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

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(Created page with "{|border=1 | <center> '''Time'''</center> | <center> '''Narration'''</center> |- | 00:01 | Welcome to this '''Spoken Tutorial''' on Nipple conditions in lactating mothers. |...")
 
 
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|-
 
|-
| 00:01
+
| 00:00
| Welcome to this '''Spoken Tutorial''' on Nipple conditions in lactating mothers.
+
| Welcome to this '''Spoken Tutorial''' on '''Nipple conditions in lactating mothers'''.
  
 
|-
 
|-
 
| 00:06
 
| 00:06
| In this tutorial, we will learn about-  Sore or cracked nipples and
+
| In this tutorial, we will learn about-  sore or cracked nipples and
  
 
|-
 
|-
 
| 00:11
 
| 00:11
| Flat or inverted nipples.
+
| flat or inverted nipples.
  
 
|-
 
|-
 
| 00:15
 
| 00:15
|  The first nipple condition is- Sore or cracked nipples  
+
|  The first nipple condition is- sore or cracked nipples.
  
 
|-
 
|-
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|-
 
|-
 
| 00:30
 
| 00:30
| Now let’s discuss the various causes of sore or cracked nipples which are-
+
| Now, let’s discuss the various causes of sore or cracked nipples which are-
  
 
|-
 
|-
 
| 00:36
 
| 00:36
| Nipple feeding,
+
| nipple feeding,
  
 
|-
 
|-
 
| 00:38
 
| 00:38
| Fungal or Bacterial infection,
+
| fungal or bacterial infection,
  
 
|-
 
|-
 
| 00:41
 
| 00:41
| Habit of cleaning the nipples after every feed and
+
| habit of cleaning the nipples after every feed and
  
 
|-
 
|-
 
| 00:45
 
| 00:45
| Baby with tongue tie.
+
| baby with tongue tie.
  
 
|-
 
|-
 
| 00:47
 
| 00:47
| Let us begin with the nipple feeding
+
| Let us begin with the nipple feeding.
  
 
|-
 
|-
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|-
 
|-
 
| 00:56
 
| 00:56
| During nipple feedingnipple gets rubbed on to the hard palate of the baby’s mouth.
+
| During nipple feeding, nipple gets rubbed on to the hard palate of the baby’s mouth.
  
 
|-
 
|-
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|-
 
|-
 
| 01:08
 
| 01:08
| This pinching makes the breastfeeding painful and results into sore or cracked nipple.
+
| This pinching makes the breastfeeding painful and results into sore or cracked nipple.
  
 
|-
 
|-
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|-
 
|-
| 01:29
+
| 01:28
|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.
  
 
|-
 
|-
| 01:37
+
| 01:36
|Remember, Sore or cracked nipples does hurt during correct latching.
+
|Remember, sore or cracked nipples does hurt during correct latching.
  
 
|-
 
|-
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|-
 
|-
| 01:56
+
| 01:55
|  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.
  
 
|-
 
|-
| 02:03
+
| 02:02
| 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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|-
 
|-
| 02:13
+
| 02:12
 
| Thus, this routine should be avoided.
 
| Thus, this routine should be avoided.
  
 
|-
 
|-
 
|  02:16
 
|  02:16
| Remember,  Mother can clean the nipples once during bath.
+
| Remember,  mother can clean the nipples once during bath.
  
 
|-
 
|-
 
| 02:21
 
| 02:21
| However, once a cracked nipple has developed mother should clean it after every feed.
+
| However, once a cracked nipple has developed, mother should clean it after every feed.
  
 
|-
 
|-
| 02:28
+
| 02:27
| After cleaning, mother should apply her hindmilk on the wound.
+
| After cleaning, mother should apply her hind-milk on the wound
  
 
|-
 
|-
 
| 02:32
 
| 02:32
| As hind milk contain substances that aids in healing and fighting infection.
+
| as hind-milk contains substances that aid in healing and fighting infection.
  
