COVID19/C2/Breastfeeding-during-COVID-19/English-timed
From Script | Spoken-Tutorial
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00:02 | Welcome to the spoken tutorial on breastfeeding during COVID-19. |
00:09 | In this tutorial, we will learn |
00:12 | What is COVID-19 and |
00:14 | Guidelines for breastfeeding during COVID-19. |
00:19 | Let us first understand what is COVID-19? |
00:24 | COVID-19 is an infectious disease caused by a virus called coronavirus. |
00:33 | This virus has spread throughout the world. |
00:37 | When infected people sneeze or cough, they generate droplets. |
00:44 | These droplets contain the corona virus. |
00:49 | The infection spreads when other people inhale these infected droplets. |
00:56 | These droplets can also travel for 1 to 2 metres and settle on surfaces. |
01:04 | There they remain alive for hours or days. |
01:09 | Other people touch such infected surfaces with their hands. |
01:15 | Then, they touch their eyes, |
01:18 | nose
or mouth without washing their hands. |
01:23 | This is another way in which the infection spreads. |
01:28 | Infected people can spread the virus even before the onset of symptoms. |
01:35 | There is no clear evidence of intrauterine transmission of this virus to date. |
01:43 | This virus has not yet been detected in the breastmilk of infected mothers. |
01:51 | There is no evidence so far that it is transmitted through breastfeeding. |
01:57 | The clinical symptoms of the coronavirus infection are various. |
02:03 | Fever,
cough, |
02:05 | breathlessness,
fatigue, |
02:07 | headache,
sore throat are common. |
02:12 | Vomiting,
diarrhoea, |
02:14 | sneezing
and conjunctivitis are uncommon. |
02:19 | Infected people can also show no symptoms. |
02:25 | Newborns and infants are at low risk of COVID-19. |
02:30 | There are only a few cases of confirmed COVID-19 in young children. |
02:37 | Most of the infected babies have experienced only mild or no symptoms. |
02:44 | Now, let’s discuss the guidelines for breastfeeding during COVID-19. |
02:51 | Breast milk is essential for all babies. |
02:56 | This includes babies born to mothers with suspected or confirmed COVID-19. |
03:03 | This also includes babies with suspected or confirmed COVID-19. |
03:10 | All babies should be fed according to the standard infant feeding guidelines. |
03:17 | Breastfeeding should be initiated within 1 hour of birth. |
03:22 | Exclusive breastfeeding should continue for 6 months. |
03:28 | If needed, the mother’s expressed breast milk can be given. |
03:34 | Complementary feeding must be started at 6 months of age. |
03:40 | Breast milk must be fed at least up to 2 years of age. |
03:46 | Breastfeeding, expressing milk and complementary feeding are essential skills. |
03:54 | They are discussed in other tutorials. |
03:59 | Please watch the prerequisite health and nutrition series on our website. |
04:06 | During COVID-19, special care must be taken to feed the baby hygienically. |
04:13 | Mother should wash her hands for 20 seconds, before and after touching the baby. |
04:21 | She should also wash hands before and after breastfeeding or expressing milk. |
04:28 | An alcohol-based hand rub can also be used to clean hands. |
04:34 | If she is a suspected or confirmed case of COVID-19, medical masks are needed. |
04:43 | She should wear a mask during breastfeeding |
04:46 | and expressing milk. |
04:49 | The mask must be replaced as soon as it becomes damp. |
04:55 | The used mask should be disposed of immediately. |
05:01 | It should not be re-used. |
05:04 | Mother should not touch the front surface of the mask. |
05:09 | She should remove it from behind. |
05:13 | Sometimes, medical masks may not be available. |
05:19 | In such cases, mother should use a tissue |
05:22 | or a clean cloth
or a handkerchief. |
05:27 | She should always sneeze or cough into it. |
05:31 | She must immediately throw it in the dustbin and wash her hands. |
05:38 | A soiled tissue
or cloth |
05:40 | or handkerchief should be changed as often as needed. |
05:46 | Cloth masks can also be used if medical masks are not available. |
05:53 | The mother need not wash her breast before every feeding. |
05:58 | She should wash them if she has been coughing on her chest. |
06:04 | She should use soap and warm water to wash them gently for at least 20 seconds. |
06:12 | Baby’s caretakers must wash their hands before and after touching the baby. |
06:19 | All the surfaces in the room must be routinely cleaned and disinfected. |
06:26 | Some infected mothers may be too unwell to breastfeed. |
06:32 | In such cases, the baby should be fed expressed breast milk of the mother. |
06:39 | A nurse or family member can feed this milk to the baby. |
06:45 | The feeder should not have been in contact with infected people. |
06:51 | Before touching the baby or the milk, they must wash their hands for 20 seconds. |
06:59 | After washing their hands, they must also wear a mask. |
07:05 | Expressed milk can be fed to the baby without pasteurization. |
07:11 | The collection and transport of expressed milk should be done very carefully. |
07:18 | Breastfeeding should be started again when the mother recovers. |
07:24 | Some infected mothers may be too unwell to express milk. |
07:29 | In such cases, try other options to nourish the baby. |
07:35 | Check if human milk is available from a donor human milk bank. |
07:41 | Feed donor human milk to the baby until the mother recovers. |
07:47 | If donor human milk is not available, try wet-nursing until the mother recovers. |
07:55 | Wet-nursing means to let a woman, who isn’t the mother, breastfeed the baby. |
08:03 | If wet-nursing is not possible, feed animal milk to the baby. |
08:10 | Always boil the animal milk before feeding it to the baby. |
08:16 | Please ask your healthcare provider for their opinion on these options. |
08:23 | Don’t use formula milk, |
08:25 | feeding bottles |
08:27 | and plastic, rubber or silicone nipples. |
08:32 | Help the mother to start breastfeeding again when she recovers. |
08:38 | Another important practice is skin-to-skin contact between the mother and baby. |
08:46 | It must start immediately after birth even if the mother has COVID-19. |
08:53 | This will help in initiating breastfeeding. |
08:58 | Kangaroo mother care should be performed throughout the day and night. |
09:04 | Breastfeeding and skin-to-skin contact reduces the risk of death in babies. |
09:12 | They provide immediate and lifelong health and development advantages. |
09:20 | Breastfeeding also reduces the risk of breast and ovarian cancer for mothers. |
09:27 | These benefits are substantially greater than the risk of getting infected. |
09:34 | Lastly, mother and family members must be counselled regarding the warning signs. |
09:42 | They must be trained to look for the warning signs in the baby. |
09:48 | If they see any signs, they should report back to the doctor. |
09:53 | The guidelines in this tutorial are based on limited evidence as available now. |
10:01 | As new evidence accumulates, some of the recommendations may change. |
10:08 | Please use these guidelines in accordance with the latest government regulations. |
10:14 | This brings us to the end of this tutorial.
Thank you for joining. |