Difference between revisions of "Health-and-Nutrition/C2/Feeding-expressed-breastmilk-to-babies/English-timed"

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| Welcome to the '''Spoken Tutorial''' on '''Feeding expressed breastmilk to babies'''.  
 
| Welcome to the '''Spoken Tutorial''' on '''Feeding expressed breastmilk to babies'''.  
  
 
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| In this tutorial, we will learn:  
 
| In this tutorial, we will learn:  
  
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|  and how to feed expressed breastmilk to a baby.  
 
|  and how to feed expressed breastmilk to a baby.  
  
 
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| Let us begin.  
 
| Let us begin.  
  
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| While defrosting in lukewarm water -  shake the breastmilk container gently and occasionally.  
 
| While defrosting in lukewarm water -  shake the breastmilk container gently and occasionally.  
  
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| Use this defrosted breast milk within 2 hours and throw away any unused milk.  
 
| Use this defrosted breast milk within 2 hours and throw away any unused milk.  
  
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| If the milk smells sour, do not use it.  
 
| If the milk smells sour, do not use it.  
  
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|  This is normal. Shake gently to mix the cream back in the milk before use.  
 
|  This is normal. Shake gently to mix the cream back in the milk before use.  
  
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|  Do not heat breastmilk by keeping it directly on a stove or in a microwave.  
 
|  Do not heat breastmilk by keeping it directly on a stove or in a microwave.  
  
 
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|  Direct heat destroys many of the infection-fighting factors present in the breastmilk.  
 
|  Direct heat destroys many of the infection-fighting factors present in the breastmilk.  
  
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| To do so, the following utensils can be used:  
 
| To do so, the following utensils can be used:  
  
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a Paladai , a small cup, a spoon or a nifty cup.  
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a Paladai , a small cup, a spoon or a nifty cup.  
  
 
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| Then, they should hold the baby in a nearly upright position on their lap.  
 
| Then, they should hold the baby in a nearly upright position on their lap.  
  
 
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|  Their hand should support the baby’s head and neck.  
 
|  Their hand should support the baby’s head and neck.  
  
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|  The tip of the paladai should lightly touch the baby’s upper lip  
 
|  The tip of the paladai should lightly touch the baby’s upper lip  
  
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|  The rim of the cup should lightly touch the baby’s upper lip.  
 
|  The rim of the cup should lightly touch the baby’s upper lip.  
  
 
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|  They should tilt the cup slightly until the milk reaches the top edge of the cup.  
 
|  They should tilt the cup slightly until the milk reaches the top edge of the cup.  
  
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| If the caregiver is using a spoon to feed the baby-  They should hold the spoon between the baby’s lips.  
 
| If the caregiver is using a spoon to feed the baby-  They should hold the spoon between the baby’s lips.  
 
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| If the caregiver is using a nifty cup to feed the baby -  
 
| If the caregiver is using a nifty cup to feed the baby -  
  
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| As the baby slurps the milk, they should tilt the cup up slightly.  
 
| As the baby slurps the milk, they should tilt the cup up slightly.  
  
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| When feeding expressed breastmilk to the baby,  never pour milk into the baby’s mouth.  
 
| When feeding expressed breastmilk to the baby,  never pour milk into the baby’s mouth.  
  
 
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|  This may cause the baby to choke.  
 
|  This may cause the baby to choke.  
  
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|  Always let the edge of the utensil touch the baby’s upper lip lightly.  
 
|  Always let the edge of the utensil touch the baby’s upper lip lightly.  
  
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| This brings us to the end of this tutorial.  
 
| This brings us to the end of this tutorial.  
  
 
Thank you for joining.  
 
Thank you for joining.  
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Latest revision as of 15:52, 6 March 2020

Time
Narration
00:00 Welcome to the Spoken Tutorial on Feeding expressed breastmilk to babies.
00:06 In this tutorial, we will learn:

how to make stored breastmilk ready for a baby to drink

00:13 and how to feed expressed breastmilk to a baby.
00:18 Let us begin.

Expressing breastmilk has many benefits for the baby and the mother.

00:26 Expressing breastmilk and storing it safely are explained in other tutorials.
00:34 Now, let us learn how to make the stored breastmilk ready for the baby to drink.
00:42 Before handling breastmilk, the caregiver-

must wash their hands with soap and water and dry their hands well.

