Health-and-Nutrition/C2/Physical-methods-to-increase-the-amount-of-breastmilk/English-timed

Time	Narration
00:02	Welcome to the Spoken Tutorial on- Physical Methods to Increase the Amount of Breast Milk.
00:08	In this tutorial, we will learn- How to increase the amount of breastmilk using different physical methods
00:17	Let us first begin with Kangaroo mother care.
00:20	In this method- The baby should be in skin to skin contact with the mother as long as possible.
00:27	Note that, the procedure for- Kangaroo mother care has been explained in another tutorial of the same series.
00:34	Next, we will learn how to improve the Let down reflex or Oxytocin reflex. Before that, we should know what is Oxytocin?
00:44	Oxytocin is a hormone which encourages the Let down reflex because of which, the milk is pushed out, just by thinking about the baby
00:54	Therefore, to push the milk out- First, mother should relax and then look at her calm baby
01:01	She can also smell her baby’s unwashed clothes and Listen to soothing music as well
01:09	Alternately, other methods that will help to push the milk out are- Hot water fomentation
01:16	Massage of the upper back and Massage of the breast
01:20	Let us see how to do hot water fomentation
01:24	Mother should take a warm water bath Or keep a warm cloth on her breast
01:30	Both these methods will help circulation of milk in the breast and push the milk out.
01:36	Next, let us learn about massaging
01:40	Massaging of the upper back and neck will help the milk to flow freely, Since the same nerve goes to the upper back and the breast.
01:49	Massaging the breast before feeding opens the milk ducts
01:53	Hence, the milk will flow freely and the breast will be emptied completely, leading to higher milk production
02:01	Another method of increasing the amount of breast milk is To encourage the baby to latch on correctly.
02:09	Let us see how to do so
02:12	Rub the nipple on the upper lip of the baby This will help the baby to open the mouth widely And will help with the correct latch and give sufficient milk to the baby
02:24	Make sure during breastfeeding-
02:27	Mother supports the full body of the baby
02:30	Baby’s tummy should touch the mother’s tummy
02:34	Baby’s head, neck and body are always in a straight line
02:39	Baby’s nose is in the line with the mother’s nipple
02:43	The chin should be brought forward and pushed into mother’s breast The lower lip is curled outward.
02:50	Ensure that- the baby takes in more part of lower areola while latching. so that, the upper areola is more visible than the lower areola.
03:01	Please note- Areola is the dark area around the nipple.
03:05	Next, let us look at another physical method which is gentle pressing of the breast
03:12	To do so, gently hold and squeeze the breast during breastfeeding.
03:17	Gentle pressure on the milk glands helps to release more milk
03:22	This will help to give out more milk with each suck of the baby.
03:27	Gentle pressing of the breast has been explained in another tutorial of same series.
03:33	An interesting fact is that, night time feeding is important. Let us understand why ?
03:41	The amount of hormone Prolactin in breast milk is higher during the night.
03:46	When the baby feeds more at night- it improves the amount of milk during breastfeeding, thereby, helping in growth of the baby
03:56	Another important factor to increase the amount of breast milk is- the breastfeeding frequency.
04:04	Baby should be fed minimum 10-12 times in 24 hours And it is also important to feed the baby at least 2-3 times at night
04:15	Do not keep the baby hungry.
04:17	Watch out for early hunger signals such as, Baby moves her arms and legs.
04:24	Baby turns towards anything that is touched to her cheek. And she opens her mouth.
04:30	Remember,Crying of the baby is a late signal of hunger, therefore, feed the baby on early hunger signs.
04:39	Also removal of hind milk is important Hind milk is the milk present in the back part of the breast.
04:49	It is made up of fats. It is thick in consistency.
04:53	Therefore, Mother should ensure complete emptying of one breast and then offer the other breast.
05:00	Now, let us discuss about-Expressing the milk from the breast after feeding the baby.
05:06	Expressing is manual removal of milk with mother’s own hands,
05:11	To do so, Mother keeps her fingers and thumb at the margin of the areola and skin of the breast
05:19	Then gently presses the areola inward towards the chest, compressing and then releasing.
05:26	It is done even if the baby has suckled completely
05:31	Mother should remove the milk even in between two feeds
05:35	Removing milk frequently will improve the amount of breastmilk
05:40	Always remember the following: Avoid use of artificial nipples and formula milk as they reduce Mother’s milk
05:50	Avoid feeding cow or goat milk or formula milk
05:54	Avoid nipple shields as it creates nipple confusion for the baby.
05:59	Remember, The baby should be breastfed whenever she shows early hunger signs.
06:06	The health worker should Build mother’s confidence by guiding her about correct latching technique.
06:12	Monitor the weight of the baby daily, To ensure that the baby starts gaining 25 to 30 grams of weight per day.
06:21	This brings us to the end of this tutorial on-Physical Methods to Increase the Amount of Breastmilk. Thanks for joining.

Contributors and Content Editors

Debosmita, Gmungrey, PoojaMoolya, Sandhya.np14