 Hello everyone, so welcome to session number 7, here we will discuss few more holes which are also very important and it is important to understand all different kind of holes which you can guide mother with, so I will be discussing football hold, griddle hold, sideline hold, laid back hold, you know breast crawl you have already seen, so you can even ask mother if she is kind of having some pain, you know foresee section, she can just lie down flat and then as we have shown in breast crawl, you know you can just put the baby on mother and baby can beautifully breastfeed, okay. But that today I will not discuss about breast crawl position, today I will be focusing more on different other holes, okay. And I would also like to discuss cradle hold but how to correctly attach the baby, I think cradle hold is also good and in fact after 2 months when the neck control comes, then you do not need to really kind of use cross cradle hold, but you know the thing is you will get so comfortable, you know when mother gets so comfortable with cross cradle hold that like I have seen that even 1 year old when they are trying to breastfeed, they bring in that cross cradle hold but then they hold the baby in the cradle hold, okay. So after 2 months hold, you know you do not need to kind of push for cross cradle hold at all, cradle hold is as good. Also many times what happens is when you go in the field and sometime you know you see that 2 or 3 month old babies and they are doing beautifully on any hold cradle hold or football hold, you do not need to change the hold, okay. This cross cradle hold is only basically when you are teaching a new mother or newborn baby, so just under 2 months of age when the neck control is not good. A cross cradle hold also works very well with you know small babies, so you know low birth weight babies, we see that because they do not have a good neck control, you know somehow that cross cradle hold works very beautifully, but I also kind of always argue that if it works so beautifully on low birth weight babies, it has to work beautifully on you know average babies, you know born healthy 3 kg, 3.5 kg, you know because the you know the concept is same, you are controlling baby's head, you are causing extension of the neck you know backward, you know you have a full body support, so it is the same concept whether baby is small or whether baby is big, okay. So here let us start with our tutorial, first tutorial today, it is going to be in football hold, now football hold you are actually going to enjoy this tutorial because again we have taught the same concept of you know how to hold the breast, how to bring the baby, you know full body support and all that, but here I want to just explain before you watch the tutorial, so in football hold, now this hold we recommend mainly for babies who are you know like twins baby right, so in those condition you know mother wants to suppose both babies are crying at the same time and she may want to breastfeed both babies at the same time, so what she can do is to bring first baby, attach the baby and then with the help of say mother or mother-in-law then she can get another baby and then attach the baby okay, so she can breastfeed both the babies at the same time, now remember in football hold we have given two positions of football hold, one is basically bringing the baby directly on right, straight okay and another way that mother can bring the baby is from the side okay, now why it is called football hold because remember you know whenever you watch soccer game or football game you know they always hold the ball you know just under the arm, so just like that you know you are holding the baby under arm and you will be feeding the baby on the same side of the breast okay, so that is important to remember that you know basically in football hold the breast you hold the baby from the same side as you are going to feed the baby from that breast okay, the same side, same hand and same breast okay, so in this hold for example your baby is coming straight on okay, now remember in this position same concept I am holding the baby from back of the you know ears okay, baby is in the straight line, I am going to put some kind of pillows over here, so we get support in the back okay and on the legs also and baby is coming straight on, make sure that this nose is not higher up, nose should be lower than the nipple and do not forget the extension of the neck, so here also the extension of neck is as important as it was in the cross griddle hold okay, so here now nose is not too high up is below, Nair is looking at the nipple okay, neck is extended and here in this position the upper lip is sitting at the 12 o'clock position and the lower lip is sitting at the 6 o'clock position, so here in this position because lips are horizontal I will be holding the kind of breast in horizontal position, so in this one what I would do my thumb will be at 12 o'clock position and the lower finger or the index finger will be at 6 o'clock position okay, I will press it down and then I will attach the baby okay and now this was one position of football hole, another position that you can bring is basically you put the baby like this okay, this way okay, not coming this way directly, this way not this way but basically sideways okay, so in this position remember same breast same hand holding it is called basically football hold because this baby is under that same arm okay and what you are doing here look at this position of this baby in this position the upper lip is at and this is the right breast, so the upper lip is at 3 o'clock position and the lower lip is at the 9 o'clock position okay, so again in this position I will be holding my upper hand or the thumb at 3 o'clock position and the index finger at the 9 o'clock position I am going to make it small and it will be easy for baby, again the concept is same the nipple the nose or the near of the nose should not be above the nipple, so it should not be too high up okay, it should be little bit lower down and the neck should be extended backward okay, so it should not be forward it should be backward just like how we drink milk, so