00:52 Remember, the oldest stored breastmilk should always be used first.
00:59 When using frozen breastmilk, ideally defrost it by keeping it overnight on the lowest shelf of the fridge.
01:08 And, use this defrosted milk within the next 24 hours.
01:15 But if the frozen breastmilk is needed quickly, defrost it outside the fridge by -

first keeping it in a container of cold water,

01:25 and then keeping it in a container of lukewarm water.
01:30 While defrosting in lukewarm water - shake the breastmilk container gently and occasionally.
01:38 Do not shake it vigorously and continuously.
01:42 Dry the outside of the breastmilk container with a clean cloth before use.
01:47 Use this defrosted breast milk within 2 hours and throw away any unused milk.
01:56 Defrosted breastmilk can smell and taste different than fresh breastmilk.
02:03 It is fine as long as the baby accepts it.
02:08 The caregiver must always smell the breastmilk before feeding it to the baby.
02:15 If the milk smells sour, do not use it.
02:20 Please remember- when breastmilk is stored, it will separate with the cream rising to the top.
02:27 This is normal. Shake gently to mix the cream back in the milk before use.
02:36 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.

02:47 Test how warm the milk is by dropping a little onto the wrist.

It is right when it feels warm.

02:56 Do not use hot water to warm the breastmilk. Try to use stored breast milk straight from the fridge.
03:05 This will help to avoid the risks of over-heating and burns.
03:11 Do not heat breastmilk by keeping it directly on a stove or in a microwave.
03:18 Direct heat destroys many of the infection-fighting factors present in the breastmilk.
03:27 When the breastmilk is ready, offer it to the baby.
03:32 To do so, the following utensils can be used:

a Paladai , a small cup, a spoon or a nifty cup.

03:42 Out of these, it is preferable to use a spoon or a cup to feed the baby.
03:49 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.

04:02 Then, the caregiver must wash and dry their hands properly.
04:10 They should half-fill or two-thirds fill the chosen utensil with breastmilk.
04:15 Then, they should hold the baby in a nearly upright position on their lap.
04:22 Their hand should support the baby’s head and neck.
04:28 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.
04:39 It should be held lightly between the baby’s lips.
04:44 The tip of the paladai should lightly touch the baby’s upper lip
04:50 In this position, the milk should stay at the rim of the beak of the paladai
04:58 As the baby slurps milk - the caregiver should tilt the paladai slightly to keep the milk at the rim.
05:07 If the caregiver is using a small cup to feed the baby- they should hold the cup lightly between the baby’s lips.
05:16 The rim of the cup should lightly touch the baby’s upper lip.
05:21 They should tilt the cup slightly until the milk reaches the top edge of the cup.
05:28 This should let the baby take the milk from the rim of the cup.
05:32 If the caregiver is using a spoon to feed the baby- They should hold the spoon between the baby’s lips.
05:42 The edge of the spoon should lightly touch the baby’s upper lip.
05:47 Then they should tilt the spoon slightly until the milk is at the edge of the spoon.
05:54 Feeding with a spoon is good for the first few days after birth.
05:59 Because during these days only a small amount of milk is needed.
06:06 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.

06:18 As the baby slurps the milk, they should tilt the cup up slightly.

This will add milk to the reservoir as it empties.

06:30 When feeding expressed breastmilk to the baby, never pour milk into the baby’s mouth.
06:37 This may cause the baby to choke.
06:40 Instead, keep the milk at the rim and leave it in that position throughout the feed.
06:47 Always ensure that the baby is fully awake, alert and interested in feeding.
06:54 If needed, wrap the baby to prevent her from knocking the cup out of the feeder’s hands.
07:03 Always let the baby slurp milk at her own pace.
07:08 Look for signs which show that the baby has had enough milk,
07:13 signs such as - Holding her hands up.
07:16 Falling asleep or Closing her mouth.
07:21 Remember, do not apply too much pressure on the lower lip of the baby.
07:27 Always let the edge of the utensil touch the baby’s upper lip lightly.
07:34 Do not put the cup, paladai or spoon too far inside the baby’s mouth.
07:41 Never feed a baby in a lying down position.
07:45 Do not use a feeding bottle to feed the expressed breastmilk to the baby.
07:51 After feeding the baby, wash the cup, paladai or spoon well with soap and clean water.

And, let it air dry completely.

08:04 Some babies are reluctant to take expressed breastmilk, particularly at first from some people.
08:12 They may be less reluctant when someone else gives it to them.
08:17 If expressed milk is refused by the baby, try not to worry.
08:22 On the mother’s return from work, the baby will make up any missed feeds by breastfeeding more often or for longer.
08:32 Remember, Keep the breastmilk safe by:

washing hands, containers and utensils,

feeding milk as soon as needed or storing it safely.

08:45 This brings us to the end of this tutorial.

Thank you for joining.

Contributors and Content Editors

Debosmita, PoojaMoolya, Sandhya.np14

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