Integrated Maternal and Newborn Care Basic Skills Course ...
Integrated Maternal and Newborn Care Basic Skills Course ...
Integrated Maternal and Newborn Care Basic Skills Course ...
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1) Place a finger <strong>and</strong> thumb on each side of the areola <strong>and</strong> press inwards<br />
towards the chest wall.<br />
2) Press behind the nipple <strong>and</strong> areola between your finger <strong>and</strong> thumb.<br />
3) Press from the sides to empty all segments.<br />
Figure 11.4. How to express breast milk. (WHO, 1993)<br />
• Express one breast for at least 3-5 minutes until the flow slows; then express the other<br />
side; <strong>and</strong> then repeat both sides. She can use either h<strong>and</strong> for either breast, <strong>and</strong> change<br />
when they tire.<br />
• Explain that to express breast milk adequately takes 20-30 minutes, especially in the first<br />
few days when only a little milk may be produced. It is important not to try to express in a<br />
shorter time.<br />
• The mother should express as much as she can as often as her baby would breastfeed.<br />
How to Feed a Baby by Cup<br />
Teach the mother to:<br />
• Hold the baby sitting upright or semi-upright on her lap.<br />
• Hold the small cup of milk to the baby's lips.<br />
• Rest the cup (or paladai or spoon) lightly on the baby’s lower lip <strong>and</strong> touch the outer part<br />
of the baby’s upper lip with the edge of the cup (see Figure 11.5).<br />
• Tip the cup (or paladai or spoon) so the milk just reaches the baby’s lips.<br />
• The baby becomes alert <strong>and</strong> opens his/her mouth <strong>and</strong> eyes.<br />
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<strong>Integrated</strong> maternal <strong>and</strong> newborn care<br />
<strong>Basic</strong> skills course