This document provides information on essential newborn care including maintaining temperature, establishing breathing, vitamin K injection, breastfeeding initiation and daily routine care like warmth, feeding, bathing and observation. It discusses Apgar scoring and harmful traditional practices. Key aspects of care include cleanliness, warmth, breastfeeding and monitoring of vital signs and growth. Nursing diagnoses related to airway, thermoregulation and infection risk are also mentioned.
This slides contain description about breast feeding, anatomy of breast, types of human milk, good position for latching, holding for the baby, advantages of breast feeding, contraindication of breast feeding, barriers and problems associated with breast feeding with their management
This slides contain description about breast feeding, anatomy of breast, types of human milk, good position for latching, holding for the baby, advantages of breast feeding, contraindication of breast feeding, barriers and problems associated with breast feeding with their management
This slide contain detail description of basic terminologies, neonatal (head to toe examination) assessment, neonatal reflexes, minor physiological handicaps of newborn
This slide contain detail description of basic terminologies, neonatal (head to toe examination) assessment, neonatal reflexes, minor physiological handicaps of newborn
Health Assessment of the Newborn
The newborn requires thorough skilled observation to ensure a satisfactory adjustment to extra uterine life.
Health assessment of newborn after delivery can be divided into:
1. Initial Assessment
2. Transitional Assessment
3. Assessment of gestational age
4. Behavioural asessment
5. Systemic physical examination
Initial Assessment:
Initial assessment is done by using the APGAR scoring system.
APGAR score: It is method use to assess the newborn’s immediate adjustment to extra uterine life.
• The score based on five signs
1. Appearance (colour)
2. Pulse (Heart rate)
3. Grimace (Reflex irritability )
4. Activity (Muscle tone)
5. Respiratory rate
• Each item is given a score 0, 1, or 2
• 0-3 severe distress
• 4-6 moderate difficulty
• 7-10 no difficulty adjusting to life
• Evaluations of all five categories are made on 1-5 min after birth.
APGAR score:
Sign 0 1 2
Appearance (colour) Blue or pale Body pink, Extrimities Blue Completely Pink
Pulse (Heart rate) Absent Slow (<100 /> 100/m
Grimace (Reflex irritability ) No response Grimace Cough Or Sneeze
Activity(Muscle tone Limp Some flexion Active movement
Respiratory rate Absent Slow, Irregular Good, Crying
Other initial assessment are-
• Stabilization
• Measuring weight.
Transitional Assessment during the period of reactivity
First period of reactivity (6- 8 hours after birth):
During the first 30 minutes the newborn is very alert, cries vigorously, may suck a first greedily, and appears very interested in the environment. Physiologically the respiratory rate can be as high as 80 breaths/ min, crackles may be heard, heart rate may reach 180 beats/min, bowel sound are active, mucus secretions are increased and temperature may decrease slightly.
Second period of reactivity:
Began when the newborn awake from the deep sleep, it lasts about 2-5 hours. The newborn is alert and responsive, heart and respiratory rate are increased, gastric and respiratory secretions are increased, and passage of meconium commonly occurs.
Following this stage is a period of stabilization of physiologic systems & vacillating patern of sleep & activity.
Essential new born care is the care provided to the baby immediate after the birth of the baby which is very important to reduce the neonatal mortality rate includes
supporting breastfeeding.
providing adequate warmth.
ensuring good hygiene and cord care,
recognizing early signs of danger and providing prompt treatment and.
referral, giving extra care to small babies, and.
having skilled health workers attend mothers and babies at delivery.
This is ppt for essential newborn care, healthy newborn,immediate basic care, newborn identification, breastfeeding initiation, newborn hygiene, daily routine care,follow up & advices,harmful traditional practices
The EINC initiative of the Philippine Department of Health- Non Communicable Diseases Prevention and Control-Family Health Office (DOH-NCDPC-FHO) and DOH Center for Health Promotions (NCHP), supported by the Joint Programme on Maternal and Neonatal Health (JPMNH), and being funded by AusAID, was piloted in 11 hospitals in the Philippines, and has yielded favorable results.
The recommended EINC practices during the intrapartum period include continuous maternal support by having a companion of choice during labor and delivery, freedom of movement during labor, monitoring progress of labor using the partograph, non-drug pain relief before offering labor anesthesia, position of choice during labor and delivery, spontaneous pushing in a semi-upright position, non-routine episiotomy, and active management of the third stage of labor (AMTSL).