those few concept if you remember you know any hole you do the latch will be good, there is no doubt about it okay and don't forget to put pillows underneath because it will be tiring, so make sure that you have two or three pillows, so your hand is supported and baby supported, so this is your football hold same concept do understand you know all those I have only focused on the positioning of the baby and not so much on latching because latching tutorials you have already watched the latch would be same you know in all the holes, it's just a different kind of positioning of the or the hole of the mothers or hole of the baby, so we are focused more on the holes you know position and latching would be pretty much same in all the holes okay, all right, so that was your football hold. Welcome to the spoken tutorial on football hold for breastfeeding. In this tutorial we will learn about choosing the correct breastfeeding hold for a mother and her baby, mother's preparation before breastfeeding and step-by-step procedure for football hold. Let us begin. Across the world mothers breastfeed their babies using various types of holes as explained in an earlier tutorial the best breastfeeding hold for a mother and her baby is the one in which both mother and baby are comfortable for the entire duration of breastfeeding. The baby is able to attach deeply to the mother's breast and get sufficient milk Let us learn about one of the holds called football hold. Football hold is especially useful if the mother has had a c-section delivery, has large breasts, has a small or premature baby or has twin babies. Always remember before feeding her baby a mother should wash and dry her hands properly. Then she should drink a glass of boiled and cooled water. Lactating mothers produce 750 to 850 millilitres of milk per day on an average. Therefore they need to increase their daily water intake. Next let's discuss the position of the mother. Mother should sit on the floor or on the bed in cross-legged position or on a chair with her feet flat on the ground. If the chair is too high and her feet do not reach the floor then she can rest her feet flat on a small stool or pillows kept on the floor. While sitting she should ensure that her back is straight so as to avoid back pain her shoulders are relaxed and not elevated or curved and this relaxed position is maintained throughout the feeding session. The mother should keep three to four pillows on the side of the breast which she will breastfeed from. The topmost pillow should be placed diagonally over the other pillows and the mother's thigh. Then mother should uncover the breast from which she wants to feed the baby. She should ensure not to put pressure of her bra or blouse on the breast. After sitting comfortably bring the baby to the mother. The mother should place her baby's back on the pillows. She should hold her baby's head using the hand on the same side of the breast that she will breastfeed from. The baby's legs should pass through the mother's armpit of the same hand onto the pillow. The mother should rest this hand and her baby's legs on the pillows. The mother in this picture will be feeding her baby from her right breast. Therefore the baby's legs pass through the mother's right armpit. She is using the thumb and fingers of her right hand to hold the lower part of her baby's head. Remember the mother should never bring the breast to the baby by bending her back. This will make her uncomfortable and cause back pain. She should always keep her back straight and lift the baby to reach her breast. Next let us see the correct position of mother's thumb and fingers for holding the baby's head. Mother's thumb should be behind one ear and rest of the fingers behind the other ear of the baby. She should not move her fingers or thumb from behind the ear to the baby's neck. Her wrist should rest between the baby's shoulder blades. She should not apply pressure on the back of the baby's head with her hand. This will keep the baby comfortable while feeding. Next let us learn how to position baby's body correctly. The baby's face should be facing the mother. Baby's body should gently press against the mother's body. Lesser distance between their bodies will reduce the baby's effort to reach the breast and it will become easier for the baby to attach deeply. The second point in positioning is the baby's body alignment. When we eat food, our head, neck and body are always in the same direction. Similarly, baby's head, neck and body should always be in the same direction while breast feeding. This will make swallowing milk easier for the baby. Now we come to the third point in positioning the baby's body. The mother should support the full body of her baby. Otherwise, the baby will have to take a lot of effort to attach deeply to the breast. Next, let's look at the position of the baby's nose and chin. Baby's nose should always be in line with the nipple and her chin should be forward and very close to the breast. This will ensure that the baby takes in more of the lower part of the ariola while latching and therefore will use the lower jaw to drink more milk efficiently. Please note, ariola is the dark area around the nipple. Now that the baby is positioned correctly, let us learn how to hold the breast. Using the fingers of her other hand, the mother should cup her breast from the side in a C shape hold. The mother in this picture will use her left hand to hold her right breast. To understand the correct position of thumb and fingers, imagine the nipple to be the center of a clock on the right breast. She should place her left thumb at 12 o'clock position on this clock while her left index finger and middle finger should be placed at 6 o'clock position. The fingers should always be in the direction of the baby's lips. Why? Let's understand this using a simple example. When we eat a vadapa or burger, our lips open horizontally. We hold the vadapa or burger horizontally to take a big bite. Here, the thumb and fingers are placed in the direction of the lips. If we hold the vadapa or burger vertically, we won't be able to take a big bite. Similarly, observe the direction of