Care of normal newborn
This presentation is the property of its rightful owner.
Sponsored Links
1 / 22

Care of Normal Newborn PowerPoint PPT Presentation


  • 239 Views
  • Uploaded on
  • Presentation posted in: General

Care of Normal Newborn. Principles of care at birth. Establishment of respiration Prevention of hypothermia Establishment of breastfeeding Prevention of infection Identification of at risk neonates. Care of normal newborn. Preparation before delivery

Download Presentation

Care of Normal Newborn

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Care of normal newborn

Care of Normal Newborn

NC-


Principles of care at birth

Principles of care at birth

Establishment of respiration

Prevention of hypothermia

Establishment of breastfeeding

Prevention of infection

Identification of at risk neonates

NC-


Care of normal newborn1

Care of normal newborn

  • Preparation before delivery

  • Immediate care at and after birth

  • Essential postnatal care

NC-


Contents of clean delivery kit at home

Contents of clean delivery kit (at home)

  • Soap for washing hands; ensure clean and boiled water

  • 2 to 3 sterilized cord ties

  • A new clean blade / boiled at home

    instrument to cut cord

  • Clean sun-dried cloth / sheet, small gauze

    pads

  • A clean plastic envelope / cloth to keep

    the kit in

NC-


Care of normal newborn

‘Five cleans’ to prevent infection

NC-


Physical facilities for resuscitation at hospital

Physical facilities for resuscitation (at hospital)

  • Resuscitation corner with warmer

  • Contents of resuscitation kit

  • Suction catheter 10 Fr, De Lee trap,

    suction machine

  • Resuscitation bag and masks

NC-


Physical facilities for resuscitation at hospital1

Physical facilities for resuscitation (at hospital)

  • Infant laryngoscope with blades

  • Endotracheal tubes (2.5, 3.0, 4.0 mm)

  • Medications – epinephrine, naloxone,

    normal saline, sodium bicarbonate

  • Plenty of disposables

NC-


Care of normal newborn

Newer

guidelines

for

neonatalresuscitation

NC-


Concept of routine care supportive care and ongoing care

Concept ofRoutine Care, Supportive care and Ongoing Care

NC-


Care of normal newborn

NC-


Immediate care after birth

Immediate care after birth

  • Prevent hypothermia

  • Eye, skin, cord care

  • Give injection vitamin K

  • Breastfeed within ½ hour of birth

  • Search for malformations

NC-


Increased risk of malformation

Increased risk of malformation

  • Single umbilical artery

  • Simian crease

  • Dysmorphic features

  • Asymmetric cry due to absence of Depressor Angularis Oris Muscle

  • Excessive drooling of saliva

NC-


Quick screening for malformations

Quick screening for malformations

  • Screen from top to bottom and in midline

  • Orifice examination

    • Anal opening

    • Oesophagus patency*

    • Choanal atresia

      * SFD baby, polyhydramnios, excessive drooling,

      single umbilical artery

NC-


Essential postnatal care

Essential postnatal care

  • Nurse in thermal comfort

    (warm to touch, pink soles)

  • Check umbilicus, skin, eyes

  • Good sucking at breast

  • Screen for danger signals

  • Advice on immunization

NC-


Care of umbilical stump

Care of umbilical stump

  • Inspect 2 to 4 hours after ligation for

    bleeding

  • Do not apply anything, keep cord

    clean and dry

  • Inspect for discharge or infection till

    healing occurs

NC-


Care of the skin

Care of the skin

  • Dry using soft prewarmed clean cloth

  • Bathing soon after birth is not

    recommended

  • Do not make vigorous attempts to

    remove vernix caseosa

  • Inspect for superficial infections

NC-


Care of the eyes

Care of the eyes

  • Clean at birth and subsequently daily

  • No kajal application

  • For sticky eyes use normal saline or

    appropriate medication

  • Nasolacrimal duct blockage, Massaging helps

NC-


Summary care of normal neonates at home

Summary: care of normal neonates at home

  • Protect from cold/ heat

  • Keep umbilical stump clean and dry

  • Don’t apply anything on cord

  • No application in eyes

  • Exclusive breastfeeding - day and night for six months

NC-


Weight change pattern in term baby

Weight change pattern in term baby

  • May loss up to 5-7% during first 3-5

    days

  • Regains birth weight by 7-10 days

  • Gains 30 g/day during 1st month

NC-


Danger signs

Danger signs

  • Lethargy

  • Hypothermia

  • Respiratory distress

  • Cyanosis

  • Convulsions

  • Abd distension

  • Bleeding

  • Yellow palms/ sole

  • Excessive wt loss

  • Vomiting

  • Diarrhoea

NC-


Follow up visit objectives

Follow up visit: Objectives

  • Assess growth & development

  • Early diagnosis and management of illness

  • Health education

    • Exclusive breastfeeding for 6 months

    • Complementary feeds after 6 months

    • Spacing of family

NC-


Immunization

Immunization

AgeVaccine Optional

0-7 days BCG, OPV, Hep B

6 Weeks OPV,DPT, Hep B Hib

10 Weeks OPV,DPT, Hep B* Hib

14 Weeks OPV, DPT, Hep B Hib

9 months Measles

15 months MMR

18 months OPV, DPT Hib

School entry(4-5 yrs) OPV, DT

10 years Tetanus toxoid (every 5 years)

* May omit this dose of hepatitis B vaccine if birth dose is given

NC-


  • Login