Nbcare 3

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  • III. NUTRITION Advantages Of Breastfeeding B est for baby & Best for Mommy - Best for baby because of bonding & satisfies sucking reflex, best for mommies because of bonding & satisfaction the mom gets for feeding her baby. It also prevents breast cancer & pregnancy R educe Allergy - Colostrum provide antibodies E radicate feeding difficulties - No materials to prepare in feeding the child A llergen free S terile & Pure - No need to store in the refrigerator T emperature is optimal F reshness - Never goes off E conomical - No feeding bottles & No Milk formula to buy E asy to prepare - No bottles to wash, No formula to mix D evelops bonding - Tremendous satisfaction I mmediately available N utritious G astroenteritis greatly reduced - Inflammation of the lining of the stomach due to proteins found in milk formula; Breast milk contains iron that is easily digested by the infant
  • Assess readiness to breastfeed *When to start -Early latching on is practiced -Baby is roomed-in with mother as soon as mother and baby are ready *Assess readiness to breastfeed Activity Alertness Sucking and swallowing coordination Absence of respiratory distress Absence of abdominal distention
  • Nbcare 3

    1. 2. <ul><li>Determine the essentials of proper newborn care </li></ul><ul><li>Review newborn resuscitation in initiating breathing </li></ul><ul><li>Learn the ways to maintain cleanliness in both the mother and baby </li></ul><ul><li>Recognize the need for thermal protection of the baby </li></ul><ul><li>Learn the updates on eye care and vitamin K prophylaxis </li></ul><ul><li>Emphasize the importance of early breastfeeding </li></ul>OBJECTIVES OF LEARNING
    2. 3. 1. Initiation of breathing - resuscitation 2. Cleanliness: clean delivery for the prevention of infections (tetanus and sepsis) 3. Thermal protection: management of neonatal hypothermia and hyperthermia ESSENTIALS OF NEWBORN CARE
    3. 4. 4. Vitamin K prophylaxis: prevention of HDN 5. Eye care: prevention of ophthalmia neonatorum 6. Early feeding ESSENTIALS OF NEWBORN CARE
    4. 5. 1. INITIATION OF BREATHING - RESUSCITATION Dry, stimulate and reposition ESSENTIALS OF NEWBORN CARE
    5. 6. b. Squeezing the rib cage c. Forcing the thigh into the abdomen d. Dilating anal sphincter e. Blowing cold or room air on face/body a. Use of hot or cold compress HAZARDOUS WAYS OF TACTILE STIMULATION
    6. 7. When a newborn is not breathing after birth, URGENT and SKILLED resuscitation is needed immediately
    7. 8. a. Rubbing the back b. Flicking of the heel c. Flicking the sole of the foot GENTLE WAYS TO STIMULATE BREATHING
    8. 10. 1. Positive pressure with a self-inflating bag and mask using oxygen 2. Room air resuscitation 3. Mouth-to-mouth resuscitation PROPER INITIATION OF BREATHING
    9. 11. 1. INITIATION OF BREATHING - RESUSCITATION 2. CLEANLINESS ESSENTIALS OF NEWBORN CARE
    10. 12. 1. Clean hand 2. Clean perineum 3. Nothing unclean to be introduced into the vagina 4. Clean delivery surface 5. Cleanliness in cutting the umbilical stump 6. Cleanliness for cord care of the newborn baby 7. Cleanliness of the baby’s skin PRINCIPLES OF CLEANLINESS
    11. 13. The initial bath following delivery is rendered only once baby is doing well and the temperature is stable.
    12. 14. 1. Keep it dry and clean 2. The stump will easily dry and mummify if exposed to air with without gauze dressing or binder 3. No antiseptics needed PRINCIPLES OF CORD CARE
    13. 15. <ul><li>INITIATION OF BREATHING - RESUSCITATION </li></ul><ul><li>CLEANLINESS </li></ul><ul><li>THERMAL </li></ul><ul><li>PROTECTION </li></ul>ESSENTIALS OF NEWBORN CARE
