Difference between revisions of "Health-and-Nutrition/C2/Football-hold-for-breastfeeding/English-timed"

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| Welcome to the '''Spoken Tutorial''' on  '''Football hold for breastfeeding'''.  

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| In this tutorial, we will learn about: choosing the correct breastfeeding hold for a mother and her baby,

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| mother’s preparation before breastfeeding and  step-by-step procedure for '''Football''' hold.  

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| Let us begin.  

| Across the world, mothers breastfeed their babies using various types of holds.  

| As explained 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,

| the baby is able to attach deeply to the mother’s breast and get sufficient milk.  

| '''Football''' hold is especially useful if the mother: has had a C-section delivery,

| has large breasts,

| has a small or premature baby or  

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| has twin babies.  

| Always remember: before feeding her baby, a mother should wash and dry her hands properly.  

| Then she should drink a glass of boiled and cooled water.  

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| Lactating mothers produce 750 to 850 millilitres of milk per day on an average.  

| Next, let’s discuss the position of the mother.  

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| Mother should sit on the floor or on the bed in cross legged position.  

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| Or, on a chair with her feet flat on the ground.  

| If the chair is too high and her feet do not reach the floor then she can rest her feet flat on a small stool or pillows kept on the floor.  

| While sitting, she should ensure that -  her back is straight so as to avoid back pain,

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| her shoulders are relaxed and not elevated or curved.

| And, this relaxed position is maintained throughout the feeding session.  

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| The topmost pillow should be placed diagonally over the other pillows and the mother’s thigh.  

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| Remember, the mother should never bring the breast to the baby by bending her back.  

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| Mother’s thumb should be behind one ear, and rest of the fingers behind the other ear of the baby.  

| She should not move her fingers or thumb from behind the ear to the baby’s neck.  

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| Her wrist should rest between the baby’s shoulder blades.  

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

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

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| The second point in positioning is the baby’s body alignment.  

| When we eat food, our head, neck and body are always in the same direction.  

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

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

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| Next, let’s look at the position of the baby’s nose and chin.  

| Baby’s nose should always 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.  

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| Now that the baby is positioned correctly, let us learn how to hold the breast.  

| Using the fingers of her other hand,  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.  

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| To understand the correct position of thumb and fingers- imagine the nipple to be the center of a clock on the right breast.  

| She should place her left thumb at 12’O clock position on this clock  

|  while her left index finger and middle finger should be placed at 6’O clock position.  

| Why? Let’s understand this using a simple example.  

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| Apart from being in the direction of the baby’s lips, the mother’s thumb and fingers should always be at a distance of 3 fingers from the nipple.  

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| Similarly for the baby, the right distance is of 3 fingers from the nipple, as shown in this picture.  

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| This distance will ensure that- mother’s fingers do not block the baby from taking the lower '''areola''' in her mouth.

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| Mother does not compress only the nipple which will give very little milk.

| Mother compresses the larger milk ducts beneath the '''areola''' to express more milk out.

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

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| Remember- Mother’s thumb should be on the upper side of the breast  

| and her 2 fingers should be on the lower side of the breast, as shown in this picture.  

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

| But remember, mother should not compress her breast in a scissor shape hold.  

| Scissor shape compression will pinch the breast and cause nipple feeding.  

| 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 lead to poor attachment.  

| Sometimes, the mother might prefer to hold her baby in a different position.  

| Baby’s lips are vertical here.  Therefore, the mother should position her fingers vertically on the breast in a '''U''' shape hold.  

| Now, the baby is in '''Football''' hold and ready to latch on for breastfeeding.  

| The correct latching technique is explained in another tutorial, in the same series.  

| Once the baby is latched on correctly and if the breast is not too big and heavy then the mother can release the breast from her hand and keep that hand free.  

| This brings us to the end of this tutorial.