Difference between revisions of "Health-and-Nutrition/C2/Feeding-expressed-breastmilk-to-babies/English"

Title Slide

Image: Woman is feeding milk from a glass container to the baby.

• How to make stored breastmilk ready for a baby to drink
• And how to feed expressed breastmilk to a baby

GIF: Hand expression of breastmilk

Image: Breast milk stored in a labelled closed glass container.

Expressing breastmilk has many benefits for the baby and the caregiver

GIF: Hand expression of breastmilk

Image: Breast milk stored in a labelled closed glass container.

Image: The caregiver is checking temperature of breastmilk on their wrist

Image: The caregiver is showing their dry and clean hands.

• wash their hands with soap and water
• And dry their hands well

Image: Frozen breastmilk transferred to fridge from the freezer

Image: Milk is defrosting

Image: 24 hours clock

• Ideally, defrost it by keeping it overnight on the lowest shelf of the fridge
• And use this defrosted milk within the next 24 hours

Image: Frozen breastmilk is kept in cold water outside the fridge

Image: Frozen breastmilk is kept in lukewarm water and shaken occasionally

• First, keeping it in a container of cold water
• And then keeping it in a container of lukewarm water

• shake the breastmilk container gently and occasionally

Do not shake it vigorously and continuously

Image: Condensation of water on the jar

Image: The caregiver feeding the defrosted milk to baby from a cup

Image: The caregiver is throwing away unused defrosted milk

Image: Baby accepts defrosted breastmilk

• Defrosted breastmilk can smell and taste different than fresh breastmilk
• It is fine as long as the baby accepts it

• The caregiver must always smell the breastmilk before feeding it to the baby
• If the milk smells sour, do not use it

Image: The caregiver shakes the milk gently

Image: The cream is mixed in the milk again.

• When breastmilk is stored, it will separate with the cream rising to the top
• This is normal. Shake gently to mix the cream back in the milk before use

• keep the breastmilk container in a bowl of lukewarm water for 20 to 30 minutes

• Test how warm the milk is by dropping a little onto the wrist
• It is right when it feels warm

Image: Milk is overheated

Image: The caregiver is scalded by overheated milk

• Do not use hot water to warm the breastmilk
• Try to use stored breast milk straight from the fridge
• This will help to avoid the risks of over-heating and burns

Image: The caregiver is heating breastmilk in a microwave

Image: Heat destroys many infection-fighting factors present in breastmilk.

• Do not heat breastmilk by keeping it directly on a stove or in a microwave
• Direct heat destroys many of the infection-fighting factors present in the breastmilk

Image: Small cup

Image: Spoon

Image: Nifty cup

• A Paladai
• A small cup
• A spoon or
• A nifty cup

Out of these, it is preferable to use a spoon or a cup to feed the baby

Image: Cup is air-dried

Image: The caregiver is wiping the cup with a clean unused cloth.

• wash the chosen utensil with soap and water
• and then air dry it completely
• Or wipe it dry with a clean unused cloth

Image: The caregiver is showing dry hands

Image: two-thirds filled cup

Image: The caregiver’s hand is supporting the baby’s head and neck

• Then, they should hold the baby in a nearly upright position on their lap

• Their hand should support the baby’s head and neck

Image: Tip of the paladai is positioned inside the baby’s mouth. It is resting lightly on the baby’s lower lip. Milk is at the rim of the beak of the paladai.

• They should position the tip of the paladai inside the corner of the baby’s mouth
• It should be held lightly between the baby’s lips
• The tip of the paladai should lightly touch the baby’s upper lip
• In this position, the milk should stay at the rim of the beak of the paladai

Image: The caregiver slightly tilts the paladai to keep the milk at the rim

• the caregiver should tilt the paladai slightly to keep the milk at the rim

Image: Cup is resting on the lower lip of the baby.

Image: The caregiver slightly tilts the cup so that the milk reached the top edge of the cup

Image or GIF: Baby is drinking milk from the rim of the cup

• They should hold the cup lightly between the baby’s lips
• The rim of the cup should lightly touch the baby’s upper lip
• They should tilt the cup slightly until the milk reaches the top edge of the cup
• This should let the baby take the milk from the rim of the cup

Image: The caregiver is holding the spoon next to the baby’s lower lip

Image: The caregiver tilts the spoon so that the milk is at the edge of the spoon

GIF: The caregiver is feeding the baby with a spoon in the first few days of birth.

Image: Spoon filled with milk

• They should hold the spoon between the baby’s lips
• The edge of the spoon should lightly touch the baby’s upper lip
• Then they should tilt the spoon slightly until the milk is at the edge of the spoon

• Feeding with a spoon is good for the first few days after birth
• Because during these days only a small amount of milk is needed

Image: The caregiver positions small reservoir of the nifty cup just inside the baby’s mouth

GIF: Baby is suckling milk from the nifty cup

Image: The caregiver slightly tilts the cup up to add milk to the reservoir as it empties.

• They should position the small reservoir of the nifty cup just inside the baby’s mouth
• As the baby slurps the milk, they should tilt the cup up slightly
• This will add milk to the reservoir as it empties

Image: The caregiver is pouring the milk in baby’s mouth

Image: Baby is choking on milk

Image: The caregiver has kept milk at the rim of the cup throughout the feed

• Never pour milk into the baby’s mouth
• This may cause the baby to choke
• Instead, keep the milk at the rim and leave it in that position throughout the feed

Image: Baby is interested in feeding. She is asking for milk.

• Always ensure that the baby is fully awake, alert and interested in feeding

Image: Baby knocks the cup out of the caregiver’s hands while feeding.

• If needed, wrap the baby to prevent her from knocking the cup out of the feeder’s hands

• Always let the baby slurp milk at her own pace

Image: Baby is holding her hands up while the caregiver is feeding from a cup

Image: Baby falls asleep while the caregiver is feeding her from a cup

Image: Baby closes her mouth while the caregiver is feeding her from a spoon

Signs such as -

• Holding her hands up
• Falling asleep or
• Closing her mouth

Image: The caregiver has kept the cup very lightly on the baby’s lower lip.

• Do not apply too much pressure on the lower lip of the baby
• Always let the edge of the utensil touch the baby’s upper lip lightly

Image: The caregiver has kept the paladai at the right place on baby’s mouth

Image: The caregiver is washing the used cup with soap and clean water

Image: Feeding cup is air dried

• Wash the cup, paladai or spoon well with soap and clean water
• And let it air dry completely

Image: Baby is feeding properly when grandmother feeds her

• Some babies are reluctant to take expressed breastmilk-
  • particularly at first from some people

• They may be less reluctant when someone else gives it to them

Image: The mother comes back from work

Image: Mother breastfeeds the baby after coming home from work.

GIF: Clock

• If expressed milk is refused by the baby, try not to worry
• On the mother’s return from work-
  • The baby will make up any missed feeds by breastfeeding more often or for longer

Image: The caregiver is washing their hands

Image: The caregiver is washing the container

Image: The caregiver is feeding milk to the baby from a cup

GIF: Clock

Image: Breastmilk filled container is stored safely in the fridge

Image: Breastmilk filled container is stored safely in a room.

Keep the breastmilk safe by-

• washing hands, containers and utensils
• feeding milk as soon as needed
• or storing it safely

Acknowledgement

Thank you for joining