the baby's lips. The lips are horizontal here. Therefore, the fingers and thumb should also be positioned horizontally on the breast. This will help the baby to take a big part of the lower ariola in her mouth. Apart from being in the direction of the baby's lips, the mother's thumb and fingers should always be at a distance of three fingers from the nipple. Again, while eating a vadapa or burger, if we hold it too close, our fingers will block our mouth from taking a big bite. If we hold it too far away, it will not be shaped correctly to fit in our mouth. Therefore, we hold it at the right distance to take a big bite. Similarly for the baby, the right distance is of three fingers from the nipple as shown in this picture. This distance will ensure that mother's fingers do not block the baby from taking the lower ariola in her mouth. Mother does not compress only the nipple which will give very little milk Mother compresses the larger milk ducts beneath the ariola to express more milk out and the breast is shaped correctly to help the baby attach deeply. Remember, mother's thumb should be on the upper side of the breast and her two fingers should be on the lower side of the breast as shown in this picture. Let's go back to the example of vadapa or burger. After holding the vadapa or burger correctly, we always compress it to take a big bite. Similarly, the mother should lightly compress her breast in a C shape hold from the side. This will help the baby to take a big part of the breast in her mouth. But remember, mother should not compress her breast in a Caesar shape hold. Caesar shape compression will pinch the breast and cause nipple feeding. Also make sure that there is equal compression of the breast with the thumb and the fingers. Otherwise, the nipple will shift either in the upward or downward direction and lead to poor attachment. Sometimes the mother might prefer to hold her baby in a different position. In this picture, the baby is not facing the mother. Baby's head is brought towards the breast from the side of the breast and not from below. Baby's lips are vertical here. Therefore, the mother should position her fingers vertically on the breast in a U shape hold. Remember, for any breastfeeding position, mother's fingers and thumb holding the breast should always be in the direction of the baby's lips. Now the baby is in football hold and ready to latch on for breastfeeding. The correct latching technique is explained in another tutorial in the same series. Once the baby is latched on correctly and if the breast is not too big and heavy then the mother can release the breast from her hand and keep that hand free. This brings us to the end of this tutorial. Thank you for joining. So, now we are going to discuss about cradle hold. A cradle hold is a traditional hold. There are few changes that we have done. Do remember those changes. Of course, when the baby is small, I do prefer cross cradle hold because you have a good neck control and extension is possible with the cross cradle hold. But, if you have bigger babies and you want to now kind of teach mother's cradle hold. So, in cradle hold what I do recommend is to again the same concept, you try to bring the baby more kind of lower down here. It becomes difficult to have a full body support and what you can do is to probably put a pillow or something. One thing I want to tell you that I do not recommend pillows while mother is latching the baby because while mother is latching the baby especially in cross cradle hold, sometimes the pillow is too high up, sometimes the pillow is too low up. I want mothers to learn the latching without the pillows. Once the latch is done then she can immediately put the pillow. But one point which I want to definitely mention is do not put the pillow while mother is learning to latch. So, here in this position you try to basically ask the mother to kind of bring the hand little bit more kind of towards the body her own body. So, baby comes you know baby's nose is lower than the nipple. And in this position again you know here you will have to hold the baby kind of breast from the top because here the upper lip is at a 3 o'clock position this is my right side. So, the upper lip is at the 3 o'clock position and the lower lip as at the 9 o'clock position. So, my fingers would be right where the upper lips are. So, I will be holding the hand from top. And in this position it would be difficult to see whether baby has opened 120 degree mouth or not. And that is why again this pillow hold becomes difficult. Yes, after baby is 2 1 3 months she already baby knows how to open the big mouth and mother knows everything you know. But while mother is learning you know all this was the hindrance this was the this was the problem that I was facing in the field. So, this is your little hold do watch it you know if any mother is kind of mother wants to do cradle hold absolutely okay tell her to watch it and make her understand the concept okay. Welcome to the spoken tutorial on cradle hold for breastfeeding. In this tutorial we will learn about choosing the correct breastfeeding hold for a mother and her baby mother's preparation before breastfeeding and how to do the cradle hold. Let us begin. Across the world mothers breastfeed their babies using various types of holds. As discussed in an earlier tutorial the best breastfeeding hold for a mother and her baby is the one in which both mother and baby are comfortable for the entire duration of breastfeeding. The baby is able to attach deeply to the mother's breast and get sufficient milk. Let us learn about one of the holds called cradle hold. Before feeding her baby the mother must wash her hands with soap and water and dry her hands properly then she should drink a glass of boiled and cooled water. Lactating mothers produce 750 to 850 milliliters of milk per day on an average. Therefore they need to increase their daily water intake. Next let's discuss the position of the mother. Mother should sit on the floor or on the bed in crosslegged position or on a chair with her feet flat on the ground. If the chair is too high and her feet do not reach the floor then she can rest