Difference between revisions of "Health-and-Nutrition/C2/Nipple-conditions/English-timed"
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Revision as of 15:40, 5 July 2018
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| 00:01 | 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. |
| 01:29 | Note that, We have discussed the correct latching technique in another tutorial of the same series. |
| 01:37 | 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. |
| 01:56 | If the mother has fungal or bacterial infection she should consult the doctor. |
| 02:03 | Next, Some mothers have a habit of cleaning the nipples before every feed. |
| 02:09 | This causes dryness of nipples. |
| 02:13 | 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. |
| 02:28 | After cleaning, mother should apply her hindmilk on the wound. |
| 02:32 | As hind milk contain substances that aids 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. |
| 03:22 | 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, |
| 03:37 | Tell the mother to express some breastmilk 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 breastmilk 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 hindmilk onto the affected area after each feed, as discussed earlier. |
| 04:42 | Remember, not to use the following on sore and 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. |
| 05:33 | 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. |
| 05:56 | Note that, incase 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. |
| 07:00 | 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. |
| 07:19 | This brings us to the end of this tutorial on nipple conditions in lactating mothers. |
| 07:26 | In this tutorial, we learnt about- Sore or cracked nipples and |
| 07:31 | Flat or inverted nipples |
| 07:34 | This tutorial has been contributed by Spoken Tutorial Project, IIT Bombay |
| 07:40 | Spoken Tutorial Project is funded by NMEICT, MHRD, Government of India. |
| 07:47 | More information on this mission is available at this link. |
| 07:52 | This tutorial is partly funded by a generous contribution from WHEELS Global Foundation. |
| 07:59 | This tutorial is part of Maa aur Shishu Poshan project. |
| 08:04 | 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. |
