Health-and-Nutrition/C2/Breastfeeding-latching/English-timed

Time	Narration
00:02	Welcome to the Spoken Tutorial on Breastfeeding Latching.
00:07	In this tutorial we will learn about, Correct latching technique for deep attachment of the baby to the breast and Breastfeeding frequency.
00:20	Before we begin, please note that- for effective breastfeeding, correct latching is most important.
02:29	Poor attachment of the baby’s mouth to the breast will allow only nipple feeding.
00:36	This will give very little milk to the baby.
00:40	Whereas deep attachment of the baby to the lower part of the areola of the breast, will give sufficient milk to the baby.
00:50	Please note- Areola is the dark area around the nipple.
00:56	Now, let us begin. To start with, the mother should hold her baby in a suitable breastfeeding hold.
01:05	These holds are explained in detail in other videos of the same series.
01:11	This tutorial will be explained using the cross cradle hold.
01:16	Remember, Positioning the baby correctly is necessary for successful latching and breastfeeding.
01:24	In this picture, the mother is holding the baby correctly in the cross cradle hold.
01:31	And the baby is ready to latch on for breastfeeding.
01:35	Before latching- It is important that the baby opens her mouth widely like a yawn.
01:42	Why? Let’s understand this, by looking at an adult eating vada pav or burger.
01:49	We open our mouth wide to take a big bite of the vada pav or burger.
01:56	Similarly- A wide open mouth will help the baby to take a big part of the breast in her mouth.
02:04	To encourage the baby to open her mouth widely- Mother should lightly brush her nipple against baby’s upper lip till she opens her mouth widely.
02:16	Be patient. Sometimes, it may take a few seconds to 2 minutes for the baby to open her mouth widely.
02:25	Remember, For any breastfeeding position- mother’s fingers and thumb, holding the breast, should always be parallel to the baby’s lips.
02:36	When the baby opens her mouth widely, her lower lip should be at the base of the areola
02:43	And the nipple should be aimed towards the top of her mouth and not the middle of her mouth.
02:50	Now, Mother should quickly put her breast in the baby’s mouth.
02:55	She should press the baby’s chin into the breast first by slightly bending baby’s head outwards.
03:02	She should not bend her back or push her breast to reach the baby’s mouth.
03:08	Bring the baby to the breast by a gentle push from behind the baby’s shoulders.
03:15	The most important point in latching is Lower part of the mother’s aerola should be in the baby’s mouth.
03:25	This will help the nipple to reach a comfortable area in the baby’s mouth.
03:31	Baby should be pressing her tongue against the part of the areola near her lower lip.
03:37	This will compress the larger milk ducts and more milk will come out.
03:42	Next step is to check whether the baby is attached deeply to the breast.
03:48	To ensure deep attachment, mother should look for the following signs:
03:54	Baby’s mouth is wide open
03:57	The part of the areola visible near the baby’s upper lip is more than that near the baby's lower lip.
04:06	Baby’s lower chin is completely embedded into the mother’s breast.
04:11	Baby’s jaw drops distinctly as she swallows milk.
04:16	And the baby’s lower lip is curled in the outward direction.
04:22	Although, it mostly gets hidden in the breast in a very well attached baby.
04:28	In such cases, lightly press the breast near the lower lip of the baby. And check if the baby’s lower lip is curled in the outward direction.
04:41	Next, look at the baby’s nose. If the baby’s nose is pressed against mother’s breast, then-
04:49	mother can bend baby’s head slightly outwards so that the baby’s chin is pushed further into the breast,
04:58	And the baby’s nose and forehead are pulled away from the breast.
05:04	Doing so, will deepen the baby’s attachment to the breast.
05:09	Do not pull baby’s entire face away from the breast.
05:13	This can cause nipple feeding.
05:16	Remember- Breastfeeding should be comfortable for the mother.
05:21	She should not feel pinching, pulling, or rubbing on her nipple.
05:27	If breastfeeding is painful for the mother, then the baby is probably not well attached.
05:35	Let’s look at one of the common reasons for poor attachment.
05:40	Many mothers pinch their areola to put only the nipple in the middle of the baby’s mouth.
05:48	Here, the baby’s mouth is not wide open.
05:52	Baby gets attached only to the nipple.
05:56	Here, an equal part of the areola is seen near the upper and lower lip of the baby.
06:04	Baby’s chin is off the breast.
