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

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|The components, importance and
 
|The components, importance and
  
 
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|Procedure of '''Kangaroo mother care'''
 
|Procedure of '''Kangaroo mother care'''
  
 
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|Let us first begin with the introduction of '''Kangaroo mother care'''?
 
|Let us first begin with the introduction of '''Kangaroo mother care'''?
  
 
|-
 
|-
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|As the name suggests -
 
|As the name suggests -
  
 
|-
 
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|it involves, keeping the baby in skin to skin contact with the mother.
 
|it involves, keeping the baby in skin to skin contact with the mother.
  
 
|-
 
|-
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|and it is popularly known as '''KMC'''.
 
|and it is popularly known as '''KMC'''.
  
 
|-
 
|-
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|Remember, '''KMC''' should be given as soon as the baby is born.
 
|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-  
 
|It is especially recommended for low birth weight babies-  
  
 
|-
 
|-
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|whose birth weight is less than 2.5 kilograms and  
 
|whose birth weight is less than 2.5 kilograms and  
  
 
|-
 
|-
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|00:48
 
|who do not require continuous monitoring  
 
|who do not require continuous monitoring  
  
 
|-
 
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|However, it can be used for all normal, healthy full-term babies too.  
 
|However, it can be used for all normal, healthy full-term babies too.  
  
 
|-
 
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|'''KMC''' consists of two main components:  
 
|'''KMC''' consists of two main components:  
  
 
|-
 
|-
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|1:03  
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|Continuous and prolonged skin to skin contact between the mother and her baby.
 
|Continuous and prolonged skin to skin contact between the mother and her baby.
  
 
|-
 
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|1:09  
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|01:09  
 
|and Exclusive breastfeeding
 
|and Exclusive breastfeeding
  
 
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|Let’s discuss these components in detail.
 
|Let’s discuss these components in detail.
  
 
|-
 
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|The first component is skin to skin contact.  
 
|The first component is skin to skin contact.  
  
 
|-
 
|-
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|01:21
 
|it improves the Let down reflex  
 
|it improves the Let down reflex  
  
 
|-
 
|-
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|1:24  
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|01:24  
 
|and ultimately increases the breast milk production.  
 
|and ultimately increases the breast milk production.  
  
 
|-
 
|-
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|1:28  
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|01:28  
 
|Let down reflex has been explained in another tutorial of the same series.  
 
|Let down reflex has been explained in another tutorial of the same series.  
  
 
|-
 
|-
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|1:34  
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|01:34  
 
|The second component is exclusive breastfeeding.
 
|The second component is exclusive breastfeeding.
  
 
|-
 
|-
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|1:38  
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|01:38  
 
|Note that-  
 
|Note that-  
  
 
|-
 
|-
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|01:40  
 
|Exclusive breastfeeding is recommended for the first 6 months.  
 
|Exclusive breastfeeding is recommended for the first 6 months.  
  
 
|-
 
|-
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|01:45  
 
|Next, let’s discuss the importance of '''Kangaroo care'''.
 
|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  
 
|Prolonged skin to skin contact during '''KMC''' helps maintain the baby's body temperature  
  
 
|-
 
|-
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|1:57
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|01:57
 
|and the baby feels more secure.  
 
|and the baby feels more secure.  
  
 
|-
 
|-
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|02:01
 
|'''KMC''' also decreases -
 
|'''KMC''' also decreases -
  
 
|-
 
|-
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|2:03
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|02:03
 
|the frequency of infection and  
 
|the frequency of infection and  
  
 
|-
 
|-
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|2:05
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|02:05
 
|the rate of apnea in babies.
 
|the rate of apnea in babies.
  
 
|-
 
|-
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|2:09
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|02:09
 
|Apnea is defined as long pauses in breathing.
 
|Apnea is defined as long pauses in breathing.
  
