Difference between revisions of "COVID19/C2/Breastfeeding-during-COVID-19/English"

Title Slide

Image: Collage of guidelines for breastfeeding during COVID-19

• What is COVID-19?
• Guidelines for breastfeeding during COVID-19.

Image: coronavirus present in the world

This virus has spread throughout the world.

Image: Infected person coughs and generates droplets

Image: Healthy person inhales the infected droplets

These droplets contain the coronavirus.

The infection spreads when other people inhale these infected droplets.

Image: Infected droplets remain alive on the door knob for hours or days

Image: Healthy person touches the surface which has the infected droplets

Image: Healthy person touches their eyes without washing hands and gets infected

Image: Healthy person touches their nose without washing hands and gets infected

Image: Healthy person touches their mouth without washing hands and gets infected

There they remain alive for hours or days.

Other people touch such infected surfaces with their hands.

Then, they touch their eyes, nose or mouth without washing their hands.

This is another way in which the infection spreads.

Image: The virus does not travel from the pregnant woman to the baby in her uterus

Image: Breastmilk of infected mothers does not contain coronavirus

Image: coronavirus is not transmitted to the baby through breastfeeding

There is no clear evidence of intrauterine transmission of this virus to date.

This virus has not yet been detected in the breastmilk of infected mothers.

There is no evidence so far that it is transmitted through breastfeeding.

Image: fever

Image: Cough

Image: Breathlessness

Image: fatigue

Image: Headache

Image: Sore throat

Image: Vomiting

Image: Diarrhoea

Image: Sneezing

Image: Conjunctivitis

Image: Infected person looks healthy and doesn’t show any symptoms.

Fever, cough, breathlessness, fatigue, headache, sore throat are common.

Vomiting, diarrhoea, sneezing and conjunctivitis are uncommon.

Infected people can also show no symptoms.

Image: Very few young children have coronavirus infection

Image: Infected babies have mild or no symptoms

There are only a few cases of confirmed COVID-19 in young children.

Most of the infected babies have experienced only mild or no symptoms.

Image: Breastfeeding and hand expression of breastmilk

Image: coronavirus infected mother’s baby

Image: coronavirus infected baby

Image: Collage of standard infant feeding guidelines

Breast milk is essential for all babies.

This includes babies born to mothers with suspected or confirmed COVID-19.

This also includes babies with suspected or confirmed COVID-19.

All babies should be fed according to the standard infant feeding guidelines.

Image: Exclusive breastfeeding for 6 months

Image: Mother’s expressed milk is fed to an infant

Image: Complementary feeding is started at 6 months

Image: Breastfeeding or hand expressed milk is given until 2 years of age.

Image: Breastfeeding

Image: Expressing milk

Image: Complementary feeding

Exclusive breastfeeding should continue for 6 months.

If needed, the mother’s expressed breast milk can be given.

Complementary feeding must be started at 6 months of age.

Breast milk must be fed at least up to 2 years of age.

Breastfeeding, expressing milk and complementary feeding are essential skills.

They are discussed in other tutorials.

Please watch the prerequisite health and nutrition series on our website.

Image: Mother washes hands before and after touching the baby.

Image: Mother washes hands before and after breastfeeding

Image: Mother washes hands before and after expressing milk

Image: Alcohol-based hand rub

Mother should wash her hands for 20 seconds before and after touching the baby.

She should also wash hands before and after breastfeeding or expressing milk.

An alcohol-based hand rub can also be used to clean hands.

Image: Medical masks

Image: Mother wears a medical mask during breastfeeding and expressing milk

Image: Mask becomes damp while she is wearing it.

Image: Mother wears a new medical mask

Image: The damp mask is thrown in the dustbin

Image: Wrong - Mother is washing and reusing the old damp mask

Image: Wrong - Mother is touching the front part of the mask while wearing it

Image: Right - Mother is removing the mask from behind without touching the front part.

She should wear a mask during breastfeeding and expressing milk.

The mask must be replaced as soon as it becomes damp.

The used mask should be disposed of immediately.

It should not be re-used.

