Health-and-Nutrition/C2/Cross-cradle-hold/English-timed

Time	Narration
00:01	Welcome to the Spoken Tutorial on Cross Cradle hold for breastfeeding.
00:07	In this tutorial we will learn about- Choosing the correct breastfeeding hold for a mother and her baby
00:16	Mother’s preparation before breastfeeding and
00:20	Step-by-step procedure for Cross Cradle hold.
00:24	Let us begin.
00:26	Across the world, mothers breastfeed their babies using various types of holds.
00:32	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
00:43	The baby is able to attach deeply to the mother’s breast
00:48	And get sufficient milk.
00:51	Let us learn about one of the holds called Cross Cradle hold.
00:56	Cross Cradle hold is the best hold to have- full control of baby’s body breast support and deep latching.
01:06	Before feeding her baby, the mother must wash and dry her hands properly.
01:12	Then she should drink a glass of boiled and cooled water.
01:16	Lactating mothers produce 750 to 850 mililitre of milk per day on an average.
01:24	Therefore, they need to increase their daily water intake.
01:29	Next, let’s discuss the position of the mother.
01:33	Mother should sit on the floor or on the bed in cross legged position.
01:38	Or on a chair with her feet flat on the ground.
01:43	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.
01:54	While sitting, she should ensure that - Her back is straight so as to avoid back pain
02:03	Her shoulders are relaxed and not elevated or curved
02:08	And this relaxed position is maintained throughout the feeding session.
02:13	Mother should uncover the breast from which she wants to feed the baby.
02:19	She should ensure not to put pressure of her bra or blouse on the breast.
02:26	After sitting comfortably, bring the baby to the mother.
02:31	Mother should hold her baby's head with the hand opposite to the breast that she will feed from.
02:39	The baby’s legs should be tucked under the mother’s armpit of the same hand.
02:45	The mother in this picture, will be feeding her baby from her right breast. Therefore, the baby’s legs are tucked under her left armpit.
02:57	She is using the thumb and fingers of her left hand to hold the lower part of her baby’s head.
03:05	If the mother wants additional support to lift the baby- she can keep a pillow under the baby on her lap.
03:15	Remember, the mother should never bring the breast to the baby by bending her back.
03:21	This will make her uncomfortable and cause back pain.
03:26	She should always keep her back straight and elevate the baby to reach her breast.
03:33	Next, let us see the correct position of mother’s thumb and fingers.
03:39	Mother’s thumb should be behind one ear, and rest of the fingers behind the other ear of the baby.
03:46	She should not move her fingers or thumb from behind the ear to the baby’s neck.
03:52	Her wrist should rest between the baby’s shoulder blades.
03:56	She should not apply pressure on the back of the baby’s head with her hand.
04:04	This will keep the baby comfortable while feeding.
04:08	Next, let us learn how to position baby’s body correctly.
04:15	The baby’s stomach should gently press against the mother’s body.
04:20	Lesser distance between their bodies will reduce the baby’s effort to reach the breast.
04:26	And it will become easier for the baby to attach deeply.
04:32	The second point in positioning is the baby’s body alignment.
04:37	When we eat food, our head, neck and body are always in a straight line.
04:43	But, while breastfeeding, the baby’s head is often turned sideways by many mothers.
04:50	This will make feeding uncomfortable for the baby.
04:55	Baby’s head, neck and body should always be in a straight line while breastfeeding.
05:01	This will make swallowing milk easier for the baby.
05:05	Now we come to the third point in positioning the baby’s body.
05:10	The mother should support the full body of her baby.
05:14	Otherwise the baby will have to take a lot of effort to attach deeply to the breast.
05:22	Next, let’s look at the position of the baby’s nose and chin.
05:28	Baby’s nose should be in line with the nipple.
05:33	And her chin should be forward and very close to the breast.
05:38	This will ensure that the baby takes in more of the lower part of the areola while latching.
05:45	And therefore, will use the lower jaw to drink more milk efficiently.
05:51	Please note- Areola is the dark area around the nipple.
05:57	Now that the baby is positioned correctly, let us learn how to hold the breast.
