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

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(Created page with " {|border=1 | <center> '''Time''' </center> | <center> '''Narration''' </center> |- | 00:00 | Welcome to the Spoken Tutorial on '''Kangaroo mother care'''. |- | 00:0...")
 
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the baby’s head is slightly bending backward.
  
 
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to keep baby’s arms above the mother’s breast and
  
 
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| 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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  Each day baby should gain up to 25 to 30 grams of weight.
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Each day baby should gain up to 25 to 30 grams of weight.
  
 
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  Let’s learn how to remove the baby from the wrapped cloth -  
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loosen the wrapped cloth with the same hand which was earlier used for untying the knot.  
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Revision as of 10:54, 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?
0:10 The components, importance and
0:13 Procedure of Kangaroo mother care
0:17 Let us first begin with the introduction of Kangaroo mother care?
0:22 As the name suggests -
0:24 it involves, keeping the baby in skin to skin contact with the mother.
0:29 and it is popularly known as KMC.
0:32 Remember, KMC should be given as soon as the baby is born.
0:39 It is especially recommended for low birth weight babies-
0:44 whose birth weight is less than 2.5 kilograms and
0:48 who do not require continuous monitoring
0:52 However, it can be used for all normal, healthy full-term babies too.
0:59 KMC consists of two main components:
1:03 Continuous and prolonged skin to skin contact between the mother and her baby.
1:09 and Exclusive breastfeeding
1:13 Let’s discuss these components in detail.
1:17 The first component is skin to skin contact.
1:21 it improves the Let down reflex
1:24 and ultimately increases the breast milk production.
1:28 Let down reflex has been explained in another tutorial of the same series.
1:34 The second component is exclusive breastfeeding.
1:38 Note that-
1:40 Exclusive breastfeeding is recommended for the first 6 months.
1:45 Next, let’s discuss the importance of Kangaroo care.
1:50 Prolonged skin to skin contact during KMC helps maintain the baby's body temperature
1:57 and the baby feels more secure.
2:01 KMC also decreases -
2:03 the frequency of infection and
2:05 the rate of apnea in babies.
2:09 Apnea is defined as long pauses in breathing.
2:13 Apart from these-
2:15 KMC improves the frequency and duration of breastfeeding.
2:20 And it strengthens the emotional bonding between the mother and her baby.
2:26 KMC also helps the baby-
2:28 to gain weight than any other conventional methods such as-
2:33 keeping the baby in radiant warmer.
2:36 which creates stress for the baby and the mother.
2:40 It also improves the satisfaction and confidence in the mother-
2:45 as she takes extra effort for her baby.
2:49 Interestingly, apart from mothers, KMC can be provided by-
2:54 Father or
2:49 Any adult family member too.
2:58 We will now discuss the points to be followed by KMC provider:
3:04 The KMC provider should be healthy and free from illness.
3:09 He or she should follow basic hygiene practices such as-
3:14 hand washing,
3:16 daily bath,
3:17 clipped fingernails,
3:18 tied up hair
3:20 and clean clothes.
3:22 He or she should not wear any jewellery, watches and threads -
3:26 as these may become the barriers to maintain the hygiene.
3:31 and it can cause injury to the baby.
3:35 Now, let us discuss the type of clothes the provider should wear during KMC -
3:42 clothes should be front open and lightweight.
3:46 for example, sari-blouse or front open gown.
3:51 Note that,
3:52 The KMC provider should wear this front open gown or blouse around KMC wrap.
3:58 Kangaroo bags or binders can be bought from the market as well.
4:04 These are useful if KMC has to be done for an extended period.
4:09 Alternately, the KMC provider can use soft clean cotton fabric.
4:16 Whereas, the baby during KMC should -
4:19 wear a cap and a nappy.
4:22 if the baby passes stool or urine during KMC then -
4:27 she should be cleaned and dried thoroughly.
4:30 Next, we will move ahead to the procedure of Kangaroo care in detail.
4:36 Firstly, the mother should stand in an upright position.
4:40 Then, either a health worker or any family member should do the following things, step-wise-
4:48 By supporting the baby’s bottom and head-
4:51 place the baby between the mother’s bare breasts in an upright position.
4:56 then, turn the baby’s head to one side.
5:00 Make sure,

the baby’s head is slightly bending backward.

