Health-and-Nutrition/C2/Football-hold-for-breastfeeding/English

Visual Cue	Narration
Slide Number 1 Title Slide	Welcome to the Spoken Tutorial on Football hold for breastfeeding.
Image: 5 breastfeeding holds-cross cradle, football, cradle, laid back and side lying holds. Image: Mother is washing her hands. Image: Football hold.	In this tutorial we will learn about- Choosing the correct breastfeeding hold for a mother and her baby Mother’s preparation before breastfeeding and Step-by-step procedure for Football hold.
Image: Football hold.	Let us begin.
Image: 5 breastfeeding holds- cross cradle, football, cradle, laid back and side lying holds.	Across the world, mothers breastfeed their babies using various types of holds.
Image: Football hold. Image: Mother is breastfeeding in incorrect football hold with her back bent forward and her hand abducted. Image: Baby is crying.	As explained 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
Image: Baby is deeply attached in football hold. Image: Bad attachment in football hold.	The baby is able to attach deeply to the mother’s breast
Image: Strong baby. Image: Weak baby.	And get sufficient milk.
Image: Football Hold.	Let us learn about one of the holds called Football hold.
Image: C section delivery.	Football hold is especially useful if the mother: Has had a C-section delivery
Image: Large breasts.	Has large breasts
Image: Small or premature baby.	Has a small or premature baby or
Image: Mother feeding twin babies in football hold.	Has twin babies.
Image: Mother is washing her hands. Image: Mother is showing dry and clean hands.	Always remember- Before feeding her baby, a mother should wash and dry her hands properly.
Image: Mother drinking a glass of water. Image: Boiling water. Image: Cold water.	Then she should drink a glass of boiled and cooled water.
Image: 1 litre jug filled till 750 ml with breastmilk.	Lactating mothers produce 750 to 850 ml of milk per day on an average. Therefore, they need to increase their daily water intake.
Image: Mother is sitting on the floor in cross legged position.	Next, let’s discuss the position of the mother.
Image: Mother is sitting on the floor in cross legged position. Image: Mother is sitting on the bed in cross legged position.	Mother should sit on the floor or on the bed in cross legged position.
Image: Mother is sitting on a chair with her feet flat on the ground. Image: Mother is sitting on a chair with her feet not touching the floor.	Or on a chair with her feet flat on the ground.
Image: Mother is sitting on a chair with her feet not touching the floor. Image: Mother is sitting on a chair with her feet flat on a stool.	If the chair is too high and her feet do not reach the floor then- she can rest her feet flat on a small stool or pillows kept on the floor.
Image: Mother sitting on the floor with a straight back. Image: Mother is sitting on the floor with her back curved and shoulders elevated. Image: Mother is sitting on a chair with her back straight. Image: Mother is sitting on a chair with her feet on a stool and back straight. Image: Mother is sitting on a chair with her back curved and shoulders elevated.	While sitting, she should ensure that - Her back is straight so as to avoid back pain
Image: Mother is sitting on the floor with her back straight. Image: Mother is sitting on the floor with her back curved and shoulders elevated. Image: Mother is sitting on a chair with her back straight. Image: Mother is sitting on a chair with her feet on a stool and back straight. Image: Mother is sitting on a chair with her back curved and shoulders elevated.	Her shoulders are relaxed and not elevated or curved
Image: Mother is sitting on the floor with her back straight. Image: Mother is breastfeeding in correct football position. Image: Mother is breastfeeding in incorrect football hold.	And this relaxed position is maintained throughout the feeding session.
Image: Mother is sitting with 4 pillows positioned properly. Topmost pillow is placed diagonally over mother’s thigh and other pillows.	The mother should keep 3 to 4 pillows on the side of the breast which she will breastfeed from.
Image: Topmost pillow is placed diagonally over other pillows and mother’s thigh.	The topmost pillow should be placed diagonally over the other pillows and the mother’s thigh.
Image: Mother has completely removed the cloth covering her right breast.	Then, Mother should uncover the breast from which she wants to feed the baby.
Image: Mother has not removed bra completely.	She should ensure not to put pressure of her bra or blouse on the breast.
Image: Mother is holding the baby with her right hand.	After sitting comfortably, bring the baby to the mother.
Image: Mother has placed her baby on the pillows.	The mother should place her baby’s back on the pillows.
Image: Mother is holding the baby with her right hand.	She should hold her baby's head, using the hand on the same side of the breast that she will breastfeed from.
Image: Mother is holding the baby with her right hand. The baby’s legs are passing through the mother’s right armpit onto the pillow.	The baby’s legs should pass through the mother’s armpit of the same hand onto the pillow.
Image: Mother is holding the baby with her right hand.	The mother should rest this hand and her baby’s legs on the pillows.
Image: Mother is holding the baby with her right hand.	The mother in this picture will be feeding her baby from her right breast.
Image: Mother is holding the baby with her right hand.	Therefore, the baby’s legs pass through the mother’s right armpit.