 
|-
 
|-
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|-
 
|-
 
| 02:50
 
| 02:50
| Tongue tie is a conditionin which the tip of the baby’s tongue is attached to the inner bottom part of the mouth.
+
| '''Tongue tie''' is a condition in which the tip of the baby’s tongue is attached to the inner bottom part of the mouth.
  
 
|-
 
|-
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|-
 
|-
 
| 03:06
 
| 03:06
|In case the baby has tongue tie then- mere correct latching is not enough and  surgery is required.
+
|In case, the baby has tongue tie then  mere correct latching is not enough and  surgery is required.
  
 
|-
 
|-
 
| 03:16
 
| 03:16
| Thus in such cases, mother should always consult the doctor.
+
| Thus, in such cases, mother should always consult the doctor.
  
 
|-
 
|-
| 03:22
+
| 03:21
| Now let’s discuss the treatment for sore or cracked nipples
+
| Now, let’s discuss the treatment for sore or cracked nipples.
  
 
|-
 
|-
 
| 03:27
 
| 03:27
| If a mother has sore or cracked nipples, then, the health worker should- examine the mother’s breast and nipple,
+
| If a mother has sore or cracked nipples, then the health worker should- examine the mother’s breast and nipple,
  
 
|-
 
|-
| 03:37
+
| 03:36
| Tell the mother to express some breastmilk with her hand before breastfeeding.
+
| tell the mother to express some breast milk with her hand before breastfeeding.
  
 
|-
 
|-
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|-
 
|-
 
| 03:47
 
| 03:47
| Apart from these expressing will reduce the risk of infections, nipple fissure and mastitis.
+
| Apart from these, expressing will reduce the risk of infections, '''nipple fissure''' and '''mastitis'''.
  
 
|-
 
|-
 
| 03:55
 
| 03:55
| Then, guide the mother to attach her baby correctly to her breast.
+
| Then guide the mother to attach her baby correctly to her breast.
  
 
|-
 
|-
 
| 04:01
 
| 04:01
|Remember,  Breastfeeding frequency is one of the factors which determines the breastmilk supply.
+
|Remember,  breastfeeding frequency is one of the factors which determines the breast milk supply.
  
 
|-
 
|-
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|-
 
|-
 
| 04:13
 
| 04:13
| During breastfeeding- She should begin to breastfeed on the side that hurts less.
+
| During breastfeeding- she should begin to breastfeed on the side that hurts less.
  
 
|-
 
|-
 
| 04:20
 
| 04:20
|If breastfeeding is still painful thenshe can express the breast milk using her hand and feed it to the baby with a spoon or a cup.
+
|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
 
| 04:32
|Also, Apply few drops of hindmilk onto the affected area after each feed, as discussed earlier.
+
|Also, apply few drops of hind-milk onto the affected area after each feed as discussed earlier.
  
 
|-
 
|-
| 04:42
+
| 04:41
| Remember, not to use the following on sore and cracked nipples and even on healthy nipples-
+
| Remember, not to use the following on sore or cracked nipples and even on healthy nipples-
  
 
|-
 
|-
 
| 04:49
 
| 04:49
| Soaps, oils, lotions, balms and perfumes.
+
| soaps, oils, lotions, balms and perfumes.
  
 
|-
 
|-
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|-
 
|-
 
| 05:22
 
| 05:22
| The nipple condition that we will discuss next is- flat or inverted nipples
+
| The nipple condition that we will discuss next is, flat or inverted nipples.
  
 
|-
 
|-
 
| 05:28
 
| 05:28
|Flat nipples are not protruded from the level of the areola.
+
|Flat nipples are not protruded from the level of the '''areola'''.
  
 
|-
 
|-
| 05:33
+
| 05:32
|Whereas,  Inverted nipples are usually pointed in the inward direction.
+
|Whereas,  inverted nipples are usually pointed in the inward direction.
  