For newborns, four core steps were recommended in a time bound sequence. A social marketing handle, “The First Embrace,” accompanied the initiative for practice change among health workers.
normal newborn ppt by Shrutika Dhongade.pptxRaniDhongade
normal newborn or assessment of normal newborn
definition of a normal newborn
characteristics of a normal newborn
care of a normal newborn
anthropometric assessment of a normal newborn
terminologies used to describe the abormalities in the newborn
nursing care to be provided to the newborn
seminar on newborn
ppt on normal newborn
examination of newborn
care of nweborn given at birth
cord clamping and ligate the cord
Essential newborn care Essential care of a normal newborn can be best provided by the mothers under the supervision of nursing personnel.
About 80% of newborn babies require minimal care.
The normal term baby should be kept with their mother rather than in a separate nursery.
Rooming-in promotes better emotional bondage, prevents cross-infection and establishes breast feeding easily.
Active participation of mothers in the nursing care of the baby develops self-confidence in her.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdf
Essential care of newborn
1. ESSENTIAL NEWBORN
CARE
PRESENTED BY:
A.PRIYADHARSHINI, M.Sc (N),
LECTURER,
DEPT. OF PAEDIATRICS,
JAI INSTITUTE OF NURSING AND RESEARCH,
GWALIOR.
2. INTRODUCTION:
Essential care of the normal healthy
neonates can be best provided by the
mothers under supervision of nursing
personnel or basic/ primary health care
providers. About 80% of the newborn
babies should be kept with their mothers
rather than in a separate nursery.
3. HEALTHY NEWBORN
A healthy infant born at term b/w 38-42
wks should have average birth wt, cries
immediately following birth, establishes
independent rhythmic respiration & quickly
adapts to the changed environment.
4. IMMEDIATE BASIC CARE
Maintenance of temperature
Establishment of open airway & circulation
Identification of newborn
Vitamin K injection
Initiation of breastfeeding.
5. Maintenance of temperature:
Immediately dry the infant under a
radiant warmer
Skin to skin contact with the mother.
Keep neonates head covered.
Rooming in (The baby should not be
separated from the mother)
6. Establishment of open airway:
(Majority of babies cry at birth & take
spontaneous Respiration)
When the head is delivered birth
attendant immediately suction the
secretions, wipe mucus from face and
mouth and nose.
7. Suction the mouth and nose by using bulb
syringe
Keep head slightly lower than the body
Position the Baby on their backs or tilted to
the side, but not on their stomachs.
8. Importance of suctioning:
Several natural mechanisms help with this:
As the fetal chest passes through the birth
canal it is compressed, squeezing excess
fluid out of the lungs prior to the baby taking
its' first breath.
After several seconds in this "partly
delivered" position, fluid can be seen
streaming out of the baby's nose and mouth.
9. Contd…
After birth, babies will be cough and
sneeze, mobilizing additional fluid that
may be in their lungs.
10. APGAR SCORING
CRITERIA 0 1 2
Respiration Absent Slow, irregular Good, crying
Heart rate Absent Slow (Below 100) More than 100
Muscle tone Flaccid Some flexion of Active body
extremities movements
Reflex response No response Grimace Cry
Skin color Blue, pale Body pink, Completely pink
extremities blue
11. TOTAL SCORE = 10
No depression: 7-10
Mild depression: 4-6
Severe depression: 0-3
12. Newborn Identification:
Newborn Identification Before a baby
leaves the delivery area, identification
bracelets with identical numbers are placed
on the baby and mother. Babies often have
two, on the wrist and ankle.
13. Vitamin K:
Vitamin K Prevent neonatal
hemorrhage during first few days of life
before infant is able to produce Vitamin K
administration:
Term infants (1mg) - IM
Preterm infants (0.5mg) – IM
14. • Alternative Route:
Oral Dose: 2mg orally at birth;
Repeat dose (2mg) at 3-5 days and at 4-
6 weeks of age.
15. Initiation of breastfeeding:
Babies can be breast-fed as soon as the
airway is cleared and they are breathing
normally.
16. DAILY ROUTINE CARE OF NEONATES
The majority of complication of the normal
newborn may occur during first 24 hours
or within 7 days. So close observation &
daily essential routine care is important for
health & survival of the newborn baby.
17. The major goals:
Establish & maintain homeostasis
Stability of normal physiological status.
18. The daily routine care of the neonates are
as follows:
Warmth
Breastfeeding
Skin care & baby bath
Care of umbilical cord
Care of the eyes
Clothing of the baby
20. WARMTH
Warmth is provided by keeping the baby dry &
wrapping the baby with adequate clothing in two
layers, ensuring head & extremities are well
covered. Baby should kept by the side of the
Mother.