Image: Mother is holding the baby with her right hand.	She is using the thumb and fingers of her right hand to hold the lower part of her baby’s head.
Image: Mother is bending her back to bring the breast to the baby.	Remember, the mother should never bring the breast to the baby by bending her back. This will make her uncomfortable and cause back pain.
Image: Mother has kept her back straight. She brings her baby to her breast.	She should always keep her back straight and lift the baby to reach her breast.
Image: Mother’s thumb and fingers are placed behind the baby’s ears.	Next, let us see the correct position of mother’s thumb and fingers for holding the baby’s head. Mother’s thumb should be behind one ear, and rest of the fingers behind the other ear of the baby.
Image: Mother’s thumb has slipped to the baby’s neck.	She should not move her fingers or thumb from behind the ear to the baby’s neck.
Image: Mother’s wrist is between the baby’s shoulder blades.	Her wrist should rest between the baby’s shoulder blades.
Image: Mother’s palm is touching the back of her baby’s head. Image: Mother’s palm is not touching the back of her baby’s head.	She should not apply pressure on the back of the baby’s head with her hand. This will keep the baby comfortable while feeding.
Image: Football hold.	Next, let us learn how to position baby’s body correctly.
Image: Baby is facing the mother.	The baby’s face should be facing the mother.
Image: Baby’s body is gently pressing against the mother’s body.	Baby’s body should gently press against the mother’s body.
Image: Baby is near the breast.	Lesser distance between their bodies will reduce the baby’s effort to reach the breast.
Image: Deeply attached baby in football hold.	And it will become easier for the baby to attach deeply.
Image: Football hold.	The second point in positioning is the baby’s body alignment.
Image: An adult eating food with head-neck-body in a straight line.	When we eat food, our head, neck and body are always in the same direction.
Image: Baby’s neck-head-body are kept in the same direction while breastfeeding in football hold.	Similarly- Baby’s head, neck and body should always be in the same direction while breastfeeding.
Gif animation: Baby is swallowing milk.	This will make swallowing milk easier for the baby.
Image: Mother is supporting baby’s full body.	Now we come to the third point in positioning the baby’s body.
Image: Mother is supporting the full body of her baby.	The mother should support the full body of her baby.
Image: Mother and pillows are not supporting baby’s legs.	Otherwise the baby will have to take a lot of effort to attach deeply to the breast.
Image: Baby’s nose is in line with the nipple. Image: Baby is deeply attached in football hold. Image: Strong baby. Image: Baby’s nose is not in line with the nipple. Image: Bad attachment in football hold.	Next, let’s look at the position of baby’s nose and chin. Baby’s nose should always be in line with the nipple. And her chin should be forward and very close to the breast. This will ensure that the baby takes in more of the lower part of the areola while latching. And therefore, will use the lower jaw to drink more milk efficiently.
Image: Breast.	Please note- Areola is the dark area around the nipple.
Image: Mother is holding her breast with her right hand in a C shape hold from the side. Image: C shape hold.	Now that the baby is positioned correctly, let us learn how to hold the breast. Using the fingers of her other hand, the mother should cup her breast from the side in a C shape hold. The mother in this picture will use her left hand to hold her right breast.
Image: A clock is drawn over the right breast with its center as the nipple. Left thumb is at 12’O clock. Left index and middle finger are at 6’O clock. Thumb and fingers form a C shape.	To understand the correct position of thumb and fingers- Imagine the nipple to be the center of a clock on the right breast. She should place her left thumb at 12’O clock position on this clock. While her left index finger and middle finger should be placed at 6’O clock position.
Image: Mother’s fingers are in the direction of the baby’s lips. Both are horizontal.	The fingers should always be in the direction of the baby’s lips.
Image: Adult is holding a vada pav or burger horizontally. Image: Adult’s fingers, holding the vada pav or burger are in the direction of her lips. Both are horizontal. Image: Adult is taking a big bite of vada pav or burger while holding it horizontally. Image: Adult is holding a vada pav or burger vertically. Image: Adult’s lips are perpendicular to adult’s fingers holding vada pav or burger vertically. Image: Adult is trying to a eat vada pav or burger while holding it vertically.	Why? Let’s understand this using a simple example. When we eat a vada pav or burger, our lips open horizontally. We hold the vada pav or burger horizontally to take a big bite. Here, the thumb and fingers are placed in the direction of the lips. If we hold the vada pav or burger vertically, we won’t be able to take a big bite.
Image: Mother’s fingers are in the direction of the baby’s lips. Both are horizontal. Image: Deeply attached baby in football hold.	Similarly, observe the direction of baby’s lips. The lips are horizontal here. Therefore, the fingers and thumb should also be positioned horizontally on the breast. This will help the baby to take a big part of the lower areola in her mouth.
Image: Mother’s fingers are holding the breast in C shape hold at a distance of 3 fingers from the nipple. Image: Deeply attached baby in football hold.	Apart from 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.
