Health-and-Nutrition/C2/Feeding-expressed-breastmilk-to-babies/English-timed
From Script | Spoken-Tutorial
| |
|
| 00:00 | Welcome to the Spoken Tutorial on Feeding expressed breastmilk to babies. |
| 00:06 | In this tutorial, we will learn:
how to make stored breastmilk ready for a baby to drink |
| 00:13 | and how to feed expressed breastmilk to a baby. |
| 00:18 | Let us begin.
Expressing breastmilk has many benefits for the baby and the mother. |
| 00:26 | Expressing breastmilk and storing it safely are explained in other tutorials. |
| 00:34 | Now, let us learn how to make the stored breastmilk ready for the baby to drink. |
| 00:42 | Before handling breastmilk, the caregiver-
must wash their hands with soap and water and dry their hands well. |
| 00:52 | Remember, the oldest stored breastmilk should always be used first. |
| 00:59 | When using frozen breastmilk, ideally defrost it by keeping it overnight on the lowest shelf of the fridge. |
| 01:08 | And, use this defrosted milk within the next 24 hours. |
| 01:15 | But if the frozen breastmilk is needed quickly, defrost it outside the fridge by -
first keeping it in a container of cold water, |
| 01:25 | and then keeping it in a container of lukewarm water. |
| 01:30 | While defrosting in lukewarm water - shake the breastmilk container gently and occasionally. |
| 01:38 | Do not shake it vigorously and continuously. |
| 01:42 | Dry the outside of the breastmilk container with a clean cloth before use. |
| 01:47 | Use this defrosted breast milk within 2 hours and throw away any unused milk. |
| 01:56 | Defrosted breastmilk can smell and taste different than fresh breastmilk. |
| 02:03 | It is fine as long as the baby accepts it. |
| 02:08 | The caregiver must always smell the breastmilk before feeding it to the baby. |
| 02:15 | If the milk smells sour, do not use it. |
| 02:20 | Please remember- when breastmilk is stored, it will separate with the cream rising to the top. |
| 02:27 | This is normal. Shake gently to mix the cream back in the milk before use. |
| 02:36 | To warm the breastmilk just before feeding it to the baby-
keep the breastmilk container in a bowl of lukewarm water for 20 to 30 minutes. |
| 02:47 | Test how warm the milk is by dropping a little onto the wrist.
It is right when it feels warm. |
| 02:56 | Do not use hot water to warm the breastmilk. Try to use stored breast milk straight from the fridge. |
| 03:05 | This will help to avoid the risks of over-heating and burns. |
| 03:11 | Do not heat breastmilk by keeping it directly on a stove or in a microwave. |
| 03:18 | Direct heat destroys many of the infection-fighting factors present in the breastmilk. |
| 03:27 | When the breastmilk is ready, offer it to the baby. |
| 03:32 | To do so, the following utensils can be used:
a Paladai , a small cup, a spoon or a nifty cup. |
| 03:42 | Out of these, it is preferable to use a spoon or a cup to feed the baby. |
| 03:49 | Firstly, the caregiver must wash the chosen utensil with soap and water
and then air dry it completely or wipe it dry with a clean unused cloth. |
| 04:02 | Then, the caregiver must wash and dry their hands properly. |
| 04:10 | They should half-fill or two-thirds fill the chosen utensil with breastmilk. |
| 04:15 | Then, they should hold the baby in a nearly upright position on their lap. |
| 04:22 | Their hand should support the baby’s head and neck. |
| 04:28 | If they are using a Paladai to feed the baby- they should position the tip of the paladai inside the corner of the baby’s mouth. |
| 04:39 | It should be held lightly between the baby’s lips. |
| 04:44 | The tip of the paladai should lightly touch the baby’s upper lip |
| 04:50 | In this position, the milk should stay at the rim of the beak of the paladai |
| 04:58 | As the baby slurps milk - the caregiver should tilt the paladai slightly to keep the milk at the rim. |
| 05:07 | If the caregiver is using a small cup to feed the baby- they should hold the cup lightly between the baby’s lips. |
| 05:16 | The rim of the cup should lightly touch the baby’s upper lip. |
| 05:21 | They should tilt the cup slightly until the milk reaches the top edge of the cup. |
| 05:28 | This should let the baby take the milk from the rim of the cup. |
| 05:32 | If the caregiver is using a spoon to feed the baby- They should hold the spoon between the baby’s lips. |
| 05:42 | The edge of the spoon should lightly touch the baby’s upper lip. |
| 05:47 | Then they should tilt the spoon slightly until the milk is at the edge of the spoon. |
| 05:54 | Feeding with a spoon is good for the first few days after birth. |
| 05:59 | Because during these days only a small amount of milk is needed. |
| 06:06 | If the caregiver is using a nifty cup to feed the baby -
They should position the small reservoir of the nifty cup just inside the baby’s mouth. |
| 06:18 | As the baby slurps the milk, they should tilt the cup up slightly.
This will add milk to the reservoir as it empties. |
| 06:30 | When feeding expressed breastmilk to the baby, never pour milk into the baby’s mouth. |
| 06:37 | This may cause the baby to choke. |
| 06:40 | Instead, keep the milk at the rim and leave it in that position throughout the feed. |
| 06:47 | Always ensure that the baby is fully awake, alert and interested in feeding. |
| 06:54 | If needed, wrap the baby to prevent her from knocking the cup out of the feeder’s hands. |
| 07:03 | Always let the baby slurp milk at her own pace. |
| 07:08 | Look for signs which show that the baby has had enough milk, |
| 07:13 | signs such as - Holding her hands up. |
| 07:16 | Falling asleep or Closing her mouth. |
| 07:21 | Remember, do not apply too much pressure on the lower lip of the baby. |
| 07:27 | Always let the edge of the utensil touch the baby’s upper lip lightly. |
| 07:34 | Do not put the cup, paladai or spoon too far inside the baby’s mouth. |
| 07:41 | Never feed a baby in a lying down position. |
| 07:45 | Do not use a feeding bottle to feed the expressed breastmilk to the baby. |
| 07:51 | After feeding the baby, wash the cup, paladai or spoon well with soap and clean water.
And, let it air dry completely. |
| 08:04 | Some babies are reluctant to take expressed breastmilk, particularly at first from some people. |
| 08:12 | They may be less reluctant when someone else gives it to them. |
| 08:17 | If expressed milk is refused by the baby, try not to worry. |
| 08:22 | On the mother’s return from work, the baby will make up any missed feeds by breastfeeding more often or for longer. |
| 08:32 | Remember, Keep the breastmilk safe by:
washing hands, containers and utensils, feeding milk as soon as needed or storing it safely. |
| 08:45 | This brings us to the end of this tutorial.
Thank you for joining. |