 
|-
 
|-
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|2:13
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|02:13
 
|Apart from these-  
 
|Apart from these-  
  
 
|-
 
|-
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|2:15
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|02:15
 
|'''KMC''' improves the frequency and duration of breastfeeding.
 
|'''KMC''' improves the frequency and duration of breastfeeding.
  
 
|-
 
|-
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|2:20
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|02:20
 
|And it strengthens the emotional bonding between the mother and her baby.  
 
|And it strengthens the emotional bonding between the mother and her baby.  
  
 
|-
 
|-
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|02:26
 
|'''KMC''' also helps the baby-
 
|'''KMC''' also helps the baby-
 
   
 
   
 
|-
 
|-
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|2:28
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|02:28
 
|to gain weight than any other conventional methods such as-  
 
|to gain weight than any other conventional methods such as-  
  
 
|-
 
|-
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|2:33
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|02:33
 
|keeping the baby in radiant warmer.  
 
|keeping the baby in radiant warmer.  
  
 
|-
 
|-
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|2:36
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|02:36
 
|which creates stress for the baby and the mother.  
 
|which creates stress for the baby and the mother.  
  
 
|-
 
|-
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|2:40
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|02:40
 
|It also improves the satisfaction and confidence in the mother-
 
|It also improves the satisfaction and confidence in the mother-
 
   
 
   
 
|-
 
|-
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|2:45
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|02:45
 
|as she takes extra effort for her baby.
 
|as she takes extra effort for her baby.
  
 
|-
 
|-
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|2:49
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|02:49
 
|Interestingly, apart from mothers, '''KMC''' can be provided by-
 
|Interestingly, apart from mothers, '''KMC''' can be provided by-
  
 
|-
 
|-
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|Father or  
 
|Father or  
  
 
|-
 
|-
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|2:56
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|02:56
 
|Any adult family member too.
 
|Any adult family member too.
  
 
|-
 
|-
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|2:58
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|02:58
 
|We will now discuss the points to be followed by '''KMC''' provider:  
 
|We will now discuss the points to be followed by '''KMC''' provider:  
  
 
|-
 
|-
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|03:04
 
|The '''KMC''' provider should be healthy and free from illness.  
 
|The '''KMC''' provider should be healthy and free from illness.  
  
 
|-
 
|-
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|3:09
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|03:09
 
|He or she should follow basic hygiene practices such as-  
 
|He or she should follow basic hygiene practices such as-  
  
 
|-
 
|-
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|3:14
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|03:14
 
|hand washing,
 
|hand washing,
  
 
|-
 
|-
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|3:16
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|03:16
 
|daily bath,
 
|daily bath,
  
 
|-
 
|-
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|3:17
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|03:17
 
|clipped fingernails,  
 
|clipped fingernails,  
  
 
|-
 
|-
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|3:18
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|03:18
 
|tied up hair
 
|tied up hair
  
 
|-
 
|-
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|3:20
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|03:20
 
|and clean clothes.  
 
|and clean clothes.  
  
 
|-
 
|-
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|03:22
 
|He or she should not wear any jewellery, watches and threads -
 
|He or she should not wear any jewellery, watches and threads -
  
 
|-
 
|-
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|03:26
 
|as these may become the barriers to maintain the hygiene.
 
|as these may become the barriers to maintain the hygiene.
  
 
|-
 
|-
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|3:31
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|03:31
 
|and it can cause injury to the baby.
 
|and it can cause injury to the baby.
  
 
|-
 
|-
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|3:35
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|03:35
 
|Now, let us discuss the type of clothes the provider should wear during '''KMC''' -  
 
|Now, let us discuss the type of clothes the provider should wear during '''KMC''' -  
  
 
|-
 
|-
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|03:42
 
|clothes should be front open and lightweight.
 
|clothes should be front open and lightweight.
  
 
|-
 
|-
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|03:46
 
|for example, sari-blouse or front open gown.
 
|for example, sari-blouse or front open gown.
 