Mother should not touch the front surface of the mask.

She should remove it from behind.

Image: Tissues

Image: Clean cloth

Image: Handkerchief

Image: Mother sneezes and coughs into a tissue/ clean cloth/ handkerchief

Image: Used tissue/ handkerchief/ cloth

Image: Used tissue/ handkerchief/cloth is thrown in the dustbin

Image: Mother washes hands after throwing the tissue

Image: Mother changes the soiled tissue/ cloth/ handkerchief as often as needed

Image: cloth masks

Image: Mother wearing a cloth mask while breastfeeding

In such cases, mother should use a tissue or a clean cloth or a handkerchief.

She should always sneeze or cough into it.

She must immediately throw it in the dustbin and wash her hands.

A soiled tissue or cloth or handkerchief should be changed as often as needed.

Cloth masks can also be used if medical masks are not available.

Image: Mother bends her head, coughs on her chest and then washes it

Image: Mother uses soap and warm water to gently wash the breasts for 20 seconds

She should wash them if she has been coughing on her chest.

She should use soap and warm water to wash them gently for at least 20 seconds.

Image: Surfaces in the room are routinely cleaned and disinfected

All the surfaces in the room must be routinely cleaned and disinfected.

Image: Baby is fed mother’s expressed milk by another person

Image: Nurse

Image: Family member

Image: Family member has not been in contact with infected people.

Image: Family member washes hands and wears a mask before touching the baby

In such cases, the baby should be fed expressed breast milk of the mother.

A nurse or family member can feed this milk to the baby.

The feeder should not have been in contact with infected people.

Before touching the baby or the milk they must wash their hands for 20 seconds.

After washing their hands they must also wear a mask.

Image: Expression of breastmilk

Image: Breastmilk filled container is being transported from the mother to the baby carefully

Image: Breastfeeding is started when the mother recovers

The collection and transport of expressed milk should be done very carefully.

Breastfeeding should be started again when the mother recovers.

Image: Collage of alternative options

Image: Human milk from a donor milk bank

Image: Donor milk is fed to the baby

In such cases, try other options to nourish the baby.

Check if human milk is available from a donor human milk bank.

Feed donor human milk to the baby until the mother recovers.

Image: Wet-nursing is done till the mother recovers

Image: A woman, who isn’t the mother, feeds the baby.

Image: wet-nurse is not available

Image: Animal milk is given to the baby

Image: Mother asks the healthcare provider for their opinion

Wet-nursing means to let a woman, who isn’t the mother, breastfeed the baby.

If wet-nursing is not possible, feed animal milk to the baby.

Always boil the animal milk before feeding it to the baby.

Please ask your healthcare provider for their opinion on these options.

Image: Feeding bottle

Image: Plastic nipples

Image: Rubber nipples

Image: Silicone nipples

Image: Health worker helps the mother in relactation

Help the mother to start breastfeeding again when she recovers.

Image: STS is done immediately after birth even when the mother is infected with COVID-19

Image: Breastfeeding starts after birth

Image: KMC is performed throughout day and night

It must start immediately after birth even if the mother has COVID-19.

This will help in initiating breastfeeding.

Kangaroo mother care should be performed throughout the day and night.

Image: Skin-to-skin contact

Image: The risk of death in babies is reduced

Image: Collage of the benefits of breastfeeding and skin-to-skin contact.

Image: Breastfeeding reduces the risk of breast and ovarian cancer for mothers.

Image: More benefits as compared to the risk of infection.

They provide immediate and lifelong health and development advantages.

Breastfeeding also reduces the risk of breast and ovarian cancer for mothers.

These benefits are substantially greater than the risk of getting infected.

Image: Mother looks for danger signs in the baby

Image: Mother takes the baby to the doctor

They must be trained to look for the warning signs in the baby.

If they see any signs, they should report back to the doctor.

Image: Evidence

Image: Collage of guidelines in the tutorial

As new evidence accumulates, some of the recommendations may change.

Please use these guidelines in accordance with the latest government regulations.

Acknowledgement

Thank you for joining.