NEW BORN CARE
MOM WHAT'S DOC DOING TO ME???
INTRODUCTION:
- Babies need basic care to help ensure their survival and well being.
- This basic care is called Essential Newborn Care (ENC) and includes:
- Immediate care at birth
- Care during the first day
- Care up to 28 days
1. Immediate care at birth:
- Step:1- Dry and stimulate the baby
- Step: 2- Assess the baby's breathing and color
- Step: 3- Decide if the baby needs resuscitation
- Step: 4- Tic and cut the cord
- Step: 5- Place the baby in skin to skin contact with mother.
- Step: 6- Have the mother start breast feeding.
- Step: 7- Give eye care.
2. Care during first day:
Assess the baby:
- Assess every 30 minutes to 1 hour for at least 6 hours or until the newborn is stable and stays warm and pink.
- Check the baby during the first day for the following.
Breathing:
- The normal baby breathes 30 - 60 times a minute with no gasping, grunting, or in-drawing of the chest.
Warmth:
- Check if the baby is warm.
- Use a thermometer to take an Axillar temperature or feel the baby's abdomen or back with your hand and compare his temperature to that of a well baby.
Color:
- Check that the tongue, lips and mucous membranes are pink or else in color.
Bleeding:
- Check the cord for bleeding.
- As the cord dries, the tie may become loose.
- If the tie is loose, put on gloves and tie the cord again tightly.
- Assessment of the baby on the first day also includes a complete history an physical examination.
- Keep the baby warm
- Continue to keep the baby in skin to skin contact with the mother.
- Cover both mother and baby with a blanket.
- Cover the baby's head with a cloth or hat.
- Support breast feeding.
- Give Vitamin K (1 mg Intra-Muscular), the first immunizations (BCG, OPV0) and complete the baby's and mother's records.
3.Care of the new born during the first 28 days:
- See the baby at 2-3 days, 7 days and 28 days after birth.
- If a mother and family are worried about their baby or there is a problem, see them more often.
- During these visits
- Assess the baby and mother for problems.
- Praise the family for the good care they give.
- Continue to educate and counsel the mother and family on baby care.
- check mother for post-partum problems.
Check mother for:
- Bleeding heavier than her normal menses.
- Successful breast feeding. Watch the mother breastfeed the baby and check her breasts for any problems.
- Signs of infection: fever, tender uterus or foul smelling discharge from perineum.
- Continue to educate and counsel the mother on recognizing cancer signs for herself and her baby and the need for good nutrition.
- Extra rest, and child spacing.