her feet flat on a small stool or pillow skipped on the floor. While sitting she should ensure that her back is straight so as to avoid back pain her shoulders are relaxed and not elevated or curved and this relaxed position is maintained throughout the breastfeeding session. Now the mother should uncover the breast from which she wants to feed the baby. She should ensure not to put pressure of her bra or blouse on the breast. After sitting comfortably bring the baby to the mother. Mother should hold her baby with the arm on the same side of the breast that she will feed from. Baby's head should rest comfortably in the inner bend of the elbow of that arm. With the same arm mother should support the head neck and torso of her baby. The mother in this picture will feed the baby from her right breast. Therefore she is using her right arm to support the baby's head neck and torso and the baby's head is resting in the inner bend of her right elbow. If the mother wants additional support to lift the baby she can keep a pillow under the baby on her lap. Remember the mother should never bring the breast to the baby by bending her back. This will make her uncomfortable and cause back pain. She should always keep her back straight and lift the baby to reach her breast. Next let us learn how to position baby's body correctly. The baby's stomach should be gently pressed by the mother's body. Lesser distance between their bodies will reduce the baby's effort to reach the breast. And it will become easier for the baby to attach deeply. Then the second important point is the direction in which the baby's entire body is held. You may have noticed that when we eat food our head neck and body are always in the same direction. But while breastfeeding the baby's head is often turned sideways by many mothers. This will make feeding uncomfortable for the baby. Baby's head, neck and body should always be in the same direction while breastfeeding. This will make swallowing milk easier for the baby. Now we come to the third point in positioning the baby's body. The mother should support the head, neck and torso of her baby. Otherwise the baby will have to take a lot of effort to attach deeply to the breast. Next let's look at the position of the baby's nose and chin. Baby's nose should be in line with the nipple. And her chin should be forward and very close to the breast. This will ensure that the baby takes in more of the lower part of the areola while latching and therefore will use the lower jaw to drink more milk efficiently. Please note areola is the dark area around the nipple. Now that the baby is positioned correctly let us learn how to hold the breast. Using the fingers of the hand that is free the mother should cup her breast in a U-shape hold from the top. The mother in this picture will use her left hand to hold her right breast. To understand the correct position of thumb and fingers imagine the nipple to be the center of a clock on the mother's right breast. Mother should place her left thumb at 3 o'clock position on this clock while her left index finger and middle finger should be placed at 9 o'clock position. Mother's fingers holding the breast should always be in the direction of the baby's lips. Why? Let's understand this using a simple example. When we eat a vada power or burger our lips open horizontally. We hold the vada power or burger horizontally to take a big bite. Here the thumb and fingers are placed in the direction of the lips. If we hold the vada power or burger vertically we won't be able to take a big bite. Similarly observe the direction of baby's lips. The lips are vertical here. Therefore the fingers and thumb should also be placed vertically on the breast. This will help the baby to take a big part of the lower areola in her mouth. In addition to being in the direction of the baby's lips mother's thumb and fingers should always be at a distance of 3 fingers from the nipple. Again while eating a vada power or burger if we hold it too close our fingers will block our mouth from taking a big bite. If we hold it too far away it will not be shaped correctly to fit in our mouth. Therefore we hold it at the right distance to take a big bite. Similarly for the baby the right distance is of 3 fingers from the nipple as shown in this picture. This distance will ensure that mother's fingers do not block the baby from taking a big part of the areola in her mouth. Mother does not compress only the nipple which will give very little milk. Mother compresses the larger milk ducts beneath the areola to express more milk out and the breast is shaped correctly to help the baby attach deeply. Remember mother's thumb should be on the side of the breast where the baby's chin is present and her two fingers should be on the side of the breast where baby's nose is present. Let's go back to the example of vada power or burger. After holding the vada power or burger correctly we always press it to take a big bite. Similarly the mother should lightly press her breast in a U shape hold from the top. This will help the baby to take a big part of the lower areola in her mouth. But remember mother should not press her breast in an inverted V shape hold. V shape compression will pinch the breast and cause nipple feeding. Also make sure that there is equal compression of the breast with the thumb and the fingers. Otherwise the nipple will shift either to the right or the left side and the baby will not be able to attach deeply to the breast. Remember never bring the breast to the baby by pushing it sideways towards the baby. Always bring the baby towards the breast. Now the baby is in cradle hold and ready to attach to the breast for breast feeding. Correct attachment of the baby to the breast is explained in another video in the same series. As soon as the baby is attached deeply to the breast and if the breast is not too heavy then mother should release her breast from her hand and bring that hand underneath the baby for support. In this position mother should bring both her arms very close to her body. This will keep her comfortable during breast feeding. This brings us to the end of this tutorial. Thank you for joining.