Essential Newborn Care - PowerPoint PPT Presentation

1 / 22
About This Presentation
Title:

Essential Newborn Care

Description:

Care after discharge to 7 days V. Additional Care A. Newborn Resuscitation B. Additional Care of A Small Baby or Twin C. Dealing with Feeding Problems VI. ... – PowerPoint PPT presentation

Number of Views:4049
Avg rating:5.0/5.0
Slides: 23
Provided by: DocR
Category:

less

Transcript and Presenter's Notes

Title: Essential Newborn Care


1
Essential Newborn Care
  • MARY ANNE L. ILAO, M.D.,FPPS,DPSNbM
  • 2010

2
III. Care of the Newborn Prior to Discharge
(after the first 90 minutes)MARY ANNE
L.ILAO,MD,FPPS,DPSNbM
3
After the 90 minutes of age, but prior to
discharge
  • Support unrestricted, per demand breastfeeding,
    day and night
  • Ensure warmth of the baby
  • Washing and bathing (Hygiene)
  • Sleeping
  • Examine the newborn baby

4
Look for Danger Signs
  • Signs of serious illness
  • Convulsion
  • Difficulty feeding
  • Temperature of 37.5ºC or lt35.5ºC
  • Movement only when stimulated
  • Respiratory rate of 60 breaths per minute or more
  • Severe chest in-drawing
  • Jaundice

Young Infant Child Study II Lancet 2008
5
If Danger Signs?
  • Sign of POSSIBLE SERIOUS ILLNESS
  • TREAT AND ADVISE
  • Give first dose of 2 IM antibiotics
  • Refer baby urgently to hospital

6
Look for signs of jaundice and local infection
  • Look at the skin. Is it yellow?
  • Refer urgently to hospital, if jaundice present
  • - on face of lt24 hour old newborn
  • - on palms and soles of 24 hour old infant

7
Look for signs of jaundice and local infection
  • Look at the eyes
  • Are they swollen and draining pus?
  • If present, consider gonococcal eye infection.
  • Give single dose of appropriate antibiotic for
    eye
  • infection.
  • Teach mother to treat eyes.
  • Follow-up in two days.
  • If no improvement or worse, refer urgently to
    hospital.
  • Assess and treat mother and her partner for
    possible
  • gonorrhea.

8
Cord Care
  • Explain to the mother that she should seek care
    if the umbilicus is red or draining pus.
  • Teach the mother to treat local umbilical
    infection three times a day .
  • - Wash hands with clean water and soap.
  • - Gently wash off pus and crusts with
    boiled and cooled water and soap.
  • - Dry the area with clean cloth.
  • - Paint with gentian violet
  • - Wash hands.
  • If no improvement in 2 days, or if worse, refer
    urgently to the hospital

9
Discharge Instructions
  • Advise the mother to return or go to the
    hospital if
  • with danger signs
  • Routine check-up
  • Additional follow up visits appropriate to the
    babys problem.
  • Advise for newborn screening

10
  • Postnatal visit 48 72 hours of life or
  • 7 days of life
  • Immunization visit at 6 weeks old

11
Discharge Instructions
  • Schedule Routine Visits as follows

Postnatal visit Within the 1st week preferably within 2-3 days
Immunization visit (if BCG and HB-1 given in the 1st week of life At age 6 weeks
12
IV. Care after discharge to 7 days
  • Support unrestricted, per demand exclusive
    breastfeeding, day and night
  • Ensure warmth for your baby
  • Look for danger signs and seek care appropriately

13
V. Additional Care
14
A. Newborn Resuscitation
  1. Start resuscitation if the newborn is not
    breathing or is gasping after 30 seconds of
    drying or before 30 seconds if the baby is
    completely floppy and not breathing.
  2. Clamp and cut the cord immediaetely.
  3. Call for help.
  4. Transfer the newborn to a dry, clean and warm
    surface.
  5. Inform the mother that the newborn needs help to
    breathe
  6. Perform NB resuscitation.

15
B. Additional Care of A Small Baby or Twin
  • If the newborn is delivered 1 month early of
    is visibly small (1501 2499g
  • Area Of Concern
  • Warmth
  • Feeding Support
  • Kangaroo Mother Care
  • Discharge planning

16
C. Dealing with Feeding Problems
  • Area of Concern Mother and Infant Separation
  • Action use alternative feeding methods
  • Teach the mother hand expression of breastmilk
  • Feeding by cup

17
VI. Enabling the Environment
  • Prepare workplace for deliveries
  • Restock delivery area
  • Practice General standard precautions and
    cleanliness
  • Processing Instruments and Other Items

18
Essential Newborn Care
  • Essential interventions in the first 90 minutes
    of life and up to 7 days of life
  • Emphasizes a core sequence of actions, performed
    methodically, step-by-step
  • Some time-bound but doable even by a single
    health worker caring for both mother and newborn

19
Immediate Newborn Care
  • Call out time of birth.
  • Deliver the baby prone on the mothers abdomen
  • Dry the newborn thoroughly. Check breathing while
    drying.
  • Remove wet cloth.
  • Position the newborn on the mothers abdomen in
    skin-to-skin contact. Cover the back with a dry
    blanket.

19
Examine page 5 of DOH Newborn Care Protocol
Phil. ENCC
20
Immediate Newborn Care
  • Remove first set of gloves.
  • Clamp and cut the cord when pulsations have
    stopped ( 1-3 minutes)
  • Place the newborn on the mothers chest in
    skin-to-skin contact
  • Cover the babys head with a hat. Cover the
    mother and baby with a warm cloth.
  • Initiate breastfeeding while maintaining
    skin-to-skin contact.
  • Place identification band on ankle.

20
Examine page 5 of DOH Newborn Care Protocol
Phil. ENCC
21
  • Together, we can DoH it
  • before 2015

2015
22
HAVE A NICE DAY
Write a Comment
User Comments (0)
About PowerShow.com