 
 
|-
 
|-
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|3:51
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|03:51
 
|Note that,  
 
|Note that,  
  
 
|-
 
|-
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|03:52
 
|The '''KMC''' provider should wear this front open gown or blouse around '''KMC''' wrap.  
 
|The '''KMC''' provider should wear this front open gown or blouse around '''KMC''' wrap.  
  
 
|-
 
|-
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|3:58
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|03:58
 
|'''Kangaroo''' bags or binders can be bought from the market as well.
 
|'''Kangaroo''' bags or binders can be bought from the market as well.
  
 
|-
 
|-
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|4:04
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|04:04
 
|These are useful if '''KMC''' has to be done for an extended period.  
 
|These are useful if '''KMC''' has to be done for an extended period.  
  
 
|-
 
|-
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|4:09
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|04:09
 
|Alternately, the '''KMC''' provider can use soft clean cotton fabric.
 
|Alternately, the '''KMC''' provider can use soft clean cotton fabric.
  
 
|-
 
|-
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|4:16
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|04:16
 
|Whereas, the baby during '''KMC''' should -  
 
|Whereas, the baby during '''KMC''' should -  
  
 
|-
 
|-
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|4:19
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|04:19
 
|wear a cap and a nappy.  
 
|wear a cap and a nappy.  
  
 
|-
 
|-
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|4:22
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|04:22
 
|if the baby passes stool or urine during '''KMC''' then -  
 
|if the baby passes stool or urine during '''KMC''' then -  
  
 
|-
 
|-
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|4:27
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|04:27
 
|she should be cleaned and dried thoroughly.  
 
|she should be cleaned and dried thoroughly.  
  
 
|-
 
|-
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|4:30
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|04:30
 
|Next, we will move ahead to the procedure of '''Kangaroo care''' in detail.  
 
|Next, we will move ahead to the procedure of '''Kangaroo care''' in detail.  
  
 
|-
 
|-
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|4:36
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|04:36
 
|Firstly, the mother should stand in an upright position.
 
|Firstly, the mother should stand in an upright position.
  
 
|-
 
|-
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|4:40
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|04:40
 
|Then, either a health worker or any family member should do the following things, step-wise-
 
|Then, either a health worker or any family member should do the following things, step-wise-
 
 
 
|-
 
|-
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|4:48
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|04:48
 
|By supporting the baby’s bottom and head-
 
|By supporting the baby’s bottom and head-
  
 
|-
 
|-
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|4:51
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|04:51
 
|place the baby between the mother’s bare breasts in an upright position.
 
|place the baby between the mother’s bare breasts in an upright position.
  
 
|-
 
|-
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|4:56
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|04:56
 
|then, turn the baby’s head to one side.
 
|then, turn the baby’s head to one side.
  
 
|-
 
|-
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|5:00
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|05:00
 
|Make sure,
 
|Make sure,
 
the baby’s head is slightly bending backward.
 
the baby’s head is slightly bending backward.
  
 
|-
 
|-
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|5:04
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|05:04
 
|This position will -
 
|This position will -
 
keep the baby’s nose airways open
 
keep the baby’s nose airways open
  
 
|-
 
|-
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|5:08
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|05:08
 
|and will allow the baby to make eye to eye contact with the mother.  
 
|and will allow the baby to make eye to eye contact with the mother.  
  
 
|-
 
|-
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|5:14
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|05:14
 
|Then bend the baby’s hips slightly outward.  
 
|Then bend the baby’s hips slightly outward.  
  
 
|-
 
|-
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|5:18
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|05:18
 
|Remember -
 
|Remember -
 
to keep baby’s arms above the mother’s breast and
 
to keep baby’s arms above the mother’s breast and
  
 
|-
 
|-
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|5:23
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|05:23
 
|legs below the mother’s breast and
 
|legs below the mother’s breast and
  
 
|-
 
|-
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|5:27
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|05:27
 
|the baby’s abdomen on the chest of the mother.  
 
|the baby’s abdomen on the chest of the mother.  
  
