Essential New-born Care
Summary
TLDRThis video focuses on essential newborn care (ENC) to ensure proper care at birth and during the postnatal period. It highlights key components such as warmth, breathing, breastfeeding, infection prevention, and recognizing danger signs. The video also outlines the sequence of care from preparation for birth, immediate care during the first 60 minutes, to postnatal care up to 48 hours. The emphasis is on keeping the baby warm, monitoring for danger signs, and supporting breastfeeding, ensuring that the newborn's health is prioritized through proper hygiene and careful monitoring.
Takeaways
- 👶 Newborn care is essential for reducing preventable deaths in the first year of life.
- 🧼 Health providers must follow a step-by-step approach for essential newborn care, ensuring proper care at birth and during the postnatal period.
- 🌡️ Maintaining warmth is crucial, with delivery room temperature set between 26-28°C, and ensuring skin-to-skin contact between mother and baby.
- 🍼 Early breastfeeding should be supported, with mothers encouraged to initiate breastfeeding within the first hour after birth.
- ⚕️ Health providers should prepare by ensuring all necessary equipment is ready, including towels, gloves, a sterile delivery kit, and a functioning bag and mask.
- 🩺 Immediate care within the first 60 minutes includes drying the baby, ensuring breathing, cutting the umbilical cord, and monitoring for any birth injuries.
- 💉 Administer Vitamin K and neonatal vaccines within the first few hours after birth to prevent common health issues in newborns.
- 👁️ Monitor newborns for danger signs such as breathing issues, infections, or congenital malformations before discharge.
- 🫂 Encourage skin-to-skin contact and rooming-in to provide warmth, strengthen bonding, and promote breastfeeding.
- 🚫 Avoid unnecessary interventions like suctioning unless the nose or mouth is blocked, and do not bathe the newborn until discharge.
Q & A
What is the primary goal of Essential Newborn Care (ENC)?
-The primary goal of Essential Newborn Care (ENC) is to ensure appropriate care at the time of birth and during the postnatal period to prevent newborn deaths, many of which are preventable.
What are the key components of Essential Newborn Care (ENC)?
-The key components of ENC include warmth, immediate breathing, breastfeeding, infection prevention, and checking for danger signs in the newborn.
What should be the room temperature during delivery to ensure warmth for the newborn?
-The labor room's temperature should be maintained between 26 to 28°C to ensure warmth for the newborn.
What steps should be followed in immediate newborn care during the first 60 minutes of birth?
-During the first 60 minutes, immediate care includes checking for meconium, drying the baby, providing skin-to-skin contact, cutting the cord within 1 to 3 minutes, ruling out major malformations, and initiating breastfeeding.
How should the umbilical cord be cut and managed after birth?
-The umbilical cord should be clamped or tied after it stops pulsating, with two clamps placed at 2 cm and 5 cm from the umbilicus. The cord should be cut between the clamps.
What is the role of skin-to-skin contact between the mother and the newborn?
-Skin-to-skin contact provides natural warmth for the baby, promotes bonding, encourages breastfeeding, and helps regulate the newborn’s body temperature.
What vaccinations are administered during the early newborn care phase (60 minutes to 6 hours of birth)?
-During early newborn care, the baby receives an intramuscular injection of Vitamin K (1 mg), and vaccines for BCG, OPV0, and Hepatitis B birth dose.
What danger signs should be monitored in the newborn during the first 48 hours of life?
-The health provider should monitor the newborn for difficulty in breathing, temperature issues, infections around the cord stump, abnormal eye conditions, skin abnormalities, and other signs of distress or illness.
What is the recommended feeding practice for the newborn before discharge?
-The newborn should be exclusively breastfed, and the health provider should ensure that breastfeeding is well-established with no feeding difficulties before discharge.
What are the important 'do nots' in newborn care based on the provided guidelines?
-Do not suction the newborn unless the mouth or nose is blocked, do not separate the baby from the mother, do not place the newborn on a cold or wet surface, do not wipe off vernix, do not bathe the baby until discharge, and do not feed anything except breast milk.
Outlines
🍼 Essential Newborn Care Overview
This paragraph introduces the importance of essential newborn care (ENC), emphasizing the need for healthcare providers to understand the key steps during and after birth. It highlights that most newborn deaths, which occur in the first year of life, are preventable through proper care. The core components of ENC include maintaining warmth, ensuring immediate breathing, promoting breastfeeding, preventing infections, and checking for danger signs. It describes the sequence of care, from preparation for birth to immediate and early newborn care, and concludes with guidelines for managing specific challenges like birth asphyxia and low birth weight.