 
|-
 
|-
 
| 05:38
 
| 05:38
|  It is very important for the mother to understand the fact that- flat or inverted nipple is not a hindrance to breastfeeding.
+
|  It is very important for the mother to understand the fact that  flat or inverted nipple is not a hindrance to breastfeeding.
  
 
|-
 
|-
 
| 05:48
 
| 05:48
|Since, during correct latching baby latches on to the areola and not on the nipple.
+
|Since, during correct latching, baby latches on to the areola and not on the nipple.
  
 
|-
 
|-
| 05:56
+
| 05:55
|  Note that, incase 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.  
  
 
|-
 
|-
 
| 06:03
 
| 06:03
| During this periodhealth worker should guide the mother about correct latching.
+
| During this period, health worker should guide the mother about correct latching.
  
 
|-
 
|-
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|-
 
|-
 
| 06:11
 
| 06:11
| Remember, In case a mother has flat or inverted nipples then the best holds for effective attachment are-  Cross cradle hold
+
| Remember, in case a mother has flat or inverted nipples then the best holds for effective attachment are-  cross cradle hold,
  
 
|-
 
|-
 
| 06:22
 
| 06:22
| Football hold and  Semi-reclining position.
+
| football hold and  semi-reclining position.
  
 
|-
 
|-
 
|  06:26
 
|  06:26
| As explained in an earlier tutorial, In any hold, it is of utmost importance thatmother should hold the breast in the correct manner,
+
| As explained in an earlier tutorial, in any hold, it is of utmost importance that mother should hold the breast in the correct manner
  
 
|-
 
|-
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|-
 
|-
 
| 06:42
 
| 06:42
| Note that, incorrect latching will result into sore nipples.  
+
| Note that incorrect latching will result into sore nipples.  
  
 
|-
 
|-
 
|  06:47
 
|  06:47
| Remember-  Do not use feeding bottles or nipple shields.
+
| Remember, do not use feeding bottles or nipple shields.
  
 
|-
 
|-
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|-
 
|-
| 07:00
+
| 06:59
 
|  Mother should provide plenty of skin to skin contact to the baby.
 
|  Mother should provide plenty of skin to skin contact to the baby.
  
 
|-
 
|-
 
| 07:04
 
| 07:04
| It helps stimulate oxytocin reflex in the mother and  breast milk easily comes out.
+
| It helps stimulate '''oxytocin reflex''' in the mother and  breast milk easily comes out.
  
 
|-
 
|-
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|-
 
|-
| 07:19
+
| 07:20
| This brings us to the end of this tutorial on nipple conditions in lactating mothers.  
+
| This brings us to the end of this tutorial.
  
 +
Thanks for joining
 
|-
 
|-
| 07:26
 
|In this tutorial, we learnt about-  Sore or cracked nipples and
 
 
|-
 
| 07:31
 
| Flat or inverted nipples
 
 
|-
 
| 07:34
 
| This tutorial has been contributed by  Spoken Tutorial Project, IIT Bombay
 
 
|-
 
| 07:40
 
| '''Spoken Tutorial Project '''is funded by''' NMEICT, MHRD, Government of India.'''
 
 
|-
 
| 07:47
 
|More information on this mission is available at this link.
 
 
|-
 
| 07:52
 
| This tutorial is partly funded by a generous contribution from WHEELS Global Foundation.
 
 
|-
 
| 07:59
 
| This tutorial is part of '''Maa aur Shishu Poshan project'''.
 
 
|-
 
| 08:04
 
| The domain reviewers for this tutorial are-  '''Dr. Rupal Dalal''', MD Pediatrics and  '''Dr. Taru Jindal''', MS  Obstetrics and Gynaecology.
 
 
This is Nutritionist '''Rajani Sawant''' along with animator '''Arthi Anbalagan''' from''' IIT Bombay '''signing off.
 
Thanks for joining.
 
 
|}
 
|}

Latest revision as of 14:31, 4 July 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
00:11 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