Health-and-Nutrition/C2/Feeding-expressed-breastmilk-to-babies/English

Visual Cue	Narration
Slide Number 1 Title Slide	Welcome to the Spoken Tutorial on Feeding expressed breastmilk to babies
Image: The caregiver is testing the temperature of the breastmilk on their wrist Image: Woman is feeding milk from a glass container to the baby.	In this tutorial we will learn, How to make stored breastmilk ready for a baby to drink And how to feed expressed breastmilk to a baby
Image: Collage of benefits of hand expression. GIF: Hand expression of breastmilk Image: Breast milk stored in a labelled closed glass container.	Let us begin Expressing breastmilk has many benefits for the baby and the caregiver Expressing breastmilk and storing it safely are explained in other tutorials
Image: The caregiver is warming the breastmilk in warm water. Image: The caregiver is checking temperature of breastmilk on their wrist	Now, let us learn how to make the stored breastmilk ready for the baby to drink
Image: The caregiver is washing their hands. Image: The caregiver is showing their dry and clean hands.	Before handling breastmilk the caregiver must - wash their hands with soap and water And dry their hands well
Image: Caregiver is holding old dated milk container and doesn’t touch new container.	Remember, the oldest stored breastmilk should always be used first
Image: Frozen breastmilk in freezer Image: Frozen breastmilk transferred to fridge from the freezer Image: Milk is defrosting Image: 24 hours clock	When using frozen breastmilk, Ideally, defrost it by keeping it overnight on the lowest shelf of the fridge And use this defrosted milk within the next 24 hours
Image: Cross mark on 12 hours Image: Frozen breastmilk is kept in cold water outside the fridge Image: Frozen breastmilk is kept in lukewarm water and shaken occasionally	But if the frozen breastmilk is needed quickly, defrost it outside the fridge by - First, keeping it in a container of cold water And then keeping it in a container of lukewarm water
Image: Breastmilk container is shaken occasionally	While defrosting in lukewarm water - shake the breastmilk container gently and occasionally Do not shake it vigorously and continuously
Image: Drops on the outside of the frozen breastmilk container are wiped with a clean cloth. Image: Condensation of water on the jar	Dry the outside of the breastmilk container with a clean cloth before use
Image: Defrosted breast milk Image: The caregiver feeding the defrosted milk to baby from a cup Image: The caregiver is throwing away unused defrosted milk	Use this defrosted breast milk within 2 hours and throw away any unused milk
Image: Defrosted breastmilk smells and tastes different than fresh breastmilk. Image: Baby accepts defrosted breastmilk	Defrosted breastmilk can smell and taste different than fresh breastmilk It is fine as long as the baby accepts it
Image: The caregiver is smelling spoilt milk	The caregiver must always smell the breastmilk before feeding it to the baby If the milk smells sour, do not use it
Image: Stored breastmilk separates with cream rising to the top Image: The caregiver shakes the milk gently Image: The cream is mixed in the milk again.	Please remember - When breastmilk is stored, it will separate with the cream rising to the top This is normal Shake gently to mix the cream back in the milk before use
Image: The caregiver puts the container filled with breastmilk in a bowl of warm water	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
Image: The caregiver tests how warm the milk is by dropping a little on her wrist	Test how warm the milk is by dropping a little onto the wrist It is right when it feels warm
Image: The caregiver uses stored breastmilk straight from the fridge to feed the baby Image: Milk is overheated Image: The caregiver is scalded by overheated milk	Do not use hot water to warm the breastmilk Try to use stored breast milk straight from the fridge This will help to avoid the risks of over-heating and burns
Image: The caregiver is heating breastmilk on a stove Image: The caregiver is heating breastmilk in a microwave Image: Heat destroys many infection-fighting factors present in breastmilk.	Do not heat breastmilk by keeping it directly on a stove or in a microwave Direct heat destroys many of the infection-fighting factors present in the breastmilk
Image: The caregiver is feeding expressed breastmilk to baby	When the breastmilk is ready, offer it to the baby
Image: Paladai Image: Small cup Image: Spoon Image: Nifty cup	To do so, the following utensils can be used: A Paladai A small cup A spoon or A nifty cup Out of these, it is preferable to use a spoon or a cup to feed the baby
Image: The caregiver is washing the cup with soap and water Image: Cup is air-dried Image: The caregiver is wiping the cup with a clean unused cloth.	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
Image: The caregiver is washing their hands with soap and water Image: The caregiver is showing dry hands	Then, the caregiver must wash and dry their hands properly
Image: half-filled cup Image: two-thirds filled cup	They should half-fill or two-thirds fill the chosen utensil with breastmilk
Image: The caregiver is holding the baby in a nearly upright position on her lap Image: The caregiver’s hand is supporting the baby’s head and neck	Then, they should hold the baby in a nearly upright position on their lap Their hand should support the baby’s head and neck
Image: Paladai Image: Tip of the paladai is positioned inside the baby’s mouth. It is resting lightly on the baby’s lower lip. Milk is at the rim of the beak of the paladai.	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 It should be held lightly between the baby’s lips The tip of the paladai should lightly touch the baby’s upper lip In this position, the milk should stay at the rim of the beak of the paladai