06:04	Using the fingers of her other hand, the mother should cup her breast underneath in a U shape hold.
06:12	The mother in this picture will use her right hand to hold her right breast.
06:19	To understand the correct position of thumb and fingers, Imagine the nipple to be the center of a clock on the mother’s right breast.
03:31	Mother should place her right thumb at 9’O clock position on this clock.
06:38	While her right index finger and middle finger should be placed at 3’O clock position.
06:46	The fingers should be always parallel to the baby’s lips. Why?
06:51	Let’s understand this using a simple example.
06:56	When we eat a vada pav or burger, our mouth and lips open horizontally.
07:02	We hold the vada pav or burger horizontally to take a big bite.
07:08	Here, the thumb and fingers are placed parallel to the lips.
07:12	If we hold the vada pav or burger vertically, we won’t be able to take a big bite.
07:19	Similarly, observe the direction of baby’s lips.
07:25	The lips are vertical here. Therefore, the fingers and thumb should also be positioned vertically on the breast.
07:34	This will help the baby to take a big part of the areola in her mouth.
07:39	Apart from being parallel to the baby’s lips, mother’s thumb and fingers should always be at a distance of 3 fingers from the nipple.
07:50	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.
08:00	If we hold it too far away, it will not be shaped correctly to fit in our mouth.
08:07	Therefore, we hold it at the right distance to take a big bite.
08:12	Similarly for the baby, the right distance is of 3 fingers from the nipple, as shown in this picture.
08:20	This distance will ensure that- mother’s fingers do not block the baby from taking a big part of the areola in her mouth
08:29	Mother does not compress only the nipple which will give very little milk
08:35	Mother compresses the larger milk ducts beneath the areola to express more milk out
08:42	And the breast is shaped correctly to help the baby attach deeply.
08:49	Mother’s thumb should be 3 fingers away from the nipple on the side of the breast where the baby’s nose is present.
08:59	And her 2 fingers should be at a distance of 3 fingers from the nipple on the side of the breast where baby’s chin is present.
09:09	Let’s go back to the example of vada pav or burger.
09:13	After holding the vada pav or burger correctly, we always compress it to take a big bite.
09:21	Similarly, the mother should lightly compress her breast in a U shape hold from the bottom.
09:28	This will help the baby to take a big part of the breast in her mouth.
09:34	But remember, Mother should not compress her breast in a V shape.
09:39	V shape compression will pinch the breast and cause nipple feeding.
09:45	Also make sure that there is equal compression of the breast with the thumb and the fingers.
09:52	Otherwise,the nipple will shift either to the right or the left side and lead to poor attachment.
10:00	Remember, Never bring the breast to the baby by pushing it sideways towards the baby.
10:08	Always bring the baby towards the breast.
10:12	Now, the baby is in Cross Cradle hold and ready to latch on for breastfeeding.
10:18	The correct latching technique is explained in another tutorial in the same series.
10:24	Once the baby is latched on correctly and if the breast is not too heavy then- mother should release her breast from her hand and bring her hand underneath the baby for support.
10:40	In this position, mother should bring both her arms very close to her body.
10:46	This will keep her comfortable during breastfeeding.
10:50	This brings us to the end of this tutorial.
10:54	In this tutorial we learnt about, Choosing the correct breastfeeding hold for a mother and her baby
11:03	Mother’s preparation before breastfeeding and Step-by-step procedure for Cross Cradle hold.
11:09	This tutorial has been contributed by the Spoken Tutorial Project, IIT Bombay
11:15	Spoken Tutorial Project is funded by NMEICT, MHRD, Government of India.
11:23	More information on this mission is available at this link.
11:28	This tutorial is partly funded by a generous contribution from WHEELS Global Foundation.
11:34	This tutorial is a part of Maa aur Shishu Poshan project.
11:39	The domain reviewer for this tutorial is Dr. Rupal Dalal, MD Pediatrics.
11:45	This is dietitian Tasneem Shaikh along with animator Sheetal joshi , from IIT Bombay, signing off. Thank you for joining.

Contributors and Content Editors

Debosmita, PoojaMoolya, Sandhya.np14