👶 Immediate Newborn Care: The First 60 Minutes
This paragraph outlines the critical steps taken in the first 60 minutes after a newborn's birth. It starts with calling out the time of birth and checking for meconium, followed by drying the baby, ensuring skin-to-skin contact, and cord cutting within 1-3 minutes. The focus is on keeping the baby warm, ensuring breastfeeding initiation, and monitoring for any birth injuries or malformations. Skin-to-skin contact is emphasized as a key method for maintaining the baby's warmth, with specific instructions for positioning the baby and covering them with a warm cloth.
🧸 Early Newborn Care: 60 Minutes to 6 Hours
This section covers the care provided during the early newborn period, from 60 minutes to 6 hours after birth. Key actions include weighing the baby, administering Vitamin K, and performing a thorough physical examination to rule out danger signs. Vaccinations for BCG, oral polio, and hepatitis B are administered. Rooming in with the mother is recommended to promote bonding, breastfeeding, and warmth. For low birth weight babies, kangaroo mother care is suggested. Continuous monitoring and ensuring breastfeeding success are critical during this period.
Mindmap
Keywords
💡Essential Newborn Care (ENC)
💡Postnatal Period
💡Warmth
💡Immediate Breathing
💡Breastfeeding
💡Infection Prevention
💡Danger Signs
💡Kangaroo Mother Care
💡Vitamin K Injection
💡Skin-to-Skin Contact
Highlights
Learning objective to practice essential newborn care (ENC) for health providers.
Newborn deaths account for a significant proportion of first-year deaths, with many being preventable through proper care.
Essential newborn care includes warmth, immediate breathing support, breastfeeding, infection prevention, and danger sign assessment.
Preparation for birth includes ensuring a warm, draft-free delivery room and the availability of a radiant warmer.
The first 60 minutes of newborn care involves immediate newborn care, including drying the baby, skin-to-skin contact, and breastfeeding initiation.
Ensure proper hand hygiene with a detailed handwashing sequence before handling the newborn.
Immediate newborn care involves calling out the time of birth, checking for meconium, and drying the baby.
The baby's umbilical cord should be clamped and cut within 1-3 minutes of birth.
Support the mother to initiate breastfeeding and ensure proper positioning for skin-to-skin contact.
Administer Vitamin K injection and neonatal vaccines (BCG, OPV, Hepatitis B) within the first 6 hours after birth.
Monitor the newborn for danger signs such as difficulty breathing, temperature instability, or signs of infection.
Encourage Kangaroo Mother Care (KMC) for low birth weight babies to maintain warmth.
Counsel the mother on exclusive breastfeeding, recognizing danger signs, and family planning before discharge.
Do not bathe the newborn before discharge; only breast milk should be provided.
Ensure the delivery area is draft-free and maintain a room temperature of 26-28°C for optimal newborn care.
