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

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Visual Cue
Narration
Slide Number 1

Title Slide

Welcome to the Spoken Tutorial on Feeding expressed breastmilk to babies
Image: The caregiver is testing the temperature of the breastmilk on their wrist

Image: Woman is feeding milk from a glass container to the baby.

In this tutorial we will learn,
  • How to make stored breastmilk ready for a baby to drink
  • And how to feed expressed breastmilk to a baby
Image: Collage of benefits of hand expression.

GIF: Hand expression of breastmilk

Image: Breast milk stored in a labelled closed glass container.

Let us begin

Expressing breastmilk has many benefits for the baby and the caregiver

Expressing breastmilk and storing it safely are explained in other tutorials

Image: The caregiver is warming the breastmilk in warm water.

Image: The caregiver is checking temperature of breastmilk on their wrist

Now, let us learn how to make the stored breastmilk ready for the baby to drink
Image: The caregiver is washing their hands.

Image: The caregiver is showing their dry and clean hands.

Before handling breastmilk the caregiver must -
  • wash their hands with soap and water
  • And dry their hands well
Image: Caregiver is holding old dated milk container and doesn’t touch new container. Remember, the oldest stored breastmilk should always be used first
Image: Frozen breastmilk in freezer

Image: Frozen breastmilk transferred to fridge from the freezer

Image: Milk is defrosting

Image: 24 hours clock

When using frozen breastmilk,
  • Ideally, defrost it by keeping it overnight on the lowest shelf of the fridge
  • And use this defrosted milk within the next 24 hours
Image: Cross mark on 12 hours

Image: Frozen breastmilk is kept in cold water outside the fridge

Image: Frozen breastmilk is kept in lukewarm water and shaken occasionally

But if the frozen breastmilk is needed quickly, defrost it outside the fridge by -
  • First, keeping it in a container of cold water
  • And then keeping it in a container of lukewarm water
Image: Breastmilk container is shaken occasionally While defrosting in lukewarm water -
  • shake the breastmilk container gently and occasionally

Do not shake it vigorously and continuously

Image: Drops on the outside of the frozen breastmilk container are wiped with a clean cloth.

Image: Condensation of water on the jar

Dry the outside of the breastmilk container with a clean cloth before use
Image: Defrosted breast milk

Image: The caregiver feeding the defrosted milk to baby from a cup

Image: The caregiver is throwing away unused defrosted milk

Use this defrosted breast milk within 2 hours and throw away any unused milk
Image: Defrosted breastmilk smells and tastes different than fresh breastmilk.

Image: Baby accepts defrosted breastmilk

  • Defrosted breastmilk can smell and taste different than fresh breastmilk
  • It is fine as long as the baby accepts it
Image: The caregiver is smelling spoilt milk
  • The caregiver must always smell the breastmilk before feeding it to the baby
  • If the milk smells sour, do not use it
Image: Stored breastmilk separates with cream rising to the top

Image: The caregiver shakes the milk gently

Image: The cream is mixed in the milk again.

Please remember -
  • When breastmilk is stored, it will separate with the cream rising to the top
  • This is normal
  • Shake gently to mix the cream back in the milk before use
Image: The caregiver puts the container filled with breastmilk in a bowl of warm water 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
Image: The caregiver tests how warm the milk is by dropping a little on her wrist
  • Test how warm the milk is by dropping a little onto the wrist
  • It is right when it feels warm
Image: The caregiver uses stored breastmilk straight from the fridge to feed the baby

Image: Milk is overheated

Image: The caregiver is scalded by overheated milk

  • Do not use hot water to warm the breastmilk
  • Try to use stored breast milk straight from the fridge
  • This will help to avoid the risks of over-heating and burns
Image: The caregiver is heating breastmilk on a stove

Image: The caregiver is heating breastmilk in a microwave

Image: Heat destroys many infection-fighting factors present in breastmilk.

  • Do not heat breastmilk by keeping it directly on a stove or in a microwave
  • Direct heat destroys many of the infection-fighting factors present in the breastmilk
Image: The caregiver is feeding expressed breastmilk to baby When the breastmilk is ready, offer it to the baby
Image: Paladai

Image: Small cup

Image: Spoon

Image: Nifty cup

To do so, the following utensils can be used:
  • A Paladai
  • A small cup
  • A spoon or
  • A nifty cup

Out of these, it is preferable to use a spoon or a cup to feed the baby

Image: The caregiver is washing the cup with soap and water

Image: Cup is air-dried

Image: The caregiver is wiping the cup with a clean unused cloth.

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
Image: The caregiver is washing their hands with soap and water

Image: The caregiver is showing dry hands

Then, the caregiver must wash and dry their hands properly
Image: half-filled cup

Image: two-thirds filled cup

They should half-fill or two-thirds fill the chosen utensil with breastmilk
Image: The caregiver is holding the baby in a nearly upright position on her lap

Image: The caregiver’s hand is supporting the baby’s head and neck

  • Then, they should hold the baby in a nearly upright position on their lap
  • Their hand should support the baby’s head and neck
Image: Paladai

Image: Tip of the paladai is positioned inside the baby’s mouth. It is resting lightly on the baby’s lower lip. Milk is at the rim of the beak of the paladai.

