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    Needs of New-Born Care

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    Pruthvi
    The document outlines the essential care needs of newborn infants, including immediate care at birth, routine care in the postnatal period, and important considerations like warmth, feeding, hygiene and immunization. Key aspects of care include establishing breathing and warmth at birth, monitoring feeding and vital signs, maintaining cleanliness to prevent infection, and providing routine care of the skin, eyes and umbilical cord stump. Attention to the newborn's needs in the critical first days supports health and survival.

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    Needs of New-Born Care

    Uploaded by

    Pruthvi
    178 views27 pages
    The document outlines the essential care needs of newborn infants, including immediate care at birth, routine care in the postnatal period, and important considerations like warmth, feeding, hygiene and immunization. Key aspects of care include establishing breathing and warmth at birth, monitoring feeding and vital signs, maintaining cleanliness to prevent infection, and providing routine care of the skin, eyes and umbilical cord stump. Attention to the newborn's needs in the critical first days supports health and survival.

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    Needs of New-born Care

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    The document outlines the essential care needs of newborn infants, including immediate care at birth, routine care in the postnatal period, and important considerations like warmth, feeding, hygiene and immunization. Key aspects of care include establishing breathing and warmth at birth, monitoring feeding and vital signs, maintaining cleanliness to prevent infection, and providing routine care of the skin, eyes and umbilical cord stump. Attention to the newborn's needs in the critical first days supports health and survival.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    178 views27 pages

    Needs of New-Born Care

    Uploaded by

    Pruthvi
    The document outlines the essential care needs of newborn infants, including immediate care at birth, routine care in the postnatal period, and important considerations like warmth, feeding, hygiene and immunization. Key aspects of care include establishing breathing and warmth at birth, monitoring feeding and vital signs, maintaining cleanliness to prevent infection, and providing routine care of the skin, eyes and umbilical cord stump. Attention to the newborn's needs in the critical first days supports health and survival.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 27

    Needs of New-born care

    Submitted to
    Dr. Asha Bhatakhande Submitted by
    Professor and HOD Pruthvi R
    Revankar
    Of OBG 1 st year MSc
    introduction
     Essential care of the normal healthy neonates can be
    best provided by the mothers under supervision of
    nursing personnel or basic/ primary health care
    providers. About 80% of the newborn babies should be
    kept with their mothers rather than in a separate nursery.
     Neonate = Newborn = 1to 28days.
    Definition

    “A healthy infant born at term b/w 38-42 weeks should have average
    birth weight, cries immediately following birth, establishes
    independent rhythmic respiration & quickly adapts to the changed
    environment.”
    IMMEDIATE / BASIC CARE OF
    NEONATES
    A. Receive the baby on a pre-warm , clean and dry towel soon
    after delivery.
    B. Establish and maintain patent airway
    C. Ensure warmth
    D. Assessment and documentation of infants conditio
    E. Care of eye 6.Care of cord
    F. Care of skin 8.Identification of baby
    G. Administration of vitamin k
    H. Transfer
    Types of care

    Immediate care
    Essential care / late or routine care
    1.Receive the baby on a warm , clean and dry
    towel soon after delivery.
    2.Establish and maintain a patent airway;

     The neonate cries spontaneously at birth. during crying the


    secretion of mouth and nose are suction to clear the airway of
    mucous and amniotic fluid.
     If baby is not crying ,gentle tactile stimulation is provided .
     Even after the child is does not cry neonatal resuscitation should
    be done.
    3.Ensure warmth :
     The neonate loses heat due to evaporation ,
    radiation ,conduction ,and convection . To
    prevent heat loss from the baby following step
    should be taken

     Delivery room should be warm ,with


    temperature of 25 ◦ C_28◦C

     Dry the infant soon after birth using a warm


    towel

     Place the baby under radiant warmer or over the


    mother’s chest in skin contact with her.
    4.Assessment and documentation of
    infant’s condition
     At 1 min and 5 min of birth Apgar scoring is done and while
    drying the baby head – to - toe assessment is done to find out any
    abnormality in the newborn
    5.Care of eyes
    For each eye .

     There after medicated eye drops should be instilled to protect


    baby’s eye from bacterial infections.

     The eyes are cleaned from inner canthus to outer canthus with
    separate swabs that may be contracted during delivery .
    6.Care of cord : 
     The umbilical cord is clamped, when the cord pulse action stop as this provides the
    infant with extra blood from the placenta .
     The cord is clamped with two clamps and then cut between the clamps leaving bout
    1’’ or 5 cm from abdomen of baby .

     The stump is left with out any dressing and it is inspected repeatedly for any bleeding
    for up to 24 hrs.
     It is observed routinely for any redness ,inflammation and discharge till it falls off.
    7.Identification of baby : 
     Before the baby is transferred from the labour room.

     An identification band is placed to baby’s wrist, specifying the name of mother


    registration number , date and time and baby sex . • also foot impression of baby
    identification .

     It is important to provide mother an opportunity to see and touch the baby.


