Health-and-Nutrition/C2/Breast-crawl/English-timed

Time	Narration
00:00	Welcome to the spoken tutorial on Breast crawl.
00:05	In this tutorial we will learn, What is breast crawl
00:10	Procedure for breast crawl and
00:13	Importance of breast crawl
00:18	Let us first understand, what is breast crawl?
00:23	A baby is born with an instinctive feeding behaviour.
00:28	Soon after delivery, upon placing her on the mother’s bare abdomen she can find her mother’s breast and initiate breastfeeding.
00:40	This entire process is called 'Breast Crawl’.
00:46	It is to be noted that, Breast crawl can be done on full term, stable babies who are born either by natural delivery or by a cesarean delivery
00:58	And who have cried well immediately after birth.
01:03	Breast crawl is not performed on unstable babies with low birth weight, as they may suffer from respiratory problems like breathlessness.
01:15	Now, we will learn the procedure and later the importance for breast crawl.
01:22	First, ensure that- Delivery room’s temperature is around 26 degree Celsius.
01:29	Next is to clean the baby by placing her on the mother’s bare abdomen.
01:35	Clean her entire body thoroughly except the hands with a clean dry cloth.
01:42	Remember- The baby’s hands should be kept wet.
01:46	Do not remove the protective white coating on her skin while cleaning.
01:53	It protects the baby if the weather is cold.
01:56	After cleaning the baby remove the wet cloth.
02:01	After drying the baby the birth attendant should feel the pulsation of the cord.
02:08	Once it stops pulsating, she should cut the cord.
02:13	Next, reposition the baby on her mother’s bare abdomen in such a way that her tummy touches the mother’s tummy.
02:22	Her head should be placed between mother’s unwashed breasts.
02:26	Her mouth should be below her mother’s breast.
02:30	Now the baby is positioned correctly for breast crawl.
02:37	As moving forward is very natural for a newborn baby, she can easily crawl forward towards mother’s breast.
02:46	Next thing to do is- cover the baby and mother together with a clean dry cloth to keep them warm,
02:54	Place a cap on the baby’s head.
02:57	Please note- We have not shown the cap and cloth in subsequent images.
03:04	This will help us to clearly observe the position of the baby during breast crawl.
03:10	After covering the baby with the cloth- make the mother support the baby's back with her hand.
03:18	Let’s discuss a baby’s abilities which helps in breast crawl,
03:24	Baby's are very alert and instinctive after delivery.
03:29	The smell of her unclean hands stimulates her to salivate.
03:35	Also the baby, with her limited vision, can see her mother’s face and the areola.
03:43	Areola is the dark area around the nipple.
03:47	Eventually, the baby starts moving- Using her hands and legs, she gradually crawls towards her mother’s breast.
03:57	However, some babies starts crawling immediately and some take time.
04:04	Upon reaching the breast, the baby first tries to grasp the breast with her hands.
04:12	Do not disturb the baby and the mother at this point until she takes her first breastfeed.
04:20	Both, the birth attendant and the mother should have patience during this procedure.
04:27	A baby may take 30-60 minutes to reach upto the mother’s breast for her first feed.
04:35	During initiation of breastfeeding- baby will open her mouth wide and attach deeply to her mother’s breast.
04:45	After finishing the feeding, let the baby be in the same position for an hour or so.
04:52	Doing so, helps improve the bonding between the mother and baby.
04:58	However if the mother has taken any medicines please consult her doctor.
05:05	Sometimes it might happen that after delivery, mother will have to move from the delivery room to another room.
05:13	In such cases, after shifting the mother to another room- Give skin to skin contact to mother and the baby immediately, by placing the baby on the mother’s abdomen as discussed earlier.
05:29	Now let’s discuss breast crawl for babies born by cesarean section-
05:35	To do so: Babies should be placed on their mother's chest instead of the abdomen in such a way that- Baby’s legs should be towards mother’s head.
05:47	The chest and tummy should be on mother’s shoulder and mouth should be on the breast.
05:54	Allow the baby to suckle on the breast as long as possible in the operation theatre
05:59	Remember- Immediately after delivery skin to skin contact is most important than any other newborn care.
06:09	Note that- Only after completion of the breast crawl, post delivery newborn care should be given.
06:17	Now, let’s discuss the importance of breast crawl for the newborn baby,
06:23	Breast crawl enables the baby to get mother’s first milk called colostrum.
06:29	It is yellowish in color and thick in consistency.
06:33	Note that, after delivery- the quantity of colostrum the baby will consume during each breastfeeding session will increase gradually.
06:43	Baby will consume - 5 milliliters on first day,
06:47	10 milliliters on second day,
06:50	25 milliliters on third day,
06:53	40 milliliters on fourth day and 55 milliliters on fifth day from each breast during each breastfeeding session.
07:05	This is sufficient for a newborn baby.
07:09	Therefore baby should not be fed anything apart from colostrum.
07:15	Colostrum is considered as the first vaccination for a baby, and contains infection fighting proteins which boosts the immunity of a baby.
07:27	It is the first source of energy for a baby after the mother’s delivery,
07:33	Colostrum also prevents low blood glucose level.
07:37	It helps to maintain other body processes of a baby.
07:42	It supports healthy brain development
07:46	It helps the baby to pass her first stool.
07:50	Breast crawl also keeps the baby warm due to skin to skin contact with the mother.
07:57	Baby self-learns how to attach deeply to her mother’s breast.
08:04	Breast crawl passes on mother’s healthy bacteria to her baby,
08:08	These bacteria enter the baby’s gut and fight infections.
08:13	Ultimately this boosts the immunity of the baby.
08:18	Breast crawl also provides a feeling of love and security to a baby and Initiates the bond between mother and her baby.
08:29	Benefits of breast crawl extends to the mother as well
08:34	Leg movements of a baby puts pressure on her mother’s womb, this pressure helps in uterine contraction and in removal of placenta.
08:45	Initiation of breastfeeding increases oxytocin in the mother’s body
08:51	The rise in oxytocin helps in removal of placenta too.
08:56	Thus, breast crawl reduces the blood loss and prevents anaemia in mothers.
09:03	Anaemia is a condition where number of red blood cells goes down
09:08	It could lead to fatigue and weakness in the mother.
09:13	Therefore, breast crawl is a highly beneficial natural process for both the mother and her baby,
09:21	This brings us to the end of this tutorial on breast crawl.
09:26	In this tutorial we learnt, What is breast crawl
09:30	Procedure for breast crawl and Importance of breast crawl
09:37	This tutorial has been contributed by the Spoken Tutorial Project, IIT Bombay
09:43	Spoken Tutorial Project is funded by NMEICT, MHRD, Government of India.
09:49	More information on this mission is available at this link.
09:54	This tutorial is partly funded by a generous contribution from WHEELS Global Foundation.
10:01	This tutorial is a part of Maa aur Shishu Poshan project . The domain reviewer for this tutorial is Dr. Rupal Dalal, MD Pediatrics.
10:12	This is nutritionist Rajani Sawant along with animator Arthi anbalagan from IIT Bombay signing off. Thanks for joining.

Contributors and Content Editors

Debosmita, PoojaMoolya, Sandhya.np14