Difference between revisions of "Health-and-Nutrition/C2/Nipple-conditions/English-timed"
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Latest revision as of 14:31, 4 July 2020
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| 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 |
