NEW BORN CARE

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:

1. Immediate care at birth
2. Care during the first day
3. 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

1. Assess the baby and mother for problems.
2. Praise the family for the good care they give.
3. Continue to educate and counsel the mother and family on baby care.
4. 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.