Difference between revisions of "Health-and-Nutrition/C2/Nipple-conditions/English-timed"

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| Welcome to this '''Spoken Tutorial''' on '''Nipple conditions in lactating mothers'''.
 
| Welcome to this '''Spoken Tutorial''' on '''Nipple conditions in lactating mothers'''.
  
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| flat or inverted nipples.
 
| flat or inverted nipples.
  
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|Note that we have discussed the correct latching technique in another tutorial of the same series.
 
|Note that we have discussed the correct latching technique in another tutorial of the same series.
  
 
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|Remember, sore or cracked nipples do hurt during correct latching.
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|Remember, sore or cracked nipples does hurt during correct latching.
  
 
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|  If the mother has fungal or bacterial infection, she should consult the doctor.
 
|  If the mother has fungal or bacterial infection, she should consult the doctor.
  
 
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| Next,  some mothers have a habit of cleaning the nipples before every feed.
 
| Next,  some mothers have a habit of cleaning the nipples before every feed.
  
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| Thus, this routine should be avoided.
 
| Thus, this routine should be avoided.
  
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| After cleaning, mother should apply her hind-milk on the wound
 
| After cleaning, mother should apply her hind-milk on the wound
  
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| Now, let’s discuss the treatment for sore or cracked nipples.
 
| Now, let’s discuss the treatment for sore or cracked nipples.
  
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| tell the mother to express some breast milk with her hand before breastfeeding.
 
| tell the mother to express some breast milk with her hand before breastfeeding.
  
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| Remember, not to use the following on sore and cracked nipples and even on healthy nipples-
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| Remember, not to use the following on sore or cracked nipples and even on healthy nipples-
  
 
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|Whereas,  inverted nipples are usually pointed in the inward direction.
 
|Whereas,  inverted nipples are usually pointed in the inward direction.
  
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|  Note that in case of flat or inverted nipples, mother requires help in first week of delivery.  
 
|  Note that in case of flat or inverted nipples, mother requires help in first week of delivery.  
  
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|  Mother should provide plenty of skin to skin contact to the baby.
 
|  Mother should provide plenty of skin to skin contact to the baby.
  
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| This brings us to the end of this tutorial on nipple conditions in lactating mothers.  
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| This brings us to the end of this tutorial.
  
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Thanks for joining
 
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|In this tutorial, we learnt about sore or cracked nipples and
 
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| This tutorial has been contributed by  '''Spoken Tutorial Project, IIT Bombay'''.
 
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| Spoken Tutorial Project is funded by''' NMEICT, MHRD''', Government of India.
 
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|More information on this mission is available at this link.
 
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| This tutorial is partly funded by a generous contribution from '''WHEELS Global Foundation.'''
 
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| This tutorial is part of '''Maa aur Shishu Poshan project'''.
 
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| The domain reviewers for this tutorial are- Dr. Rupal Dalal, MD Pediatrics and  Dr. Taru Jindal, MS  Obstetrics and Gynecology.
 
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This is Nutritionist Rajani Sawant along with animator Arthi Anbalagan from''' IIT Bombay, '''signing off.
 
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Thanks for joining.
 
 
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Revision as of 11:10, 7 March 2020

Time
Narration
00:00 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
00:12 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.
01:28 Note that we have discussed the correct latching technique in another tutorial of the same series.
01:36 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.
01:55 If the mother has fungal or bacterial infection, she should consult the doctor.
02:02 Next, some mothers have a habit of cleaning the nipples before every feed.
02:09 This causes dryness of nipples.
02:12 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.
02:27 After cleaning, mother should apply her hind-milk on the wound
02:32 as hind-milk contains substances that aid 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.
03:21 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,
03:36 tell the mother to express some breast milk 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 breast milk 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 hind-milk onto the affected area after each feed as discussed earlier.
04:41 Remember, not to use the following on sore or 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.
05:32 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.
05:55 Note that in case 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.
06:59 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.
07:20 This brings us to the end of this tutorial.

Thanks for joining

Contributors and Content Editors

Debosmita, Jyotisolanki, PoojaMoolya, Sandhya.np14

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