Transcripts
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[Applause]
learning objective to practice essential
newborn care ENC Health provider will
need to understand the basic sequence of
steps to ensure appropriate Care at the
time of birth and during postnatal
period newborn deaths account for a
major proportion of deaths which occur
within the first year of
life however most of these deaths are
preventable ential newborn care is a key
component of skill
attendance BNC comprises care for all
newborn at the time of birth and during
postnatal period the key components of
essential newborn care include warmth
immediate breathing
breastfeeding infection prevention and
check for danger
signs sequence of essential newborn
care preparation for
birth first 60 Minutes of birth
immediate newborn care 60 Minutes to 6
hours of birth early newborn care 6
hours to 48 hours of birth care prior to
discharge and Care at
discharge preparation for birth
ensure warm and drought-free delivery
room
a radiant warmer that has been switched
on two clean warm
towels hand washing wearing sterilized
gloves a sterilized delivery kit
functional bag and mask and be prepared
to manage babies with birth asfixia and
a low birth weight or
preum ensure warmth in the labor room
prevent any type of heat do close the
door and windows switch off the fans
ensure the labor room's temperature is
in the range of 26 to 28°
C switch on the radiant warmer at least
30 minutes before the
delivery place two clean towels under
radiant
warmer and
washing remove watch Bangles and Rings
roll up the
sleeves
wet hands and forearms with running
water apply soap to make leather wash
hands in a sequence Palms fingers and
web spaces for 20
seconds back of hands 10 seconds each
hand fingers and Knuckles 10 seconds
each hand thumbs 10 seconds each
fingertip 10 seconds each
hand wrists and forearms 10 seconds each
hand wearing sterilized
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gloves use left hand to pick up right
glove at the bottom fold and insert
right
hand use left hand to pull up right
glove without touching outside of the
glove delivery
kit ensure highle disinfected delivery
kit K comprising cord clamp or tie and
scissors two towels cap and socks for
the newborn mucus
extractor bag and
mask check functionality of the bag and
mask in three
steps fit mask onto the
bag check that the bag reinflates
quickly after
squeezing deliver test breeds again
against the Palm feel the pressure on
the
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palm ensure availability of Vitamin K
and neonatal
vaccines first 60 Minutes immediate
newborn care includes call out time of
birth rule out meconium
if there is meconium and baby is not
crying perform suction before drying
deliver the baby on the mother's abdomen
check for breathing and start to dry the
baby remove the wet
towel ensure a skinto skin contact and
cover the baby with a dry and warm towel
ensure cord cutting within 1 to 3
minutes of birth rule out major m
formations and birth
injury support the mother to initiate
breastfeeding and place the identity tag
on the
baby we are prepared to welcome the new
life with apt care and deliver the baby
on mother's abdomen call out the time of
birth
11:45 thoroughly dry the baby and remove
the wet towel if baby is breathing well
place the newborn for skin to skin
contact cord clamp or tie after the cord
has stopped pulsating place two ties or
clamps tightly around the cord at 2 cm
and 5 cm from the
umbilicus cut the cord between the tie
skin to skin contact is natural warmth
for the baby keep the baby we in prone
position on the bare chest of mother
head should be between the breasts and
slightly turn to one side place a cap
covering the head and have the mother
gently hold the baby in place cover the
baby with a dry cloth then put a blanket
to cover the baby and the mother monitor
the baby lying in skin to- skinin
contact with the mother while the
placenta is being delivered ask the
mother to support the baby when the
newborn shows feeding cues like opening
of mouth tonging licking rooting then
encourage the mother to
breastfeed 60 minutes to 6 hours early
newborn care wash hands before handling
the
baby ensure the wing scale is
functioning and
calibrated take the weight of the baby
and record
it administer injection vitamin K
intramuscularly 1 mg examine the baby
thoroughly for Vital Signs and rule out
any danger signs
vaccinate the baby with BCG
opv0 and hepatitis B birth dose practice
rooming in with the mother this provides
baby warmth promotes breastfeeding
bonding and prevents
infections adjust the calibration before
weighing the baby record the weight if
the newborn is low birth weight and
stress-free promotee kangaroo mother
care to ensure
warmth thoroughly examine the baby once
the wing is done start the routine
examination check for danger signs and
take action if
needed rule out congenital malformations
and birth injuries cleft pallet or
lip spina bifida give intramuscular
injection of vitamin K also give oral
polio vaccine BCG and hepatitis B 6
hours to 48 hours of birth care prior to
discharge continue to monitor the
newborn for the breathing temperature
cord stump eyes skin and rule out danger
signs Health provider should ensure
successful establishment of breast
feeding and rule out any feeding
difficulty counsel the mother for
exclusive breastfeeding and continue to
keep the baby
warm reinforce and counsel the mother on
exclusive breastfeeding danger signs
Family Planning and
hygiene ensure that the mother is able
to recognize danger signs in her baby
and is able to repeat and mention them
to the health provider before she leaves
the health facility
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remember do not suction unless the mouth
or nose is
blocked do not separate the newborn from
the
mother do not place the newborn on a
cold or wet
surface do not wipe off
verx do not bathe newborn till
discharge do not cre anything except
breast
milk do not discharge if the baby is not
feeding
well key messages ensure the delivery
area is draft free and temperature is 26
to 28°
C ensure colostrum is fed to the newborn
ensure the newborn and mother are
checked for danger signs counsel the
mother for exclusive breastfeeding
Danger signs Family Planning and hygiene
at the time of
discharge Right Care is my dignity
dignity is my
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right
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