Health-and-Nutrition/C2/Kangaroo-Mother-Care/English-timed

Time	Narration
00:00	Welcome to the Spoken Tutorial on Kangaroo mother care.
00:05	In this tutorial, we will learn -
0:08	What is Kangaroo mother care?
0:10	The components, importance and
0:13	Procedure of Kangaroo mother care
0:17	Let us first begin with the introduction of Kangaroo mother care?
0:22	As the name suggests -
0:24	it involves, keeping the baby in skin to skin contact with the mother.
0:29	and it is popularly known as KMC.
0:32	Remember, KMC should be given as soon as the baby is born.
0:39	It is especially recommended for low birth weight babies-
0:44	whose birth weight is less than 2.5 kilograms and
0:48	who do not require continuous monitoring
0:52	However, it can be used for all normal, healthy full-term babies too.
0:59	KMC consists of two main components:
1:03	Continuous and prolonged skin to skin contact between the mother and her baby.
1:09	and Exclusive breastfeeding
1:13	Let’s discuss these components in detail.
1:17	The first component is skin to skin contact.
1:21	it improves the Let down reflex
1:24	and ultimately increases the breast milk production.
1:28	Let down reflex has been explained in another tutorial of the same series.
1:34	The second component is exclusive breastfeeding.
1:38	Note that-
1:40	Exclusive breastfeeding is recommended for the first 6 months.
1:45	Next, let’s discuss the importance of Kangaroo care.
1:50	Prolonged skin to skin contact during KMC helps maintain the baby's body temperature
1:57	and the baby feels more secure.
2:01	KMC also decreases -
2:03	the frequency of infection and
2:05	the rate of apnea in babies.
2:09	Apnea is defined as long pauses in breathing.
2:13	Apart from these-
2:15	KMC improves the frequency and duration of breastfeeding.
2:20	And it strengthens the emotional bonding between the mother and her baby.
2:26	KMC also helps the baby-
2:28	to gain weight than any other conventional methods such as-
2:33	keeping the baby in radiant warmer.
2:36	which creates stress for the baby and the mother.
2:40	It also improves the satisfaction and confidence in the mother-
2:45	as she takes extra effort for her baby.
2:49	Interestingly, apart from mothers, KMC can be provided by-
2:54	Father or
2:56	Any adult family member too.
2:58	We will now discuss the points to be followed by KMC provider:
3:04	The KMC provider should be healthy and free from illness.
3:09	He or she should follow basic hygiene practices such as-
3:14	hand washing,
3:16	daily bath,
3:17	clipped fingernails,
3:18	tied up hair
3:20	and clean clothes.
3:22	He or she should not wear any jewellery, watches and threads -
3:26	as these may become the barriers to maintain the hygiene.
3:31	and it can cause injury to the baby.
3:35	Now, let us discuss the type of clothes the provider should wear during KMC -
3:42	clothes should be front open and lightweight.
3:46	for example, sari-blouse or front open gown.
3:51	Note that,
3:52	The KMC provider should wear this front open gown or blouse around KMC wrap.
3:58	Kangaroo bags or binders can be bought from the market as well.
4:04	These are useful if KMC has to be done for an extended period.
4:09	Alternately, the KMC provider can use soft clean cotton fabric.
4:16	Whereas, the baby during KMC should -
4:19	wear a cap and a nappy.
4:22	if the baby passes stool or urine during KMC then -
4:27	she should be cleaned and dried thoroughly.
4:30	Next, we will move ahead to the procedure of Kangaroo care in detail.
4:36	Firstly, the mother should stand in an upright position.
4:40	Then, either a health worker or any family member should do the following things, step-wise-
4:48	By supporting the baby’s bottom and head-
4:51	place the baby between the mother’s bare breasts in an upright position.
4:56	then, turn the baby’s head to one side.
5:00	Make sure, the baby’s head is slightly bending backward.
5:04	This position will - keep the baby’s nose airways open
5:08	and will allow the baby to make eye to eye contact with the mother.