Image: Adult is trying to eat a vada pav or burger while holding it too close to the edge.	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.
Image: Adult is trying to eat a vada pav or burger while holding it too far away from the edge.	If we hold it too far away, it will not be shaped correctly to fit in our mouth.
Image: Adult is holding a vada pav or burger at the right distance.	Therefore, we hold it at the right distance to take a big bite.
Image: Mother’s fingers are holding the breast in a C shape hold at a distance of 3 fingers from the nipple.	Similarly for the baby, the right distance is of 3 fingers from the nipple, as shown in this picture. This distance will ensure that-
Image: Mother’s fingers are holding the breast in C shape at a distance of 1 finger from the nipple. Image: Poor attachment in football hold.	mother’s fingers do not block the baby from taking the lower areola in her mouth
Image: Mother is pressing only the nipple in C shape and only drops of milk are coming out.	Mother does not compress only the nipple which will give very little milk
Image: Mother is compressing the breast at a distance of 3 fingers from the nipple and more milk is coming out.	Mother compresses the larger milk ducts beneath the areola to express more milk out
Image: Mother is holding her breast 5 fingers away from the nipple. Image: Bad attachment in football hold. Image: Mother’s fingers are holding the breast in a C shape hold at a distance of 3 fingers from the nipple. Image: Deeply attached baby in football hold.	And the breast is shaped correctly to help the baby attach deeply.
Image: Mother’s thumb is on the upper side of the breast.	Remember- Mother’s thumb should be on the upper side of the breast.
Image: Mother’s 2 fingers are on the lower side of the breast.	And her 2 fingers should be on the lower side of the breast, as shown in this picture.
Image: Uncompressed vada pav or burger. Image: Compressed vada pav or burger.	Let’s go back to the example of vada pav or burger. After holding the vada pav or burger correctly, we always compress it to take a big bite.
Image: Compression of breast in C shape hold from the side. Image: Deeply attached baby in football hold.	Similarly, the mother should lightly compress 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.
Image: Compression of breast in a scissor shape hold from the side.	But remember, Mother should not compress her breast in a scissor shape hold. Scissor shape compression will pinch the breast and cause nipple feeding.
Image: Equal compression of breast with the thumb and fingers. Image: Unequal compression of breast in the upward direction. Image: Unequal compression of breast in the downward direction.	Also make sure that- there is equal compression of the breast with the thumb and the fingers. Otherwise, the nipple will shift- either in the upward or downward direction and lead to poor attachment.
Image: Football hold in the side-facing position.	Sometimes, the mother might prefer to hold her baby in a different position. In this picture, the baby is not facing the mother.
Image: Football hold in the side-facing position.	Baby’s head is brought towards the breast from the side of the breast and not from below.
Image: Mother’s fingers are in the direction of the baby’s lips. Both are vertical.	Baby’s lips are vertical here. Therefore, the mother should position her fingers vertically on the breast in a U shape hold.
Image: Mother’s fingers are in the direction of the baby’s lips. Both are vertical. Image: Mother’s fingers are in the direction of the baby’s lips. Both are horizontal.	Remember, For any breastfeeding position mother’s fingers and thumb- holding the breast, should always be in the direction of the baby’s lips.
Image: Football hold.	Now, the baby is in football hold and ready to latch on for breastfeeding.
Image: Deeply attached baby in football hold. Image: Baby is attached only to the nipple in football hold.	The correct latching technique is explained in another tutorial in the same series.
Image: Mother’s left hand is kept free while breastfeeding in football hold. Image: Mother with big breasts is still holding her breast while the baby is breastfeeding.	Once the baby is latched on correctly and if the breast is not too big and heavy then- the mother can release the breast from her hand and keep that hand free. This brings us to the end of this tutorial.
Image: 5 breastfeeding holds- cross cradle, football, cradle, laid back and side lying hold. Image: Mother is washing her hands. Image: Football hold.	In this tutorial we learnt about, Choosing the correct breastfeeding hold for a mother and her baby Mother’s preparation before breastfeeding and Step-by-step procedure for football hold.
Image: Spoken tutorial logo Image: IIT Bombay logo	This tutorial has been contributed by the Spoken Tutorial Project, IIT Bombay.
Image: NMEICT logo. Image: MHRD, Government of India logo. http://spoken-tutorial.org	Spoken Tutorial Project is funded by NMEICT, MHRD, Government of India. More information on this mission is available at this link.
Image: WHEELS Global Foundation logo.	This tutorial is partly funded by a generous contribution from WHEELS Global Foundation.
Image: Maa aur Shishu Poshan project logo.	This tutorial is a part of Maa aur Shishu Poshan project. The domain reviewer for this tutorial is Dr. Rupal Dalal, MD Pediatrics. This is dietitian Tasneem Shaikh along with animator Shital Joshi from IIT Bombay signing off. Thank you for joining.

Contributors and Content Editors

Bellatony911, Tasneemiitb