Health-and-Nutrition/C2/Feeding-expressed-breastmilk-to-babies/English-timed

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Time
Narration
00:01 Welcome to the Spoken Tutorial on Feeding expressed breastmilk to babies
00:07 In this tutorial we will learn,

How to make stored breastmilk ready for a baby to drink

00:14 And how to feed expressed breastmilk to a baby
00:19 Let us begin

Expressing breastmilk has many benefits for the baby and the Mother

00:26 Expressing breastmilk and storing it safely are explained in other tutorials
00:34 Now, let us learn how to make the stored breastmilk ready for the baby to drink
00:42 Before handling breastmilk the caregiver must - wash their hands with soap and water

And dry their hands well

00:52 Remember, the oldest stored breastmilk should always be used first
00:59 When using frozen breastmilk, Ideally, defrost it by keeping it overnight on the lowest shelf of the fridge
01:08 And use this defrosted milk within the next 24 hours
01:15 But if the frozen breastmilk is needed quickly, defrost it outside the fridge by -

First, keeping it in a container of cold water

01:25 And then keeping it in a container of lukewarm water
01:31 While defrosting in lukewarm water - shake the breastmilk container gently and occasionally
01:38 Do not shake it vigorously and continuously
01:42 Dry the outside of the breastmilk container with a clean cloth before use
01:48 Use this defrosted breast milk within 2 hours and throw away any unused milk
01:56 Defrosted breastmilk can smell and taste different than fresh breastmilk
02:03 It is fine as long as the baby accepts it
02:08 The caregiver must always smell the breastmilk before feeding it to the baby
02:16 If the milk smells sour, do not use it
02:20 Please remember - When breastmilk is stored, it will separate with the cream rising to the top
02:28 This is normal. Shake gently to mix the cream back in the milk before use
02:36 To warm the breastmilk just before feeding it to the baby-

keep the breastmilk container in a bowl of lukewarm water for 20 to 30 minutes

02:47 Test how warm the milk is by dropping a little onto the wrist

It is right when it feels warm

02:56 Do not use hot water to warm the breastmilk. Try to use stored breast milk straight from the fridge
03:05 This will help to avoid the risks of over-heating and burns
03:12 Do not heat breastmilk by keeping it directly on a stove or in a microwave
03:19 Direct heat destroys many of the infection-fighting factors present in the breastmilk
03:27 When the breastmilk is ready, offer it to the baby
03:32 To do so, the following utensils can be used:

A Paladai , A small cup, A spoon or A nifty cup

03:42 Out of these, it is preferable to use a spoon or a cup to feed the baby
03:49 Firstly, the caregiver must - wash the chosen utensil with soap and water

and then air dry it completely Or wipe it dry with a clean unused cloth

04:02 Then, the caregiver must wash and dry their hands properly
04:10 They should half-fill or two-thirds fill the chosen utensil with breastmilk
04:16 Then, they should hold the baby in a nearly upright position on their lap
04:23 Their hand should support the baby’s head and neck
04:28 If they are using a Paladai to feed the baby- They should position the tip of the paladai inside the corner of the baby’s mouth
04:39 It should be held lightly between the baby’s lips
04:45 The tip of the paladai should lightly touch the baby’s upper lip
04:50 In this position, the milk should stay at the rim of the beak of the paladai
04:58 As the baby slurps milk - the caregiver should tilt the paladai slightly to keep the milk at the rim
05:07 If the caregiver is using a small cup to feed the baby- They should hold the cup lightly between the baby’s lips
05:17 The rim of the cup should lightly touch the baby’s upper lip
05:22 They should tilt the cup slightly until the milk reaches the top edge of the cup
05:28 This should let the baby take the milk from the rim of the cup
05:33 If the caregiver is using a spoon to feed the baby- They should hold the spoon between the baby’s lips
05:42 The edge of the spoon should lightly touch the baby’s upper lip
05:47 Then they should tilt the spoon slightly until the milk is at the edge of the spoon
05:54 Feeding with a spoon is good for the first few days after birth
05:59 Because during these days only a small amount of milk is needed
06:07 If the caregiver is using a nifty cup to feed the baby -

They should position the small reservoir of the nifty cup just inside the baby’s mouth

06:19 As the baby slurps the milk, they should tilt the cup up slightly

This will add milk to the reservoir as it empties

06:31 When feeding expressed breastmilk to the baby- Never pour milk into the baby’s mouth
06:38 This may cause the baby to choke
06:40 Instead, keep the milk at the rim and leave it in that position throughout the feed
06:47 Always ensure that the baby is fully awake, alert and interested in feeding
06:54 If needed, wrap the baby to prevent her from knocking the cup out of the feeder’s hands
07:03 Always let the baby slurp milk at her own pace
07:08 Look for signs which show that the baby has had enough milk
07:13 Signs such as - Holding her hands up
07:16 Falling asleep or Closing her mouth
07:21 Remember- Do not apply too much pressure on the lower lip of the baby
07:28 Always let the edge of the utensil touch the baby’s upper lip lightly
07:34 Do not put the cup, paladai or spoon too far inside the baby’s mouth
07:41 Never feed a baby in a lying down position
07:45 Do not use a feeding bottle to feed the expressed breastmilk to the baby
07:51 After feeding the baby - Wash the cup, paladai or spoon well with soap and clean water

And let it air dry completely

08:04 Some babies are reluctant to take expressed breastmilk- particularly at first from some people
08:12 They may be less reluctant when someone else gives it to them
08:17 If expressed milk is refused by the baby, try not to worry.
08:22 On the mother’s return from work- The baby will make up any missed feeds by breastfeeding more often or for longer
08:32 Remember, Keep the breastmilk safe by- washing hands, containers and utensils

feeding milk as soon as needed or storing it safely

08:44 This brings us to the end of this tutorial

Thank you for joining

Contributors and Content Editors

Debosmita, PoojaMoolya, Sandhya.np14