Site icon GS India Nursing Academy

Care Of Newborn Baby, Routine care at birth, Ensuring Warmth Warm chain, At delivery, Cord and Eye Care, Care Of the umbilical cord, (By GS India Nursing).

Care Of Newborn Baby: The care at birth has a major influence on the survival, future health and well-being of a newborn infant.

Immediate care of a normal newborn at the time of birth: As soon as baby is born you need to perform following activities.

Check cord for any oozing of blood:

Important keys points:

Routine care at birth:

Following steps are important for providing routine care to Newborn at birth.

Ensuring Warmth: (Warm chain).

A baby’s skin temperature falls within seconds of being born. If the temperature continuous to fall the baby will become ill and may even die. This is why a baby must be dried immediately after birth and delivered into a warm towel or peace off cloth, and loosely wrapped before we end place naked between the mother’s breasts or over abdomen.

Keeping the baby between the mother’s breasts ensures that the baby’s temperature is kept at the correct level for as long the skin contact continuous. This first skin to skin contact should last uninterrupted for at least one hour after birth or until after the first breastfeed. The mother and baby should be covered with a warm and dry cloth, especially if the room temperature is lower than 25°C you should maintain warm chain. Means that the temperature maintenance a continuous process starting from the time of the deliveri and continued till the babies discharge from the hospital. The components of warm chain are summarised below.

Warm Chain:

At delivery:

After delivery:

Manitaining Normal breathing:

You should ensure to assess breathing of baby at the time of drying. If the Baby is crying vigorously or breathing at adequately (chest is rising smoothly at a rate of 40 to 60 times per minute) then no intervention is needed. however if the baby is not breathing or is gaping then baby may need initial steps of resuscitation, positive pressure ventilation etc.

Initiating Breastfeeding:

The breastfeeding is initiated within half an hour to 1 hour after birth. During the initial skin to skin contact position after birth the baby should be kept between the mothers breasts. This would ensure early initially, baby normally rests and would be asleep. This rest period may vary from a few minute to 30 or 40 minutes (remember each baby is different and this period might vary) befor the baby shows signs of wanting to breastfeeding. After this period the baby will usually open his/her mouth and start to move the head from side to side, he may also begin to dribble. These signs indicate the baby is ready to breastfeeding. Baby may also try reaching the breast by making directed movements called ‘Breast Crawl’ the mother should be helped in feeding the mother and the baby once the baby shows these signs. You should keep both the mother and the baby in a comfortable position. The baby will be put next to the mother’s breast with his mouth opposite to the nipple and areola. The baby should attach to the breast by itself when it is ready. When the baby is breastfeeding attachment and positioning should be checked and help the mother to breastfeed her baby accurately and adequately. If in the initial first feeding session baby does not latch, don’t give any liquid other than breast milk (or Colostrum) even if baby doesn’t feed. Most of the babies are ready to take feed with in 30 minutes to one hour.

Prevention of infection: Maintain Clean Clain:

Babies are secure when they are in mother’s womb. However after birth, they have to be protected from the adverse environment of the surroundings. Cleanliness at delivery reduces the risk of infection for the mother and baby especially neonatal sepsis and tetanus. Cleanliness requires mother’s families and health professionals to avoid harmful traditional practices, and prepare necessary materials. Hand washing is the single most important step to be emphasised to both family members and health care workers.

Similar to warm chain, clean chain, has to be followed both at the time of delivery and then till the time of discharge to protect the infant from infections.

Clean delivery “WHO” six clean steps:

After delivery:

Cord and Eye Care:

We will begin with cord care.

Cord care:

The umbilical cord can be clamped-cut and tied (according to local custom) while the baby is on the mother’s abdomen or on a warm, clean and dry surface. The steps of clamping cutting, the cord and it’s care after cutting are given below.

Care Of the umbilical cord:

I hope that you liked this article…………!!

Thanking you …………..!!

By GS India Nursing………..!!

Exit mobile version