NATIONAL INSTITUTE OF NURSING EDUCATION
PGIMER, CHANDIGARH
LESSON PLAN ON – SPOON AND KATORI FEEDING
SUBMITTED TO - SUBMITTED BY -
Mrs. V.Venkadalakshmi Garima Sharma
Associate Professor M .Sc(N)2ND Year
NINE, PGIMER NINE, PGIMER
Chandigarh Chandigarh
LESSON PLAN
Subject:Obstetrics and Gynecology
Topic: Spoon and Katori Feeding
Group of students: M.Sc(N)2ND YEAR
Number of students:
Name of the student teacher: Garima Sharma
Method of the teaching: Demonstration, Lecture cum discussion
Date:
Time:
Duration: 20 minutes
Venue:
Supervisor: Mrs. V.Venkadalakshmi
Previous knowledge: Students have basic knowledge about Spoon and Katori feeding
General objective- At the end of demonstration, students will have adequate knowledge about Spoon and Katori Feeding and its benefits to the
baby as well as mothers.
Specific objectives: At the end of the class the students will be able to:
Define Spoon and Katori Feeding
Enumerate the purposes of Spoon and Katori Feeding.
Explain about the guidelines of Spoon and Katori Feeding.
Describe different steps in spoon and Katori feeding.
Demonstrate a positive attitude towards its role in promoting infant health and oral development.
SN Contributor Time Content material Teaching and learning
y objectives activities
Method AV Evaluatio
of Aids n
teaching
1. Students will 1min Good Morning, I Garima Sharma, student of M.Sc. Nursing second year. Today I - - -
be able to will be giving a demonstration spoon and Katori feeding.
establish
rapport with
the teacher
1 Recall the 1min What is Spoon and Katori feeding? - - -
previous
knowledge
regarding the
topic
2 Introduce 2min Feeding a baby from a spoon or the act of supplying food and nourishment to a Lecture - -
about Spoon baby with spoon. It may be indicated to baby is preterm or sick. Maternal
and Katori indications may be that the mother is sick, in a different hospital, referred to
Feeding hospital ( for her medical), has sore nipples, cracked nipples engaged breasts,
mastitis or an abscess.
3 Define Spoon 1min DEFINITION Lecture Define
and Katori It is a procedure to feed the baby /newborn( Low birth weight) with spoon and Spoon and
Feeding Katori to provide milk and to fulfill the requirements of baby. Katori
feeding
-
PURPOSES Lecture What are
4 Enumerate 2min To provide human milk or formula to a breastfeeding infants as a Cum purposes
the purpose alternative method to bottle feeding when separation of mother and infant Discussi of spoon
of Spoon and occurs on and Katori
Katori To prevent, minimize or treat hypoglycaemia. feeding?
feeding
To prevent, minimize or treat dehydration.
To provide additional nourishment to a breastfeed infant who is too weak
or whose suck is too disorganized.
To provide nourishment to a full term infant whose mother requests an
alternative method of breastfeeding.
To provide nourishment in an infant whose physical condition prevents
him from breastfeeding,
ARTICLES
Hand sanitizer
Syringe to measure feed
Small towel /Blanket
Katori with feed and spoon
Medication with drooper
5 Enlist the 2min Guidelines for Spoon and Katori Feeding Lecture What are
guidelines for Cum guidelines
Spoon and Explain procedure to the mother . Discussi for Spoon
Katori Teach and provide demonstration to mother regarding spoon on and Katori
feeding feeding(to enable mother to perform it confidently ) feeding?
Mother should sit comfortably for spoon feeding as It may take 15-20
minutes for feeding at one ti
6 Explain about 8min Pre-procedural steps Lecture Demo What are
antenatal cum nstrati different
exercise Check the physician’s order for the amount of milk and Demonst on Pre-
according to measure feed per prescription. ration procedural
trimester. Take 3-5 ml extra to compensate the spillage, which steps?
usually occurs during feeding.
See prescription for any medication for the feeding, feed
must be collected in autoclaved or pre- boiled Katori.
Place all the articles on your right side.
Wash your hands and use the sanitizer.
