Health-and-Nutrition/C2/Side-lying-hold-for-breastfeeding/English-timed

Time	Narration
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.
00:20	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
00:45	And gets sufficient milk.
00:49	Let us learn about a new hold called Side-lying hold.
00:54	This hold is recommended when - The mother is breastfeeding at night
00:59	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.
02:36	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.
02:55	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.
03:31	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.
04:13	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.
05:13	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.
05:31	Here, the thumb and fingers are placed in the direction of the lips.
05:37	If we hold the vada pav or burger vertically, we won’t be able to take a big bite.
05:44	Similarly, observe the direction of baby’s lips. The lips are horizontal here.
05:51	Therefore, mother’s fingers and thumb should also be placed horizontally on the breast.
05:59	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.
06:18	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.
06:40	Similarly for the baby, the right distance is of 3 fingers from the nipple, as shown in this picture.
06:49	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 breastfeeding.
08:27	Correct attachment of the baby to the breast is explained in another video in the same series.
08:34	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.
08:49	Also, she should move her other arm from the baby’s back and keep it at 90 degrees to her body.
08:58	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.
09:19	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
09:29	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.
09:50	This brings us to the end of this tutorial. Thank you for joining.

Contributors and Content Editors

Debosmita, PoojaMoolya, Sandhya.np14