Difference between revisions of "Health-and-Nutrition/C2/Cradle-Hold-for-Breastfeeding/English-timed"
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Revision as of 15:36, 14 March 2019
| 00:01 | Welcome to the Spoken Tutorial on Cradle hold for breastfeeding. |
| 00:06 | In this tutorial we will learn about- |
| 00:09 | Choosing the correct breastfeeding hold for a mother and her baby |
| 00:15 | Mother’s preparation before breastfeeding and |
| 00:18 | How to do the Cradle hold. |
| 00:22 | Let us begin.
Across the world, mothers breastfeed their babies using various types of holds. As discussed in an earlier tutorial - The best breastfeeding hold for a mother and her baby is the one in which - |
| 00:39 | both mother and baby are comfortable for the entire duration of breastfeeding |
| 00:45 | The baby is able to attach deeply to the mother’s breast |
| 00:50 | And get sufficient milk. |
| 00:54 | Let us learn about one of the holds called Cradle hold. |
| 00:59 | Before feeding her baby, the mother must wash her hands with soap and water. |
| 01:05 | And dry her hands properly. |
| 01:10 | Then she should drink a glass of boiled and cooled water. |
| 01:15 | Lactating mothers produce 750 to 850 millilitres of milk per day on an average. |
| 01:22 | Therefore, they need to increase their daily water intake. |
| 01:27 | Next, let’s discuss the position of the mother. |
| 01:31 | Mother should sit on the floor or on the bed in cross legged position. |
| 01:36 | Or on a chair with her feet flat on the ground. |
| 01:41 | If the chair is too high and her feet do not reach the floor then- |
| 01:47 | she can rest her feet flat on a small stool or pillows kept on the floor. |
| 01:53 | While sitting, she should ensure that -
Her back is straight so as to avoid back pain |
| 02:00 | Her shoulders are relaxed and not elevated or curved |
| 02:05 | And this relaxed position is maintained throughout the breastfeeding session. |
| 02:12 | Now, the mother should uncover the breast from which she wants to feed the baby. |
| 02:18 | She should ensure not to put pressure of her bra or blouse on the breast. |
| 02:25 | After sitting comfortably, bring the baby to the mother. |
| 02:29 | Mother should hold her baby with the arm on the same side of the breast that she will feed from. |
| 02:37 | Baby’s head should rest comfortably in the inner bend of the elbow of that arm. |
| 02:44 | With the same arm, mother should support the head, neck and torso of her baby. |
| 02:51 | The mother in this picture, will feed the baby from her right breast. |
| 02:56 | Therefore, she is using her right arm to support the baby’s head, neck and torso and |
| 03:04 | The baby’s head is resting in the inner bend of her right elbow. |
| 03:10 | If the mother wants additional support to lift the baby, she can keep a pillow under the baby on her lap. |
| 03:19 | Remember, the mother should never bring the breast to the baby by bending her back. |
| 03:25 | This will make her uncomfortable and cause back pain. |
| 03:30 | She should always keep her back straight and lift the baby to reach her breast. |
| 03:36 | Next, let us learn how to position baby’s body correctly. |
| 03:42 | The baby’s stomach should be gently pressed by the mother’s body. |
| 03:47 | Lesser distance between their bodies will reduce the baby’s effort to reach the breast. |
| 03:54 | And it will become easier for the baby to attach deeply. |
| 04:00 | Then, the second important point is the direction in which the baby’s entire body is held. |
| 04:08 | You may have noticed that -
When we eat food, our head, neck and body are always in the same direction. |
| 04:16 | But, while breastfeeding, the baby’s head is often turned sideways by many mothers. |
| 04:23 | This will make feeding uncomfortable for the baby. |
| 04:28 | Baby’s head, neck and body should always be in the same direction while breastfeeding. |
| 04:35 | This will make swallowing milk easier for the baby. |
| 04:41 | Now we come to the third point in positioning the baby’s body. |
| 04:46 | The mother should support the head, neck and torso of her baby. |
| 04:51 | Otherwise the baby will have to take a lot of effort to attach deeply to the breast. |
| 04:58 | Next, let’s look at the position of the baby’s nose and chin. |
| 05:03 | Baby’s nose should be in line with the nipple. |
| 05:07 | And her chin should be forward and very close to the breast. |
| 05:13 | This will ensure that the baby takes in more of the lower part of the areola while latching. |
| 05:19 | and therefore, will use the lower jaw to drink more milk efficiently. |
| 05:26 | Please note - Areola is the dark area around the nipple. |
| 05:32 | Now that the baby is positioned correctly, |
| 05:35 | Let us learn, how to hold the breast. |
| 05:39 | Using the fingers of the hand that is free, the mother should cup her breast in a U shape hold from the top. |
| 05:48 | The mother in this picture will use her left hand to hold her right breast. |
| 05:55 | To understand the correct position of thumb and fingers, imagine the nipple to be the center of a clock on the mother’s right breast. |
| 06:04 | Mother should place her left thumb at 3’O clock position on this clock. |
| 06:10 | While her left index finger and middle finger should be placed at 9’O clock position. |
| 06:18 | Mother’s fingers, holding the breast, should always be in the direction of the baby’s lips. |
| 06:25 | Why?
