F-IMNCI CARE OF A CHILD AT BIRTH

Facility based care of newborn
Helps to know the care newborn in a health centre
Immediate care of a new born

1. F-IMNCI- CARE OF ACHILD AT BIRTH B.SUDHA, PROFESSOR, VMCON, PUDUCHERRY.

2. CARE AT BIRTH Learning Objectives : After completion of this section the participant should be able to- • Prepare newborn corner for providing care at birth • Provide care at birth for all newborns • Identify and manage newborns who may need special care

3. BASIC NEEDS The four basic needs of ALL new borns at the time of birth and for the first few weeks of life are : 1. To be warm 2 . To breathe normally 3 . To be protected (prevent infection) 4 . To be fed

4. New born Care Corner This is a space within the delivery room for facilitating immediate care of the new born. Immediate New born Care: The immediate care needed for all babies at birth is outlined in the flow diagram.

5. Immediate New born Care Immediate New born Care Assess by checking • Is the baby Term gestation? • Is the amniotic fluid clear? • Is the baby Breathing or crying? • Does the baby have Good muscle tone? If yes, provide Routine care If no Proceed for resuscitation.

6. ROUTINE CARE Place the baby on the mother’s abdomen • Dry the baby with a warm clean sheet. Do not wipe off vernix . • Wipe the mouth and nose with a clean cloth • Clamp the cord after 1-3 min and cut with a sterile instrument. Tie the cord with a sterile tie • Examine the baby quickly for malformations/birth injury • Leave the baby between the mother’s breasts to start skin-to-skin care . • Support initiation of breastfeeding • Cover the baby’s head with a cloth. Cover the mother and baby with a warm cloth • Place an identity label on the baby • Give Inj Vit K 1mg IM (0.5mg for preterm) • Record the baby’s weight • Refer if birth weight < 1500g, has major congenital malformations or has severe respiratory distress

7. METHOD OF HEAT LOSS AND ITS PREVENTION Evaporation (e.g. Wet baby )- Immediately after birth dry baby with a clean, warm, dry cloth. Conduction (e.g. contact with a cold surface of a weighing scale )- Put the baby on the mother’s abdomen or on a warm surface. Convection( e.g exposure to draught )- Provide a warm, draught free room for delivery at ≥ 25ºC Radiation (e.g. Cold surroundings) -Keep the room warm

8. The baby’s need to breathe normally Follow the steps of resuscitation if the baby is gasping. Those who are breathing normally need to be provided routine care.

9. OTHER ASPECTS OF CARE Immediate Cord Care Care of the eyes Examine the baby quickly for malformations/birth injury. Weighing the baby Initiate breastfeeding within 1 hour

10. Thank u