Wrap the infant in an upright position on your lap(to
prevent aspiration)directly hold baby in such a way that
your thumb is near the ear of baby (so you can tickle on
ear and wake up baby if baby sleeps during feeding)
Place baby ID band on medication cup, soft cup feeder
or spoon.
Intraprocedural Steps
Fill medicine cup, soft cup feeder , spoon at least half
Lecture Demo What are
full with expressed breast milk(EBM) or formula.
cum nstrati different
Place the rim of spoon at the outer corner of upper lip, Demonst on intra-
gently resting on bottom lip. ration procedural
Tip the cup or spoon so that milk is just touching the steps in
spoon and
baby’s lips(do not pour the milk into the baby’s /mouth
Katori
as it can lead to aspiration) feeding?
The infant usually laps the milk or will sip it. You will
see bubbles in the spoon as the baby actively takes sips.
Observe any color changes on the face during feeding, if
it occur ,stop feeding immediately.
Allow time for infant to swallow.
Let the infant pace the feeding, but limit the length of
time of feeding to approximately 20-30minutes.
Stop to burp every 5ml.
Leave the cup in position during the feed, that is while
the baby rests ,do not move the cup from position.
Do not attempt to cup/spoon feed an infant who is not
alert or who is excessively sleepy.
Postprocedural Steps
Weight the burp cloth to obtain accurate intake, Lecture Demo What are
then chart amount taken. cum nstrati different
Chart the tolerance of feed color remains pink, Demonst on Post
ration procedural
respirations easy and unlabored , in infant’s
steps in
electronic medical record. spoon and
Position the baby on side after feeding. Katori
Maintain treatment chart (if medication was feeding?
added to feed) and intake-output chart.
7. To Summarization
summarize Lecture
the procedure cum
Definition of Spoon and Katori feeding
discussio
Purposes of Spoon and Katori feeding n
Articles required for spoon and Katori feeding.
Different Pre-procedural steps of spoon and Katori
feeding.
Various Intra- procedural and Post- procedural steps of
spoon and Katori feeding.
8. Conclusion
Conclusion
The Spoon and Katori feeding method is a safe, hygienic, an Lecture
culturally familiar approach for introducing infants to solid or cum
discussio
semi-solid foods. It supports oral development and allows for n
better control of portion sizes. Although it may require more
time and patience, the method fosters a positive feeding
experience and encourages healthy eating habits from an early
age. With proper guidance and practice, caregivers can use this
traditional method effectively to ensure their child's nutritional
needs are met in a safe and nurturing environment.
8. Evaluation Evaluation
Define Spoon and Katori feeding?
What are the purposes of spoon and Katori feeding?
Explain about various articles required for spoon and -
Katori feeding?
What are different pre-procedural, intra-procedural and
post- procedural steps for spoon and Katori feeding?
9. Reference
References
Ghai. S.Clinical Nursing Procedures.3rd edition, CBS publishers and
distributors pvt. Ltd..New Delhi, Pp no. 804-806 Lecture
Dutta DC, Konar H. Textbook of Obstetrics, 7th edition, Jaypee Brothers cum
Medical publisher Pvt. Ltd. 2013 Page no. 634-637. discussio
TNAI manual, clinical procedures n
www.lippincotts nursing centre.com.
RamanAV.MaternityNursing,19thedition.WoltersKluwer(india)Pvt.ltd.
Delhi;2011
This helps to prevent problems like prolapse of uterus and vagina and
urinary stress incontinence in postnatal period.
Instruct the mother to do the following procedures:
Assume half-lying position, well supported with pillows, knees bent and
feet flat.
Place one hand under the back and other on top the abdomen
Tighten the abdominal muscles and buttocks and press the small of the
back down on the underneath
Breathe normally, hold for 10 seconds and relax.
Gently repeat up to 10 times
Demonst
ration
1. Knee rolling exercise
Purposes
Following are the purposes of knee rolling exercise
• Helps prevent backache and minimizes leg cramps
Instruct the mother to do the following procedures
Lie on the back with knees bent and feet flat.
