Difference between revisions of "Health-and-Nutrition/C2/Breast-crawl/English"

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|-
 
|-
|'''Slide number 1'''
+
|Title slide
 
+
Title slide
+
 
| Welcome to the '''Spoken tutorial''' on '''Breast crawl'''.
 
| Welcome to the '''Spoken tutorial''' on '''Breast crawl'''.
  
 
|-
 
|-
| Image: A baby is latching on the mother’s breast in the '''breast crawl''' position.
+
| Image: A baby is latching on the mother’s breast in the '''Breast crawl''' position.
  
Image: A baby is facing the mother’s face in '''breast crawl''' position.
+
Image: A baby is facing the mother’s face in '''Breast crawl''' position.
 
+
Image: Importance of '''breast crawl''' for the baby.
+
  
 +
Image: Importance of '''Breast crawl''' for the baby.
  
 
| In this tutorial we will learn,
 
| In this tutorial we will learn,
  
 
+
* What is '''Breast crawl'''?
* What is '''breast crawl'''
+
* Procedure for '''Breast crawl''' and
* Procedure for '''breast crawl''' and
+
* Importance of '''Breast crawl'''
* Importance of '''breast crawl'''
+
 
+
 
+
 
+
 
|-
 
|-
| Image: A baby is latching on the mother’s breast in the '''breast crawl''' position.
+
| Image: A baby is latching on the mother’s breast in the '''Breast crawl''' position.
 
+
 
+
| Let us first understand what is '''breast crawl'''?
+
 
+
 
+
 
+
  
 +
| Let us first understand what is '''Breast crawl'''?
 
|-
 
|-
 
| Image: Structure of human brain.
 
| Image: Structure of human brain.
Line 42: Line 30:
 
Image: Birth attendant is keeping the baby on the mother’s abdomen.
 
Image: Birth attendant is keeping the baby on the mother’s abdomen.
  
Image: Baby is trying to take the breast in her mouth in '''breast crawl''' position.
+
Image: Baby is trying to take the breast in her mouth in '''Breast crawl''' position.
  
Image: A baby is latching on the mother’s breast in the '''breast crawl''' position.
+
Image: A baby is latching on the mother’s breast in the '''Breast crawl''' position.
  
  
  
| A baby is born with an instinctive feeding behaviour.
+
| A baby is born with an instinctive feeding behavior.
  
  
Soon after delivery,
+
Soon after delivery, upon placing her on the mother’s bare abdomen-
 
+
Upon placing her on the mother’s bare abdomen-
+
  
 
* she can find her mother’s breast and initiate breastfeeding.
 
* she can find her mother’s breast and initiate breastfeeding.
  
This entire process is called '''breast crawl'''.
 
  
  
 +
This entire process is called '''breast crawl'''.
  
 
|-
 
|-
 
| Image: Healthy full term baby.
 
| Image: Healthy full term baby.
  
 
+
Image: Natural delivery.
| It is to be noted that, '''breast crawl''' can be done on full term, stable babies who are-
+
 
+
|-
+
Image: Natural delivery.
+
  
 
Image: Cesarean delivery.
 
Image: Cesarean delivery.
  
 +
Image: Newborn baby.
  
|
 
* born either by natural delivery
 
  
* or by a cesarean delivery
+
| It is to be noted that:
  
 
+
'''Breast crawl''' can be done on full term, stable babies who are-
 
+
* born either by natural delivery or by a cesarean delivery
|-
+
| Image: Newborn baby.
+
 
+
 
+
|
+
 
* And who have cried well immediately after birth.
 
* And who have cried well immediately after birth.
 
 
 
|-
 
|-
 
| Image: Low weight newborn baby.
 
| Image: Low weight newborn baby.
  
 
+
Image: Baby with respiratory problems.
| '''breast crawl''' is not performed on unstable babies with low birth weight.
+
 
+
 
+
|-
+
| Image: Baby with respiratory problems.
+
 
+
| As they may suffer from respiratory problems like breathlessness.
+
 
+
  
  
 +
| '''Breast crawl''' is not performed on unstable babies with low birth weight.
 +
* As they may suffer from respiratory problems like breathlessness.
 
|-
 
|-
 
| Image: Baby on mother’s abdomen.
 
| Image: Baby on mother’s abdomen.
  
  
| Now, we will learn the procedure and later the importance for '''breast crawl'''.
+
| Now, we will learn the procedure and later the importance for '''Breast crawl'''.
 
+
  
 
|-
 
|-
Line 117: Line 84:
  
 
Delivery room’s temperature is around 26 degree Celsius.
 
Delivery room’s temperature is around 26 degree Celsius.
 