 
|-
 
|-
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|5:29
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|05:29
 
|Before wrapping with the cloth-  
 
|Before wrapping with the cloth-  
 
 
 
|-
 
|-
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|5:32
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|05:32
 
|Cover the baby with a blanket if environment is cold.  
 
|Cover the baby with a blanket if environment is cold.  
  
 
|-
 
|-
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|5:36
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|05:36
 
|It will keep the baby and the mother warm.  
 
|It will keep the baby and the mother warm.  
  
 
|-
 
|-
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|5:39
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|05:39
 
|Then,
 
|Then,
 
Wrap a cloth around the baby and mother’s chest and abdomen.  
 
Wrap a cloth around the baby and mother’s chest and abdomen.  
  
 
|-
 
|-
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|5:45
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|05:45
 
|While wrapping make sure -  
 
|While wrapping make sure -  
  
 
|-
 
|-
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|5:47
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|05:47
 
|The center of the cloth is on the baby.
 
|The center of the cloth is on the baby.
  
 
|-
 
|-
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|5:50
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|05:50
 
|And both ends of the cloth should -  
 
|And both ends of the cloth should -  
  
 
|-
 
|-
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|5:53
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|05:53
 
|pass through the armpits of the mother
 
|pass through the armpits of the mother
  
 
|-
 
|-
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|5:56
+
|05:56
 
|and should cross at the back.  
 
|and should cross at the back.  
  
 
|-
 
|-
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|5:59
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|05:59
 
|After that bring the edges of the cloth in the front.
 
|After that bring the edges of the cloth in the front.
  
 
|-
 
|-
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|06:03
 
|Secure these edges of the cloth with a safe knot under the baby’s bottom.  
 
|Secure these edges of the cloth with a safe knot under the baby’s bottom.  
  
 
|-
 
|-
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|6:09
+
|06:09
 
|This is comfortable and helps support the baby.
 
|This is comfortable and helps support the baby.
 
 
 
|-
 
|-
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|6:14
+
|06:14
 
|Also it avoids slipping of the baby.
 
|Also it avoids slipping of the baby.
  
 
|-
 
|-
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|6:17
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|06:17
 
|Remember-  
 
|Remember-  
  
 
|-
 
|-
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|6:18
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|06:18
 
|as the mother becomes comfortable, she should learn to wrap the cloth by herself.  
 
|as the mother becomes comfortable, she should learn to wrap the cloth by herself.  
  
 
|-
 
|-
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|6:24
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|06:24
 
|The technique of -
 
|The technique of -
 
Self-wrapping during '''KMC''' will be explained in another tutorial of the same series.
 
Self-wrapping during '''KMC''' will be explained in another tutorial of the same series.
  
 
|-
 
|-
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|6:32
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|06:32
 
|It will increase the mother’s confidence and make her independent.  
 
|It will increase the mother’s confidence and make her independent.  
  
 
|-
 
|-
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|6:37
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|06:37
 
|If mother is uncomfortable while using a cloth then she can use a stretchy band.
 
|If mother is uncomfortable while using a cloth then she can use a stretchy band.
 
 
 
|-
 
|-
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|6:43
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|06:43
 
|It is easy and comfortable to use.
 
|It is easy and comfortable to use.
 
   
 
   
 
|-
 
|-
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|6:46
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|06:46
 
|While using a stretchy band-  
 
|While using a stretchy band-  
 
 
 
|-
 
|-
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|6:49
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|06:49
 
|adjust the edge of the band above the baby’s ear to support his head.  
 
|adjust the edge of the band above the baby’s ear to support his head.  
  
 
|-
 
|-
−
|6:54
+
|06:54
 
|Then, tilt the baby’s head slightly-
 
|Then, tilt the baby’s head slightly-
  
 
|-
 
|-
−
|6:57
+
|06:57
 
|to breathe freely and
 
|to breathe freely and
  
 
|-
 
|-
−
|6:59
+
|06:59
 
|to make eye to eye contact with the mother as explained earlier.
 