    8. Transfer: 
     All the normal baby are transferred to postnatal along with his/her ‘s mother and nurse to
    promote rooming in .
     Breast feeding should be started with in half an hour of birth .
     However, sick or at risk neonates should be transferred to a neonate intensive care unit.
    LATE AND ROUTINE CARE OF
    NEWBORN
     Later care or routine care of new born includes the care that’s baby needs after
    being transferred to postnatal ward.

     Majority of the complication of the neonate may occur during 1st 24 hours or
    within 7 days .so close observation and daily essential routine care of the neonates
    are important for health and survival of the newborn baby.
    1.ROOMING IN / BEDDING IN
    “Hospital practice where postnatal mothers and
    normal infants stay together in the same room for 24
    hours a day from the time they arrive in their room
    after delivery”

      After the baby is transferred to the post natal ward ,the baby
    should be nursed in mother’s bed .To promote early initiation of
    breast feeding .

     To provides opportunity for mother –baby interaction and


    bonding.

     Relieves mother’s anxiety related to where about of the baby


    2.INITIATING OF FEEDING
     Breast feeding must be initiated as
    soon as possible to prevent
    neonatal hypoglycemia.

     The baby must receive colostrum


    secreted during 1st 2-3days after
    birth.

     As soon as the mother has


    recovered from the fatigue of labour,
    with in ½ hr of birth, the baby
    should be put to breast .
    3. OBSERVATION FOR EARLY
    SIGN OF DISEASE 

     A daily routine examination should be done till the mother and baby is
    discharged from the hospital .

     The nurse should carefully watch for the danger sign and report
    immediately to the physician .

     After observing the body for the danger sign, the baby should be weighed
    daily at same weighing machine ,also monitor vital signs regularly.
    4.PREVENTION OF INFCTION
     The neonate’s defense against infection are not mature so that they are
    susceptible to infection .so, to prevent neonatal infection following things
    must be kept in mind

     All personnel coming in contact with the baby should be free from
    infection .

     Hand washing should be practiced strictly

     Strict aseptic precaution should be taken while handling the baby .

     The personal hygiene of mother and the baby should be maintained .

     Restrict the number of visitors attending the baby.


    5.CARE OF BLADDER AND BOWEL

     If the neonates fails to pass urine and stool with in 24 hrs of


    birth ,it should be informed to the physician .

     The urine output is about 200-300ml by the end of 1st week


    of life so neonate voids about 15-20times in a day.

     Diaper should be changed as soon as wet .

     The neonate also passes stool frequently so, diaper should


    be cleaned with mild soap and water.

     The baby should be kept clean and dry.


    6.MAINTENANCE OF PERSONAL
    HYGIENE
     The personal hygiene of both baby and mother should be maintained

    to prevent infection.

     skin care and baby bath

     Care of umbilical cord

     Care of eye

     Clothing
    7.SKIN CARE AND BABY BATH;-
     No bath ,especially dip bath s ,should be given till the umbilical cord has
    fallen off.

     The baby should be given sponge bath daily in summer and every
    alternate day in winters to avoid cold stress or hypothermia.

     Lukewarm water and mild baby soap should be used for giving bath in a
    warm room gently and quickly.

     Special attention should be paid to skin creases at axilla , neck ,groin, and
    thigh .
     vernix caseosa should not be rubbed off during bath.

     After giving bath the baby should be dried swiftly and thoroughly
    from head to toe and wrapped in a dry warm towel or put on soft
    clothes.

     Bathing should be avoided in open place .

     Apply olive oil or coconut oil on the skin for massage to improves
    circulation and muscle tone
    8.CARE OF THE UMBILICAL CORD:

     In routine care the umbilical cord must be inspected for bleeding which
    commonly occurs due to shrinkage of cord and loosening of ligature.

     No dressing should be applied and cord should be kept open and dry

     Normally it falls off after 5-10 days but may take longer especially when
    infected.
    9.CARE OF EYE
     Eyes should be cleaned once every day using sterile cotton swabs soaked
    in sterile water or normal saline .

     Each eye should be cleaned using a separate swab from inner canthus to
    outer canthus .

     Application of kajal in eyes must be avoided to prevent lead poisoning

     Eye should be observed for redness ,sticky discharge or excessive tearing


    for early detection of problem and prompt management.

     The cultural practice of instillation of human colostrum in the eyes has


    been found to useful to reduce sticky eyes .
    10.CLOTHING OF THE BABY;- 
     The baby should be dressed with loose ,soft ,and cotton cloths .

     The frock should be open on the front or back for easy wearing .

     Large buttons ,synthetic frock and plastic or nylon napkin should be


    avoided .

     A triangles of square piece of thick ,soft absorbent cloth should be used


    as napkin .

     The cloth should not be tight specially around the neck and abdomen .

     In winter ,woolen clothing should be used .


    11.IMMUNIZATION
     All neonates should be immunized with ‘BCG’ vaccine and ‘o’ dose
    ‘OPV’ ,Hepatitis B vaccine can be administered at birth as first dose .

     And other two doses in one month and 6 month of age.

     Mother should be informed about the recommended National


    immunization schedule and explanation to given about importance
    of complete immunization and all possible reaction following
    vaccinations ,especially about BCG vaccine .

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