 
  
 
|-
 
|-
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| Next is to clean the baby by placing her on the mother’s bare abdomen.
 
| Next is to clean the baby by placing her on the mother’s bare abdomen.
 
 
 
|-
 
|-
 
| Image: Birth attendant is cleaning the baby’s hand with red cross mark.
 
| Image: Birth attendant is cleaning the baby’s hand with red cross mark.
  
 +
Image: Wet hand of a baby.
  
 
|
 
|
 
* Clean her entire body thoroughly except the hands with a clean dry cloth.
 
* Clean her entire body thoroughly except the hands with a clean dry cloth.
  
 
+
Remember-
|-
+
| Image: Wet hand of a baby.
+
 
+
 
+
| Remember-
+
  
 
* The baby’s hands should be kept wet.
 
* The baby’s hands should be kept wet.
 
 
 
|-
 
|-
 
| Image: Birth attendant is cleaning a baby.
 
| Image: Birth attendant is cleaning a baby.
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* It protects the baby if the weather is cold.
 
* It protects the baby if the weather is cold.
 
* After cleaning the baby remove the wet cloth.
 
* After cleaning the baby remove the wet cloth.
 
 
  
 
|-
 
|-
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| After drying the baby-
 
| After drying the baby-
 
  
 
* The birth attendant should feel pulsation of the cord.
 
* The birth attendant should feel pulsation of the cord.
 
* Once it stops pulsating, she should cut the cord.
 
* Once it stops pulsating, she should cut the cord.
 
 
 
 
|-
 
|-
 
| Image: A birth attendant is keeping a baby on mother’s abdomen.
 
| Image: A birth attendant is keeping a baby on mother’s abdomen.
 
 
  
 
|
 
|
* Next is to reposition the baby on her mother’s bare abdomen in such a way that-
+
Next is to reposition the baby on her mother’s bare abdomen in such a way that-
 
* Her tummy touches the mother’s tummy.
 
* Her tummy touches the mother’s tummy.
 
* Her head is placed between mother’s unwashed breasts.
 
* Her head is placed between mother’s unwashed breasts.
 
 
 
|-
 
| Image: Birth attendant is keeping a baby on the mother’s abdomen.
 
 
 
|
 
 
* Her mouth is below her mother’s breast.
 
* Her mouth is below her mother’s breast.
* Now the baby is positioned correctly for '''breast crawl'''.
+
* Now the baby is positioned correctly for '''Breast crawl'''.
 
+
 
+
 
+
 
|-
 
|-
 
| Image: Hand movements of a baby while crawling.
 
| Image: Hand movements of a baby while crawling.
  
 
Image: Leg movements of a baby while crawling.
 
Image: Leg movements of a baby while crawling.
 
  
 
| As moving forward is very natural for a newborn baby,
 
| As moving forward is very natural for a newborn baby,
  
 
* she can easily crawl forward towards mother’s breast.
 
* she can easily crawl forward towards mother’s breast.
 
 
 
 
|-
 
|-
 
| Image: Birth attendant is placing a cap and cloth on a baby.
 
| Image: Birth attendant is placing a cap and cloth on a baby.
 
 
 
|
 
|
* Next thing to do is-
+
Next thing to do is-
 
* cover the baby and mother together with a clean dry cloth to keep them warm,
 
* cover the baby and mother together with a clean dry cloth to keep them warm,
 
* place a cap on the baby’s head.
 
* place a cap on the baby’s head.
Line 212: Line 144:
 
* We have not shown the cap and cloth in subsequent images.
 
* We have not shown the cap and cloth in subsequent images.
  
* This will help us to clearly observe the position of the baby during '''breast crawl'''.
+
* This will help us to clearly observe the position of the baby during '''Breast crawl'''.
 
+
 
+
  
 
|-
 
|-
| Image: Mother is supporting baby’s back with her hands in '''breast crawl''' position.
+
| Image: Mother is supporting baby’s back with her hands in '''Breast crawl''' position.
  
  
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* make the mother support the baby's back with her hand.
 
* make the mother support the baby's back with her hand.
 
 
 
|-
 
|-
 
| Image: Newborn baby.
 
| Image: Newborn baby.
  
 
+
| Let’s discuss a baby’s abilities which helps in '''Breast crawl'''.
| Let’s discuss a baby’s abilities which helps in '''breast crawl''',
+
  
 
|-
 
|-
 
| Image: Baby’s hand is in her mouth and baby is salivating.
 
| Image: Baby’s hand is in her mouth and baby is salivating.
  
 +
Image: Baby is facing the mother in '''Breast crawl''' position.
  
 +
Image: Mother’s breast.
  
 
|
 
|
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* The smell of her unclean hands stimulates her to salivate.
 