|to make eye to eye contact with the mother as explained earlier.
  
 
|-
 
|-
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|7:04
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|07:04
 
|The wrapped cloth or stretchy band should not be too tight or too loose.
 
|The wrapped cloth or stretchy band should not be too tight or too loose.
  
 
|-
 
|-
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|7:11
+
|07:11
 
|it should be comfortable enough for the baby to breathe freely.
 
|it should be comfortable enough for the baby to breathe freely.
  
 
|-
 
|-
−
|7:15
+
|07:15
 
|Remember, while carrying a baby in '''KMC''' position, mother should be able to-
 
|Remember, while carrying a baby in '''KMC''' position, mother should be able to-
 
 
 
|-
 
|-
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|7:20
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|07:20
 
|walk,
 
|walk,
  
 
|-
 
|-
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|7:21
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|07:21
 
|stand,  
 
|stand,  
 
 
 
|-
 
|-
−
|7:22
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|07:22
 
|sit or
 
|sit or
 
 
 
 
 
|-
 
|-
−
|7:23
+
|07:23
 
|involve in different activities.  
 
|involve in different activities.  
 
 
 
|-
 
|-
−
|7:26
+
|07:26
 
|If a mother is very comfortable then-
 
|If a mother is very comfortable then-
 
 
 
|-
 
|-
−
|7:29
+
|07:29
 
|she can even sleep during '''Kangaroo care''' in a reclined or a semi-reclined position.  
 
|she can even sleep during '''Kangaroo care''' in a reclined or a semi-reclined position.  
  
 
|-
 
|-
−
|7:35
+
|07:35
 
|Now let’s discuss how to feed the baby during '''KMC'''-
 
|Now let’s discuss how to feed the baby during '''KMC'''-
 
 
 
|-
 
|-
−
|7:40
+
|07:40
 
|Either mother can feed the baby-
 
|Either mother can feed the baby-
 
 
 
|-
 
|-
−
|7:43
+
|07:43
 
|by simply loosening the wrapped cloth and
 
|by simply loosening the wrapped cloth and
 
 
 
|-
 
|-
−
|7:46
+
|07:46
 
|positioning the baby for breastfeeding.  
 
|positioning the baby for breastfeeding.  
 
 
 
|-
 
|-
−
|7:50
+
|07:50
 
|Or she can manually express breast milk and
 
|Or she can manually express breast milk and
  
 
|-
 
|-
−
|7:54
+
|07:54
 
|feed the baby using a cup or spoon.
 
|feed the baby using a cup or spoon.
  
 
|-
 
|-
−
|7:57
+
|07:57
 
|Remember,
 
|Remember,
 
Each day baby should gain up to 25 to 30 grams of weight.
 
Each day baby should gain up to 25 to 30 grams of weight.
  
 
|-
 
|-
−
|8:03
+
|08:03
 
|Expected weight gain of a baby in a month is up to 900 to 1,000 grams.  
 
|Expected weight gain of a baby in a month is up to 900 to 1,000 grams.  
  
 
|-
 
|-
−
|8:10
+
|08:10
 
|Hence, mother or health worker should -  
 
|Hence, mother or health worker should -  
 
 
 
|-
 
|-
−
|8:13
+
|08:13
 
|monitor the weight of the baby during routine check-ups.  
 
|monitor the weight of the baby during routine check-ups.  
 
 
 
|-
 
|-
−
|8:17
+
|08:17
 
|If the baby fails to gain sufficient weight-
 
|If the baby fails to gain sufficient weight-
 
 
 
|-
 
|-
−
|8:21
+
|08:21
 
|health worker should monitor the breastfeeding technique of the mother or  
 
|health worker should monitor the breastfeeding technique of the mother or  
  
 
|-
 
|-
−
|8:25
+
|08:25
 
|check how many times the baby urinates  
 
|check how many times the baby urinates  
  
 
|-
 
|-
−
|8:28
+
|08:28
 
|also, guide the mother about the correct latching.
 
|also, guide the mother about the correct latching.
  
 
|-
 
|-
−
|8:32
+
|08:32
 
|Correct latching has been explained in an another tutorial of the same series.  
 
|Correct latching has been explained in an another tutorial of the same series.  
 
