Immediate newborn care focuses on establishing breathing and maintaining temperature. This includes suctioning the airways, stimulating crying, and keeping the infant warm. Proper newborn care in the nursery includes identification, bathing, umbilical cord care, measurements, eye prophylaxis, vitamin K administration, breastfeeding, immunizations, and monitoring urine and bowel movements. Encouraging parental bonding through visits and physical contact can help parents form strong emotional relationships with their newborns.

2. Introduction
 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.

3. In first 24 hours the
care is given to the
child is called as
immediate care

4. Immediate Care
of the Newborn
• Airway
• Breathing
• Temperature

5. •Suction gently &
quickly using bulb
syringe or suction
catheter
• Starts in the mouth
then, the nose to prevent
aspiration

6. Position properly –
side lying / modified t-
berg
Stimulate crying by
rubbing
Provide oxygen if
necessary

7. Dry immediately
Keep the new born
in radiant warmer
or use droplight
Wrap warmly

8. APGAR Scoring
• Standardized evaluation of the newborn
• Perform 1 minute and 5 minutes after birth
• Involves (5) indicators:
1. Activity
2. Pulse
3. Grimace
4. Appearance
5. Respirations

9. Care of the Newborn in the
Nursery

10. Components
1. Proper identification –tag/bracelet
2. Oil bath/ Warm water bath
3. Cord Care/ Dressing
4. Measurements -
 Weight
 Anthropometric measurements

11. Components
5. Crede’s prophylaxis
6. Vitamin k administration
7. Foot print or marking
8. Vital signs
9. Dressing and wrapping
10. Breastfeeding
11. Immunization
12. Urine and bowel movement

12. Proper Identification
• After delivery, gender
should be determined
• Pertinent records should
be completed
including the ID bracelet
• Before transferring to
nursery, ID tag should be
applied.

13. Bathing

14. Bathing
 Oil bath or complete
warm water from
cleanest to dirtest
part
 DO NOT remove
vernix caseosa
vigorously

15.  The umbilical cord is clamped and cut off at a distance
of 2-3 cm from the newborn’s abdominal wall after
birth

16. Umbilical cord healing

17. conti….

18. Weight/ Anthropometric
Measurements

20. Crede’s Prophylaxis
 It is a practice of washing newborn’s eye with 2% of
silver nitrate solution to protect against neonatal
conjunctivitis caused by Nisseria gonorrhoeae.

21. Vitamin K Administration

22. Foot Printing

23. Vital Signs

24. Dressing/ Wrapping
• Wrap in warm
blanket
• Cover head with
stockinette cap

25. Breast feeding

26. conti….
 Breastfeeding is the feeding of an
infant or young child with breast milk
directly from female human breasts
(i.e., via lactation).
 children be breastfed within one hour
of birth, exclusively breastfed for the
first 6 months.

27. Benefits of breastfeeding


28. Composition
Nutrient mother milk
Water(g) 88
Energy (kcal) 64
Protein(g) 1.1
Carbohydrates (g) 7.4
Fats (g) 3.4
Calcium(mg) 28
Phosphorus(mg) 11
Iron(mg) -
Carotene(mcg) 137
Thiamine(mcg) 0.02
Riboflavin(mcg) 0.02
Vitamin C(mg) 3
Caseinogen/ Lactalbumin
ratio
1:2

29. Immunization
Immunizations are an
important way to
protect the baby from
life-threatening
diseases.

31. Urine and bowel movement
 The first bowel movement
is sticky greenish black
substance called as
Meconium .
 A newborn usually passes
urine for first time with in
24 hours after birth.

32. CARE OF FAMILY

33. PARENTAL BONDING
• Bonding is the special emotional relationship that
parents develop with their infant. Bonding starts
during early pregnancy, especially after the mother
first feels her fetus move

34. Conti….
 • Bonding is often poor with preterm infants when the
parents are separated from their newborn infant.
Anxiety about a sick infant or an infant with a birth
defect can also interfere with the normal bonding
process

35. ENCOURAGE THE BONDING
PROCESS
 • During pregnancy you should
encourage the parents to speak
about their unborn fetus. They
should think of possible names.
 • When available, an antenatal
ultrasound photograph of the
fetus strengthens bonding.

36. GRANDPARENTS AND SIBLINGS BE
ALLOWED TO VISIT A NEWBORN INFANT
• Grandparents should be
encouraged to visit the
newborn infant,
especially if the
grandmother is going to
help care for the infant.

37. conti….
• Brothers and sisters
should also be
allowed to visit the
infant. They can even
touch the infant if
they first wash their
hands

38. PARENTS BE ENCOURAGED TO BOND WITH
AN INFANT WHO HAS A BIRTH DEFECT

39. Conti….
 • The sooner the parents are told of the abnormalities
the better. If possible, tell the parents together.
 • Encourage them to handle the infant. Point out the
normal as well as the abnormal features.

40. Summarization
Introduce the newborn care.
Immediate basic care at birth.
Care of the new born at birth.
Care of family.