5:14	Then bend the baby’s hips slightly outward.
5:18	Remember - to keep baby’s arms above the mother’s breast and
5:23	legs below the mother’s breast and
5:27	the baby’s abdomen on the chest of the mother.
5:29	Before wrapping with the cloth-
5:32	Cover the baby with a blanket if environment is cold.
5:36	It will keep the baby and the mother warm.
5:39	Then, Wrap a cloth around the baby and mother’s chest and abdomen.
5:45	While wrapping make sure -
5:47	The center of the cloth is on the baby.
5:50	And both ends of the cloth should -
5:53	pass through the armpits of the mother
5:56	and should cross at the back.
5:59	After that bring the edges of the cloth in the front.
6:03	Secure these edges of the cloth with a safe knot under the baby’s bottom.
6:09	This is comfortable and helps support the baby.
6:14	Also it avoids slipping of the baby.
6:17	Remember-
6:18	as the mother becomes comfortable, she should learn to wrap the cloth by herself.
6:24	The technique of - Self-wrapping during KMC will be explained in another tutorial of the same series.
6:32	It will increase the mother’s confidence and make her independent.
6:37	If mother is uncomfortable while using a cloth then she can use a stretchy band.
6:43	It is easy and comfortable to use.
6:46	While using a stretchy band-
6:49	adjust the edge of the band above the baby’s ear to support his head.
6:54	Then, tilt the baby’s head slightly-
6:57	to breathe freely and
6:59	to make eye to eye contact with the mother as explained earlier.
7:04	The wrapped cloth or stretchy band should not be too tight or too loose.
7:11	it should be comfortable enough for the baby to breathe freely.
7:15	Remember, while carrying a baby in KMC position, mother should be able to-
7:20	walk,
7:21	stand,
7:22	sit or
7:23	involve in different activities.
7:26	If a mother is very comfortable then-
7:29	she can even sleep during Kangaroo care in a reclined or a semi-reclined position.
7:35	Now let’s discuss how to feed the baby during KMC-
7:40	Either mother can feed the baby-
7:43	by simply loosening the wrapped cloth and
7:46	positioning the baby for breastfeeding.
7:50	Or she can manually express breast milk and
7:54	feed the baby using a cup or spoon.
7:57	Remember, Each day baby should gain up to 25 to 30 grams of weight.
8:03	Expected weight gain of a baby in a month is up to 900 to 1,000 grams.
8:10	Hence, mother or health worker should -
8:13	monitor the weight of the baby during routine check-ups.
8:17	If the baby fails to gain sufficient weight-
8:21	health worker should monitor the breastfeeding technique of the mother or
8:25	check how many times the baby urinates
8:28	also, guide the mother about the correct latching.
8:32	Correct latching has been explained in an another tutorial of the same series.
8:39	Next, Let’s learn how to remove the baby from the wrapped cloth -
8:44	firstly, the mother should sit in the upright position.
8:48	then, start untying the knot with one hand and
8:53	support the baby’s bottom with other hand on the outside of wrapped cloth.
8:58	After that- loosen the wrapped cloth with the same hand which was earlier used for untying the knot.
9:04	Then- shift the hand under the cloth which was supporting the baby’s bottom and
9:11	use the other hand to support the baby’s bottom from outside the cloth.
9:16	Then, lift the baby up and free her from the wrapped cloth.
9:21	After that, remember to hold the baby’s head in a way-
9:26	where the thumb is behind one ear and
9:28	other fingers are around the other ear.
9:30	During KMC-
9:32	the mother should immediately consult the doctor and the health worker -
9:37	if the baby is not alert and active.
9:41	if the baby is breathing too fast or taking too long pauses.
9:46	if the baby’s lips or tongue turns blue
9:50	and if baby’s feet are cold
9:53	This brings us to the end of this tutorial on Kangaroo mother care.
9:58	Thanks for joining.

Contributors and Content Editors

Debosmita, PoojaMoolya, Rajani st, Sandhya.np14