 
 
|-
 
|-
−
|8:39
+
|08:39
 
|Next,
 
|Next,
 
Let’s learn how to remove the baby from the wrapped cloth -  
 
Let’s learn how to remove the baby from the wrapped cloth -  
 
 
 
|-
 
|-
−
|8:44
+
|08:44
 
|firstly, the mother should sit in the upright position.
 
|firstly, the mother should sit in the upright position.
 
 
 
|-
 
|-
−
|8:48
+
|08:48
 
|then, start untying the knot with one hand and
 
|then, start untying the knot with one hand and
  
 
|-
 
|-
−
|8:53
+
|08:53
 
|support the baby’s bottom with other hand on the outside of wrapped cloth.
 
|support the baby’s bottom with other hand on the outside of wrapped cloth.
  
 
|-
 
|-
−
|8:58
+
|08:58
 
|After that-
 
|After that-
 
loosen the wrapped cloth with the same hand which was earlier used for untying the knot.  
 
loosen the wrapped cloth with the same hand which was earlier used for untying the knot.  
  
 
|-
 
|-
−
|9:04
+
|09:04
 
|Then-
 
|Then-
 
shift the hand under the cloth which was supporting the baby’s bottom and
 
shift the hand under the cloth which was supporting the baby’s bottom and
  
 
|-
 
|-
−
|9:11
+
|09:11
 
|use the other hand to support the baby’s bottom from outside the cloth.
 
|use the other hand to support the baby’s bottom from outside the cloth.
  
 
|-
 
|-
−
|9:16
+
|09:16
 
|Then, lift the baby up and free her from the wrapped cloth.
 
|Then, lift the baby up and free her from the wrapped cloth.
 
 
 
 
 
|-
 
|-
−
|9:21
+
|09:21
 
|After that, remember to hold the baby’s head in a way-
 
|After that, remember to hold the baby’s head in a way-
 
 
 
|-
 
|-
−
|9:26
+
|09:26
 
|where the thumb is behind one ear and  
 
|where the thumb is behind one ear and  
  
 
|-
 
|-
−
|9:28
+
|09:28
 
|other fingers are around the other ear.
 
|other fingers are around the other ear.
  
 
|-
 
|-
−
|9:30
+
|09:30
 
|During '''KMC'''-
 
|During '''KMC'''-
 
 
 
|-
 
|-
−
|9:32
+
|09:32
 
|the mother should immediately consult the doctor and the health worker -  
 
|the mother should immediately consult the doctor and the health worker -  
 
 
 
|-
 
|-
−
|9:37
+
|09:37
 
|if the baby is not alert and active.  
 
|if the baby is not alert and active.  
  
 
|-
 
|-
−
|9:41
+
|09:41
 
|if the baby is breathing too fast or taking too long pauses.  
 
|if the baby is breathing too fast or taking too long pauses.  
  
 
|-
 
|-
−
|9:46
+
|09:46
 
|if the baby’s lips or tongue turns blue  
 
|if the baby’s lips or tongue turns blue  
 
 
 
|-
 
|-
−
|9:50
+
|09:50
 
|and if baby’s feet are cold
 
|and if baby’s feet are cold
 
   
 
   
 
|-
 
|-
−
|9:53
+
|09:53
 
|This brings us to the end of this tutorial on '''Kangaroo mother care'''.  
 
|This brings us to the end of this tutorial on '''Kangaroo mother care'''.  
  
 
|-
 
|-
−
|9:58
+
|09:58
 
|Thanks for joining.  
 
|Thanks for joining.  
  
