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ESSENTIAL CARE OF
NEWBORN
NOEL
ASHITA NAGAR
NURSING FELLOW
BEDI HOSPITAL, LEVEL IIIA NICU
CHANDIGARH
MENTOR: DR VIKRAM BEDI
HOPE EVERYONE IS DOING
FINE
STAY SAFE..!!
CARE OF NORMAL NEWBORN
• Care at birth & resuscitation
• Identification of at risk
newborn
• Establishment of
Breastfeeding
• Prevention of Hypothermia
• Prevention of Infections
• Newborn screening
• Immunisation & discharge
advice
Why Essential
New Born Care??
2.4 million newborns die each year
(38% of all
newborn
deaths) occur in
4 countries of
South Asia
When do they die?
Up to 50%
of neonatal
deaths are in
the first 24 hours
75% of neonatal
deaths are in
the first week
2.4 million newborn deaths – Why?
almost all are due to preventable conditions
Two thirds of all neonatal deaths are in LBW infants
DEFINITION
Essential newborn care is a
comprehensive strategy to
reduce the death of
newborn
through cost effective
interventions before
conception, during
pregnancy, immediately
after
birth and postnatal period
The 6 Cleans’s for Safe Delivery
NEONATAL RESUSCITATION
NORMAL NEWBORN
• Birth Weight 2500 grams or more
• Gestation 37 weeks or more
• Appropriate for gestational age (between 10-90%)
• Does not require active resuscitation
• Infant does not suffer from postnatal illness
• Mother not suffering from any serious complication
AT BIRTH
Lustily Crying &
Active
Newborn Baby
Is A Delight to the
Mother
Obstetrician
Pediatrician
VIGOROUS NON-
VIGOROUS
Poor tone/cry/activity
Needs Resuscitation
HAZAROUS WAYS TO
STIMULATE THE BABY
a. Hot & Cold Compression
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
GENTLE WAYS TO
STIMULATE THE BABIES
a. Rubbing the back
b. Flicking of the heel
c. Flicking the sole of the foot
When a newborn is not
breathing after birth,
URGENT and SKILLED
resuscitation is needed
immediately
WAIT A LITTLE..!
SKIN TO SKIN CONTACT
CONGENITAL MALFORMATION
COMMUNICATION WITH FAMILY
• Congratulate
• Show sex
• Describe the
Condition
• Document / Foot
Print
CARE BEYOND BIRTH
Safe transfer to ward
vis STS contact.
Preshifting
Counselling to
Mother
• How to swaddle - Skin to skin
• In newborn temp is usually unstable
• Warm chain should be maintained
• May develop hypothermia/hyperthermia
that may impose serious cold stress
• Bath is not given at birth.
• In winters clothes should be prewarmed
• Mother should be trained to asses cold
stress
BREAST FEEDING
SUPPORT
• First 6 months
• Every 2-3 hrs or on
demand
• Good latching
Techniques
EXCLUSIVE
BREASTFEEDING
Suck for 15-20 min
Emptying one
breast in each feed
Partially emptied
breast to be fed
first
Active interaction
during feed
LATCHING
• Feeding to be done round the clock
• Gradually night feeds can be reduced
• Burping should be done after feed
• Mother should take additional nutrients
[450 kcal/day]
DURING FIRST 4-6 WEEKS
NORMAL FINDINGS
WEIGHT RECORDING
• Recording to be done on electronic scale with resolution
of +/- 1.0 or 5.0g
• Baby losses weight (5-10%) during first 3-5days of life
then regained by end of first week
• Factor contributing to wt loss including removal of vernix,
mucus, blood from skin, passes of meconium and
reduction extra cellular fluid
• Gains 30gm/day during 1st month
WEIGHT CHANGES IN TERM BABY
LETS REVIEW AGAIN
CYANOSIS RETRACTIONS
YELLOW DISCOLORATION
• Vit K [1.0mg] given at birth by IM route to
prevent hemorrhagic disease
• Vit D supplement is started as breastfed
babies can develop rickets at 3-4 months
• Routine vit D dose should be 400 IU/day
• Routine follow up to be done
SUPPLEMENTS AND FOLLOW UP
Essential new born care Dr Vikram Bedi

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Essential new born care Dr Vikram Bedi

  • 1. ESSENTIAL CARE OF NEWBORN NOEL ASHITA NAGAR NURSING FELLOW BEDI HOSPITAL, LEVEL IIIA NICU CHANDIGARH MENTOR: DR VIKRAM BEDI
  • 2. HOPE EVERYONE IS DOING FINE STAY SAFE..!!