5:04 This position will -

keep the baby’s nose airways open

5:08 and will allow the baby to make eye to eye contact with the mother.
5:14 Then bend the baby’s hips slightly outward.
5:18 Remember -

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

5:23 legs below the mother’s breast and
5:27 the baby’s abdomen on the chest of the mother.
5:29 Before wrapping with the cloth-
5:32 Cover the baby with a blanket if environment is cold.
5:36 It will keep the baby and the mother warm.
5:39

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

5:45 While wrapping make sure -
5:47 The center of the cloth is on the baby.
5:50 And both ends of the cloth should -
5:53 pass through the armpits of the mother
5:56 and should cross at the back.
5:59 After that bring the edges of the cloth in the front.
6:03 Secure these edges of the cloth with a safe knot under the baby’s bottom.
6:09 This is comfortable and helps support the baby.
6:14 Also it avoids slipping of the baby.
6:17 Remember-
6:18 as the mother becomes comfortable, she should learn to wrap the cloth by herself.
6:24 The technique of -

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

6:32 It will increase the mother’s confidence and make her independent.
6:37 If mother is uncomfortable while using a cloth then she can use a stretchy band.
6:43 It is easy and comfortable to use.
6:46 While using a stretchy band-
6:49 adjust the edge of the band above the baby’s ear to support his head.
6:54 Then, tilt the baby’s head slightly-
6:57 to breathe freely and
6:59 to make eye to eye contact with the mother as explained earlier.
7:04 The wrapped cloth or stretchy band should not be too tight or too loose.
7:11 it should be comfortable enough for the baby to breathe freely.
7:15 Remember, while carrying a baby in KMC position, mother should be able to-
7:20 walk,
7:21 stand,
7:22 sit or
7:23 involve in different activities.
7:26 If a mother is very comfortable then-
7:29 she can even sleep during Kangaroo care in a reclined or a semi-reclined position.
7:35 Now let’s discuss how to feed the baby during KMC-
7:40 Either mother can feed the baby-
7:43 by simply loosening the wrapped cloth and
7:46 positioning the baby for breastfeeding.
7:50 Or she can manually express breast milk and
7:54 feed the baby using a cup or spoon.
7:57 Remember,

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

8:03 Expected weight gain of a baby in a month is up to 900 to 1,000 grams.
8:10 Hence, mother or health worker should -
8:13 monitor the weight of the baby during routine check-ups.
8:17 If the baby fails to gain sufficient weight-
8:21 health worker should monitor the breastfeeding technique of the mother or
8:25 check how many times the baby urinates
8:28 also, guide the mother about the correct latching.
8:32 Correct latching has been explained in an another tutorial of the same series.
8:39 Next,

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

8:44 firstly, the mother should sit in the upright position.
8:48 then, start untying the knot with one hand and
8:53 support the baby’s bottom with other hand on the outside of wrapped cloth.
8:58 After that-

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

9:04

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

9:11 use the other hand to support the baby’s bottom from outside the cloth.
9:16 Then, lift the baby up and free her from the wrapped cloth.
9:21 After that, remember to hold the baby’s head in a way-
9:26 where the thumb is behind one ear and
9:28 other fingers are around the other ear.
9:30 During KMC-
9:32 the mother should immediately consult the doctor and the health worker -
9:37 if the baby is not alert and active.
9:41 if the baby is breathing too fast or taking too long pauses.
9:46 if the baby’s lips or tongue turns blue
9:50 and if baby’s feet are cold
9:53 This brings us to the end of this tutorial on Kangaroo mother care.
9:58 Thanks for joining.

Contributors and Content Editors

Debosmita, PoojaMoolya, Rajani st, Sandhya.np14

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