As per F- IMNCI, the sick child is transported to tertiary centre.

1. NEONATAL TRANSPORT
B.SUDHA
PROFESSOR
VMCON

2. Learning Objectives
After completion of this module, you should be
able to:
• Identify babies who need referral
• Provide counseling and family support
• To prepare and organize referral
• To provide pre-referral stabilization and advice
enroute

3. Indications of transfer to neonatal
care unit
• Babies with birth weight <1500g
• Babies needing mechanical ventilation
• Shock not responding to fluid challenge and
vasopressors
• Jaundice needing exchange transfusion
• Major congenital malformations e.g. Tracheo-
esophageal fistula, diaphragmatic hernia,
meningomyelocele etc.
• Refractory seizures
• Abdominal distension with bilious vomiting

4. Components of neonatal transport
1. Assess
• Make careful assessment of the baby. Make sure that there is a
genuine indication for referral.
2. Stabilize the neonate
• Stabilize with respect to temperature, airway, breathing, circulation
and blood sugar. Give first dose of antibiotic Injection ampicillin and
gentamycin.
3. Write a note
• Write a precise note for the providers at the referral facility
providing details of the baby’s condition, reasons for referral and
treatment given to the baby.
4. Encourage mother to accompany
5. Arrange a provider to accompany

5. Communication and family support
1. Allow parents to see and touch their child
prior to transport.
2. Thorough explanation ought to be given of
the clinical problems and anticipated transport
care. Explain where to go and indicate whom to
contact.
3. Ensure communication with the referral
facility and request for feedback
4. Consider maternal transfer whenever possible

6. Ensure warm transport
1. Skin to skin care
2. Cover the baby
3. Improvised containers

7. Provide other care during
transportation
1. Ensure warm feet – wet clothes avoided
2. Ensure an open airway
- Keep the neck of the baby in slight extension
- Do not cover the baby’s mouth and nose
- Suction mouth and nose if required.
3. Check breathing: Watch baby’s breathing. If the baby stops
breathing, provide tactile stimulation to the soles to restore
breathing. If breathing not established, initiate bag and mask
ventilation.
4. Provide feeds: Breast feed if baby is active. If the baby is
able to feed but the mother is unable to accompany and
breastfeed the baby, the baby must be fed using an
alternative feeding method. Insert a gastric tube if necessary.

8. THANK U