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CARE OF THE NEWBORN umarani.J

CARE OF THE NEWBORN umarani.J. Prevent hypothermia. Hypothermia is common Wet newborns rapidly lose heat Use a warm, dry, soft towel Any absorbent material: Shirt T-shirt Socks Battle dressings. Replace the Wet Towels. Then let the mother hold the baby

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CARE OF THE NEWBORN umarani.J

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  1. CARE OF THE NEWBORNumarani.J

  2. Prevent hypothermia • Hypothermia is common • Wet newborns rapidly lose heat • Use a warm, dry, soft towel • Any absorbent material: • Shirt • T-shirt • Socks • Battle dressings

  3. Replace the Wet Towels • Then let the mother hold the baby • Her body heat will help keep the baby warm • Cover the head to prevent heat loss

  4. Position the Baby • Keep the baby on its’ back or side, not on its’ stomach • Neither extend nor flex the head. Either may obstruct the airway. • Newborn babies normally make this adjustment themselves. If depressed, however, you may need to position the head to get a good airway.

  5. Prevent airway obstructionSuction the Airway • May need to help them clear mucous and amniotic fluid from the airway • Use a bulb syringe • Use it gently • If bulb syringe is not available, use any suction device, including a small hypodermic syringe without the needle.

  6. Evaluate the Baby • Breathing • Color • Heart Rate • Tactile stimulation (rubbing) with a towel.may effectively stimulate a mildly depressed baby

  7. Color • Most newborns have acrocyanosis (body is centrally pink, but hands and feet are blue • Cyanosis requires treatment: • Oxygen • Airway • Ventilation Pink Acrocyanosis Cyanosis

  8. Ventilate if Necessary • If not breathing following brief stimulation, ventilate • Ideally, bag/mask, 100% oxygen, pressure gauge, flow control valve • May need to use mouth-to-mouth • Cover nose and mouth • Use shallow puffs to ventilate

  9. Check the Heartbeat • Normal newborn rate is >100 • Palpate umbilical cord or brachial artery • If pulse <100, ventilate the baby, using whatever skills and equipment you have

  10. PREVENTION OF HYPOTHERMIA • Keep the airway open • Keep the head covered • Use any available cloth or heat-retaining material • Check temp several times: 97.7-99.3F axillary

  11. Assess Apgar Scores

  12. Field Expedient Bottle • Breast feeding is better • If mother not available: • Formula • Warm to body temperature • If formula not available, use sugar water • Avoid cow’s milk unless there is no alternative and baby formula is not expected soon.

  13. Vernix • Cheesy-white • Normal • Antibacterial properties • Protects the newborn skin

  14. Eye Prophylaxis • 1% silver nitrate • 1% TTCN ophthalmic ointment • 0.5% erythromycin ointment Vitamin K • First few hours • 0.5-1.0 mg IM • Prevents hemorrhagic disease

  15. Umbilical Cord Care • Clean & dry • Alcohol wipe once a day • Topical antiseptic only in contaminated areas

  16. Prevention of infection handwashing, stay away from large groups or ill individuals, prophlactic agents (EES, cord care, bathing) Vernix Breastfeeding

  17. CARE OF GENITALIA Male Infant: if penis is uncircumcised DO NOT RETRACT THE FORESKIN--- “leave it alone” Female Infant: wipe front to back. If “smegma” has accumulated in the labial folds it can be carefully removed

  18. THE END…

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