GIF: Baby is suckling milk from the paladai Image: The caregiver slightly tilts the paladai to keep the milk at the rim	As the baby slurps milk, the caregiver should tilt the paladai slightly to keep the milk at the rim
Image: Small cup Image: Cup is resting on the lower lip of the baby. Image: The caregiver slightly tilts the cup so that the milk reached the top edge of the cup Image or GIF: Baby is drinking milk from the rim of the cup	If the caregiver is using a small cup to feed the baby- They should hold the cup lightly between the baby’s lips The rim of the cup should lightly touch the baby’s upper lip They should tilt the cup slightly until the milk reaches the top edge of the cup This should let the baby take the milk from the rim of the cup
Image: Spoon Image: The caregiver is holding the spoon next to the baby’s lower lip Image: The caregiver tilts the spoon so that the milk is at the edge of the spoon GIF: The caregiver is feeding the baby with a spoon in the first few days of birth. Image: Spoon filled with milk	If the caregiver is using a spoon to feed the baby- They should hold the spoon between the baby’s lips The edge of the spoon should lightly touch the baby’s upper lip Then they should tilt the spoon slightly until the milk is at the edge of the spoon
Image: Feeding the baby with a spoon first few days after birth	Feeding with a spoon is good for the first few days after birth Because during these days only a small amount of milk is needed
Image: Nifty cup Image: The caregiver positions small reservoir of the nifty cup just inside the baby’s mouth GIF: Baby is suckling milk from the nifty cup Image: The caregiver slightly tilts the cup up to add milk to the reservoir as it empties.	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 As the baby slurps the milk, they should tilt the cup up slightly This will add milk to the reservoir as it empties
Image: The caregiver is feeding expressed breastmilk to the baby Image: The caregiver is pouring the milk in baby’s mouth Image: Baby is choking on milk Image: The caregiver has kept milk at the rim of the cup throughout the feed	When feeding expressed breastmilk to the baby- Never pour milk into the baby’s mouth This may cause the baby to choke Instead, keep the milk at the rim and leave it in that position throughout the feed
Image: Baby is fully awake and alert in the feeding position. Image: Baby is interested in feeding. She is asking for milk.	Always ensure that the baby is fully awake, alert and interested in feeding
Image: Baby is wrapped in a cloth while the caregiver feeds her expressed breastmilk Image: Baby knocks the cup out of the caregiver’s hands while feeding.	If needed, wrap the baby to prevent her from knocking the cup out of the feeder’s hands
GIF: baby is suckling milk from a cup	Always let the baby slurp milk at her own pace
Image: 60 to 90 ml milk Image: Baby is holding her hands up while the caregiver is feeding from a cup Image: Baby falls asleep while the caregiver is feeding her from a cup Image: Baby closes her mouth while the caregiver is feeding her from a spoon	Look for signs which show that the baby has had enough milk Signs such as - Holding her hands up Falling asleep or Closing her mouth
Image: The caregiver is applying too much pressure on the lower lip of the baby with the cup. Image: The caregiver has kept the cup very lightly on the baby’s lower lip.	Remember- Do not apply too much pressure on the lower lip of the baby Always let the edge of the utensil touch the baby’s upper lip lightly
Image: The caregiver has put the paladai too far inside the baby’s mouth Image: The caregiver has kept the paladai at the right place on baby’s mouth	Do not put the cup, paladai or spoon too far inside the baby’s mouth
Image: The caregiver is feeding the baby in a lying down position	Never feed a baby in a lying down position
Image: The caregiver is bottle feeding the baby	Do not use a feeding bottle to feed the expressed breastmilk to the baby
Image: The caregiver is feeding expressed milk to baby from a cup Image: The caregiver is washing the used cup with soap and clean water Image: Feeding cup is air dried	After feeding the baby - Wash the cup, paladai or spoon well with soap and clean water And let it air dry completely
Image: Baby is rejecting expressed breastmilk when uncle is trying to feed her Image: Baby is feeding properly when grandmother feeds her	Some babies are reluctant to take expressed breastmilk- particularly at first from some people They may be less reluctant when someone else gives it to them
Image: Baby is refusing expressed milk when uncle is feeding her Image: The mother comes back from work Image: Mother breastfeeds the baby after coming home from work. GIF: Clock	If expressed milk is refused by the baby, try not to worry On the mother’s return from work- The baby will make up any missed feeds by breastfeeding more often or for longer
Image: Safe breastmilk in a container Image: The caregiver is washing their hands Image: The caregiver is washing the container Image: The caregiver is feeding milk to the baby from a cup GIF: Clock Image: Breastmilk filled container is stored safely in the fridge Image: Breastmilk filled container is stored safely in a room.	Remember, Keep the breastmilk safe by- washing hands, containers and utensils feeding milk as soon as needed or storing it safely
Slide Number 2 Acknowledgement	This brings us to the end of this tutorial Thank you for joining

Contributors and Content Editors

Bellatony911, Tasneemiitb