Essential Newborn Care Presentation by: Miss Charuta Kunjeer MSc : Child Health Nursing
Objectives General objective : At the end of the class students will be able to understand and gain indepth knowledge regarding essential care of newborn. Specific objectives: Students will be able to : Define essential newborn care Know about purposes of essential newborn care Explain the components of essential newborn care
Definition 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
Purposes To make sure baby is thriving. Early detection of problems or danger signs. Helping the mother to meet the baby’s basic needs like warmth, feeding, infection prevention. Baby breast feed within 1 st hour.
( Continued ) Advising and encouraging mother rot breast feed exclusively. Advising mother and family m embers about danger signs and baby care. Treatment of key problems such as asphyxia and sepsis. Making plans for continuing care immunizations and growth monitoring.
Components Preparation for baby’s birth Immediate newborn care Newborn care during the first day Newborn history and physical examination Care of newborn during the first 28 days Teach and counsel mother and family about the newborn care
1. Preparation for baby’s birth a. Prevent infection Wash hands Personal contact infection Use the three infection prevention steps before the baby is born-equipment, supplies and linen and surface Decontamination Cleaning High level of disinfection and sterilization Wear gloves Protect yourself from splashes or spills of blood amniotic fluids –wear eye protection, shoes ,face mask and apron
b. Prepare the birth room : Make sure that the room is - Clean , Warm , Light , Private c. Records: Newborn record cards Immunization cards Mothers records of AN, labor and delivery d. Collect the equipment supplies : Medicines for the birth room and immediate postnatal care
2. Immediate Newborn Care A. Initial Care B. Clearing airway C. Decide if baby needs resuscitation D. Clamping and cutting the cord E. Dry and stimulate the baby F. As s ess t he baby ’ s breathing and colour
G. Preventing infection H. Maintaining the body temperature I. Prevention of heat loss J. Assessing the baby’s condition APGAR K. Weight L. Clothing M. Eye care N. Identification of baby and mother O. Administration of Inj Vit K
Assess the baby Breathing Warmth Colour Bleeding Give normal newborn care : Keep warm, Support breast feeding Other care for any problems or needs : ⦿ Newborn physical examination ⦿ Common newborn problems h. Immunizations BCG and polio 3. Newborn care during first day
4. Newborn history and physical examination History collection Objectives of physical examination To detect congenital anomalies To detect illness and birth injuries To record body measurement and vital signs c. Identify needs or problems
5. Care of newborn during the first 28 days Observation General care (Warmth , Sleep , Vital signs check , Love and care) Physical assessment Immunization Safety and security Newborn danger signs Plan f or follow up visits
6. Teach and counsel mother and family about the newborn care
Bibliography Paraul datta , pediatric nursing, second edition, jaypee publication Rimple sharma’s , essentials of pediatric nursing, second edition Ghai essentials pediatrics, ninth edition, cbs publishers and distributors