Difference between revisions of "Health-and-Nutrition/C2/Kangaroo-Mother-Care/English-timed"

|<center>Time</center>

|<center>Narration</center>

|00:00

|Welcome to the '''Spoken Tutorial''' on '''Kangaroo mother care'''.

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|In this tutorial, we will learn -

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|what is '''Kangaroo mother care'''?

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|the components, importance and

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|procedure of '''Kangaroo mother care'''.

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|Let us first begin with the introduction of '''Kangaroo mother care'''.

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|As the name suggests -

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|it involves keeping the baby in skin to skin contact with the mother.

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|And, is popularly known as '''KMC'''.

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|Remember, '''KMC''' should be given as soon as the baby is born.

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|It is especially recommended for low birth weight babies-  

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|whose birth weight is less than 2.5 kilograms and  

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|who do not require continuous monitoring.

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|However, it can be used for all normal, healthy full-term babies too.  

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|'''KMC''' consists of two main components:  

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|continuous and prolonged skin to skin contact between the mother and her baby

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|and exclusive breastfeeding.

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|Let’s discuss these 2 components in detail.

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|The first component is skin to skin contact.  

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|It improves the '''let down reflex'''

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|and ultimately increases the breast milk production.  

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|'''Let down reflex''' has been explained in another tutorial of the same series.  

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|The second component is exclusive breastfeeding.

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|Note that  

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|exclusive breastfeeding is recommended for the first 6 months.  

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|Next, let’s discuss the importance of '''Kangaroo care'''.

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|Prolonged skin to skin contact during '''KMC''' helps maintain the baby's body temperature  

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|and the baby feels more secure.  

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|'''KMC''' also decreases

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|the frequency of infection and  

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|the rate of apnea in babies.

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|Apnea is defined as long pauses in breathing.

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|Apart from these-  

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|'''KMC''' improves the frequency and duration of breastfeeding.

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|And, it strengthens the emotional bonding between the mother and her baby.  

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|'''KMC''' also helps the baby-

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|to gain weight than any other conventional methods such as-  

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|keeping the baby in radiant warmer  

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|which creates stress for the baby and the mother.  

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|It also improves the satisfaction and confidence in the mother

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|as she takes extra effort for her baby.

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|Interestingly, apart from mothers, '''KMC''' can be provided by-

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|father or  

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|any other family member too.

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|We will now discuss the points to be followed by '''KMC''' provider.

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|The '''KMC''' provider should be healthy and free from illness.  

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|He or she should follow basic hygiene practices such as-  

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|hand washing,

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|daily bath,

clipped fingernails,  

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|tied up hair

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|and clean clothes.

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|He or she should not wear any jewellery, watches and threads

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|as these may become the barriers to maintain the hygiene

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|and it can cause injury to the baby.

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|Now, let us discuss the type of clothes the provider should wear during '''KMC''' -

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|clothes should be front open and lightweight.

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|for example, sari-blouse or front open gown.

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|Note that the '''KMC''' provider should wear this front open gown or blouse around '''KMC''' wrap.  

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|'''Kangaroo''' bags or binders can be bought from the market as well.

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|These are useful if '''KMC''' has to be done for an extended period.  

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|Alternately, the '''KMC''' provider can use soft clean cotton fabric.

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|Whereas the baby during '''KMC''' should -  

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|wear a cap and a nappy.  

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|If the baby passes stool or urine during '''KMC''' then  

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|she should be cleaned and dried thoroughly.  

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|Next, we will move ahead to the procedure of '''Kangaroo care''' in detail.  

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|Firstly, the mother should stand in an upright position.

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|Then, either a health worker or any family member should do the following things step-wise-

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|by supporting the baby’s bottom and head,

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|place the baby between the mother’s bare breasts in an upright position.

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|Then turn the baby’s head to one side.

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|Make sure the baby’s head is slightly bending backward.

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|This position will keep the baby’s nose airways open

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|and will allow the baby to make eye to eye contact with the mother.  

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|Then bend the baby’s hips slightly outward.  

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|Remember to keep baby’s arms above the mother’s breast, 

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|the legs below the mother’s breast and

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|the baby’s abdomen on the chest of the mother.  

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|Before wrapping with the cloth,

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|cover the baby with a blanket if environment is cold.  

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|It will keep the baby and the mother warm.  

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|Then wrap a cloth around the baby and mother’s chest and abdomen.  

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|While wrapping, make sure -  

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|the center of the cloth is on the baby

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|and both ends of the cloth should  

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|pass through the armpits of the mother

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|and should cross at the back.  

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|After that, bring the edges of the cloth in the front.

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|Secure these edges of the cloth with a safe knot under the baby’s bottom.  

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|This is comfortable and helps support the baby.

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|Also it avoids slipping of the baby.

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|Remember, as the mother becomes comfortable, she should learn to wrap the cloth by herself.

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|The technique of self-wrapping during '''KMC''' will be explained in another tutorial of the same series.

 

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|It will increase the mother’s confidence and make her independent.  

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|If mother is uncomfortable while using a cloth then she can use a stretchy band.

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|It is easy and comfortable to use.

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|While using a stretchy band,

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|adjust the edge of the band above the baby’s ear to support his head.  

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|Then, tilt the baby’s head slightly

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|to breathe freely and

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|to make eye-to-eye contact with the mother as explained earlier.

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|The wrapped cloth or stretchy band should not be too tight or too loose.

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|It should be comfortable enough for the baby to breathe freely.

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|Remember, while carrying a baby in '''KMC''' position, mother should be able to

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|walk, stand, sit or

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|involve in different activities.  

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|If a mother is very comfortable then

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|she can even sleep during '''Kangaroo care''' in a reclined or a semi-reclined position.  

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|Now let’s discuss how to feed the baby during '''KMC'''.

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|Either mother can feed the baby

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|by simply loosening the wrapped cloth and

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|positioning the baby for breastfeeding.  

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|Or, she can manually express breast milk and

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|feed the baby using a cup or a spoon.

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|Remember, each day baby should gain up to 25 to 30 grams of weight.

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|Hence, expected weight gain of a baby in a month is up to 900 to 1,000 grams.  

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|Hence, mother or health worker should  

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|monitor the weight of the baby during routine check-ups.  

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|If the baby fails to gain sufficient weight,

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|health worker should monitor the breastfeeding technique of the mother or  

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|check how many times the baby urinates.

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|Also, guide the mother about the correct latching.

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|Correct latching has been explained in an another tutorial of the same series.  

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|Next, let’s learn how to remove the baby from the wrapped cloth.

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|Firstly, the mother should sit in the upright position.

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|Then start untying the knot with one hand and

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|support the baby’s bottom with other hand on the outside of wrapped cloth.

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|After that, loosen the wrapped cloth with the same hand which was earlier used for untying the knot.  

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|Then shift the hand under the cloth which was supporting the baby’s bottom and

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|use the other hand to support the baby’s bottom from outside the cloth.

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|Then lift the baby up and free her from the wrapped cloth.

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|After that, remember to hold the baby’s head in a way

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|where the thumb is behind one ear and  

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|other fingers are around the other ear.

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|During '''KMC''',

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|the mother should immediately consult the doctor and the health worker -  

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|if the baby is not alert and active,

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|if the baby is breathing too fast or taking too long pauses,

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|if the baby’s lips or tongue turns blue  

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|and if baby’s feet are cold.

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|This brings us to the end of this tutorial