a C shape hold from the side.

Image: C shape hold.

| let us learn how to hold the breast.

* Using the fingers of the hand that is free,
** the mother should cup her breast from the side in a C shape hold.
* The mother in this picture will use her left hand to hold her right breast.

|-
| Image: Baby’s lips and C shape hold are both horizontal.

| The 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 are 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 C shape are both horizontal.

Image: Deep attachment in side lying hold

|
* Similarly, observe the direction of baby’s lips.
* The lips are horizontal here.
* Therefore, mother’s fingers and thumb should also be placed horizontally 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 C shape at a distance of 3 fingers from the nipple.

Image: Deep attachment in side lying 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 C 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 C shape at a distance of 1 finger from the nipple.

Image: Poor attachment in side lying hold.

|
*
** mother’s fingers do not block the baby from taking the lower '''areola''' in her mouth

|-
| Image: Mother is pressing only the nipple in C shape 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 side lying hold.

Image: Mother’s fingers holding the breast in a C shape hold at a distance of 3 fingers from the nipple.

Image: Good attachment in side lying hold.

|
*
** And the breast is shaped correctly to help the baby attach deeply.

|-
| 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 C shape hold from the side.

Image: Deep attachment in side lying hold.

|
* Similarly, the mother should lightly press her breast in a C shape hold from the side.

* This will help the baby to take a big part of the breast in her mouth.

|-
| Image: Compression of breast in a scissor shape hold from the side.

|
* But remember,
** Mother should not press her breast in a scissor shape hold.
** Scissor shape compression will pinch the breast and cause nipple feeding.

|-
| Image: Equal compression of breast.

Image: Unequal compression of breast upwards.

Image: Unequal compression of breast downwards.

|
* Also make sure that
** there is equal compression of the breast with the thumb and the fingers.

* Otherwise, the nipple will shift either in the upward or downward direction.
* And the baby will not be able to attach deeply to the breast.

|-
| Image: Side-lying hold.

|
* Now, the baby is in the side lying hold and ready to attach to the breast for breastfeeding.

|-
| Image: Deeply attached baby in Side-Lying hold.

Image: Bad attachment in Side-Lying hold.

|
* Correct attachment of the baby to the breast is explained in another video in the same series.

|-
| Image: Mother’s both hands are supporting the baby’s back

| As soon as the baby is attached deeply to the breast-

* Mother should release the breast from her hand.
* She should use this hand to hold the baby’s back and keep the baby close to her body.

|-
| Image: Mother’s hand is at 90 degrees to her body

Image: Mother’s left hand’s elbow is bent and tucked under the pillow.

|
* Also, she should move her other arm from the baby’s back and keep it at 90 degrees to her body.
* She should bend the elbow of that arm.
* Then she should tuck that hand under the pillow.

|-
| Image: Mother’s both hands are supporting the baby’s back

|
* The mother in this picture has released her right breast from her left hand.
* She is using her left hand to hold the baby’s back and keep the baby close to her body.

|-
| Image: Mother’s hand is at 90 degrees to her body

Image: Mother’s left hand is holding the baby’s back.

|
* She has removed her right hand from the baby’s back.
* She has kept it at 90 degrees to her body.
* Her right elbow is bent
* Her right hand is tucked under the pillow.

|-
| Image: Mother has turned to her left side and is ready to feed the baby from her left breast.

| After feeding from the first breast-

If the mother wants to feed from her other breast then she will have to lie down on the other side.

|-
| Image: Mother feeding in side lying hold from her left breast.
| The mother in this picture has turned to her left side to feed from her left breast.

|-
| Image: Mother in side lying hold with her right hand tucked under the pillow and left hand supporting the baby’s back.

| This brings us to the end of this tutorial.

|-
|'''Slide Number 2'''
'''Acknowledgement'''

| Thank you for joining.

|}

@@ Line 359: / Line 359: @@
+|
+*
-** mother’s fingers do not block the baby from taking the lower '''areola''' in her mouth
+** Mother’s fingers do not block the baby from taking the lower '''areola''' in her mouth
 |-

@@ Line 42: / Line 42: @@
 * 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 58: / Line 58: @@
+|
-** And get sufficient milk.
+* And gets sufficient milk.
 |-

Health-and-Nutrition/C2/Side-lying-hold-for-breastfeeding/English - Revision history

Bellatony911 at 07:48, 2 January 2019

Bellatony911 at 06:22, 2 January 2019

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