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
  • It should be held lightly between the baby’s lips
  • The tip of the paladai should lightly touch the baby’s upper lip
  • In this position, the milk should stay at the rim of the beak of the paladai
GIF: Baby is suckling milk from the paladai

Image: The caregiver slightly tilts the paladai to keep the milk at the rim

As the baby slurps milk, the caregiver should tilt the paladai slightly to keep the milk at the rim
Image: Small cup

Image: Cup is resting on the lower lip of the baby.

Image: The caregiver slightly tilts the cup so that the milk reached the top edge of the cup

Image or GIF: Baby is drinking milk from the rim of the cup

If the caregiver is using a small cup to feed the baby-
  • They should hold the cup lightly between the baby’s lips
  • The rim of the cup should lightly touch the baby’s upper lip
  • They should tilt the cup slightly until the milk reaches the top edge of the cup
  • This should let the baby take the milk from the rim of the cup
Image: Spoon

Image: The caregiver is holding the spoon next to the baby’s lower lip

Image: The caregiver tilts the spoon so that the milk is at the edge of the spoon

GIF: The caregiver is feeding the baby with a spoon in the first few days of birth.

Image: Spoon filled with milk

If the caregiver is using a spoon to feed the baby-
  • They should hold the spoon between the baby’s lips
  • The edge of the spoon should lightly touch the baby’s upper lip
  • Then they should tilt the spoon slightly until the milk is at the edge of the spoon
Image: Feeding the baby with a spoon first few days after birth
  • Feeding with a spoon is good for the first few days after birth
  • Because during these days only a small amount of milk is needed
Image: Nifty cup

Image: The caregiver positions small reservoir of the nifty cup just inside the baby’s mouth

GIF: Baby is suckling milk from the nifty cup

Image: The caregiver slightly tilts the cup up to add milk to the reservoir as it empties.

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
  • As the baby slurps the milk, they should tilt the cup up slightly
  • This will add milk to the reservoir as it empties
Image: The caregiver is feeding expressed breastmilk to the baby

Image: The caregiver is pouring the milk in baby’s mouth

Image: Baby is choking on milk

Image: The caregiver has kept milk at the rim of the cup throughout the feed

When feeding expressed breastmilk to the baby-
  • Never pour milk into the baby’s mouth
  • This may cause the baby to choke
  • Instead, keep the milk at the rim and leave it in that position throughout the feed
Image: Baby is fully awake and alert in the feeding position.

Image: Baby is interested in feeding. She is asking for milk.

  • Always ensure that the baby is fully awake, alert and interested in feeding
Image: Baby is wrapped in a cloth while the caregiver feeds her expressed breastmilk

Image: Baby knocks the cup out of the caregiver’s hands while feeding.

  • If needed, wrap the baby to prevent her from knocking the cup out of the feeder’s hands
GIF: baby is suckling milk from a cup
  • Always let the baby slurp milk at her own pace
Image: 60 to 90 ml milk

Image: Baby is holding her hands up while the caregiver is feeding from a cup

Image: Baby falls asleep while the caregiver is feeding her from a cup

Image: Baby closes her mouth while the caregiver is feeding her from a spoon

Look for signs which show that the baby has had enough milk

Signs such as -

  • Holding her hands up
  • Falling asleep or
  • Closing her mouth
Image: The caregiver is applying too much pressure on the lower lip of the baby with the cup.

Image: The caregiver has kept the cup very lightly on the baby’s lower lip.

Remember-
  • Do not apply too much pressure on the lower lip of the baby
  • Always let the edge of the utensil touch the baby’s upper lip lightly
Image: The caregiver has put the paladai too far inside the baby’s mouth

Image: The caregiver has kept the paladai at the right place on baby’s mouth

Do not put the cup, paladai or spoon too far inside the baby’s mouth
Image: The caregiver is feeding the baby in a lying down position Never feed a baby in a lying down position
Image: The caregiver is bottle feeding the baby Do not use a feeding bottle to feed the expressed breastmilk to the baby
Image: The caregiver is feeding expressed milk to baby from a cup

Image: The caregiver is washing the used cup with soap and clean water

Image: Feeding cup is air dried

After feeding the baby -
  • Wash the cup, paladai or spoon well with soap and clean water
  • And let it air dry completely
Image: Baby is rejecting expressed breastmilk when uncle is trying to feed her

Image: Baby is feeding properly when grandmother feeds her

  • Some babies are reluctant to take expressed breastmilk-
    • particularly at first from some people
  • They may be less reluctant when someone else gives it to them
Image: Baby is refusing expressed milk when uncle is feeding her

Image: The mother comes back from work

Image: Mother breastfeeds the baby after coming home from work.

GIF: Clock

  • If expressed milk is refused by the baby, try not to worry
  • On the mother’s return from work-
    • The baby will make up any missed feeds by breastfeeding more often or for longer
Image: Safe breastmilk in a container

Image: The caregiver is washing their hands

Image: The caregiver is washing the container

Image: The caregiver is feeding milk to the baby from a cup

GIF: Clock

Image: Breastmilk filled container is stored safely in the fridge

Image: Breastmilk filled container is stored safely in a room.

Remember,

Keep the breastmilk safe by-

  • washing hands, containers and utensils
  • feeding milk as soon as needed
  • or storing it safely
Slide Number 2

Acknowledgement

This brings us to the end of this tutorial

Thank you for joining

Contributors and Content Editors

Bellatony911, Tasneemiitb