Babies are such an amazing gift and becoming a parent, regardless of whether it’s for the first or sixth time, is one of the most rewarding and humbling experiences of one’s life.But babies are born weak and helpless. They even cannot express their demand of basic needs and discomfort.Parents are also remain anxious about their baby.
Here is a little effort to help new parents to understand their neonates behavior and some basic reflex . I Wish this slide may help you a little bit .Best of luck........
The average fetal heart rate is between 110 and 160 beats per minute. It can vary by 5 to 25 beats per minute. The fetal heart rate may change as your baby responds to conditions in your uterus. An abnormal fetal heart rate may mean that your baby is not getting enough oxygen or that there are other problems.
Apgar is a quick test performed on a baby at 1 and 5 minutes after birth. The 1-minute score determines how well the baby tolerated the birthing process. The 5-minute score tells the health care provider how well the baby is doing outside the mother's womb. In rare cases, the test will be done 10 minutes after birth.
Fourth stage of labor: The hour or two after delivery when the tone of the uterus is reestablished as the uterus contracts again, expelling any remaining contents. These contractions are hastened by breastfeeding, which stimulates production of the hormone oxytocin.
Topic 03: 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.
Gestational Age Assessment
An accurate assessment of age is important for 2 reasons
• Age and growth patterns appropriate to that age aid in identifying neonatal risks
• Help in developing management plans
Gestational age can measure by weight for gestational age chart.
Gestational Age Number of weeks that have elapsed since the first day of the last menstrual period to the time of birth. This is usually retrieved from mother’s Antenatal History.
Gestational Age:
• SGA- small for gestational age-weight below 10th percentile •
• AGA-weight between 10 and 90th percentiles
• LGA-weight above 90th percentile
Behavioural Assessment
While babies may not speak their first word for a year, they are born
Visit http://safesoundbabies.com for updated information about this campaign.
Overview of "Our Babies: Safe & Sound" campaign to prevent incidence of Shaken Baby Syndrome and accidental death due to unsafe infant sleeping.
Presented at Growing Healthy Children Conference, Nov. 12, 2009 in Charleston, WV.
The average fetal heart rate is between 110 and 160 beats per minute. It can vary by 5 to 25 beats per minute. The fetal heart rate may change as your baby responds to conditions in your uterus. An abnormal fetal heart rate may mean that your baby is not getting enough oxygen or that there are other problems.
Apgar is a quick test performed on a baby at 1 and 5 minutes after birth. The 1-minute score determines how well the baby tolerated the birthing process. The 5-minute score tells the health care provider how well the baby is doing outside the mother's womb. In rare cases, the test will be done 10 minutes after birth.
Fourth stage of labor: The hour or two after delivery when the tone of the uterus is reestablished as the uterus contracts again, expelling any remaining contents. These contractions are hastened by breastfeeding, which stimulates production of the hormone oxytocin.
Topic 03: 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.
Gestational Age Assessment
An accurate assessment of age is important for 2 reasons
• Age and growth patterns appropriate to that age aid in identifying neonatal risks
• Help in developing management plans
Gestational age can measure by weight for gestational age chart.
Gestational Age Number of weeks that have elapsed since the first day of the last menstrual period to the time of birth. This is usually retrieved from mother’s Antenatal History.
Gestational Age:
• SGA- small for gestational age-weight below 10th percentile •
• AGA-weight between 10 and 90th percentiles
• LGA-weight above 90th percentile
Behavioural Assessment
While babies may not speak their first word for a year, they are born
Visit http://safesoundbabies.com for updated information about this campaign.
Overview of "Our Babies: Safe & Sound" campaign to prevent incidence of Shaken Baby Syndrome and accidental death due to unsafe infant sleeping.
Presented at Growing Healthy Children Conference, Nov. 12, 2009 in Charleston, WV.
This is a presentation I made while I was going through my college days. A presentation which included 5 people all my peers and and a lot of research. You will find all types of Information on Rape with Real Case studies ranging from Man Raped by a woman to the Infamous Hannah Foster Rape Case. Read and Share so that everyone can know more about this heinous crime.
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Our Endeavour at Dr L H Hiranandani Hospital is to give very committed & precise neonatal care, so that childbirth which is the most beautiful, miraculous & probably the single most dangerous event that most of us have to encounter in our lifetime. Visit: https://www.hiranandanihospital.org
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International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
CANSA has compiled a list of tips and guidelines of support:
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The Importance of Community Nursing Care.pdfAD Healthcare
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Trauma Outpatient Center is a comprehensive facility dedicated to addressing mental health challenges and providing medication-assisted treatment. We offer a diverse range of services aimed at assisting individuals in overcoming addiction, mental health disorders, and related obstacles. Our team consists of seasoned professionals who are both experienced and compassionate, committed to delivering the highest standard of care to our clients. By utilizing evidence-based treatment methods, we strive to help our clients achieve their goals and lead healthier, more fulfilling lives.
Our mission is to provide a safe and supportive environment where our clients can receive the highest quality of care. We are dedicated to assisting our clients in reaching their objectives and improving their overall well-being. We prioritize our clients' needs and individualize treatment plans to ensure they receive tailored care. Our approach is rooted in evidence-based practices proven effective in treating addiction and mental health disorders.