* The smell of her unclean hands stimulates her to salivate.
  
 
 
|-
 
| Image: Baby is facing the mother in '''breast crawl''' position.
 
 
 
|
 
 
* Also the baby, with her limited vision, can see her mother’s face and the areola.
 
* Also the baby, with her limited vision, can see her mother’s face and the areola.
  
 
 
|-
 
| Image: Mother’s breast.
 
 
|
 
 
* Areola is the dark area around the nipple.
 
* Areola is the dark area around the nipple.
 
 
|-
 
|-
 
| Image: Baby is moving her limbs and crawling towards the mother’s breast.
 
| Image: Baby is moving her limbs and crawling towards the mother’s breast.
Line 266: Line 181:
 
* Using her hands and legs, she gradually crawls towards her mother’s breast.
 
* Using her hands and legs, she gradually crawls towards her mother’s breast.
 
* However, some babies start crawling immediately and some take time.
 
* However, some babies start crawling immediately and some take time.
 +
|-
 +
| Image: Baby is trying to grasp the mother’s breast in '''Breast crawl''' position.
  
 +
Image: Baby is latching on mother’s breast in '''Breast crawl''' position.
  
 
+
GIF animation: clock.
|-
+
| Image: Baby is trying to grasp the mother’s breast in '''breast crawl''' position.
+
  
  
 
|
 
|
 
* Upon reaching the breast, the baby first tries to grasp the breast with her hands.
 
* Upon reaching the breast, the baby first tries to grasp the breast with her hands.
 
+
* Do not disturb the baby and the mother at this poin-t until she takes her first breastfeed.
 
+
|-
+
| Image: Baby is latching on mother’s breast in '''breast crawl''' position.
+
 
+
 
+
|
+
* Do not disturb the baby and the mother at this point until she takes her first breastfeed.
+
 
* Both, the birth attendant and the mother should have patience during this procedure.
 
* Both, the birth attendant and the mother should have patience during this procedure.
 
+
* A baby may take 30-60 minutes to reach upto the mother’s breast for her first feed.
 
|-
 
|-
| Image: GIF animation: clock.
+
| Image: Baby is latching on mother’s breast in '''Breast crawl''' position.
  
|
+
GIF Animation: Clock.
*A baby may take 30-60 minutes to reach upto the mother’s breast for her first feed.
+
  
 +
Image: Baby is latching on mother’s breast in '''Breast crawl''' position.
  
|-
+
Image: Injection and doctor.
| Image: Baby is latching on mother’s breast in '''breast crawl''' position.
+
  
  
 
| During initiation of breastfeeding-
 
| During initiation of breastfeeding-
  
* baby will open her mouth wide
+
* baby will open her mouth wide and attach deeply to her mother’s breast.
 
+
and attach deeply to her mother’s breast.
+
 
+
|-
+
| GIF Animation: Clock.
+
 
+
|
+
 
* After finishing the feeding, let the baby be in the same position for an hour or so.
 
* After finishing the feeding, let the baby be in the same position for an hour or so.
 
 
 
|-
 
| Image: Baby is latching on mother’s breast in '''breast crawl''' position.
 
 
Image: Injection and doctor.
 
 
 
|
 
 
* Doing so, helps improve the bonding between the mother and the baby.
 
* Doing so, helps improve the bonding between the mother and the baby.
 
 
* However if the mother has taken any medicines please consult her doctor.
 
* However if the mother has taken any medicines please consult her doctor.
 
 
  
 
|-
 
|-
 
| Image: A mother is lying on the stretcher.
 
| Image: A mother is lying on the stretcher.
  
 
+
Image: Baby is kept on mother’s abdomen
  
 
|  
 
|  
*Sometimes it might happen that after delivery-
+
Sometimes it might happen that after delivery-
 +
*mother will have to move from the delivery room to another room.
  
mother will have to move from the delivery room to another room.
+
In such cases, after shifting the mother to another room-
 
+
 
+
 
+
|-
+
| Image: Baby is kept on mother’s abdomen.
+
 
+
 
+
| In such cases, after shifting the mother to another room-
+
  
 
* Give skin to skin contact to mother and the baby immediately,
 
* Give skin to skin contact to mother and the baby immediately,
 
* by placing the baby on the mother’s abdomen as discussed earlier.
 
* by placing the baby on the mother’s abdomen as discussed earlier.
 
 
  
 
|-
 
|-
 
| Image: Birth attendant has held the baby in breastfeeding position where baby’s legs are towards mother’s head.
 
| Image: Birth attendant has held the baby in breastfeeding position where baby’s legs are towards mother’s head.
  