BREAST FEEDING
Breastfeeding The baby should be put to the
mother’s breast within half an hour of birth or as
soon as possible the mother has recovered from
the exertion of labour.
21. Skin care & baby bath:
The skin should be cleaned off blood,
mucus & meconium by gentle wiping
before he/she is presented to the mother.
Baby bath can be given at the hospital or
home by using warm water in a warm
room gently & quickly.
First Bath: Once a baby's temperature
has stabilized, the First bath can be given.
22. CORD BLOOD COLLECTION
Make sure cord blood is collected for
analysis and sent to laboratory for checking
of: Rh Blood type, Hematocrit & possible
cord blood gases.
23. CARE OF THE UMBILICAL CORD
Keep the cord stump clean and dry.
Topical application of antiseptics is usually
not necessary unless the baby is living in a
highly contaminated area.
24. Care of the eyes. :
Eyes should be clean at birth & once in
every day using sterile cotton swabs
soaked in sterile water or normal saline.
Separate swabs for each eye.
25. Clothing of the baby:
The baby should be dressed with loose,
soft & cotton cloths. The frock should be
open on the front or back for easy
wearing.
Large button, synthetic frock and plastic
or nylon napkin should be avoided.
29. WEIGHT:
The average daily wt gain for healthy term
babies is about 30gm/day in the first month
of life
It is about 20gm/day in second month
10gm per day afterwards during the first year
of life.
LENGTH: (from top of head to the heel with
the leg fully extended)
Average range: 18-22 inches (46-56 cm)
30. Head circumference:
Head circumference (repeat after molding
and caput succedaneum are resolved).
Average range: 33 to 35 cm (13-14
inches) Normally, 2 cm larger than chest
circumference Place tape measure above
eyebrows and stretch around fullest part of
occipital at posterior fontanel.
31. Chest circumference (at the nipple line):
Average range: 30-33 cm (12-13 inches)
Normally, 2 cm smaller than head
circumference Stretch tape measure around
scapulae and over nipple line.
Immunization:
Newborn should be immunized with BCG
vaccine & ‘0’ dose of ‘OPV’. Hepatitis ‘B’
vaccine can be administered at birth as first
dose & other two doses in one month & 6
months of age.
32. Follow up & Advice:
Each infant should be followed up, at
least once every month for first 3 months
& subsequently 3 month interval till one
year of age.
33. HARMFUL TRADITIONAL PRACTICES
FOR THE CARE OF NEONATES
use of unclean substance such as cow
dung, mud on umbilical card,
immediate bathing,
use of prelacteal feeds,
application of kajal in the newborn eyes,
instillation of oil drops into ears & nostrils,
34. during bathing the baby use of unhygienic
herbal water,
use of pacifiers,
introduction of artificial feeding with
diluted milk,
giving opium & brandy to neonates
use of readymade expensive formula
foods.
35. Nursing Diagnoses:
• Ineffective airway clearance related to nasal
and oral secretions from delivery.
• Ineffective thermoregulation related to
environment and immature ability for
adaptation.
• Risk for injury related to immature defenses of
the newborn.
• Risk for infection related to immature immune
system
36. Bibliography
• Adele Pillitteri (2010), Maternal and Child Health Nursing,
6th edition, Lippincott Williams and Wilkins Publications.
• Lowdermilk Perry (2007), Maternity and Womens Health
Care, 9th edition, Mosby Elsevier Publications.
• Wong Perry, Hockenberry and Lowdermilk Wilson (2006),
Maternal Child Nursing Care, 3rd edition, Mosby Elsevier
Publications.
• Emily Wone Mckinney, Sharon Smith Murray, Jean Weiler
Ashwill (2009), Maternal Child Nursing, 3rd edition,
Saunders Elsevier Publications.
• Susan A. Orshan (2008), Maternity, Newborn and
Womens Health Nursing, 1st edition, Lippincott Williams
and Wilkins.
37. • D.C. Dutta (2011), Text book of Obstetrics, 7th
edition, New Central Book Agency (P) Limited.
• Meharban Singh (2004), Care of the Newborn,
6th edition, Sagar Publications.
• B.T. Basavanthappa (2006), Textbook of
Midwifery and Reproductive Health Nursing,
1st edition, Jaypee Publications.
• Susan Scott Ricci, Terri Kyle (2009), Maternity
and Pediatric Nursing, 1st edition, Lippincott
Williams and Wilkins.