Let’s understand this using a simple example. |
| 06:30 | When we eat a vada pav or burger, our lips open horizontally. |
| 06:35 | We hold the vada pav or burger horizontally to take a big bite. |
| 06:40 | Here, the thumb and fingers are placed in the direction of the lips. |
| 06:46 | If we hold the vada pav or burger vertically, we won’t be able to take a big bite. |
| 06:53 | Similarly, observe the direction of baby’s lips.
The lips are vertical here. |
| 07:00 | Therefore, the fingers and thumb should also be placed vertically on the breast. |
| 07:06 | This will help the baby to take a big part of the lower areola in her mouth. |
| 07:13 | In addition to being in the direction of the baby’s lips, mother’s thumb and fingers should always be at a distance of 3 fingers from the nipple. |
| 07:23 | Again, while eating a vada pav or burger,
If we hold it too close, our fingers will block our mouth from taking a big bite. |
| 07:34 | If we hold it too far away, it will not be shaped correctly to fit in our mouth. |
| 07:41 | Therefore, we hold it at the right distance to take a big bite. |
| 07:47 | Similarly for the baby, the right distance is of 3 fingers from the nipple, as shown in this picture. |
| 07:55 | This distance will ensure that-
Mother’s fingers do not block the baby from taking a big part of the areola in her mouth |
| 08:05 | Mother does not compress only the nipple which will give very little milk |
| 08:11 | Mother compresses the larger milk ducts beneath the areola to express more milk out |
| 08:17 | And the breast is shaped correctly to help the baby attach deeply. |
| 08:23 | Remember-
Mother’s thumb should be on the side of the breast where the baby’s chin is present. |
| 08:30 | And her 2 fingers should be on the side of the breast where baby’s nose is present. |
| 08:36 | Let’s go back to the example of vada pav or burger. |
| 08:41 | After holding the vada pav or burger correctly, we always press it to take a big bite. |
| 08:48 | Similarly, the mother should lightly press her breast in a U shape hold from the top. |
| 08:54 | This will help the baby to take a big part of the lower areola in her mouth. |
| 09:01 | But remember, mother should not press her breast in an inverted V shape hold. |
| 09:07 | V shape compression will pinch the breast and cause nipple feeding. |
| 09:14 | Also make sure that there is equal compression of the breast with the thumb and the fingers. |
| 09:21 | Otherwise, the nipple will shift either to the right or the left side. |
| 09:27 | And the baby will not be able to attach deeply to the breast. |
| 09:32 | Remember,
Never bring the breast to the baby by pushing it sideways towards the baby. |
| 09:39 | Always bring the baby towards the breast. |
| 09:43 | Now, the baby is in Cradle hold and ready to attach to the breast for breastfeeding. |
| 09:49 | Correct attachment of the baby to the breast is explained in another tutorial in the same series. |
| 09:58 | As soon as the baby is attached deeply to the breast and if the breast is not too heavy then- |
| 10:05 | mother should release her breast from her hand |
| 10:09 | and bring that hand underneath the baby for support. |
| 10:14 | In this position, mother should bring both her arms very close to her body. |
| 10:21 | This will keep her comfortable during breastfeeding. |
| 10:26 | This brings us to the end of this tutorial. |
| 10:29 | Thank you for joining. |