06:07	Baby has a continuous fast sucking pattern of drinking milk.
06:14	While sucking, Baby’s cheeks dimple
06:17	Her jaw does not drop distinctly as she swallows milk
06:23	And the nipple gets pinched and pressed against the hard part of the baby’s mouth.
06:31	This is painful for the mother and may injure the nipple.
06:37	Also, during nipple-feeding, baby cannot get milk from the larger milk ducts beneath the areola.
06:45	Therefore, the baby doesn’t get sufficient milk.
06:50	If the baby is feeding only from the nipple then,
06:54	Mother should put her clean little finger inside the corner of the baby’s mouth.
06:59	She should use it to release the baby’s pull on her nipple.
07:04	Then she should re-attach the baby on the same breast ensuring a good latch.
07:11	After proper latching- mother should ensure that the baby gets both foremilk and hindmilk adequately.
07:19	Foremilk is the watery milk stored in the front part of the breast.
07:25	It is made up of water and protein.
07:29	It is necessary for baby’s growth and for making the baby strong.
07:36	Hind milk is the thick milk stored in the back part of the breast.
07:42	It is mainly made up of fats.
07:46	It is necessary for baby’s brain development and weight gain.
07:53	To ensure that the baby gets both foremilk and hindmilk- mother should feed the baby from one breast completely before offering the other breast.
08:05	To check whether she has fed the baby from one breast completely - mother should express milk from that breast with her hand.
08:15	If thin watery milk comes out of the breast,
08:19	Or if there is good flow of thick hindmilk on expression
08:24	Then, Mother should re-attach her baby to the same breast.
08:29	When the flow of thick hindmilk reduces to a few drops on expression with hand,
08:35	It means that mother has fed the baby from that breast completely.
08:41	But, before offering the other breast, Mother should encourage the baby to burp by- making the baby sit on her lap then, slightly bending the baby’s torso forward and cupping the baby’s jaw with her hand.
09:00	Baby should burp within 2 to 3 minutes.
09:04	If there is no burp in the next 5 minutes,
09:08	It means that the attachment of the baby to the breast was very good.
09:14	The baby has not taken in excess air in her stomach while feeding.
09:21	Now, the mother should offer her other breast to the baby.
09:26	If baby’s stomach is full, she may not feed from the other breast.
09:32	But mother should always offer both breasts to the baby for feeding.
09:39	She should let the baby make the final decision.
09:45	If baby goes to sleep while breastfeeding, mother should wake her up by- Gently tapping the sole of the baby’s feet
09:55	or gently tickling the baby’s back
09:59	Or by making the baby sit in the position shown for burping.
10:04	Along with the right technique, breastfeeding frequency is also important.
10:12	Mother should breastfeed her baby at least 12 times in 24 hours.
10:17	Out of which she must breastfeed at least 2 to 3 times in the night.
10:24	To offer breast milk to the baby, mother should look for baby’s hunger signals like- Stirring
10:32	Mouth opening Head turning Bringing her hand to mouth
10:37	Sucking fingers And stretching her body.
10:42	If the baby starts crying for breast milk, then it means that it is too late.
10:49	Please note- there is a rapid increase in the baby’s growth around 2 weeks, 6 weeks and 3 months of age.
10:59	And the baby will require more milk.
11:05	Also, mother’s breast milk output will increase if the baby is fed more frequently.
11:12	Therefore, mother should feed more often during such rapid growth periods.
11:19	Remember- Breast milk is the best nutrition for the baby for the first 6 months of life.
11:30	And good attachment is the key to successful breastfeeding.
11:36	This brings us to the end of this tutorial.
11:41	In this tutorial we learnt about, Correct latching technique for deep attachment of the baby to the breast. And breastfeeding frequency
11:54	This tutorial has been contributed by the Spoken Tutorial Project, IIT Bombay
12:02	Spoken Tutorial Project is funded by NMEICT, MHRD, Government of India. More information on this mission is available at this link.
12:15	This tutorial is partly funded by a generous contribution from WHEELS Global Foundation.
12:22	This tutorial is a part of Maa aur Shishu Poshan project. The domain reviewer for this tutorial is Dr. Rupal Dalal, MD Pediatrics.
12:34	This is dietitian Tasneem Shaikh along with animator Shital Joshi from IIT Bombay signing off. Thank you for joining.

Contributors and Content Editors

Debosmita, PoojaMoolya, Sandhya.np14