 +
Image: Birth attendant is holding the baby in breastfeeding position where, baby’s body is on mother’s shoulder and baby’s legs are towards mother’s head and mother is supporting baby’s back.
  
| Now let’s discuss '''breast crawl''' for babies born by cesarean section-
+
 
 +
| Now let’s discuss '''Breast crawl''' for babies born by cesarean section-
  
  
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* The chest and tummy should be on mother’s shoulder.
 
* The chest and tummy should be on mother’s shoulder.
 
* And mouth should be on the breast.
 
* And mouth should be on the breast.
 
 
 
|-
 
| Image: Birth attendant is holding the baby in breastfeeding position where,
 
baby’s body is on mother’s shoulder and baby’s legs are towards mother’s head and mother is supporting baby’s back.
 
 
 
 
 
|
 
 
* Allow the baby to suckle on the breast as long as possible in the operation theatre.
 
* Allow the baby to suckle on the breast as long as possible in the operation theatre.
 
 
  
 
|-
 
|-
| Image: Birth attendant is placing the baby on mother’s abdomen.
+
| Image: Birth attendant is placing the baby on the mother’s bare abdomen.
  
 +
Image: Injections and Ointment.
  
  
 
| Remember-
 
| Remember-
 
 
   
 
   
 
* Immediately after delivery skin to skin contact is most important than any other newborn care.
 
* Immediately after delivery skin to skin contact is most important than any other newborn care.
  
 +
Note that-
  
 
+
Only after completion of '''Breast crawl''', post delivery newborn care should be given.
|-
+
| Image: Injections and Ointment.
+
 
+
 
+
 
+
| Note that-
+
 
+
 
+
Only after completion of '''breast crawl''', post delivery newborn care should be given.
+
 
+
  
 
|-
 
|-
Line 409: Line 268:
 
Image: Baby and the mother.
 
Image: Baby and the mother.
  
 
+
| Now, let’s discuss the importance of '''Breast crawl''' for the new born baby,
 
+
| Now, let’s discuss the importance of '''breast crawl''' for the new born baby,
+
 
+
 
+
 
+
  
 
|-
 
|-
 
| Image: Colostrum.
 
| Image: Colostrum.
 
 
  
 
|  
 
|  
* '''breast crawl''' enables the baby to get mother’s first milk called '''colostrum.'''
+
* '''Breast crawl''' enables the baby to get mother’s first milk called '''colostrum.'''
  
 
* It is yellowish in colour and thick in consistency.
 
* It is yellowish in colour and thick in consistency.
 
 
 
 
|-
 
|-
 
| Image: Calendar.
 
| Image: Calendar.
Line 436: Line 285:
  
 
|  
 
|  
*Note that, after delivery-
+
Note that, after delivery-
 
+
 
the quantity of colostrum that the baby will consume during each breastfeeding session will increase gradually.
 
the quantity of colostrum that the baby will consume during each breastfeeding session will increase gradually.
  
 
Baby will consume -
 
Baby will consume -
  
* 5 mililiters on first day,
+
* 5 milliliters on first day,
* 10 mililiters on second day,
+
* 10 milliliters on second day,
* 25 mililiters on third day,
+
* 25 milliliters on third day,
* 40 mililiters on fourth day and
+
* 40 milliliters on fourth day and
* 55 mililiters on fifth day from each breast in each breastfeeding session.
+
* 55 milliliters on fifth day from each breast in each breastfeeding session.
 
+
 
+
 
|-
 
|-
 
| Image: Formula powder with red cross mark.
 
| Image: Formula powder with red cross mark.
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|-
 
|-
 
|Image: New born baby and injection.
 
|Image: New born baby and injection.
 
  
 
|
 
|
 
* Colostrum is considered as the first vaccination for a baby,
 
* Colostrum is considered as the first vaccination for a baby,
 
* And contains infection fighting protein which boosts the immunity of a baby.
 
* And contains infection fighting protein which boosts the immunity of a baby.
 
 
 
|-
 
|-
 
|Image: Glucometer.
 
|Image: Glucometer.
Line 472: Line 315:
 
* It is the first source of energy for a baby after the mother’s delivery,
 
* It is the first source of energy for a baby after the mother’s delivery,
 
* '''Colostrum''' also prevents low blood '''glucose''' level.
 
* '''Colostrum''' also prevents low blood '''glucose''' level.
 
 
 
|-
 
|-
 
| Image: Thermometer.
 
| Image: Thermometer.
 
 
  
 
|
 
|
 
* It helps to maintain other body processes of a baby.
 
* It helps to maintain other body processes of a baby.
 
