Essential Newborn Care
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- Pages: 38
STRATEGY • ANC to all • Safe deliveries • Essential care to all newborns • Iden. and referral of AT RISK newborns
CARE
DURING PREGNANCY • • • •
Early Registration Regular ANC Nutrition advice Anaemia Prophylaxis IFA • Anaemia detection d treatment • TT Immunization
CARE AT BIRTH
UMBILICAL CORD CARE
NO MEDICATIONS OR DRESSING
BATHING • DO NOT BATHE UNTIL 1 WK OLD • MIGHT LEAD TO HYPOTHERMIA • ONLY WIPE
BIRTH WT • • • •
WITHIN 2 D Spring balance Home deliveries Colour code
BIRTH WEIGHT < 2500gms 2000 – 2500gms < 2000gms
COLOUR CODE GREEN
WHERE TO MANAGE HOME
YELLOW
HOME
RED
REFERRAL
Breastfeeding • Within 1 hr all normal newborns must be kept with their mothers and put to breast - Warmth - Initiation of BF - Emotional BONDING
1 SUCTION • EXTEND THE NECK 30° by placing a folded towel under its shoulders MUCOUS EXTRACTOR clear the mouth and throat. DO NOT USE GAUZE R CLOTH
IF STILL DOES NOT CRY • FLICK THE SOLES - 2 - 3 TIMES • DO NOT SLAP R HANG IT UPSIDE DOWN
• INITIATE ASSISTED
• VENTILATION
Picture
Og
MANAGEMENT OF
LBWs • • • • • • •
provide WARMTH EXCLUSIVE BREASTFEEDING PREVENT INFECTIONS TEACH MOTHER TO RECOGNISE DANGER SIGNS
WHEN TO REFER • all newborns < 1800gms • LBWs b/w 1800 - 2500gms + DANGERSIGNS
• • • • • • •
REFUSAL OF FEEDS INCREASED DROWSINESS DIFFICULT BREATHING APNOEA COLD TO TOUCH EXCESSIVE JAUNDICE CONVULSIONS
SEVERITY MILD ILLNESS
SEVERE ILLNESS
SYMPTOMS UMBILICAL DISCHARGE, CONJUNCTIVITIS, DIARRHOEA FAST BREATHING CHEST INDRAWING POOR FEEDING DECREASED ACTIVITY FEVER
PLACE OF MANAGEMENT
HOME APPROPRIATE ANTIBIOTICS
HOSPITAL . EXTERNAL HEAT SOURCE .CONTINUE FEEDING .PARENTERAL ANTB .MONITOR FOR SIGNS OF VERY SEVERE ILLNNESS
Very severe Illness
Symptoms
Place of Management
Inability to FEED Hypothermia Abdominal distension IN A TERTIARY Imperforate anus CENTRE No urine for 48 hrs Apnoea Cyanosis Convulsions Bleeding
JAUNDICE • PHYSIOLOGICAL • PATHOLOGICAL • CRITERIA time of onset extent of skin staining sun light progresses from face to trunk and limbs persistence beyond 10 days
Type
Onset
Persistence
Skin Staining
PHYSIOLO AFTER DISAPPEAR NO STAIN1ST DAY BY 10TH -GICAL PALMS D DAY. SOLES Any day ST DAY 1 PATHOLALWAY OGICAL S
DOES NOT STAINING DISAPPEAR OF PALMS D SOLES BY 14TH DAY
Therapy
NO INTERVE NT-ION
REFER
STRATEGIES • • • • • • •
ANC SAFE DELIVERY RESPIRATION TEMPERATURE BREAST FEEDING PREVENTION OF INFECTIONS REFERRAL OF HIGH RISK BIRTH SPACING D IMMZN
CARE
DURING PREGNANCY • • • •
Early Registration Regular ANC Nutrition advice Anaemia Prophylaxis IFA • Anaemia detection d treatment • TT Immunization
CARE AT BIRTH
UMBILICAL CORD CARE
NO MEDICATIONS OR DRESSING
BATHING • DO NOT BATHE UNTIL 1 WK OLD • MIGHT LEAD TO HYPOTHERMIA • ONLY WIPE
BIRTH WT • • • •
WITHIN 2 D Spring balance Home deliveries Colour code
BIRTH WEIGHT < 2500gms 2000 – 2500gms < 2000gms
COLOUR CODE GREEN
WHERE TO MANAGE HOME
YELLOW
HOME
RED
REFERRAL
Breastfeeding • Within 1 hr all normal newborns must be kept with their mothers and put to breast - Warmth - Initiation of BF - Emotional BONDING
1 SUCTION • EXTEND THE NECK 30° by placing a folded towel under its shoulders MUCOUS EXTRACTOR clear the mouth and throat. DO NOT USE GAUZE R CLOTH
IF STILL DOES NOT CRY • FLICK THE SOLES - 2 - 3 TIMES • DO NOT SLAP R HANG IT UPSIDE DOWN
• INITIATE ASSISTED
• VENTILATION
Picture
Og
MANAGEMENT OF
LBWs • • • • • • •
provide WARMTH EXCLUSIVE BREASTFEEDING PREVENT INFECTIONS TEACH MOTHER TO RECOGNISE DANGER SIGNS
WHEN TO REFER • all newborns < 1800gms • LBWs b/w 1800 - 2500gms + DANGERSIGNS
• • • • • • •
REFUSAL OF FEEDS INCREASED DROWSINESS DIFFICULT BREATHING APNOEA COLD TO TOUCH EXCESSIVE JAUNDICE CONVULSIONS
SEVERITY MILD ILLNESS
SEVERE ILLNESS
SYMPTOMS UMBILICAL DISCHARGE, CONJUNCTIVITIS, DIARRHOEA FAST BREATHING CHEST INDRAWING POOR FEEDING DECREASED ACTIVITY FEVER
PLACE OF MANAGEMENT
HOME APPROPRIATE ANTIBIOTICS
HOSPITAL . EXTERNAL HEAT SOURCE .CONTINUE FEEDING .PARENTERAL ANTB .MONITOR FOR SIGNS OF VERY SEVERE ILLNNESS
Very severe Illness
Symptoms
Place of Management
Inability to FEED Hypothermia Abdominal distension IN A TERTIARY Imperforate anus CENTRE No urine for 48 hrs Apnoea Cyanosis Convulsions Bleeding
JAUNDICE • PHYSIOLOGICAL • PATHOLOGICAL • CRITERIA time of onset extent of skin staining sun light progresses from face to trunk and limbs persistence beyond 10 days
Type
Onset
Persistence
Skin Staining
PHYSIOLO AFTER DISAPPEAR NO STAIN1ST DAY BY 10TH -GICAL PALMS D DAY. SOLES Any day ST DAY 1 PATHOLALWAY OGICAL S
DOES NOT STAINING DISAPPEAR OF PALMS D SOLES BY 14TH DAY
Therapy
NO INTERVE NT-ION
REFER
STRATEGIES • • • • • • •
ANC SAFE DELIVERY RESPIRATION TEMPERATURE BREAST FEEDING PREVENTION OF INFECTIONS REFERRAL OF HIGH RISK BIRTH SPACING D IMMZN
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