Keep the shoulders down flat, lower both the knees slowly to the left,
return them to center and then over to the right
Repeat in a rhythmical manner and gradually increase the range of
movement.
2. Hip up drawing exercise
Purposes: Following are the purposes of hip up drawing: Dorsiflexion of foot
stretches the calf muscles and relieves cramps
Instruct the mother to do the following procedures:
Lie on the back with the left knee bent and the right knee straight.
Demonst
Slides the heel of the straight leg down as far as possible
ration
Then keeping the leg straight, shorten again by pulling up from the waist
Repeat with the right knee bent and left one straight.
9. Tailor press exercise Demonst
Purposes: Following are the purposes of Tailor press exercise: ration
Strengthen perineal muscle.
Increase perineal circulation.
Make more pelvic joints pliable.
Helps relieve lower back pain, and strengthen the hip, thigh and pelvic
muscles.
Instruct the mother to do the following procedures:
Sit with knees bent and place the soles of feet together.
Pull feet closer to body.
Place hands underneath knees.
Clinical Nursing Procedures
Inhale and press knees down against hands While doing this, push hands
against knees
Hold this pressure for a count of five.
Demonst
ration
3. Swimming: Swimming is one of the best exercises for women who are in
the first trimester of their pregnancy. It is a good way to stretch and tone
your muscles. It is a wonderful cardiovascular workout which promises to
keep you healthy.
Second trimester exercise-
1. Deep breathing exercise
2. Gentle neck & shoulder roll - Roll your head back and forth, right and
left, and in circles clockwise and counter clockwise along with slow
gentle breaths. Similarly, do with the shoulder blades. Benefit: Releases
tension from head, neck and shoulder area.
3. Pelvic tilting
4. Child pose-Keep your knees and thighs separate, and gently bend
forward, placing your forehead on floor or on the cushion in front. Extend
arms forward, palms pressed into the floor. Rest with gentle breaths:
Benefit: It helps battle dizziness, fatigue, and nausea that the first Demonst
trimester of pregnancy brings with it. ration
Demonst
ration
5. Warrior pose: Widen your legs such that they are hip-width apart. Twist
the right heel and point the toes outward. Use the left heel to ground
yourself. The arch of your left heel should be in line with the right foot.
Lower the hips and radiate all your energy out as you stretch out your
arms. The arms must be in line with the shoulders. Look forward. Breathe Demonst
long and deep and hold the pose only until you are comfortable. Release, ration
and repeat on the other side.
Benefit: Strengthens ankles, knees, shoulders, arms, legs, and back, and
energizes whole body.
Demonst
ration
6. HERO POSE: Kneel on the floor. Bring your big toes together and
separate the heels. Lower your buttocks onto the inside surface of the feet,
with your heels touching the side of your hips. Place your hands on your
knees, palms down. Your back and head should be straight, but not tense.
Benefit: A Strengthens the thigh muscles. Enhances digestive functions.
Relieves stomach ailments and strengthens pelvic muscles.
7. Walking Demonst
8. BUTTERFLY POSE: Sit with your legs outstretched. Bend your knees ration
and bring the soles of the feet together. Hold your feet with both hands.
Gently bounce your knees up and down, using the elbows as levers to
press the legs down. Do not use any force. Hold the pose as long as
comfortable but not more than 5 minutes.
Benefit: Stimulates your heart and improves blood circulation. Relieves fatigue
and anxiety.
Demonst
ration
Demonst
ration
9. CAT POSE: Place hands and knees on mat while exhaling, round your
neck and bring you chin toward your chest. Return to straight spine while
exhaling. Hold it as long as you feel comfortable but not more than 15
seconds.
Benefit: Improves your digestion. It relaxes your mind and improves Demonst
blood circulation. ration
Demonst
ration
10. TRIANGLE POSE: Stand with your feet apart breathing in, and bring
your arms parallel to the floor. Breathing out, extend and bend on your
right side to bring the right hand closer to the right foot. Hold. Breathing
in, slowly come up, and then relax. Repeat on the other side
Benefit: Stimulates and improves blood circulation through the entire
body. Relieves aches and pains from back legs and whole body.
