Sarji clinic

Normal New Born Baby

Principles of care at birth

  1. Establishment of respiration - breathing
  2. Prevention of hypothermia
  3. Establishment of breastfeeding
  4. Prevention of infection- sepsis
  5. Identification of AT RISK BABIES

Immediate care after birth

  1. Prevent hypothermia
  2. Eye, skin, cord care
  3. Give injection vitamin K
  4. Breastfeed within ½ hour of birth
  5. Search for malformations

Essential postnatal care

  1. Nurse in thermal comfort (warm to touch, pink soles)
  2. Check umbilicus, skin, eyes
  3. Good sucking at breast
  4. Screen for danger signals
  5. Advice on immunization

NORMAL NEWBORN CARE

The first four weeks of life of an infant are considered the neonatal period. During this period many complex physiologic changes occur, and the infant interacts with the different stimuli. Care during this period should be continuous and effective. We with a team of neonatologists, well trained nursing staff in newborn care, lactation managers , nutritional counsellor and immunisation informer and of course our gynaecology team will be working hard for smooth sailing of journey of the newfound bundle of joy, the newborn baby.

Newborn care consists of:

  1. evaluation for the need of resuscitation,
  2. a complete physical examination,
  3. administration of prophylactic medications and vaccines,
  4. adequate feedings,
  5. safe sleep,
  6. hygiene of the newborn,
  7. and essentially a good communication with family members regarding well being of the baby.

Explain Danger signs

  1. Bleeding
  2. Yellow palms/ sole
  3. Excessive wt loss
  4. Vomiting
  5. Diarrhoea
  6. Lethargy
  7. Hypothermia
  8. Respiratory distress
  9. Cyanosis
  10. Convulsions
  11. Abdominal distension

Neonatal screening

  1. Red eye reflex
  2. Hearing tests- OAE
  3. Thyroid function tests
  4. Metabolic disease screening
  5. Trancutaneous jaundice measurement by BILICARE

Care of normal neonates at home

  1. Protect from cold/ heat
  2. Keep umbilical stump clean and dry
  3. Don’t apply anything on cord
  4. No application of oil or milk in eyes
  5. Exclusive breastfeeding -day and night for 6 months

Follow up visit: Objectives

  1. Assess growth & development
  2. Early diagnosis and management of illness
  3. Health education
  4. Exclusive breastfeeding for 6 months
  5. Complementary feeds after 6 months
  6. Spacing of family
  7. immunisation