Health-and-Nutrition/C2/Breast-crawl/English

Visual cue	Narration
Title slide	Welcome to the Spoken tutorial on Breast crawl.
Image: A baby is latching on the mother’s breast in the breast crawl position. Image: A baby is facing the mother’s face in breast crawl position. Image: Importance of breast crawl for the baby.	In this tutorial we will learn, What is breast crawl? Procedure for breast crawl and Importance of breast crawl
Image: A baby is latching on the mother’s breast in the breast crawl position.	Let us first understand what is breast crawl?
Image: Structure of human brain. Image: Birth attendant is keeping the baby on the mother’s abdomen. Image: Baby is trying to take the breast in her mouth in breast crawl position. Image: A baby is latching on the mother’s breast in the breast crawl position.	A baby is born with an instinctive feeding behaviour. Soon after delivery, upon placing her on the mother’s bare abdomen- she can find her mother’s breast and initiate breastfeeding. This entire process is called breast crawl.
Image: Healthy full term baby. Image: Natural delivery. Image: Cesarean delivery. Image: Newborn baby.	It is to be noted that: breast crawl can be done on full term, stable babies who are- born either by natural delivery or by a cesarean delivery And who have cried well immediately after birth.
Image: Low weight newborn baby. Image: Baby with respiratory problems.	Breast crawl is not performed on unstable babies with low birth weight. As they may suffer from respiratory problems like breathlessness.
Image: Baby on mother’s abdomen.	Now, we will learn the procedure and later the importance for breast crawl.
Image: Delivery room and thermometer.	First, ensure that- Delivery room’s temperature is around 26 degree Celsius.
Image: Birth attendant is cleaning a baby by keeping her on mother’s abdomen.	Next is to clean the baby by placing her on the mother’s bare abdomen.
Image: Birth attendant is cleaning the baby’s hand with red cross mark. Image: Wet hand of a baby.	Clean her entire body thoroughly except the hands with a clean dry cloth. Remember- The baby’s hands should be kept wet.
Image: Birth attendant is cleaning a baby.	Do not remove the protective white coating on her skin while cleaning. It protects the baby if the weather is cold. After cleaning the baby remove the wet cloth.
Image: Birth attendant is cutting the umbilical cord.	After drying the baby- The birth attendant should feel pulsation of the cord. Once it stops pulsating, she should cut the cord.
Image: A birth attendant is keeping a baby on mother’s abdomen.	Next is to reposition the baby on her mother’s bare abdomen in such a way that- Her tummy touches the mother’s tummy. Her head is placed between mother’s unwashed breasts. Her mouth is below her mother’s breast. Now the baby is positioned correctly for breast crawl.
Image: Hand movements of a baby while crawling. Image: Leg movements of a baby while crawling.	As moving forward is very natural for a newborn baby, she can easily crawl forward towards mother’s breast.
Image: Birth attendant is placing a cap and cloth on a baby.	Next thing to do is- cover the baby and mother together with a clean dry cloth to keep them warm, place a cap on the baby’s head. Please note- We have not shown the cap and cloth in subsequent images. This will help us to clearly observe the position of the baby during breast crawl.
Image: Mother is supporting baby’s back with her hands in breast crawl position.	After covering the baby with the cloth- make the mother support the baby's back with her hand.
Image: Newborn baby.	Let’s discuss a baby’s abilities which helps in breast crawl,
Image: Baby’s hand is in her mouth and baby is salivating. Image: Baby is facing the mother in breast crawl position. Image: Mother’s breast.	Baby is very alert and instinctive after delivery. The smell of her unclean hands stimulates her to salivate. Also the baby, with her limited vision, can see her mother’s face and the areola. Areola is the dark area around the nipple.
Image: Baby is moving her limbs and crawling towards the mother’s breast.	Eventually, the baby starts moving- Using her hands and legs, she gradually crawls towards her mother’s breast. However, some babies start crawling immediately and some take time.
Image: Baby is trying to grasp the mother’s breast in breast crawl position. Image: Baby is latching on mother’s breast in breast crawl position. GIF animation: clock.	Upon reaching the breast, the baby first tries to grasp the breast with her hands. Do not disturb the baby and the mother at this poin-t until she takes her first breastfeed. Both, the birth attendant and the mother should have patience during this procedure. A baby may take 30-60 minutes to reach upto the mother’s breast for her first feed.
Image: Baby is latching on mother’s breast in breast crawl position. GIF Animation: Clock. Image: Baby is latching on mother’s breast in breast crawl position. Image: Injection and doctor.	During initiation of breastfeeding- baby will open her mouth wide and attach deeply to her mother’s breast. After finishing the feeding, let the baby be in the same position for an hour or so. Doing so, helps improve the bonding between the mother and the baby. However if the mother has taken any medicines please consult her doctor.