Demonst
ration
Third trimester exercises:
In the third trimester, keep your exercises moderate, keep up with pelvic floor
exercises, choose walking over running.
1. FULL SHOULDER ROTATION: Place the right fingertips up on the right
shoulder. Slowly rotate the arm and shoulder joint around, as if drawing a
large circle with the tip of the elbow. Inhale when opening the chest as the
elbows go backwards, and exhale when the elbows move towards touching at
the front.
Benefit: Improves circulation & flexibility in the shoulders & upper back.
Releases tension from around the heart and lungs. Encourage better breathing.
2. SQUAT AND RISE POSE OR GODDESS POSE: Stand erect on your feet
about a meter apart, with your toes turned out. Interlock the fingers of both
hands and let them hang loosely in front of the body. Slowly bend your knees Demonst
ration
and lower your buttocks. Straighten your knees and return to the upright
position.
Demonst
rations
Benefit: Strengthens the muscles of the middle back, uterus, thighs, and ankles
3. PALM TREE POSE: Stand with your feet together and your arms at your
side. As you inhale, raise your arms over your head, interlock your fingers,
and then turn the palms upward. As you exhale, place your hands over your
head. Inhale and stretch your arms, shoulders and chest upwards. While
exhaling, bring your hands on top of your head.
Demonst
rations
Benefit: Helps develop physical and mental balance. Helps the back to stretch
and relax. Demonst
rations
4. HAND RAISING POSE: Stand with your feet together and arms by your
sides. Breathing in, extend both arms overhead. Gently stretch up. Breathing
out, release the stretch. Next, extend both arms overhead. Breathing in, gently
stretch your right arm longer than your left, and then, breathing out, release
the stretch. Similarly repeat for the left arm and and keep alternating between
the right and left arms at moderate pace.
Demonst
Benefit: Removes stiffness from the shoulders and upper back. Influences heart
rations
and improves blood circulation
5.Breathing exercise
5. Tailor exercise
Demonst
rations
Post-procedural Steps
Record time and details of exercise, advice the mother to notify health
personnel, if mother has dizziness, blurry vision heart palpitations,
vaginal bleeding, back, abdominal, or pelvic pain, unusual lack of fetal
movement during or after exercise
Educate the mother benefits of exercise during pregnancy as improving
sleep, reducing swelling or backache pregnancy, making labor and Demonst
delivery easier, providing endorphins that can make feel happier and more rations
energetic, and e get figure back faster after delivery. Activities that put at a
high risk of injury should be avoided during pregnancy,
7 Summarizati 1min Till now we were discussed about the antenatal exercises and different types of - - -
on of the antenatal exercises according to the trimester wise.
topic
8 To conclude 1min Conclusion-Exercise during pregnancy of utmost importance for the health of
the antenatal both the mother and the baby. Antenatal exercise are done during pregnancy. If
excercises. not only relieves pregnancy related ailments but it also helps to cope during
antenatal, intranatal and postnatal period. Antenatal excercises help to develop a
good posture, relieve minor discomfort such as backache, constipation and
insomnia
REFERENCE -- - -
1. Ghai.S. Clinical Nursing Procedures.1stedition.CBS Publishers and
Distributors Pvt Ltd. New Delhi; 2018:731-32.
2. Third Trimester Pregnancy Exercises [Internet]. website. [cited 2021 Apr 7].
Available from: https://www.huggies.co.in/en-in/pregnancy/pregnancy-
exercises/third-trimester-pregnancyexercises
3. Micky Mehta. Best Pregnancy Exercises For First Trimester [Internet].
Healthcare presented at; 06:42:55 UTC [cited 2021 Apr 7]. Available from:
https://www.slideshare.net/babylifeindia/best-pregnancy-exercises-for-first-
trimester
4. 7 Great Exercises for Your First Trimester of Pregnancy [Internet]. Tri-City
Medical Center. 2018 [cited 2021 Apr 7]. Available from:
https://www.tricitymed.org/2018/09/7-greatexercises-for-your-first-trimester-of-
pregnancy/
