Health-and-Nutrition/C2/Laid-back-hold-for-breastfeeding/English

Visual Cue	Narration
Slide Number 1 Title Slide	Welcome to the Spoken Tutorial on Laid-back hold for breastfeeding.
Image: 5 common breastfeeding holds-cross cradle, football, cradle, laid back and side lying. Image: Mother washing her hands. Image: Laid back hold.	In this tutorial we will learn, Choosing the correct breastfeeding hold for a mother and her baby Mother’s preparation before breastfeeding and How to do the laid-back hold.
Image: Laid back hold.	Let us begin.
Image: 5 common breastfeeding holds-cross cradle, football, cradle, laid back and side lying.	Across the world, mothers breastfeed their babies using various types of holds.
Image: Mother and baby relaxed in laid back hold. Image: Mother in wrong laid back hold. Image: Crying baby.	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
Image: Good attachment in laid back hold. Image: Bad attachment in laid back hold.	The baby is able to attach deeply to the mother’s breast
Image: Strong baby. Image: Weak baby.	And get sufficient milk.
Image: Laid back Hold	Let us learn about one of the holds called Laid-back hold.
Image: Laid back hold. Image: Cross cradle hold. Image: Cradle hold.	Laid-back hold is recommended when - Deep attachment of the baby to the breast is difficult using cross cradle or cradle hold
Image: Big breasts.	Or if the mother has big breasts
Image: Mother has back pain.	Or if the mother has back pain
Image: Mother is tired.	Or when the mother is tired.
Image: Mother washing her hands.	Before feeding her baby, the mother must wash her hands with soap and water.
Image: Mother showing her dry and clean hands.	And dry her hands properly.
Image: Mother drinking a glass of water. Image: Boiling water. Image: Cool water.	Then she should drink a glass of boiled and cooled water.
Image: Breastmilk filling a 1 litre jug till 750 ml.	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 completely removing cloth covering the breast.	Next, 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 leaning back on bed, supported by pillows on her sides and under her head.	Then, the mother should lie down comfortably on the floor or on a bed.
Image: Mother leaning back on bed, supported by pillows under her head, neck and upper back.	Her head, neck and upper back should be well supported by pillows.
Image: Baby is brought to the mother.	Now that the mother is ready, let us learn how to hold the baby correctly.
Image: Mother is holding the baby with her right hand.	Mother should hold her baby’s body with the hand on the side of the breast that she will feed from.
Image: Mother is holding the baby’s head with the thumb and fingers of her left hand.	She should hold the lower part of her baby's head with the thumb and fingers of her other hand.
Image: Mother holding the baby’s head with the thumb and fingers of her left 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, she is using her right hand to hold the baby’s body.
Image: Mother is holding the baby’s head with the thumb and fingers of her left hand.	She is using the thumb and fingers of her left hand to hold the lower part of her baby’s head.
Image: Mother’s thumb and fingers are holding the baby’s head.	Next, Let us see the correct position of mother’s thumb and fingers for holding the baby’s head.
Image: Mother’s thumb and fingers behind baby’s ears.	Mother’s thumb should be behind one ear, and rest of the fingers behind the other ear of the baby.
Image: Mother’s thumb slipped to baby’s neck.	She should not move her fingers or thumb from behind the ear to the baby’s neck.
Image: Mother’s palm touching back of baby’s head. Image: Mother’s palm is not touching the back of the 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: Baby’s stomach is placed against mother’s stomach.	Next, let us learn how to position the baby’s body correctly. The baby should be placed on the mother’s body in such a way that - baby’s stomach is on the mother’s stomach
Image: Baby’s head is near the right breast.	And the baby’s head is near the mother’s breast.
Image: Less distance between baby and breast.	Lesser distance between the baby and the breast will help the baby to reach the breast.
Image: Deeply attached baby in laid back hold.	And it will become easier for the baby to attach deeply.
Image: Mother holding baby in laid back hold.	Then, the second important point is the direction in which the baby’s entire body is held.
Image: Adult eating food with head-neck-body in straight line.	You may have noticed that- When we eat food, our head, neck and body are always in the same direction.
Image: Baby’s head is turned sideways. Image: Baby’s head, neck and body in the same direction.	Similarly- Baby’s head, neck and body should always be in the same direction while breastfeeding.
GIF: Baby swallowing milk.	This will make swallowing milk easier for the baby.
Image: 2 different diagonal directions of baby placed on mother’s abdomen with baby’s whole body touching mother’s body and baby’s head near the breast and nipple	Remember, the baby can be positioned on the mother’s body in any direction, as long as - the whole front part of the baby’s body is placed on the front part of the mother’s body And the baby can reach the breast easily.
Image: Mother supporting the full body of her baby.	Now we come to the third point in positioning the baby’s body.
Image: Mother’s hands on baby’s head, back and buttocks to support her full body.	The mother should support the full body of her baby.
Image: Mother not supporting the baby’s full body with her hands and baby slipping downwards. Image: Bad attachment in laid back hold.	Otherwise, the baby will have to take a lot of effort to attach deeply to the breast.
Image: Baby’s nose in line with the nipple. Image: Baby’s chin forward and touching the breast while her forehead and nose are pulled back.	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: Areola.	Please note- Areola is the dark area around the nipple.
Image: Laid back hold.	Now, the baby is in laid back hold and ready to latch on for breastfeeding.
Image: Deeply attached baby in laid back hold.	In this hold, the baby can naturally attach deeply to the mother’s breast.
Image: Deeply attached baby in laid back hold. Image: Poor attachment in laid back hold.	Deep attachment of the baby to the breast is explained in another video of the same series.
Image: Mother is supporting the baby’s body with both her hands.	As soon as the baby is deeply attached to the breast- mother can release the baby’s head from her hand And use both her hands to support the baby’s body.
Image: Mother is comfortable while the baby breastfeeds.	In this position, the mother should lie back, relax and breastfeed. This brings us to the end of this tutorial.
Image: 5 common breastfeeding holds-cross cradle, football, cradle, laid back and side lying. Image: Mother washing her hands. Image: Laid back hold.	In this tutorial, we learnt about- Choosing the correct breastfeeding hold for a mother and her baby Mother’s preparation before breastfeeding and How to do the laid-back 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 Link: 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