Cold Sores: Causes, Treatments, and Prevention Strategies | The Lifesciences ...The Lifesciences Magazine
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The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
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Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
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The global radiation oncology market size reached US$ 8.1 Billion in 2023. Looking forward, IMARC Group expects the market to reach US$ 14.5 Billion by 2032, exhibiting a growth rate (CAGR) of 6.5% during 2024-2032.
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COVID-19 PCR tests remain a critical component of safe and responsible travel in 2024. They ensure compliance with international travel regulations, help detect and control the spread of new variants, protect vulnerable populations, and provide peace of mind. As we continue to navigate the complexities of global travel during the pandemic, PCR testing stands as a key measure to keep everyone safe and healthy. Whether you are planning a business trip, a family vacation, or an international adventure, incorporating PCR testing into your travel plans is a prudent and necessary step. Visit us at https://www.globaltravelclinics.com/
2. “The moment a child is born ,the mother is also born. The women exist but
the mother never. A mother is something absolutely new……………..
3. Bringing home your new baby will be one of the
happiest days of your life. Many new parents might
not know what is considered "normal" newborn
behavior. Babies develop at different rates, but they
still display many of the same behaviors.
*** If your baby was born prematurely, don’t
compare his or her development to that of full-term
newborns. Premature babies are often
developmentally behind full-term babies.
5. A pink chest and face shows that your baby is getting enough
oxygen.
Your baby’s hands and feet may be blue, purple or grey and
cool to the touch for the first few days – this is normal.
Your baby’s skin may get blotchy and red after crying or when
cold.
*** If the skin on your baby’s face or chest becomes blue or grey
talk with your physician .
7. It is common for newborns to experience irregular breathing.
Newborns may stop breathing for five to 10 seconds and
then immediately begin breathing again on their own. This is
normal.
*** But if your baby stops breathing for longer than 10 seconds
or begins to turn blue, call doctor immediately or take your
baby to the emergency room.
9. Newborn babies usually sleep 20 minutes to four hours at a
time, up to 20 hours a day.
Their stomachs are too small to keep them full for long, so
they need to be fed every few hours.
Babies have different sleeping habits, but at three months
most babies sleep six to eight hours a night.
10. What are the signs of sleep readiness?
Your baby may show signs of being ready for sleep when
you see the following signs:
Rubbing eyes
Yawning
Looking away
Fussing
12. Newborns might cry for several hours a day.
Newborns cry when they:
Are hungry
Are tired
Are too cold or too hot
Need their diaper changed
Need to be comforted
Have gas
Are over-stimulated
Are sick
13. Never shake your baby under any
circumstance. Shaking your baby can
cause serious brain damage, known
as Shaken Baby Syndrome, resulting
in lifelong disabilities.
15. Babies are all born with extra fluid and they need to lose that
extra fluid first and then they become hungry .(All babies lose
weight in the first week of life so do not worry)
colostrum (or first milk) and then transitional milk, which is
very important for baby’s immune system.
Generally, breastfed babies will want to eat every 1.5 hours
to 3 hours.
17. Babies are born with the ability to focus only at close range —
about 8 to 10 inches.
In the first weeks she can see only in black and white and
mostly shadows.
Over the next 2 months, vision develops very quickly and she
will be able to see across the room and by 6-8 weeks even
smile back at you!
19. Usually baby has her first bowel
movement within 24 hours.
Stool will change over from dark and
thick tarry black (meconium) to green
(transitional stool) to yellow and seedy
by day 5- 6 for breast milk fed babies.
Formula fed babies will end up with
beige and slightly more solid stools
than breast fed babies.
21. Studies have found that newborns have a strong sense of
smell. Newborns prefer the smell of their own mother,
especially to her breast milk !!!
Babies prefer sweet tastes over sour or bitter tastes.
Babies are comforted by touch. Placing a hand on the baby's
abdomen, or cuddling close can help a baby feel more secure.
23. Hearing is fully developed in newborns.
Babies with normal hearing should startle in response to loud
sounds. These babies will also pay quiet attention to the
mother's voice, and briefly stop moving when sound at a
conversational level is begun.
Newborns seem to prefer a higher-pitched voice(the mother's)
to a low sounding voice (males).
25. The rooting reflex —The newborn turns in the
direction of food and is ready to suck
The sucking reflex —If you place an object in a
baby’s mouth, the baby naturally begins to suck.
The startle response —The baby throws out his or
her arms and legs and then curls them in when
startled. This response often includes crying.
26. The tonic neck reflex —The baby turns his or her head
to one side and holds out the arm on the same side.
The grasp reflex —The baby’s fingers close tightly
around an object placed in his or her palm.
The stepping reflex —The baby’s feet imitate a
stepping action when he or she is held upright
with the feet touching a hard surface. A baby’s
arms, legs, and chin might tremble, especially
when crying. This occurs because newborns’
nervous systems are not fully developed.
28. Call your doctor immediately if your baby:
Has blood in his or her vomit or stool
Has difficulty breathing
Has a seizure
Has any type of poisoning
Has bleeding that you cannot stop
Is not able to move
Has yellow skin or eyes
Has a rectal temperature of 100.4 degrees Fahrenheit or higher
Sleeps more than usual or will not wake up
Is limp
29. Thank you all for your visiting ……….
Adnan- ul- islam
B.Pharm. (R.U)