  • 3. CARE OF NORMAL NEWBORN • Care at birth & resuscitation • Identification of at risk newborn • Establishment of Breastfeeding • Prevention of Hypothermia • Prevention of Infections • Newborn screening • Immunisation & discharge advice
  • 5. 2.4 million newborns die each year (38% of all newborn deaths) occur in 4 countries of South Asia
  • 6.
  • 7. When do they die? Up to 50% of neonatal deaths are in the first 24 hours 75% of neonatal deaths are in the first week
  • 8. 2.4 million newborn deaths – Why? almost all are due to preventable conditions Two thirds of all neonatal deaths are in LBW infants
  • 9. DEFINITION Essential newborn care is a comprehensive strategy to reduce the death of newborn through cost effective interventions before conception, during pregnancy, immediately after birth and postnatal period
  • 10.
  • 11.
  • 12.
  • 13. The 6 Cleans’s for Safe Delivery
  • 14.
  • 16.
  • 17.
  • 18. NORMAL NEWBORN • Birth Weight 2500 grams or more • Gestation 37 weeks or more • Appropriate for gestational age (between 10-90%) • Does not require active resuscitation • Infant does not suffer from postnatal illness • Mother not suffering from any serious complication
  • 19. AT BIRTH Lustily Crying & Active Newborn Baby Is A Delight to the Mother Obstetrician Pediatrician
  • 21. HAZAROUS WAYS TO STIMULATE THE BABY a. Hot & Cold Compression 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
  • 22. GENTLE WAYS TO STIMULATE THE BABIES a. Rubbing the back b. Flicking of the heel c. Flicking the sole of the foot
  • 23. When a newborn is not breathing after birth, URGENT and SKILLED resuscitation is needed immediately
  • 25.
  • 26.
  • 27. SKIN TO SKIN CONTACT
  • 28.
  • 29.
  • 31.
  • 32.
  • 33.
  • 34. COMMUNICATION WITH FAMILY • Congratulate • Show sex • Describe the Condition • Document / Foot Print
  • 35. CARE BEYOND BIRTH Safe transfer to ward vis STS contact. Preshifting Counselling to Mother
  • 36.
  • 37. • How to swaddle - Skin to skin
  • 38. • In newborn temp is usually unstable • Warm chain should be maintained • May develop hypothermia/hyperthermia that may impose serious cold stress • Bath is not given at birth. • In winters clothes should be prewarmed • Mother should be trained to asses cold stress
  • 39.
  • 40.
  • 41.
  • 43. • First 6 months • Every 2-3 hrs or on demand • Good latching Techniques EXCLUSIVE BREASTFEEDING
  • 44. Suck for 15-20 min Emptying one breast in each feed Partially emptied breast to be fed first Active interaction during feed LATCHING
  • 45.
  • 46. • Feeding to be done round the clock • Gradually night feeds can be reduced • Burping should be done after feed • Mother should take additional nutrients [450 kcal/day] DURING FIRST 4-6 WEEKS
  • 49. • Recording to be done on electronic scale with resolution of +/- 1.0 or 5.0g • Baby losses weight (5-10%) during first 3-5days of life then regained by end of first week • Factor contributing to wt loss including removal of vernix, mucus, blood from skin, passes of meconium and reduction extra cellular fluid • Gains 30gm/day during 1st month WEIGHT CHANGES IN TERM BABY
  • 50.
  • 52.
  • 53.
  • 54.
  • 55.
  • 56.
  • 59.
  • 60. • Vit K [1.0mg] given at birth by IM route to prevent hemorrhagic disease • Vit D supplement is started as breastfed babies can develop rickets at 3-4 months • Routine vit D dose should be 400 IU/day • Routine follow up to be done SUPPLEMENTS AND FOLLOW UP