 
|}
 
|}

Revision as of 11:32, 15 February 2019

Time
Narration


00:00 Welcome to the Spoken Tutorial on Kangaroo mother care.
00:05 In this tutorial, we will learn -
0:08 What is Kangaroo mother care?
00:10 The components, importance and
00:13 Procedure of Kangaroo mother care
00:17 Let us first begin with the introduction of Kangaroo mother care?
00:22 As the name suggests -
00:24 it involves, keeping the baby in skin to skin contact with the mother.
00:29 and it is popularly known as KMC.
00:32 Remember, KMC should be given as soon as the baby is born.
00:39 It is especially recommended for low birth weight babies-
00:44 whose birth weight is less than 2.5 kilograms and
00:48 who do not require continuous monitoring
00:52 However, it can be used for all normal, healthy full-term babies too.
00:59 KMC consists of two main components:
01:03 Continuous and prolonged skin to skin contact between the mother and her baby.
01:09 and Exclusive breastfeeding
01:13 Let’s discuss these components in detail.
01:17 The first component is skin to skin contact.
01:21 it improves the Let down reflex
01:24 and ultimately increases the breast milk production.
01:28 Let down reflex has been explained in another tutorial of the same series.
01:34 The second component is exclusive breastfeeding.
01:38 Note that-
01:40 Exclusive breastfeeding is recommended for the first 6 months.
01:45 Next, let’s discuss the importance of Kangaroo care.
01:50 Prolonged skin to skin contact during KMC helps maintain the baby's body temperature
01:57 and the baby feels more secure.
02:01 KMC also decreases -
02:03 the frequency of infection and
02:05 the rate of apnea in babies.
02:09 Apnea is defined as long pauses in breathing.
02:13 Apart from these-
02:15 KMC improves the frequency and duration of breastfeeding.
02:20 And it strengthens the emotional bonding between the mother and her baby.
02:26 KMC also helps the baby-
02:28 to gain weight than any other conventional methods such as-
02:33 keeping the baby in radiant warmer.
02:36 which creates stress for the baby and the mother.
02:40 It also improves the satisfaction and confidence in the mother-
02:45 as she takes extra effort for her baby.
02:49 Interestingly, apart from mothers, KMC can be provided by-
02:54 Father or
02:56 Any adult family member too.
02:58 We will now discuss the points to be followed by KMC provider:
03:04 The KMC provider should be healthy and free from illness.
03:09 He or she should follow basic hygiene practices such as-
03:14 hand washing,
03:16 daily bath,
03:17 clipped fingernails,
03:18 tied up hair
03:20 and clean clothes.
03:22 He or she should not wear any jewellery, watches and threads -
03:26 as these may become the barriers to maintain the hygiene.
03:31 and it can cause injury to the baby.
03:35 Now, let us discuss the type of clothes the provider should wear during KMC -
03:42 clothes should be front open and lightweight.
03:46 for example, sari-blouse or front open gown.
03:51 Note that,
03:52 The KMC provider should wear this front open gown or blouse around KMC wrap.
03:58 Kangaroo bags or binders can be bought from the market as well.
04:04 These are useful if KMC has to be done for an extended period.
04:09 Alternately, the KMC provider can use soft clean cotton fabric.
04:16 Whereas, the baby during KMC should -
04:19 wear a cap and a nappy.
04:22 if the baby passes stool or urine during KMC then -
04:27 she should be cleaned and dried thoroughly.
04:30 Next, we will move ahead to the procedure of Kangaroo care in detail.
04:36 Firstly, the mother should stand in an upright position.
04:40 Then, either a health worker or any family member should do the following things, step-wise-
04:48 By supporting the baby’s bottom and head-
04:51 place the baby between the mother’s bare breasts in an upright position.
04:56 then, turn the baby’s head to one side.
05:00 Make sure,

the baby’s head is slightly bending backward.