  
 
|-
 
|-
Line 487: Line 325:
  
 
|  
 
|  
* It supports healthy brain development,
+
* It supports healthy brain development.
 
+
 
+
  
 
|-
 
|-
 
| Image: Baby is passing her first stool
 
| Image: Baby is passing her first stool
 
  
 
|  
 
|  
 
* It helps the baby to pass her first stool.
 
* It helps the baby to pass her first stool.
 
  
 
|-
 
|-
| Image: Baby is trying to grasp mother’s breast in '''breast crawl''' position.
+
| Image: Baby is trying to grasp mother’s breast in '''Breast crawl''' position.
 
+
 
+
 
+
  
 
|  
 
|  
* '''breast crawl''' also keeps
+
'''Breast crawl''' also keeps the baby warm due to skin to skin contact with the mother.
the baby warm due to skin to skin contact with the mother.
+
 
+
  
 
|-
 
|-
| Image: Baby is breastfeeding in '''breast crawl''' position.
+
| Image: Baby is breastfeeding in '''Breast crawl''' position.
 
+
 
+
  
 
|  
 
|  
 
* Baby self-learns how to attach deeply to her mother’s breast.
 
* Baby self-learns how to attach deeply to her mother’s breast.
 
 
  
 
|-
 
|-
 
| "| Image: Outline of baby’s intestine.
 
| "| Image: Outline of baby’s intestine.
 +
 +
Image: Mother and baby both are laughing.
  
 
|  
 
|  
* '''breast crawl''' passes on mother’s healthy bacteria to her baby,
+
* '''Breast crawl''' passes on mother’s healthy bacteria to her baby,
 
* These bacteria enter the baby’s gut and fight infections.
 
* These bacteria enter the baby’s gut and fight infections.
 
 
|-
 
| Image: Mother and baby both are laughing.
 
 
 
|
 
 
* Ultimately this boosts the immunity of the baby.
 
* Ultimately this boosts the immunity of the baby.
 
  
 
|-
 
|-
 
| Image: Baby is initiating her first breastfeeding in '''breast crawl''' position.
 
| Image: Baby is initiating her first breastfeeding in '''breast crawl''' position.
 
  
 
|
 
|
* '''breast crawl''' also provides a feeling of love and security to a baby and
+
* '''Breast crawl''' also provides a feeling of love and security to a baby and
 
* Initiates the bond between mother and her baby.
 
* Initiates the bond between mother and her baby.
 
 
  
 
|-
 
|-
Line 550: Line 366:
  
  
| Benefits of ''''breast crawl'''  extends to the mother as well
+
| Benefits of ''''Breast crawl'''  extends to the mother as well
  
* Leg movements of a baby puts pressure on her mother’s womb,
+
* leg movements of a baby puts pressure on her mother’s womb,
 
* this pressure helps in uterine contraction and in removal of placenta.
 
* this pressure helps in uterine contraction and in removal of placenta.
 
 
 
 
|-
 
|-
 
| Image: Baby is coming out of womb.
 
| Image: Baby is coming out of womb.
  
 
Image: Placenta is coming out.
 
Image: Placenta is coming out.
 
  
 
|
 
|
* Initiation of breastfeeding increases '''oxytocin''' in the mother’s body,
+
* initiation of breastfeeding increases '''Oxytocin''' in the mother’s body,
* the rise in '''oxytocin''' helps in removal of placenta too.
+
* the rise in '''Oxytocin''' helps in removal of placenta too.
  
Thus, '''breast crawl''' reduces
+
Thus, '''Breast crawl''' reduces
 
* the blood loss and
 
* the blood loss and
 
* prevents '''anaemia''' in mothers.
 
* prevents '''anaemia''' in mothers.
 
 
  
 
|-
 
|-
| Image: Higher number of red blood cells on one side which is a interpretation for normal adult.
+
| Image: Higher number of red blood cells which is a interpretation for normal adult.
  
 
Image: Lower number of blood cells which is interpretation for anaemic adult.
 
Image: Lower number of blood cells which is interpretation for anaemic adult.
 
 
 
 
  
 
|
 
|
 
* '''Anaemia''' is a condition where number of red blood cells goes down,
 
* '''Anaemia''' is a condition where number of red blood cells goes down,
 
* It could lead to fatigue and weakness in the mother.
 
* It could lead to fatigue and weakness in the mother.
 
 
 
 
|-
 
|-
| Image: Baby is initiating her first breastfeeding in '''breast crawl''' position.
+
| Image: Baby is initiating her first breastfeeding in '''Breast crawl''' position.
 