    14. 16. <ul><li>Early skin to skin contact right after birth – LATCHING </li></ul>2. Kangaroo care THERMAL PROTECTION
    15. 17. <ul><li>INITIATION OF BREATHING - RESUSCITATION </li></ul><ul><li>CLEANLINESS </li></ul><ul><li>THERMAL PROTECTION </li></ul><ul><li>VITAMIN K PROPHYLAXIS </li></ul>ESSENTIALS OF NEWBORN CARE
    16. 18. A single dose (1.0 mg) of intramuscular vitamin K after birth is effective in the prevention of classic HDN. Either intramuscular or oral (1.0 mg) vitamin K prophylaxis improves biochemical indices of coagulation status at 1-7 days. Neither intramuscular nor oral vitamin K has been tested in randomized trials with respect to effect on late HDN. Oral vitamin K, either single or multiple dose, has not been tested in randomized trials for its effect on either classic or late HDN. Puckett RM, Offringa M Cochrane Database of Systematic Reviews 2009 Issue 1. . VITAMIN K PROPHYLAXIS
    17. 19. <ul><li>INITIATION OF BREATHING - RESUSCITATION </li></ul><ul><li>CLEANLINESS </li></ul><ul><li>THERMAL PROTECTION </li></ul><ul><li>VITAMIN K PROPHYLAXIS </li></ul><ul><li>EYE CARE </li></ul>ESSENTIALS OF NEWBORN CARE
    18. 20. Erythromycin and t etracycline gained acceptance as prophylactic agents in the 1980's because of their allegedly superior activity against Chlamydia trachomatis and because they lacked some side effects of silver nitrate, such as chemical conjunctivitis. The emergence of beta-lactamase-producing Neisseria gonorrhoeae has reduced the prophylactic effectiveness of these drugs. Promising results have been found for povidone-iodine as a prophylactic agent. It has many advantages over silver nitrate, erythromycin and tetracycline, including a broader antibacterial spectrum and antifungal property and lack of bacterial resistance. Kapoor VS, Whyte R, LaRoche RR Cochrane Database of Systematic Reviews 2009 Issue 1. PREVENTION OF OPHTHALMIA NEONATORUM
    19. 21. <ul><li>1% tetracycline </li></ul><ul><li>0.5% erythromycin </li></ul><ul><li>Povidone iodine ophthalmic preparation </li></ul>OPHTHALMIC PREPARATIONS
    20. 22. <ul><li>INITIATION OF BREATHING - RESUSCITATION </li></ul><ul><li>CLEANLINESS </li></ul><ul><li>THERMAL PROTECTION </li></ul><ul><li>VITAMIN K PROPHYLAXIS </li></ul><ul><li>EYE CARE </li></ul><ul><li>6. EARLY FEEDING </li></ul>ESSENTIALS OF NEWBORN CARE
    21. 23. <ul><li>B est for baby & Best for Mommy - Best for baby because of bonding & satisfies sucking reflex, best for mommies because of bonding & satisfaction the mom gets for feeding her baby. It also prevents breast cancer & pregnancy </li></ul><ul><li>R educe Allergy - Colostrum provide antibodies </li></ul><ul><li>E radicate feeding difficulties - No materials to prepare in feeding the child </li></ul><ul><li>A llergen free </li></ul><ul><li>S terile & Pure - No need to store in the refrigerator </li></ul><ul><li>T emperature is optimal </li></ul><ul><li>F reshness - Never goes off </li></ul><ul><li>E conomical - No feeding bottles & No Milk formula to buy </li></ul><ul><li>E asy to prepare - No bottles to wash, No formula to mix </li></ul><ul><li>D evelops bonding - Tremendous satisfaction </li></ul><ul><li>I mmediately available </li></ul><ul><li>N utritious </li></ul><ul><li>G astroenteritis greatly reduced </li></ul><ul><li>Inflammation of the lining of the stomach due to proteins found in milk formula; Breast milk contains iron that is easily digested by the infant </li></ul>ADVANTAGES OF BREASTFEEDING
    22. 24. <ul><li>Activity </li></ul><ul><li>Alertness </li></ul><ul><li>Sucking and swallowing coordination </li></ul><ul><li>Absence of respiratory distress </li></ul><ul><li>Absence of abdominal distention </li></ul>ASSESSING READINESS TO BREASTFEEDING

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