Health-and-Nutrition/C2/Preparation-for-breastfeeding-after-C-section/English

Visual Cue	Narration
Slide Number 1 Title Slide	Welcome to the Spoken Tutorial on preparation for breastfeeding after C-section.
Image: Collage of benefits of STS in the OR Image: Collage of preparation for STS contact	In this tutorial, we will learn about: Benefits of skin-to-skin contact in the operating room and Preparation for skin-to-skin contact after C-section.
Image: Operating Room Image: Skin-to-skin contact	In this tutorial, the Operating Room will be called OR. Skin-To-Skin contact will be called STS.
Image: skin-to-skin contact	Let us begin.
Image: STS in the OR Image: Benefits of STS during the surgery and the immediate postoperative period. Image: Short and long term health outcomes of a mother and baby Image: STS in OR = Easy breastfeeding after delivery	Early STS in the operating room is important for the mother and the newborn. It could benefit them during the surgery and the immediate postoperative period. It strongly affects their long-term and short-term health. It makes breastfeeding easier.
Image: During STS, mother is highly focused on the new baby. Image: The focus on the baby diminishes mother’s perception of pain. Image: When mother feels less pain, her anxiety level decreases. Image: Increased stability of heart rates of the mother and baby. Image: Increased stability of blood pressures of baby and the mother.	During skin-to-skin contact, mothers are highly focused on their newborn baby. This focus on the baby helps them feel less pain. When they feel less pain, their anxiety level decreases. This helps in maintaining normal heart rates of the mother and the baby. This also helps in maintaining normal blood pressures of both.
Image: During STS contact, mothers and babies keep each other warm. Image: Body temperature.	During skin-to-skin contact, mothers and babies keep each other warm. This helps in maintaining their normal body temperature.
Image: STS contact in the OR is done immediately after delivery. Image: Hospital staff is comfortable with the process of STS. Image: Collage of adequate and appropriate preparation for STS. Image: Preparation done before the delivery. Image: Preparation done during the delivery	So, STS should be done in the operating room immediately after delivery. It is essential that the hospital staff is comfortable with the process. For this, adequate and appropriate preparation is necessary. Such preparation must be done both before and during the cesarean delivery.
Image: Collage of all the people responsible for newborn care. Image: Mother Image: Mother’s immediate relatives Image: Attendant nurses Image: Doctors Image: OR staff	It involves all those responsible for newborn care. They include the mother and her immediate relatives. They also include the doctors, nurses and the operating room staff.
Image: Educating all the people about the reason for introducing STS in the OR Image: Collage of benefits of STS for mother and a stable baby.	Educate these people about the reason for introducing STS in the operating room. Explain to them as to how the mother and newborn baby will benefit.
Image: Hospital staff is anxious about beginning skin-to-skin contact in the OR. Image: To reduce their anxiety, they are assured of the safety of mothers and babies.	They may be anxious about beginning skin-to-skin contact in the operating room. To reduce their worry, assure them of the safety of mothers and babies.
Image: Safety and well-being of mothers and babies is always the 1st priority. Image: Concerns arising in the OR are calmly and clearly dealt with by the staff.	Safety and well-being of mothers and babies will always be the first priority. Concerns arising in the operating room are to be calmly and clearly dealt with.
Image: Doctors sense a medical emergency related to the mother during the surgery. Image: STS in the OR is abandoned. Image: Newborn is taken up for requisite care in an appropriate setting.	During the surgery, doctors may sense a medical emergency related to the mother. In such cases, skin-to-skin contact in the operating room may not be completed. The newborn will be taken up for requisite care in an appropriate setting.
Image: Before the delivery, a nurse is assigned to help in the OR.	Before the delivery, a nurse should be assigned to help in the operating room.
Image: The nurse introduces herself to the mother. Image: Nurse confirms that the mother wants skin-to-skin contact in the OR.	She should introduce herself to the mother. She must confirm that the mother wants STS in the operating room.
Image: Collage of steps to be followed in the OR before the delivery. Image: Mother’s arms are tied to arm boards in the OR. Image: Left hand is tied to the arm board with the IV line Image: Right hand is tied to the arm board with the BP cuff	Next, let’s discuss the steps to be followed in the OR, before the delivery. In the operating room, the mother’s arms may be tied to the arm boards. The arm board with the IV line is preferred to be tied to the left arm. The other board with the blood pressure cuff is tied to the right arm.
Image: Assigned nurse Image: Nurse asks the doctor if the right arm can be released for STS. Image: Nurse tells the mother that her right arm will be used to hold the baby for STS. Image: Nurse tells the mother that her right arm will also be straightened every few minutes to measure her BP.	In such cases, the assigned nurse can be helpful. She should ask the doctor if the right arm can be released for STS. She should tell the mother that this arm would be used to hold the baby for STS. This arm will be straightened every few minutes to measure her blood pressure.
Image: The nurse keeps the operating room at 25 degree celsius. Image: 25 degree celsius is the temperature suitable for baby’s arrival	She must maintain the room temperature at 25 degree celsius. This temperature is suitable for the baby’s arrival.
Image: The nurse checks that the mother is not wearing a bra Image: The nurse checks that the mother’s gown is unbuttoned. Image: Unbuttoning the gown helps in lowering it easily to uncover the mother’s chest when placing the baby.	The nurse must ensure that the mother is not wearing a bra. Mother’s gown should be unbuttoned. This will help lower it easily to uncover her chest when placing the baby.
Image: The nurse takes note of intravenous lines and poles Image: Nurses notes help her in avoiding the IV lines and poles while placing the baby on the mother’s chest.	The nurse must notice the position of intravenous lines. This will help her avoid them when placing the baby.
Image: Nurse keeps a diaper, warmed towels and blankets ready. Image: Drying the baby Image: Covering the baby	Lastly, she must keep a diaper or nappy, warmed towels and blankets ready. They will be used to dry and cover the baby.
Image: Collage of preparation steps for STS Image: Collage of steps from procedure of STS in the OR tutorial Image: ST website	The preparation for skin-to-skin contact in the operating room is now complete. How to start STS in the operating room is discussed in another tutorial. Please visit our website for more details.
Slide Number 2 Acknowledgement	This brings us to the end of this tutorial. Thank you for joining.

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