Image: A mother is lying on the stretcher. Image: Baby is kept on mother’s abdomen	Sometimes it might happen that after delivery- mother will have to move from the delivery room to another room. In such cases, after shifting the mother to another room- Give skin to skin contact to mother and the baby immediately, by placing the baby on the mother’s abdomen as discussed earlier.
Image: Birth attendant has held the baby in breastfeeding position where baby’s legs are towards mother’s head. Image: Birth attendant is holding the baby in breastfeeding position where, baby’s body is on mother’s shoulder and baby’s legs are towards mother’s head and mother is supporting baby’s back.	Now let’s discuss breast crawl for babies born by cesarean section- To do so: Babies should be placed on their mother's chest instead of the abdomen in such a way that- Baby’s legs should be towards mother’s head. The chest and tummy should be on mother’s shoulder. And mouth should be on the breast. Allow the baby to suckle on the breast as long as possible in the operation theatre.
Image: Birth attendant is placing the baby on the mother’s bare abdomen. Image: Injections and Ointment.	Remember- Immediately after delivery skin to skin contact is most important than any other newborn care. Note that- Only after completion of breast crawl, post delivery newborn care should be given.
Image: Human brain structure. Image: Colostrum. Image: Outline of baby’s gut. Image: Baby is kept on mother’s abdomen. Image: Baby and the mother.	Now, let’s discuss the importance of breast crawl for the new born baby,
Image: Colostrum.	breast crawl enables the baby to get mother’s first milk called colostrum. It is yellowish in colour and thick in consistency.
Image: Calendar. Image: Mother’s breast. Image: 5 Spoons filled with colostrum.	Note that, after delivery- the quantity of colostrum that the baby will consume during each breastfeeding session will increase gradually. Baby will consume - 5 mililiters on first day, 10 mililiters on second day, 25 mililiters on third day, 40 mililiters on fourth day and 55 mililiters on fifth day from each breast in each breastfeeding session.
Image: Formula powder with red cross mark.	This is sufficient for a newborn baby. Therefore baby should not be fed anything apart from colostrum.
Image: New born baby and injection.	Colostrum is considered as the first vaccination for a baby, And contains infection fighting protein which boosts the immunity of a baby.
Image: Glucometer.	It is the first source of energy for a baby after the mother’s delivery, Colostrum also prevents low blood glucose level.
Image: Thermometer.	It helps to maintain other body processes of a baby.
Image: Baby’s brain.	It supports healthy brain development.
Image: Baby is passing her first stool	It helps the baby to pass her first stool.
Image: Baby is trying to grasp mother’s breast in breast crawl position.	breast crawl also keeps the baby warm due to skin to skin contact with the mother.
Image: Baby is breastfeeding in breast crawl position.	Baby self-learns how to attach deeply to her mother’s breast.
Image: Outline of baby’s intestine. Image: Mother and baby both are laughing.	breast crawl passes on mother’s healthy bacteria to her baby, These bacteria enter the baby’s gut and fight infections. Ultimately this boosts the immunity of the baby.
Image: Baby is initiating her first breastfeeding in breast crawl position.	breast crawl also provides a feeling of love and security to a baby and Initiates the bond between mother and her baby.
Image: Mother’s uterus and baby’s lower limbs are on mother’s lower abdominal area.	Benefits of 'breast crawl extends to the mother as well Leg movements of a baby puts pressure on her mother’s womb, this pressure helps in uterine contraction and in removal of placenta.
Image: Baby is coming out of womb. Image: Placenta is coming out.	Initiation of breastfeeding increases oxytocin in the mother’s body, the rise in oxytocin helps in removal of placenta too. Thus, breast crawl reduces the blood loss and prevents anaemia in mothers.
Image: Higher number of red blood cells which is a interpretation for normal adult. Image: Lower number of blood cells which is interpretation for anaemic adult.	Anaemia is a condition where number of red blood cells goes down, It could lead to fatigue and weakness in the mother.
Image: Baby is initiating her first breastfeeding in breast crawl position.	Therefore, breast crawl is a highly beneficial natural process for both the mother and her baby, This brings us to the end of this tutorial on breast crawl.
Image: A baby is latching on the mother’s breast in the breast crawl position. Image: A baby is facing the mother’s face in breast crawl position. Image: Importance of breast crawl for the baby.	In this tutorial we learnt, What is breast crawl Procedure for breast crawl and Importance of breast crawl
Image: Spoken tutorial logo. Image: IIT Bombay logo.	This tutorial has been contributed by the Spoken Tutorial Project, IIT Bombay
Image: NMEICT Logo. Image: MHRD, Government of India logo http://spoken-tutorial.org	Spoken Tutorial Project is funded by NMEICT, MHRD, Government of India. More information on this mission is available at this link.
Image: WHEELS Global Foundation Logo.	This tutorial is partly funded by a generous contribution from WHEELS Global Foundation.
Image: Maa aur Shishu Poshan Project logo.	This tutorial is a part of Maa aur Shishu Poshan project. The domain reviewer for this tutorial is 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.

Contributors and Content Editors

Bellatony911, Rajani st