Health-and-Nutrition/C2/Side-lying-hold-for-breastfeeding/English-timed
From Script | Spoken-Tutorial
| 00:01 | Welcome to the Spoken Tutorial on Side-Lying hold for breastfeeding. |
| 00:06 | In this tutorial, we will learn- choosing the correct breastfeeding hold for a mother and her baby, |
| 00:13 | mother’s preparation before breastfeeding and how to do the side-lying hold. |
| 00:19 | Let us begin. Across the world, mothers breastfeed their babies using various types of holds. |
| 00:27 | As discussed in an earlier tutorial,
the best breastfeeding hold for a mother and her baby is the one in which both mother and baby are comfortable for the entire duration of breastfeeding, |
| 00:40 | the baby is able to attach deeply to the mother’s breast |
| 00:44 | and gets sufficient milk. |
| 00:49 | Let us learn about a new hold called the Side-lying hold. |
| 00:54 | This hold is recommended when the mother is breastfeeding at night |
| 00:58 | or when the mother has had a caesarean section delivery |
| 01:03 | or when the mother is tired. |
| 01:06 | Before feeding her baby, the mother must wash her hands with soap and water. And dry her hands properly. |
| 01:14 | Then she should drink a glass of boiled and cooled water. |
| 01:18 | Lactating mothers produce 750 to 850 ml of milk per day on an average.
Therefore, they need to increase their daily water intake. |
| 01:30 | Next, mother should uncover the breast from which she wants to feed the baby. |
| 01:35 | She should ensure not to put pressure of her bra or blouse on the breast. |
| 01:41 | Next, the mother should lie down comfortably on the side of the breast that she will feed from. |
| 01:48 | She should keep a pillow under her head. And a pillow between her legs to avoid rolling over in her sleep. |
| 01:57 | The mother in this picture, will be feeding her baby from her right breast. Therefore, she is lying on her right side. |
| 02:06 | Next, let us learn how to position baby’s body correctly. |
| 02:12 | Place the baby on her side such that her stomach is gently pressed by the mother’s body. |
| 02:21 | The mother should support her baby's back with the hand on the side that she is lying on. |
| 02:29 | The mother in this picture is supporting her baby’s back with her right hand. |
| 02:35 | The mother can place a pillow behind her baby’s back to hold her close to her body. |
| 02:42 | Lesser distance between their bodies will reduce the baby’s effort to reach the breast. |
| 02:49 | And, it will become easier for the baby to attach deeply to the breast. |
| 02:54 | Remember, the mother should never bring the breast to the baby by bending her back.
This will increase the distance between the baby’s stomach and mother’s body. |
| 03:06 | She should always keep her back straight and bring the baby to her breast. |
| 03:12 | The second important point is the direction in which the baby’s entire body is held. |
| 03:21 | You may have noticed that when we eat food, our head, neck and body are always in the same direction. |
| 03:30 | Similarly, baby’s head, neck and body should always be in the same direction while breastfeeding |
| 03:39 | This will make swallowing milk easier for the baby. |
| 03:44 | Now, we come to the third point in positioning the baby’s body. |
| 03:50 | Mother should support the baby’s back with her hand. |
| 03:54 | Otherwise, the baby will have to take a lot of effort to attach deeply to the breast. |
| 04:01 | Next, let’s look at the position of the baby’s nose and chin. |
| 04:07 | Baby’s nose should be in line with the nipple. |
| 04:12 | And her chin should be forward and very close to the breast. |
| 04:17 | This will ensure that the baby takes in more of the lower part of the areola while latching. |
| 04:25 | And therefore, will use the lower jaw to drink more milk efficiently. |
| 04:32 | Please note- Areola is the dark area around the nipple. |
| 04:39 | Now that the baby is held correctly, let us learn how to hold the breast. |
| 04:46 | Using the fingers of the hand that is free, the mother should cup her breast from the side in a C shape hold. |
| 04:55 | The mother in this picture will use her left hand to hold her right breast. |
| 05:05 | The fingers holding the breast, should always be in the direction of the baby’s lips. |
| 05:12 | Why? Let’s understand this using a simple example. |
| 05:18 | When we eat a vada pav or burger, our lips open horizontally. |
| 05:25 | We hold the vada-pav or burger horizontally to take a big bite. |
| 05:30 | Here, the thumb and fingers are placed in the direction of the lips. |
| 05:36 | If we hold the vada-pav or burger vertically, we won’t be able to take a big bite. |
| 05:43 | Similarly, observe the direction of baby’s lips. The lips are horizontal here. |
| 05:50 | Therefore, mother’s fingers and thumb should also be placed horizontally on the breast. |
| 05:58 | This will help the baby to take a big part of the lower areola in her mouth. |
| 06:05 | 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. |
| 06:17 | 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. |
| 06:28 | If we hold it too far away, it will not be shaped correctly to fit in our mouth. |
| 06:34 | Therefore, we hold it at the right distance to take a big bite. |
| 06:39 | Similarly for the baby, the right distance is of 3 fingers from the nipple as shown in this picture. |
| 06:48 | This distance will ensure that mother’s fingers do not block the baby from taking the lower areola in her mouth. |
| 06:58 | Mother does not compress only the nipple which will give very little milk. |
| 07:05 | Mother compresses the larger milk ducts beneath the areola to express more milk out. |
| 07:12 | And, the breast is shaped correctly to help the baby attach deeply. |
| 07:19 | Let’s go back to the example of vada-pav or burger. |
| 07:24 | After holding the vada-pav or burger correctly, we always press it to take a big bite. |
| 07:32 | Similarly, the mother should lightly press her breast in a C shape hold from the side.
This will help the baby to take a big part of the breast in her mouth. |
| 07:46 | But remember, mother should not press her breast in a scissor shape hold. |
| 07:53 | Scissor shape compression will pinch the breast and cause nipple feeding. |
| 08:00 | Also, make sure that there is equal compression of the breast with the thumb and the fingers. |
| 08:07 | Otherwise, the nipple will shift either in the upward or downward direction. |
| 08:14 | And, the baby will not be able to attach deeply to the breast. |
| 08:19 | Now, the baby is in the side lying hold and ready to attach to the breast for breast feeding. |
| 08:26 | Correct attachment of the baby to the breast is explained in another video in the same series. |
| 08:33 | As soon as the baby is attached deeply to the breast, mother should release the breast from her hand. |
| 08:41 | She should use this hand to hold the baby’s back and keep the baby close to her body. |
| 08:48 | Also, she should move her other arm from the baby’s back and keep it at 90 degrees to her body. |
| 08:57 | She should bend the elbow of that arm. Then she should tuck that hand under the pillow. |
| 09:04 | The mother in this picture has released her right breast from her left hand. |
| 09:11 | She is using her left hand to hold the baby’s back and keep the baby close to her body. |
| 09:18 | She has removed her right hand from the baby’s back. |
| 09:22 | She has kept it at 90 degrees to her body. |
| 09:26 | Her right elbow is bent, |
| 09:28 | her right hand is tucked under the pillow. |
| 09:33 | After feeding from the first breast-
if the mother wants to feed from her other breast then she will have to lie down on the other side. |
| 09:43 | The mother in this picture has turned to her left side to feed from her left breast. |
| 09:49 | This brings us to the end of this tutorial.
Thank you for joining. |