05:04 This position will -

keep the baby’s nose airways open

05:08 and will allow the baby to make eye to eye contact with the mother.
05:14 Then bend the baby’s hips slightly outward.
05:18 Remember -

to keep baby’s arms above the mother’s breast and

05:23 legs below the mother’s breast and
05:27 the baby’s abdomen on the chest of the mother.
05:29 Before wrapping with the cloth-
05:32 Cover the baby with a blanket if environment is cold.
05:36 It will keep the baby and the mother warm.
05:39 Then,

Wrap a cloth around the baby and mother’s chest and abdomen.

05:45 While wrapping make sure -
05:47 The center of the cloth is on the baby.
05:50 And both ends of the cloth should -
05:53 pass through the armpits of the mother
05:56 and should cross at the back.
05:59 After that bring the edges of the cloth in the front.
06:03 Secure these edges of the cloth with a safe knot under the baby’s bottom.
06:09 This is comfortable and helps support the baby.
06:14 Also it avoids slipping of the baby.
06:17 Remember-
06:18 as the mother becomes comfortable, she should learn to wrap the cloth by herself.
06:24 The technique of -

Self-wrapping during KMC will be explained in another tutorial of the same series.

06:32 It will increase the mother’s confidence and make her independent.
06:37 If mother is uncomfortable while using a cloth then she can use a stretchy band.
06:43 It is easy and comfortable to use.
06:46 While using a stretchy band-
06:49 adjust the edge of the band above the baby’s ear to support his head.
06:54 Then, tilt the baby’s head slightly-
06:57 to breathe freely and
06:59 to make eye to eye contact with the mother as explained earlier.
07:04 The wrapped cloth or stretchy band should not be too tight or too loose.
07:11 it should be comfortable enough for the baby to breathe freely.
07:15 Remember, while carrying a baby in KMC position, mother should be able to-
07:20 walk,
07:21 stand,
07:22 sit or
07:23 involve in different activities.
07:26 If a mother is very comfortable then-
07:29 she can even sleep during Kangaroo care in a reclined or a semi-reclined position.
07:35 Now let’s discuss how to feed the baby during KMC-
07:40 Either mother can feed the baby-
07:43 by simply loosening the wrapped cloth and
07:46 positioning the baby for breastfeeding.
07:50 Or she can manually express breast milk and
07:54 feed the baby using a cup or spoon.
07:57 Remember,

Each day baby should gain up to 25 to 30 grams of weight.

08:03 Expected weight gain of a baby in a month is up to 900 to 1,000 grams.
08:10 Hence, mother or health worker should -
08:13 monitor the weight of the baby during routine check-ups.
08:17 If the baby fails to gain sufficient weight-
08:21 health worker should monitor the breastfeeding technique of the mother or
08:25 check how many times the baby urinates
08:28 also, guide the mother about the correct latching.
08:32 Correct latching has been explained in an another tutorial of the same series.
08:39 Next,

Let’s learn how to remove the baby from the wrapped cloth -

08:44 firstly, the mother should sit in the upright position.
08:48 then, start untying the knot with one hand and
08:53 support the baby’s bottom with other hand on the outside of wrapped cloth.
08:58 After that-

loosen the wrapped cloth with the same hand which was earlier used for untying the knot.

09:04 Then-

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

09:11 use the other hand to support the baby’s bottom from outside the cloth.
09:16 Then, lift the baby up and free her from the wrapped cloth.
09:21 After that, remember to hold the baby’s head in a way-
09:26 where the thumb is behind one ear and
09:28 other fingers are around the other ear.
09:30 During KMC-
09:32 the mother should immediately consult the doctor and the health worker -
09:37 if the baby is not alert and active.
09:41 if the baby is breathing too fast or taking too long pauses.
09:46 if the baby’s lips or tongue turns blue
09:50 and if baby’s feet are cold
09:53 This brings us to the end of this tutorial on Kangaroo mother care.
09:58 Thanks for joining.

Contributors and Content Editors

Debosmita, PoojaMoolya, Rajani st, Sandhya.np14

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