Health-and-Nutrition/C2/Physical-methods-to-increase-the-amount-of-breastmilk/English

Visual Cue	Narration
Title Slide	Welcome to the Spoken Tutorial on Physical Methods to Increase the Amount of Breast Milk.
Image: Group image of types of physical methods	In this tutorial, we will learn- How to increase the amount of breastmilk using different physical methods
Image: Mother and baby in skin to skin contact	Let us first begin with Kangaroo mother care.
Image: Mother holding baby in skin to skin contact	In this method- The baby should be in skin to skin contact with the mother as long as possible.
Image: Mother and baby in skin to skin contact	Note that, the procedure for Kangaroo mother care- has been explained in another tutorial of the same series.
Image: Let down reflex Image: Oxytocin hormone Image: breast with milk droplets Image: Mother thinking about baby Image: Breast with milk droplets	Next, we will learn how to improve the let down reflex or Oxytocin reflex. Before that we should know what is Oxytocin? Oxytocin is a hormone which encourages the let down reflex Because of which, the milk is pushed out just by thinking about the baby
Image: Mother looking at the baby Image: Mother smelling the babys clothes Image: Mother listening to music	Therefore, to push the milk out- First, mother should relax and then look at her calm baby She can also smell her baby’s unwashed clothes And listen to soothing music as well
Image: Group image of hot water fomentation, upper back massaging and breast massage. Image: Massage of upper back and neck with arrows for indicating same nerve Image: Massage of the breast	Alternately other methods that will help to push the milk out are- Hot water fomentation Massage of the upper back and Massage of the breast
Image : Mother taking shower Image: Mother Showing warm cloth application on breast Image: Showing circulation of milk with arrow marks. GIF: Baby suckling on mothers breast	Let us see how to do hot water fomentation, Mother should take a warm water bath Or keep a warm cloth on her breast Both these methods will help circulation of milk in the breast and push the milk out.
Image: Group image of back massaging and breast massaging Image: Mother massaging breast in sitting position	Next, let us learn about massaging
Image: Helper massaging back of the mother.	* Massaging of the upper back and neck will help the milk to flow freely Since the same nerve goes to the upper back and the breast.
Image: Mother massaging the breast Image: Milk flowing freely Image: Breast with milk droplets Image: Empty the breast completely	* massaging the breast before feeding opens the milk ducts Hence, the milk will flow freely and the breast will be emptied completely leading to higher milk production
Image: Baby latched on to mother’s breast	Another method of increasing the amount of breast milk is- to encourage the baby to latch on correctly. Let us see how to do so-
Image: Brushing of nipple on upper lip Image: Baby opening mouth widely Image: Correct latching Image: Correct latching giving sufficient milk	* Rub the nipple on the upper lip of the baby This will help the baby to open the mouth widely And will help with the correct latch and give sufficient milk to the baby
Image: Mother breastfeeding in sitting position	Make sure during breastfeeding-
Image:Mother holding baby to support full body Image: Baby’s tummy touching mothers tummy Image: Position of head, neck and body in straight line with nipple Image: Baby’s nose in line with nipple	Mother supports the full body of the baby Baby’s tummy should touch the mother’s tummy Baby’s head, neck and body are always in a straight line Baby’s nose is in the line with the mother’s nipple
Image: Chin pressed into breast by bending baby’s head outward. Image: Lips curled outward	* The chin should be brought forward and pushed into mother’s breast The lower lip is curled outward.
Image: Baby sucking lower areola	* Ensure that the baby takes in more part of lower areola while latching. So that the upper areola is more visible than the lower areola.
Image: Mother’s breast showing areola with arrow	Please note- Areola is the dark area around the nipple.
Image: Gentle pressing of the breast Image: Gentle holding of the breast Image: Breast squeezing	Now let us look at another physical method which is gentle pressing of the breast- To do so- gently hold and squeeze the breast during breastfeeding.
Image: Releasing more milk GIF: Baby suckling on breast	* gentle pressure on the milk glands helps to release more milk This will help to give out more milk with each suck of the baby.
Image: Gentle pressing of breast	Gentle pressing of the breast has been explained in another tutorial of same series.
Image: Breast feeding at night in sitting position	An interesting fact is that night time feeding is important. Let us understand why ?
Image: Prolactin hormone	* The amount of hormone Prolactin in breast milk is higher during the night
GIF: Baby suckling on breast Image: Growth and development of baby	* when the baby feeds more at night it improves the amount of milk during breastfeeding Thereby, helping in growth of the baby
Image: milk droplets from breast Image:Mother breastfeeding 12 times. Image: Breastfeeding at night 3 times.	Another important factor to increase the amount of breast milk is- the breastfeeding frequency. Baby should be fed minimum 10-12 times in 24 hours And it is also important to feed the baby at least 2-3 times at night
Image: Group image of early hunger signals.	* Do not keep the baby hungry Watch out for early hunger signals such as,
Image: Baby turning her body from one side to other side Image: Baby turning mouth towards finger touched on her cheek, with arrows. Image: Baby opening mouth	* Baby moves her arms and legs Baby turns towards anything that is touched to her cheeks. And she opens her mouth.
Image: Baby crying	Remember, Crying of the baby is a late signal of hunger. Therefore feed the baby on early hunger signs.
Image: Breast and glass with hind milk Image: Breast with milk at the back of breast Image: Fat droplets Image: Hind milk in a glass to show consistency Image: Complete emptying of one breast and then second breast by breastfeeding.	Also removal of hind milk is important Hind milk is the milk present in the back part of the breast It is made up of fats It is thick in consistency Therefore Mother should ensure complete emptying of one breast and then offer the other breast.
Image: Mother manually expressing milk	Now let us discuss about expressing the milk from the breast after feeding the baby,
Image: Mother removing milk	* Expressing is manual removal of milk with mother’s own hands,
Image: Breast milk expression with fingers and thumb Image: Pressing the breast inward	To do so, mother keeps her fingers and thumb at the margin of the areola and the skin of the breast Then gently presses the areola inward towards the chest, compressing and then releasing.
GIF: Baby suckling	* It is done even if the baby has suckled completely
Image: Group image of expressing milk in between two feeds with 1 hour gap Image: Mother expressing breast milk with one hand	* Mother should remove the milk even in between two feeds Removing milk frequently will improve the amount of breastmilk
Image: Artificial nipple and formula milk with cross mark Image: Cow, goat and bottled milk with a cross mark Image: Baby and nipple shield with cross mark	Always remember the following: avoid use of artificial nipples and formula milk as they reduce mother’s milk Avoid feeding cow/goat milk or formula milk Avoid nipple shields as it creates nipple confusion for the baby.
Image: Grouped image of early hunger signals Image: Mother breastfeeding in sitting position	Remember, the baby should be breastfed whenever she shows early hunger signs.
Image: Health worker talking to mother	* The health worker should build mother’s confidence by guiding her about correct latching technique.
Image: Baby kept on weighing scale	* monitor the weight of the baby daily To ensure that the baby starts gaining 25 to 30 grams of weight per day.
Acknowledgement Image: Spoken tutorial logo. Image: IIT Bombay logo. Image: NMEICT Logo	This brings us to the end of this tutorial on Physical Methods to Increase the Amount of BreastMilk. Thanks for joining.
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Contributors and Content Editors

Bellatony911, Gmungrey