Immediate Nursing care of a newborn

Immediate Nursing care of a newborn

1. nursing care of newborn ANAMIKA RAMAWAT M.Sc. Nursing Prev. Batch-2017-18 GCON, Jodhpur

2. Introduction Newborns are one of the most curious and interesting humans you could ever encountered. They continue to become everyone’s joy wherever they go. As their healthcare provider, we are one of them who handled them primarily at the moment they were delivered, so it is up to us to give the best primary care to these little angels before we handover them to their parents. Care provided during the prenatal and neonatal period is critical to ensure the health of mother and baby and new born care is a comprehensive strategy designed to improve the health of new born through intervention before conception, during pregnancy and soon after birth. Components of essential new born care are ensuring warmth, immediate skin to skin care, initiation of early breast feeding, umbilical cord care, eye care, vitamin K administration and immunization.

3. DEFINITION “The period from birth to 28 days of life is called neonatal period and infant in this is termed as neonate or new born baby.” The first week of life is known as early neonatal period and the late neonatal period extends from 7 th day to 28 days of age. Care given to new born during neonatal period is known as new born care.

4. TYPES OF NEWBORN CARE

5. ELEMENTS OF NEW BORN CARE

6. APGAR SCORE Apgar scoring is described by Dr.Virginia Apgar. It is useful to quantitative assessment of newborn’s condition at birth especially for the respiratory, circulatory and neurological status. Five objective criteria are evaluated at 1 minute and 5 minute, after the newborn body is completely born.

7. Each parameter can have the highest score of two and the lowest is 0. The scores of the five parameters are added to determine the status of the infant.

8. 0-3 points :   the baby is serious & in danger and need immediate resuscitation. 4-6 points :  the baby’s condition is guarded and may need more extensive clearing of the airway and supplementary oxygen. 7-10 points :  are considered good and in the best possible health.

9. IMMEDIATE CARE OF NEWBORN Objectives- To establish and maintain respiration. To ensure warmth. To prevent infection. To provide care to the eyes. To provide care to the umbilical cord. To provide care to the skin. To make observation and documentation. To make identification and transfer.

10. CARE AT BIRTH 1. Wipe mouth and nose of secretion after delivery of the head with clean sterile gauze pad. 2. Position- Trendelenburg- Head lower than the body. Side Lying position- to permit drainage of mucus from the mouth. Place a small pillow or rolled towel at the back to prevent newborn from rolling back to supine position. 3. Gently suctioning with bulb syringe and short catheter from mouth first then nose to prevent aspiration of fluid into the lungs. 4. Deliver the baby onto a warm, clean and dry towel or cloth and keep on mother's abdomen or chest (between the breasts). 5. Wipe both the eyes separately with sterile swab.

11. 6. Clamp and cut the umbilical cord after 1 minute, if baby breathing well. 7. Immediately dry the baby with a warm clean towel or piece of cloth. 8. Assess the baby's breathing while drying. 9. Leave the baby between the mother's breasts to start skin-to-skin care for at least an hour. 10. Cover the baby's head with a cap. Cover the mother and baby with a warm cloth. 11. Place an identity label/band on the baby. 12. Encourage mother to initiate breastfeeding (within half an hour of birth in normal delivery) & (after 2 hrs. in LSCS)

12. LATER CARE OF NEWBORN Objectives – To receive the baby in the postnatal ward. To initiate feeding. To preventing infection. To maintain personal hygiene. To observe for early signs of disease or congenital anomalies. To provide parental teaching.

13. I) ENSURING WARMTH

14. II) ESTABLISH NORMAL BREATHING

15. III) INITIATING BREAST FEEDING

16. IV) PREVENTION OF INFECTIONS

17. V) CORD CARE

18. VI) EYE CARE

19. VII) SKIN CARE

20. APGAR VIDEO

21. SUMMARY…

22. Thank You!