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    Immediate Care of The Baby After Birth

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    RitaLakhani
    Newborn care at birth

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    © All Rights Reserved
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    Immediate Care of The Baby After Birth

    Uploaded by

    RitaLakhani
    11 views50 pages
    Newborn care at birth

    Original Title

    Immediate care of the baby after birth

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    © © All Rights Reserved

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    PPTX, PDF, TXT or read online from Scribd

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    Newborn care at birth

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    11 views50 pages

    Immediate Care of The Baby After Birth

    Uploaded by

    RitaLakhani
    Newborn care at birth

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 50

    Essential Care of New born

    Healthy Newborn
    A normal newborn can be defined as
    • a baby born at term ,between 38- 42 weeks of gestation,
    • cries immediately after birth,
    • establishes independent rhythmic respirations,
    • quickly adapts with extra uterine environment,
    • having average weight and with no congenital anomalies
    Introduction
    • Essential care of the normal healthy neonates can be the
    best provided by mothers under the supervision of
    nursing personnel or basic/primary health care providers.
    • About 80 percent of the newborn babies require minimal
    care.
    • Mothers participates in the nursing care of the baby and
    develop self confidence in her.
    • This will also reduce the demand of nursing personnel.
    Nursing care of healthy newborn baby after birth should
    be provided as immediate care of the neonates and daily
    routine care.
    Essential Newborn Care
    • Maintain stable body Temperature
    • Maintain Patent Airway
    • Newborn Identification
    • Vitamin K administration
    • Cord clamping
    • Hepatitis B Vaccine Administration
    • Newborn Screening for Diseases
    • Universal Newborn Hearing Screening
    • Initiation of Breastfeeding
    Mechanisms of Heat Loss
    • The four mechanisms of heat loss which place newborns at risk
    include:
    • Conduction
    • Convection
    • Evaporation
    • Radiation and
    How to prevent heat loss
    How to prevent heat loss
    Establishment of patent airway (cont..)
    Establishment of patent airway (cont..)
    Establishment of patent airway (cont..)
    Establishment of patent airway (cont..)
    APGAR SCORING

    Simple method of quickly


    assessing the health & vital signs
    of a newborn
    Assessing 5 criteria's:
    • Appearance (Skin Colour)
    • Pulse (Heart rate)
    • Grimace (Reflex response)
    • Activity (Muscle tone)
    • Respiration (Breathing ability)
    APGAR SCORING
    • Total Score: 10
    • Score of 7-10 : No depression (Normal)
    • Score of 4-6: Mild Depression ( Additional support )
    • Score of < 4 : Severe Depression ( Immediate Resuscitation)
    Newborn Identification
    Vitamin K Administration
    Cord Clamping
    • Delayed umbilical cord clamping appears to be
    beneficial for term and preterm infants.
    • In term infants, delayed umbilical cord clamping
    increases hemoglobin levels at birth and improves
    iron stores in the first several months of life, which
    may have a favorable effect on developmental
    outcomes.
    • American Academy of Pediatrics recommend
    delayed umbilical cord clamping for at least 30–60
    seconds for most vigorous term and preterm infants.
    Hepatitis B Vaccine Administration

    • To decrease the incidence of Hep. B Infants born to HBsAg –


    virus in children & its serious positive Mother
    consequences (cirrhosis & liver cancer) - Hep.B vaccine & Hep.B
    in adulthood.(AAP) immunoglobulin (within 12
    hours)
    • 3 doses soon after birth
    • Dosage : 0.5 ml
    • Route: IM ( Vastus Lateralis)
    Newborn Screening for Diseases

    Newborn screening (NBS) is a public health program of screening in infants


    shortly after birth for conditions that are treatable, but not clinically evident in
    the newborn period.
    The goal is to identify infants at risk for these conditions early enough to
    confirm the diagnosis and provide intervention that will alter the clinical course
    of the disease and prevent or ameliorate the clinical manifestations
    Universal Newborn Hearing Screening
    Initiation Of breastfeeding
    Routine care of Newborn
    • The major goal of nursing care of the newborn infant is to establish
    and maintain homeostasis, i.e. stability in the normal physiological
    status.
    • The daily routine care of the neonates are as follows:
    • Warmth
    • Breastfeeding
    • Skin care & baby bath
    • Care of eyes & umbilical cord
    • Clothing of the baby
    Daily Routine care of Newborn
    • General care
    • Observation
    • Taking Anthropometric measurement
    • Immunization
    • Follow up & Advice
    Receive the baby on a warm, clean and dry
    towel
    • Warmth is provided by keeping the baby dry and
    wrapping the baby with adequate clothing in the
    two layers.
    • Ensuring head and extremities are well- covered.
    • Baby should be kept by the side of mother, so
    that the mother’s body temperature can keep the
    baby warm.
    Receive the baby on a warm, clean and dry
    towel
    • Baby can be placed in skin to skin contact with mother (kangarooing)
    to maintain temperature of infant and facilitate breastfeeding.
    • Bathing is avoided to prevent hypothermia and infections.
    • Monitoring body temperature
    Breastfeeding (Cont..)
    Breastfeeding
    Techniques of Breast Feeding
    Cradle Hold
    • Lie your baby across your lap, facing you.
    • Place your baby's head on your forearm – nose towards your nipple.
    Your hand should support the length of their body.
    • Place your baby's lower arm under yours.
    • Check to make sure your baby's ear, shoulder and hip are in a straight
    line.
    Cross-cradle Position
    • Sit up straight in a comfortable chair with armrests.
    • Bring your baby across the front of your body, tummy to tummy.
    • Hold your baby in the crook of the arm opposite the breast you're
    feeding from — left arm for right breast, right arm for left.
    Football Hold
    • Hold your baby beside you, with your elbow bent. With your open
    hand, support your baby's head and face him or her toward your
    breast.
    Side-Lying Position
    • First, position yourself and your baby lying down on your sides
    tummy-to-tummy.
    • Bend your top leg and position with pillows under your upper knee.
    • Place your fingers beneath your breast and lift upward, then pull your
    baby in close as he/she latches-on
    LACHING ON
    Skin care & baby bath
    Sensory Stimulation
    • For young children, sensory play includes any activity that stimulates a
    child's sense of touch, smell, taste, sight, movement, and hearing. This
    kind of play helps create connections in the brain that allow for more
    complex thoughts and tasks
    Head Circumference
    Chest Circumference
    Immunization
    Follow up & Advice
    • Each Infant should be followed up, at least once in every month for 1 st
    3 months & subsequently in 3 months intervals till one year of age.

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