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

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

|00:08  

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

|the components, importance and

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

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

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

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

|who do not require continuous monitoring.

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

|01:10

|and exclusive breastfeeding.

|Let’s discuss these 2 components in detail.

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

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

|Note that  

|exclusive breastfeeding is recommended for the first 6 months.  

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

|'''KMC''' also decreases

|02:06

|02:14

|02:21

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

|keeping the baby in radiant warmer  

|It also improves the satisfaction and confidence in the mother

|father or  

|any other family member too.

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

|03:19

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

|03:27

|as these may become the barriers to maintain the hygiene

|03:32

|03:36

|03:43

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

|03:59

|04:10

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

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

|04:31

|04:41

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

|by supporting the baby’s bottom and head,

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

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

|05:05

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

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

|the legs below the mother’s breast and

|05:26

|05:30

|Before wrapping with the cloth,

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

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

|While wrapping, make sure -  

|05:48

|the center of the cloth is on the baby

|05:51

|and both ends of the cloth should  

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

|06:10

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

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

|06:47

|While using a stretchy band,

|Then, tilt the baby’s head slightly

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

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

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

|walk, stand, sit or

|If a mother is very comfortable then

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

|07:41

|Either mother can feed the baby

|07:47

|Or, she can manually express breast milk and

|feed the baby using a cup or a spoon.

|07:58

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

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

|Hence, mother or health worker should  

|If the baby fails to gain sufficient weight,

|check how many times the baby urinates.

|08:29

|Also, guide the mother about the correct latching.

|08:33

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

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

|Then start untying the knot with one hand and

|08:52

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

|09:05

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

|09:17

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

|09:22

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

|09:25

|09:31

|During '''KMC''',

|if the baby is not alert and active,

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

|and if baby’s feet are cold.

|09:54

|This brings us to the end of this tutorial