immediate care of newborn

1. Essential Newborn Care
Presentation by: Miss Charuta Kunjeer
MSc : Child Health Nursing

2. Objectives
 General objective:
At the end of the class students will be able to understand and
gain indepth knowledge regarding essential care of newborn.
 Specific objectives:
Students will be able to :
1. Define essential newborn care
2. Know about purposes of essential newborn care
3. Explain the components of essential newborn care

3. 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

4. Purposes
1) To make sure baby is thriving.
2) Early detection of problems or danger signs.
3) Helping the mother to meet the baby’s basic needs like
warmth, feeding, infection prevention.
4) Baby breast feed within 1st hour.

5. ( Continued )
4) Advising and encouraging mother rot breast feed
exclusively.
5) Advising mother and family members about danger
signs and baby care.
6) Treatment of key problems such as asphyxia and sepsis.
7) Making plans for continuing care immunizations and
growth monitoring.

6. Components
1) Preparation for baby’s birth
2) Immediate newborn care
3) Newborn care during the first day
4) Newborn history and physical examination
5) Care of newborn during the first 28 days
6) Teach and counsel mother and family about the
newborn care

7. 1. Preparation for baby’s birth
a. Prevent infection
 Wash hands
 Personal contact infection
 Use the three infection prevention steps before the baby is
born-equipment, supplies and linen and surface
 Decontamination
 Cleaning
 High level of disinfection and sterilization
 Wear gloves
 Protect yourself from splashes or spills of blood amniotic
fluids –wear eye protection, shoes ,face mask and apron

8. b. Prepare the birth room :
Make sure that the room is - Clean, Warm, Light, Private
c. Records:
 Newborn record cards
 Immunization cards
 Mothers records ofAN, labor and delivery
d. Collect the equipment supplies :
 Medicines for the birth room and immediate postnatal care

9. 2. Immediate Newborn Care
A. Initial Care
B. Clearing airway
C. Decide if baby needs resuscitation
D. Clamping and cutting the cord
E. Dry and stimulate the baby
F. Assess the baby’s breathing and colour

10. G. Preventing infection
H. Maintaining the body temperature
I. Prevention of heat loss
J. Assessing the baby’s condition APGAR
K. Weight
L. Clothing
M. Eye care
N. Identification of baby and mother
O. Administration of Inj Vit K

11. a. Assess the baby
b. Breathing
c. Warmth
d. Colour
e. Bleeding
f. Give normal newborn care : Keep warm, Support breast feeding
g. Other care for any problems or needs :
⦿Newborn physical examination
⦿Common newborn problems
h. Immunizations BCG and polio
3. Newborn care during first day

12. 4. Newborn history and physical
examination
a. History collection
b. Objectives of physical examination
 To detect congenital anomalies
 To detect illness and birth injuries
 To record body measurement and vital signs
c. Identify needs or problems

13. 5. Care of newborn during the first 28 days
 Observation
 General care
(Warmth, Sleep, Vital signs check, Love and care)
 Physical assessment
 Immunization
 Safety and security
 Newborn danger signs
 Plan for follow up visits

14. 6. Teach and counsel mother and family about the
newborn care

15. Bibliography
 Paraul datta, pediatric nursing, second edition, jaypee
publication
 Rimple sharma’s, essentials of pediatric nursing, second
edition
 Ghai essentials pediatrics, ninth edition, cbs publishers and
distributors