+
 
+
| Therefore, '''breast crawl''' is a highly beneficial natural process for both the mother and her baby,
+
 
+
 
+
This brings us to the end of this tutorial on '''breast crawl'''.
+
  
 +
| Therefore, '''Breast crawl''' is a highly beneficial natural process for both the mother and her baby,
  
  
 +
This brings us to the end of this tutorial on '''Breast crawl'''.
  
 
|-
 
|-
| Image: A baby is latching on the mother’s breast in the '''breast crawl''' position.
+
| Image: A baby is latching on the mother’s breast in the '''Breast crawl''' position.
 
+
Image: A baby is facing the mother’s face in '''breast crawl''' position.
+
 
+
Image: Importance of '''breast crawl''' for the baby.
+
  
 +
Image: A baby is facing the mother’s face in '''Breast crawl''' position.
  
 +
Image: Importance of '''Breast crawl''' for the baby.
  
 
| In this tutorial we learnt,
 
| In this tutorial we learnt,
  
* What is '''breast crawl'''
+
* What is '''Breast crawl'''?
* Procedure for '''breast crawl''' and
+
* Procedure for '''Breast crawl''' and
* Importance of '''breast crawl'''
+
* Importance of '''Breast crawl'''
 
+
 
+
 
+
 
+
 
+
 
+
  
 
|-
 
|-
Line 629: Line 420:
  
 
* the '''Spoken Tutorial Project''', '''IIT Bombay'''
 
* the '''Spoken Tutorial Project''', '''IIT Bombay'''
 
  
 
|-
 
|-
Line 637: Line 427:
 
Image: MHRD, Government of India logo
 
Image: MHRD, Government of India logo
 
http://spoken-tutorial.org
 
http://spoken-tutorial.org
 
 
  
 
|
 
|
 
* '''Spoken Tutorial Project '''is funded by''' NMEICT, MHRD, Government of India.'''
 
* '''Spoken Tutorial Project '''is funded by''' NMEICT, MHRD, Government of India.'''
 
 
 
*More information on this mission is available at this link.
 
*More information on this mission is available at this link.
 
  
 
|-
 
|-
Line 651: Line 436:
  
 
| This tutorial is partly funded by a generous contribution from '''WHEELS Global Foundation'''.
 
| This tutorial is partly funded by a generous contribution from '''WHEELS Global Foundation'''.
 
 
 
|-
 
|-
 
| Image: Maa aur Shishu Poshan Project logo.
 
| Image: Maa aur Shishu Poshan Project logo.
Line 658: Line 441:
 
| This tutorial is a part of '''Maa aur Shishu Poshan project'''.
 
| This tutorial is a part of '''Maa aur Shishu Poshan project'''.
  
 
+
The domain reviewers for this tutorial are-
The domain reviewer for this tutorial is
+
 
* '''Dr. Rupal Dalal''', MD Pediatrics and
 
* '''Dr. Rupal Dalal''', MD Pediatrics and
 
* '''Dr. Taru Jindal''', MS Obstetrics and Gynaecology.
 
* '''Dr. Taru Jindal''', MS Obstetrics and Gynaecology.
  
 
+
This is Nutritionist '''Rajani Sawant''' along with animator '''Arthi Anbalagan''' from''' IIT Bombay '''signing off.
This is Nutritionist'''Rajani Sawant''' along with animator '''Arthi anbalagan''' from''' IIT Bombay '''signing off.
+
 
+
  
 
Thanks for joining.
 
Thanks for joining.
  
 
|}
 
|}

Latest revision as of 19:49, 5 June 2018

Visual cue
Narration
Title slide Welcome to the Spoken tutorial on Breast crawl.
Image: A baby is latching on the mother’s breast in the Breast crawl position.

Image: A baby is facing the mother’s face in Breast crawl position.

Image: Importance of Breast crawl for the baby.

In this tutorial we will learn,
  • What is Breast crawl?
  • Procedure for Breast crawl and
  • Importance of Breast crawl
Image: A baby is latching on the mother’s breast in the Breast crawl position. Let us first understand what is Breast crawl?
Image: Structure of human brain.

Image: Birth attendant is keeping the baby on the mother’s abdomen.

Image: Baby is trying to take the breast in her mouth in Breast crawl position.

Image: A baby is latching on the mother’s breast in the Breast crawl position.


A baby is born with an instinctive feeding behavior.


Soon after delivery, upon placing her on the mother’s bare abdomen-

  • she can find her mother’s breast and initiate breastfeeding.


This entire process is called breast crawl.

Image: Healthy full term baby.

Image: Natural delivery.

Image: Cesarean delivery.

Image: Newborn baby.


It is to be noted that:

Breast crawl can be done on full term, stable babies who are-

  • born either by natural delivery or by a cesarean delivery
  • And who have cried well immediately after birth.
Image: Low weight newborn baby.

