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

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| Image: Birth attendant is keeping a baby on mother’s abdomen.
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| Image: A birth attendant is keeping a baby on mother’s abdomen.
  
  
  
 
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* Next, reposition the baby on her mother’s bare abdomen in such a way that-
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* 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.
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* 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.
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* However, some babies starts crawling immediately and some take time.
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* However, some babies start crawling immediately and some take time.
  
  
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* Do not disturb the baby and the mother at this point until she takes her first breastfeed.
 
* Do not disturb the baby and the mother at this point until she takes her first breastfeed.
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* Both, health worker and the mother should have patience during this procedure.
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* Both, the birth attendant and the mother should have patience during this procedure.
 
    
 
    
 
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| Image: Mother is lying on the stretcher.
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| Image: A mother is lying on the stretcher.
  
  
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*Sometimes it might happen that after delivery-
 
*Sometimes it might happen that after delivery-
  
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* mother will have to move from the delivery room to another room.
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mother will have to move from the delivery room to another room.
  
  
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Only after completion of the '''breast crawl''', post delivery newborn care should be given.
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Only after completion of '''breast crawl''', post delivery newborn care should be given.
  
  
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Baby will consume -
 
Baby will consume -
  
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* 5 ml on first day,
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* 5 mililiters on first day,
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* 10 ml on second day,
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* 10 mililiters on second day,
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* 25 ml on third day,
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* 25 mililiters on third day,
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* 40 ml on fourth day and
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* 40 mililiters on fourth day and
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* 55 ml on fifth day from each breast in each breastfeeding session.
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* 55 mililiters on fifth day from each breast in each breastfeeding session.
  
  

Revision as of 11:59, 25 April 2018

Visual cue
Narration
Slide number 1

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 looking at 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 behaviour.


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.


It is to be noted that, breast crawl can be done on full term, stable babies who are-
Image: Natural delivery.

Image: Cesarean delivery.


  • born either by natural delivery
  • or by a cesarean delivery


Image: Newborn baby.


  • And who have cried well immediately after birth.


Image: Low weight newborn baby.


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.


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.


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


Image: Wet hand of a baby.


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.


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


  • 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.


  • Baby is very alert and instinctive after delivery.
  • The smell of her unclean hands stimulates her to salivate.


Image: Baby is looking at the mother in breast crawl position.


  • 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.
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.


  • Upon reaching the breast, the baby first tries to grasp the breast with her hands.


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.
Image: 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.


During initiation of breastfeeding-
  • baby will open her mouth wide

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.


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.
  • However if the mother has taken any medicines please consult her doctor.


Image: A mother is lying on the stretcher.


  • Sometimes it might happen that after delivery- 
mother will have to move from the delivery room 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,
  • 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.


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.


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.


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


Remember-


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


Image: Injections and Ointment.


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 mililiters on first day,
  • 10 mililiters on second day,
  • 25 mililiters on third day,
  • 40 mililiters on fourth day and
  • 55 mililiters 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.
  • breast crawl passes on mother’s healthy bacteria to her baby,
  • 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.


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 on one side 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 looking at 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 reviewer for this tutorial is

  • Dr. Rupal Dalal, MD Pediatrics and
  • Dr. Taru Jindal, MS Obstetrics and Gynaecology.


This is NutritionistRajani Sawant along with animator Arthi anbalagan from IIT Bombay signing off.


Thanks for joining.

Contributors and Content Editors

Bellatony911, Rajani st

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