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Newborn care
Dr. Lavanya
DNB Paediatrics, MRCPCH Paediatrician
A4 Hospital and Fertility Centre
Postnatal environment
Keep the room warm
• Ensure that the mother
and baby are in a warm
room
(>25degree centigrade)
Postnatal Environment
Rooming In
Let the baby be in the
same room as the
mother ideally in her
bed
Everyday
care
• Breast feeding
• Ensure warmth
• Cord care
• Hygiene
Four key elements
• Exclusive on demand
breastfeeding day and
night
• Breastfeeding -
attachment and
positioning should be
learnt before discharge
Breast feeding
Breastfeeding - Cradle hold
• Sit as straight as possible
• Cradle the baby in the arm
• The ear shoulders and hip should
be in a straight line
• Tuck the baby ‘s lower arm out of
the way with her mouth close to
the breast
• Support the breast with the free
hand
Breastfeeding latching
Breastfeeding - Proper
Attachment
• Pain free
• Sucks swallows and pauses
• Chin close to the breast tissue
• Areola- more visible above
baby top lip
• Rounded cheeks
• Mouth open wide
• Stays on the breast and is
contended
Burping baby
• Burp your baby when
feeding time is over to help
prevent milk from coming
back up
• Keep your baby upright for
10-15min or longer
• Don’t worry if your baby
spits sometimes
Ensure warmth
• Dress the baby
• Wrap in soft clean cloth,
cover head with cap
• Assessment of warmth every
4 hours by touching baby feet
• Keep the room warm. If room
not warm cover baby with
blanket or use skin to skin
Ensure warmth
Cord care
• Put nothing on the
stump
• Fold the diaper below
the stump
• visit health care facility
if umbilicus is red or
draining pus/ blood or
adjoining skin is red
Eye care
• Eye discharge is common in new
born
• It is due to blocked tear duct
• However if there is redness in
eye with swelling infection needs
to be ruled out
• Lightly press the tip of index or
little finger against inner nasal
bridge and direct it down wards
Every day care - Hygeine
• Sanitise hand before touching
baby
• Wipe face neck and underarms
daily
• Wipe buttocks when soiled
• Give bath when necessary- dry
the baby thoroughly dress and
cover after bath
• Use leukewarm water for bath
• Do not put anything on baby
eyes and ears
Stools in baby
Breast feed stoolsMemeconium
forFormula fed stools
• Floppy or stiff
• Temp >37.5 ˚c /less
than 35.5 ˚C
• Umbilicus draining pus
or umbilical redness
extending to skin
Danger signs
Require early recognition
and treatment
• Not feeding well
• Less active than before
• Fast breating (>60/min)
• Moderate or severe
chest indrawing
• Abnormal movements
Preparing for
discharge
• Ensure immunisation as per national
schedule
• Feeding well-Sucking effectively 8
times in 24 hours a day
• Passing urine and meconium well
• No danger signs
• Mother confident of taking care of
baby
Summary for
baby care
1. Every day care of the
baby:
○ Breast feeding
○ Warmth
○ Cord care
○ Hygeine
2. Looking for danger signs
Thank You

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Post natal newborn care a4 hospital and fertility centre

  • 1. Newborn care Dr. Lavanya DNB Paediatrics, MRCPCH Paediatrician A4 Hospital and Fertility Centre
  • 2. Postnatal environment Keep the room warm • Ensure that the mother and baby are in a warm room (>25degree centigrade)
  • 3. Postnatal Environment Rooming In Let the baby be in the same room as the mother ideally in her bed
  • 4. Everyday care • Breast feeding • Ensure warmth • Cord care • Hygiene Four key elements
  • 5. • Exclusive on demand breastfeeding day and night • Breastfeeding - attachment and positioning should be learnt before discharge Breast feeding
  • 6. Breastfeeding - Cradle hold • Sit as straight as possible • Cradle the baby in the arm • The ear shoulders and hip should be in a straight line • Tuck the baby ‘s lower arm out of the way with her mouth close to the breast • Support the breast with the free hand
  • 8. Breastfeeding - Proper Attachment • Pain free • Sucks swallows and pauses • Chin close to the breast tissue • Areola- more visible above baby top lip • Rounded cheeks • Mouth open wide • Stays on the breast and is contended
  • 9. Burping baby • Burp your baby when feeding time is over to help prevent milk from coming back up • Keep your baby upright for 10-15min or longer • Don’t worry if your baby spits sometimes
  • 10. Ensure warmth • Dress the baby • Wrap in soft clean cloth, cover head with cap • Assessment of warmth every 4 hours by touching baby feet • Keep the room warm. If room not warm cover baby with blanket or use skin to skin
  • 12. Cord care • Put nothing on the stump • Fold the diaper below the stump • visit health care facility if umbilicus is red or draining pus/ blood or adjoining skin is red
  • 13. Eye care • Eye discharge is common in new born • It is due to blocked tear duct • However if there is redness in eye with swelling infection needs to be ruled out • Lightly press the tip of index or little finger against inner nasal bridge and direct it down wards
  • 14. Every day care - Hygeine • Sanitise hand before touching baby • Wipe face neck and underarms daily • Wipe buttocks when soiled • Give bath when necessary- dry the baby thoroughly dress and cover after bath • Use leukewarm water for bath • Do not put anything on baby eyes and ears
  • 15. Stools in baby Breast feed stoolsMemeconium forFormula fed stools
  • 16. • Floppy or stiff • Temp >37.5 ˚c /less than 35.5 ˚C • Umbilicus draining pus or umbilical redness extending to skin Danger signs Require early recognition and treatment • Not feeding well • Less active than before • Fast breating (>60/min) • Moderate or severe chest indrawing • Abnormal movements
  • 17.
  • 18. Preparing for discharge • Ensure immunisation as per national schedule • Feeding well-Sucking effectively 8 times in 24 hours a day • Passing urine and meconium well • No danger signs • Mother confident of taking care of baby
  • 19. Summary for baby care 1. Every day care of the baby: ○ Breast feeding ○ Warmth ○ Cord care ○ Hygeine 2. Looking for danger signs
  • 20.