Image: Baby with respiratory problems.


Breast crawl is not performed on unstable babies with low birth weight.
  • As they may suffer from respiratory problems like breathlessness.
Image: Baby on mother’s abdomen.


Now, we will learn the procedure and later the importance for Breast crawl.
Image: Delivery room and thermometer.


First, ensure that-


Delivery room’s temperature is around 26 degree Celsius.

Image: Birth attendant is cleaning a baby by keeping her on mother’s abdomen.


Next is to clean the baby by placing her on the mother’s bare abdomen.
Image: Birth attendant is cleaning the baby’s hand with red cross mark.

Image: Wet hand of a baby.

  • Clean her entire body thoroughly except the hands with a clean dry cloth.

Remember-

  • The baby’s hands should be kept wet.
Image: Birth attendant is cleaning a baby.
  • Do not remove the protective white coating on her skin while cleaning.
  • It protects the baby if the weather is cold.
  • After cleaning the baby remove the wet cloth.
Image: Birth attendant is cutting the umbilical cord. After drying the baby-
  • The birth attendant should feel pulsation of the cord.
  • Once it stops pulsating, she should cut the cord.
Image: A birth attendant is keeping a baby on mother’s abdomen.

Next is to reposition the baby on her mother’s bare abdomen in such a way that-

  • Her tummy touches the mother’s tummy.
  • Her head is placed between mother’s unwashed breasts.
  • Her mouth is below her mother’s breast.
  • Now the baby is positioned correctly for Breast crawl.
Image: Hand movements of a baby while crawling.

Image: Leg movements of a baby while crawling.

As moving forward is very natural for a newborn baby,
  • she can easily crawl forward towards mother’s breast.
Image: Birth attendant is placing a cap and cloth on a baby.

Next thing to do is-

  • cover the baby and mother together with a clean dry cloth to keep them warm,
  • place a cap on the baby’s head.

Please note-

  • We have not shown the cap and cloth in subsequent images.
  • This will help us to clearly observe the position of the baby during Breast crawl.
Image: Mother is supporting baby’s back with her hands in Breast crawl position.


After covering the baby with the cloth-
  • make the mother support the baby's back with her hand.
Image: Newborn baby. Let’s discuss a baby’s abilities which helps in Breast crawl.
Image: Baby’s hand is in her mouth and baby is salivating.

Image: Baby is facing the mother in Breast crawl position.

Image: Mother’s breast.

  • Baby is very alert and instinctive after delivery.
  • The smell of her unclean hands stimulates her to salivate.
  • Also the baby, with her limited vision, can see her mother’s face and the areola.
  • Areola is the dark area around the nipple.
Image: Baby is moving her limbs and crawling towards the mother’s breast.


Eventually, the baby starts moving-
  • Using her hands and legs, she gradually crawls towards her mother’s breast.
  • However, some babies start crawling immediately and some take time.
Image: Baby is trying to grasp the mother’s breast in Breast crawl position.

Image: Baby is latching on mother’s breast in Breast crawl position.

GIF animation: clock.


  • Upon reaching the breast, the baby first tries to grasp the breast with her hands.
  • Do not disturb the baby and the mother at this poin-t until she takes her first breastfeed.
  • Both, the birth attendant and the mother should have patience during this procedure.
  • A baby may take 30-60 minutes to reach upto the mother’s breast for her first feed.
Image: Baby is latching on mother’s breast in Breast crawl position.

GIF Animation: Clock.

Image: Baby is latching on mother’s breast in Breast crawl position.

Image: Injection and doctor.


During initiation of breastfeeding-
  • baby will open her mouth wide and attach deeply to her mother’s breast.
  • After finishing the feeding, let the baby be in the same position for an hour or so.
  • Doing so, helps improve the bonding between the mother and the baby.
  • However if the mother has taken any medicines please consult her doctor.
Image: A mother is lying on the stretcher.

Image: Baby is kept on mother’s abdomen

Sometimes it might happen that after delivery-

  • mother will have to move from the delivery room to another room.

In such cases, after shifting the mother to another room-

  • Give skin to skin contact to mother and the baby immediately,
  • by placing the baby on the mother’s abdomen as discussed earlier.
Image: Birth attendant has held the baby in breastfeeding position where baby’s legs are towards mother’s head.

Image: Birth attendant is holding the baby in breastfeeding position where, baby’s body is on mother’s shoulder and baby’s legs are towards mother’s head and mother is supporting baby’s back.


