2. Essential newborn care is a
comprehensive strategy to
reduce the death of newborn
through cost effective
interventions before
conception, during
pregnancy, immediately after
birth and postnatal period
3. 1. To make sure baby is thriving
2. Early detection of problems or danger signs
3. Helping the mother to meet the baby’s basic needs
–warmth, feeding, infection prevention
4. Baby breast feed within 1st hour
5. Advising and encouraging mother rot breast feed
exclusively
6. Advising mother and family Members about
danger signs and baby care
7. Treatment of key problems such as asphyxia and
sepsis
8. Making plans for continuing care immunizations
and growth monitoring
4. 1. Prepare for baby’s birth
2. Immediate newborn care
3. Newborn care during the first day
4. Newborn history and physical
examination
5. Care of newborn during the first 28
days
6. Teach and counsel mother and
family about the newborn care
5. a. Prevent infection
WHO-32% newborn death due to infection
Wash hands
Personal contact infection
Use the three infection prevention steps before
the baby is born-equipment, supplies and linen
and surface
Decontamination
Cleaning
High level of disinfection and sterilization
6. Wear gloves
Protect yourself from splashes or spills of blood
amniotic fluids –wear eye protection, shoes ,face
mask and apron
b. Prepare the birth room
Make sure that the room is
Clean
Warm
Light
Private
7. C. Keep records
Newborn record cards
Immunization cards
Mothers records of AN, labor and delivery
d. Collect the equipment supplies
medicines for the birth room and immediate
postnatal care
8. Immediate newborn care is
based on the knowledge of
midwife of his transitional
requirement and capabilities.
9. Chance of heat loss by
convection ,conduction radiation
and evaporation- so optimal
thermal environment in delivery
room.eg switch of the fan –
convection
Closing curtains-radiation
10.
11. A. INITIAL CARE
As the baby ‘s head is born wipe or
suction out the excess mucus from the
nose /mouth
Note the time of birth and sex of the
baby
12. b. clearing the airway
Hold the baby’s head lower than the
body and turn to side for drainage
Wipe off baby’s face and fluids from
the nose and mouth
Suction the nasal and oral passage with
soft rubber bulb syringe or mucus
sucker
If necessary mechanical suction
13. c. Decide if baby needs resuscitation
A baby who is not breathing ,breathing is
less than 30 breaths per minutes or is
gasping needs resuscitation
Quickly clamp and tie and cut the cord
leaving stump at least 10 cm long
Put baby on flat warm surface and start
resuscitation
14. d. Clamping and cutting the cord
Tie the cord securely on two place
Tie the first one 2 fingers away from the baby’s abdomen
and second one from 4 fingers away from the baby’s
abdomen
Use a small gauze piece to cover the part of the cord to
prevent splashing of blood while cutting the cord
Cut the cord between the ties
Do not put anything on the cord stump
15. e.dry and stimulate the baby
Rub up and down the baby’s back using clean warm
cloth
f. Assess the baby’s breathing and colour
Face and chest –pink not gray or blue –pink
indicate good sign of adequate breathing and
circulation
Blue colour of tongue, lips and trunk –sign of lack
of oxygen in blood
Bluish colour only on hands and feet –present for
1-2 days after the birth normal
16. g. Preventing infection
Aseptic technique
h. Maintaining the body
temperature
Keep the baby's body warm
Wipe of dry the baby
Bodily contact with mother
Radiant warmer -200 watt bulb
Warmed blankets
17. Prevention of heat loss
Remove the wet towel and cover with
warm blankets
Skin to skin contact with mother
Keep the baby mothers chest as soon the
baby is born
Breast feeding with in the first hour
18. i. Preventing the injury
Handle gently
j. Assessing the baby’s condition
APGAR
k. Weight
l. Clothing
m. Eye care
20. Close observation at least for 4-8
hours
Any excess mucus from mouth
Any bleeding from umbilical cord
Hourly temperature until it
stabilize and remain above 36
degree
22. a. Assess the baby
b. Breathing
c. Warmth
d. Colour
e. Bleeding
f. Give normal newborn care
Keep warm
Support breast feeding
Eye cre cord care ,skin care ,
23. g. other care for any problems or
needs
Newborn physical examination
Common newborn problems
h. Immunizations
BCG and polio
24. a. Take history
b. Objectives of physical
examination
To detect congenital anomalies
To detect illness and birth injuries
To record body measurement and vital
signs
c. Identify needs or problems
