Newborn Care of the Baby at Time of Birth Nursing Care Responsibilities

Newborn Care of The Baby at Time of Birth Nursing Care Responsibilities

Definition:-

New Born or Neonate Infant is a infant age is under 28 days of age During  these first 28 days of Newborn life the Newborn Child is at highest risk of Mortality (Dying) In this crucial Newborn care are provided during this neonatal Period to improve the child’s Chance of Survival and to lay the foundation for Healthy life

Newborn care  Nursing Responsibilities

Objectives

prepare Newborn Corner for providing care at birth
provide Care and Identify and manage Newborns who may need Special Care

Four Basic Needs for all Newborns at the time of Birth and for the first few weeks of life care

  • To be worm
  • To Breath normally
  • To be protected (Prevent Infection)
  • To be fed

Newborn care Corner

This is a Space Provided within the Labour Room for facilitating immediate care of the Newborn This Corner is Mandatory for all health facilities where deliveries take place

Equipments in Newborn Care corner

  • Radiant warmer with Bassinet
  • Room Thermometer
  • Wall Clock
  • Suction equipment
  • Laryngoscope (Straight Blade size 0.1)
  • oxygen source ( oxygen Hood, Mask)
  • Self inflating resuscitation bag

Supplies in Newborn Care corner

  • Sterile gloves
  • sterile Cord ties,
  • sterile Blade or Scissors
  • Mucus extractors
  • Feeding tube
  • endotracheal tube (3,3.5 mm sizes)
  • IV Cannula,
  • Splint
  • Emergency drugs
  • Paedia drip set

Immediate Newborn Care

  • The immediate care needed for all babies at birth 
  • Most babies would require routine care
  • 5-10% may need assistance to establish adequate breathing and therefore will need resuscitation.

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

Newborn care Nursing Responsibilities and routine care

  • Check for Air way and Remove Amniotic fluid with help of Mucus Sucker,
  • Stimulate for Crying, 
  • 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 minutes with cord clamp and cut with a sterile instrument.
  • Tie the cord with a sterile tie 
  • Examine the baby quickly for malformations or birth injury 
  • Leave the baby between the mother’s breasts to start skin to skin care (Kangaroo mother Care)
  • Support initiation of breastfeeding,
  • Cover the baby’s head with cloth.
  • Cover the  baby and head with a warm cloth,
  • Place a identity label on the baby,
  • Give injection Vitamin K 1 mg IM(0.5mg for preterm)

When have to Refer the Baby 

  • Record the baby’s weight Refer if birth weight<1500g,
  • has major congenital malformations
  • Baby has severe respiratory distress

 

Keeping the baby warm 

Newborn baby’s temperature falls within seconds of being born.

There are four ways by which a baby may lose heat If the temperature continues to fall the baby

will become sick and may even die,

How to prevent hypothermia in New Born Baby

Method of Heat Loss Prevention of heat loss
Evaporation (e.g. wet Baby) Immediately after birth dry the baby with a clean warm dry cloth
Conduction (e.g. Contact with a cold Surface of weighing Scale) Put the Baby on mother’s abdomen (Kangaroo mother Care)
Convention (e.g.Exposure to drought) Provide a warm drought free Labour room for delivery at > 25 degree Celsius
Radiation (e.g. Cold Surrounding) Keep the room environment warm

Keeping a New Born Warm after Delivary

Dry the Baby immediately after the birth with a warm clean dry clothes,

Give Kangaroo Mother Care – Put the baby on Mothers Abdomen,

Cover the Baby and Mother with Dry warm Cloth,

Support Breast feed as soon as possible immediate birth,

Delay first Baby bath to 1 st 24 hours

If  baby and MotherSeperation is Necessary do the following

wrap the baby in Dry and Clean Warm Cloth, Ensure Baby Head,feet and  Hands 

Place Radiant Warmer,

Umblical Card Care at Immediate Birth, 

Delay the Cord Clamp for 1-3 minutes,Tie the cord away base 2-3 cm,

Cut the Remaining Cord with Sterile Bade or Surgical Scissors,

Laeve the Umblical Cord Uncovered and Dry,

Observe for Bleeding if any oozing of blood Second tie between the skin and Cord Clamp,

Care of eyes,

Wipe with Normal saline only,

Do not apply the any Medications and Instill any Eye drops,

If use Medication orders by Neonatologist only ,

Check for Congenital Malformation or Birth Injury,

If any life thretening malforamation or injuries refer to Neonatologist,

Ex. Anal tresia, Diaphramatic Hermia,

Weighing the baby
Weight the baby before Transfer from the delivary Room,

Intiate breast feeding within 30 minutes of Birth,

Weighing the baby
Weight the baby before Transfer from the delivary Room,

Intiate breast feeding within 30 minutes of Birth,

What are the danger signs of New born ?

Who are giving to Care of New Born Baby they

need to aware that baby can get sick and die,

Difficulty in breathing,
Chest Indrwaing
Very Cold, Bluish Disloration of Palms and Hands,

Fever,
Convulsions and Fits,

Difficulty in Sucking or Breast feeding,

Redness of Umblical Card or Pus Discharge, Swelling,

Redness of eyes or Pus,

Yellowish Skin, Rash on the Skin, Pustules,

A guide for Parents New born Care at Home,

You are ready to care of the new born at home and start life with your New baby,

These Baby Care tips help parents get confident about new born caring,

Handling of Newborn baby

Reduce Prevent cross infection by
Hand wash before Touching the baby with Soap and Water or Sanitizer,

Make sure Hand Wash that who are caring your baby,

Support baby’ s Neck and Head whe your lifting the baby every Time,

Keep Baby Head Upright position when transfering to the credil or Crib,

Never Shake your baby

Remember Your baby is Not a Doll,

Shacking of Baby can cause bleeding in Brain it lead to death,

Make baby is Securely Keep in the Baby Carier,

Ensure Bonding of Baby and Mother Physical Closeness can Prevent Hypothermia and Promote Emotional Connection,

Feeding Technique of New born baby

Intiate Feeding whithin 30 minutes after birth breast Feeding on demand every 2-3 hours, 60-90 ml of milk, Putting finger in baby mouth, Crying or making Sucking noises,

Burping Technique for New Born

Burping is helps your Newborn baby to Releave gas from the abdomen,

Frequently Change Diaper,

Give Skin care and Baby Bath,Umblical cord Care,
Provide adequate sleep for baby

For Factors affecting Chidrens Growth and development Click Here

 

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