Now let’s discuss Breast crawl for babies born by cesarean section-


To do so:


Babies should be placed on their mother's chest instead of the abdomen in such a way that-

  • Baby’s legs should be towards mother’s head.
  • The chest and tummy should be on mother’s shoulder.
  • And mouth should be on the breast.
  • Allow the baby to suckle on the breast as long as possible in the operation theatre.
Image: Birth attendant is placing the baby on the mother’s bare abdomen.

Image: Injections and Ointment.


Remember-
  • Immediately after delivery skin to skin contact is most important than any other newborn care.

Note that-

Only after completion of Breast crawl, post delivery newborn care should be given.

Image: Human brain structure.

Image: Colostrum.

Image: Outline of baby’s gut.

Image: Baby is kept on mother’s abdomen.

Image: Baby and the mother.

Now, let’s discuss the importance of Breast crawl for the new born baby,
Image: Colostrum.
  • Breast crawl enables the baby to get mother’s first milk called colostrum.
  • It is yellowish in colour and thick in consistency.
Image: Calendar.

Image: Mother’s breast.

Image: 5 Spoons filled with colostrum.

Note that, after delivery- the quantity of colostrum that the baby will consume during each breastfeeding session will increase gradually.

Baby will consume -

  • 5 milliliters on first day,
  • 10 milliliters on second day,
  • 25 milliliters on third day,
  • 40 milliliters on fourth day and
  • 55 milliliters on fifth day from each breast in each breastfeeding session.
Image: Formula powder with red cross mark.


This is sufficient for a newborn baby.

Therefore baby should not be fed anything apart from colostrum.

Image: New born baby and injection.
  • Colostrum is considered as the first vaccination for a baby,
  • And contains infection fighting protein which boosts the immunity of a baby.
Image: Glucometer.
  • It is the first source of energy for a baby after the mother’s delivery,
  • Colostrum also prevents low blood glucose level.
Image: Thermometer.
  • It helps to maintain other body processes of a baby.
Image: Baby’s brain.
  • It supports healthy brain development.
Image: Baby is passing her first stool
  • It helps the baby to pass her first stool.
Image: Baby is trying to grasp mother’s breast in Breast crawl position.

Breast crawl also keeps the baby warm due to skin to skin contact with the mother.

Image: Baby is breastfeeding in Breast crawl position.
  • Baby self-learns how to attach deeply to her mother’s breast.
Image: Outline of baby’s intestine.

Image: Mother and baby both are laughing.

  • Breast crawl passes on mother’s healthy bacteria to her baby,
  • These bacteria enter the baby’s gut and fight infections.
  • Ultimately this boosts the immunity of the baby.
Image: Baby is initiating her first breastfeeding in breast crawl position.
  • Breast crawl also provides a feeling of love and security to a baby and
  • Initiates the bond between mother and her baby.
Image: Mother’s uterus and baby’s lower limbs are on mother’s lower abdominal area.


Benefits of 'Breast crawl extends to the mother as well
  • leg movements of a baby puts pressure on her mother’s womb,
  • this pressure helps in uterine contraction and in removal of placenta.
Image: Baby is coming out of womb.

Image: Placenta is coming out.

  • initiation of breastfeeding increases Oxytocin in the mother’s body,
  • the rise in Oxytocin helps in removal of placenta too.

Thus, Breast crawl reduces

  • the blood loss and
  • prevents anaemia in mothers.
Image: Higher number of red blood cells which is a interpretation for normal adult.

Image: Lower number of blood cells which is interpretation for anaemic adult.

  • Anaemia is a condition where number of red blood cells goes down,
  • It could lead to fatigue and weakness in the mother.
Image: Baby is initiating her first breastfeeding in Breast crawl position. Therefore, Breast crawl is a highly beneficial natural process for both the mother and her baby,


This brings us to the end of this tutorial on Breast crawl.

Image: A baby is latching on the mother’s breast in the Breast crawl position.

Image: A baby is facing the mother’s face in Breast crawl position.

Image: Importance of Breast crawl for the baby.

In this tutorial we learnt,
  • What is Breast crawl?
  • Procedure for Breast crawl and
  • Importance of Breast crawl
Image: Spoken tutorial logo.

Image: IIT Bombay logo.

This tutorial has been contributed by
  • the Spoken Tutorial Project, IIT Bombay
Image: NMEICT Logo.


Image: MHRD, Government of India logo http://spoken-tutorial.org

  • Spoken Tutorial Project is funded by NMEICT, MHRD, Government of India.
  • More information on this mission is available at this link.
Image: WHEELS Global Foundation Logo. This tutorial is partly funded by a generous contribution from WHEELS Global Foundation.
Image: Maa aur Shishu Poshan Project logo. This tutorial is a part of Maa aur Shishu Poshan project.

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.

Contributors and Content Editors

Bellatony911, Rajani st