Newborn care involves critical practices from birth to one month, including establishing respiration, preventing hypothermia, infection, and ensuring cleanliness. Essential procedures include airway clearance, temperature maintenance, administering vitamin K, and initiating breastfeeding while using specific tools and techniques. Nurses play a vital role in monitoring, educating parents, and documenting the health status of both the newborn and the mother.

1. BY.,
MR. ABHIJIT BHOYAR
M SC. NURSING
CHILD HEALTH

2. Care provided to the newborn from
the time of birth to about the first
month of life is known as the
newborn care
What is newborn care ?
Newborn
baby

3. 1. To clear air passage and facilitate breathing.
2. To observe for any external anomalies.
3. To provide adequate warmth.
4. To prevent injury and infection.
5. To keep the baby clean.
6. To help the newborn to adopt to the extra- uterine
environment
Purposes behind newborn care.

4. Preparation for delivery
Establishment of respiration
Prevention of hypothermia
Key principles of newborn care
Prevention of infection
Establishment of breastfeeding

5. Articles needed for newborn care
Suction
machine
Mucous
sucker
Radiant
Warmer
Cord clamp
Sterile cotton
balls
Sterile cord
cutting scissor
Measuring tape
Rectal
thermameter

6. Articles needed for
newborn care
Emergency medication
Syringes
Baby sheets
Identification tags
Gloves
Clean tray
Sthethoscope
Sterile linen

7. 1. The emergency equipment for neonatal
resuscitation is to be always kept ready in
neonatal area.
2. Do not stimulate baby (Rubbing the back on
suctioning nose) if the amniotic fluid is muconium
stained.
3. If any deviation from the normal is anticipated a
neonatologist is to be informed
General Instruction for newborn
care
Avoid
back rub

8. PROCEDURE (newborn care)
S. N. Procedure Rational
1 Place the baby soon after
delivery in a tray with sterile
linen with head slightly
downward
Facilitate drainage of the
mucous accumulated in the
tracheobroncheal tree by the
gravity
2 Place the tray between the legs
of the mother at a lower level
than uterus
Facilitate gravitational flow of
blood from placenta to the
fetus

9. PROCEDURE (newborn care)
S. N. Procedure Rational
3 Clean the air passage of the
newborn using the mucous
extractor or bulb syringe.
Maintain patent airway
4 Check “APGAR” rating at one
minute and five minute and
record
Assess the health status of the
newborn

10. PROCEDURE (newborn care)
S. N. Procedure Rational
5 Clamp and cut the cord. Cord is
to be clamped divided and
examined following birth of
baby
To identifies abnormality,
Separate the baby from
mother for extra uterine life
6 Dry the baby thoroughly.
Remove the linen and wrap the
baby in dry, warm
blanket/sheets
To prevent loss of heat by
evaporation and chilling
cut the cord
wrap the baby

11. PROCEDURE (newborn care)
S. N. Procedure Rational
7 Tie the identification tags which
has the mothers name and the
hospital number, wriest of both
the mother & baby & on leg of
baby
To avoid confusion between
staff and chances of wrong
identification.
8 Apply cord clamp and cut the
cord shorten to desired length.
To separate baby from mother
& avoid blood loss
Identification tags
Apply cord clamp

12. PROCEDURE (newborn care)
S.
N.
Procedure Rational
9 Place the baby under a
radiant warmer until
temperature is stable.
To maintain body
temperature of baby
10 Clean the eyes with
sterile cotton balls
soaked in sterile water.
To reduce eye
infection

13. PROCEDURE (newborn care)
S. N. Procedure Rational
11 Instill soframycin eye drop/
erythromycin eye ointment to each
eye.
Act as prophylaxis against
ophthalmic neonatorum &
Chlamydia trichimosis.
12 Cloth the baby using a dress that is
appropriate for the climate.
Extremities should be free for
movement
Moisture increases chances of
microorganism colonizing in the skin.

14. PROCEDURE (newborn care)
S. N. Procedure Rational
13 Check potency of rectum by
introducing lubricated rectal
thermometer.
Identifies imperforated anus
14 Check the weight & length of the baby. To know the Normal measurement
15 Check vital signs To identifies Normal measurement

15. PROCEDURE (newborn care)
S. N. Procedure Rational
16 Administer vitamin K, 1mg
Intramuscularly.
To minimizes risk of
hemorrhage.
17 Administered prophylactic
antibiotic therapy if ordered in
case of – PROM, Instrumental
delivery
To prevent secondary
infection
Administer vitamin K

16. PROCEDURE (newborn care)
S. N. Procedure Rational
18 Observe the baby frequently
atleast for 4 to 8 hours.
Identify any abnormal sign
developing in newborn
19 Fill baby card (Crib card) &
antenatal folder & document it.
Acts as a communication
between the staff member.

17. 1. Maintenance of temperature.
2. Establishment of open airway and
circulation.
3. Identification of newborn
4. Vitamin k injections
5. Initiation of breastfeeding
Care provided to the newborn
includes

18. For Maintenance of temperature
What
to
do?
- Immediate dry the
infant under radiant
heat warmer
•skin to skin contact
with mother
•keep neonate head
•covered
•ROOMING IN

19. • When head is delivered birth attendant
immediately suction the secretion, wipe
mucous from the face, mouth & nose
• Suction the mouth & nose of baby.
• Keep head slightly lower than the body.
What
to
do? For establishment of open

20. What
to
do? For identification of baby
Identification tags
For vitamin k injection
Administer vitamin K
Intramuscularly

21. As early as possible
What
to
do? Initiation of breastfeeding

22. • Attending births
• Measuring and weighting infants
• Caring for and monitoring health of the infant after
birth.
• Educating new parents about the breastfeeding and
care of child
• Monitor the vital signs of both the baby and mother
Role of nurse in newborn care

23. THANK
YOU