Resusitasi Bayi Baru Lahir

Summary

In this informative video, Dr. Marlin Rahmah, a lecturer and practitioner, provides an essential guide on the active management of asphyxia in newborns. Highlighting the importance of neonatal resuscitation, Dr. Rahmah shares vital techniques and tools, emphasizing teamwork, proper preparation, and a systematic approach. The video covers resuscitation procedures, including assessment, ventilation, and oxygenation, with a focus on improving neonatal survival rates in Indonesia. It also provides critical steps for both healthcare professionals in equipped facilities and those in more limited settings. The video is a valuable resource for those involved in neonatal care and resuscitation.

Takeaways

• 😀 Resuscitation is a crucial intervention for newborns to ensure spontaneous and regular breathing, reducing neonatal mortality.
• 😀 Initial preparation for resuscitation includes obtaining informed consent from the family and forming a team of at least three people.
• 😀 The resuscitation team should consist of a leader, an assistant for circulation, and an assistant for equipment and medication.
• 😀 It's important to assess whether the newborn needs resuscitation by checking if the baby is breathing, crying, or has good muscle tone.
• 😀 If any of the key indicators (breathing, crying, muscle tone) are absent, resuscitation efforts should begin immediately.
• 😀 A key step in the process is maintaining warmth for the newborn, using tools like infant warmers or 60-watt lamps to prevent heat loss.
• 😀 During resuscitation, it’s essential to clear the airway of any obstructions using a suction device for the mouth and nose.
• 😀 The newborn should be dried and wrapped in clean, warm towels immediately after birth as part of the stimulation to encourage breathing.
• 😀 Ventilation with positive pressure (e.g., using an Ambu bag or self-expanding bag) is necessary if the baby’s heart rate is under 100 beats per minute and spontaneous breathing doesn’t occur.
• 😀 In cases where standard resuscitation methods fail, further intervention may involve compressions or referral to a higher-level facility for more advanced care.

Q & A

What is the primary purpose of neonatal resuscitation?

The primary purpose of neonatal resuscitation is to help a newborn baby breathe spontaneously and regularly after birth, especially in cases of asphyxia, in order to reduce neonatal mortality.

What are the three key factors to assess when evaluating whether a newborn needs resuscitation?

The three key factors to assess are whether the baby is breathing, whether the baby is crying, and whether the baby has good muscle tone.

Why is it important to communicate with the family during neonatal resuscitation?

Even though neonatal resuscitation is an emergency procedure requiring quick action, it is essential to communicate with the family to inform them of the baby's condition and the steps being taken to save the newborn.

What equipment should be prepared for neonatal resuscitation?

Key equipment includes an ambu bag (BVM), neonatal-sized mask, suction devices, oxygen supply, infant warmer or heat source, and sterile towels for drying and wrapping the baby. Additional equipment like pulse oximeters, stethoscopes, and hats may also be needed.

How should the position of the newborn be adjusted during resuscitation?

The baby's head should be positioned in semi-extension to ensure that air can be effectively delivered to the lungs. This is typically achieved by using a small cushion or towel under the baby’s shoulders.

What is the role of the 'leader' in the neonatal resuscitation team?

The leader is responsible for coordinating the resuscitation process, making decisions, and directing the team, ensuring each member performs their specific role efficiently.

What steps should be taken if the baby’s airway is blocked by mucus?

If the baby's airway is blocked by mucus, it should be cleared using a suction device. The mouth should be suctioned first, followed by the nose, taking care not to insert the suction too deeply.

How do you assess the effectiveness of positive pressure ventilation (PPV)?

The effectiveness of PPV is assessed by checking if the baby's chest is expanding with each breath. If the chest is not expanding, reposition the baby’s head, check the mask fit, and adjust the ventilation technique.

What should be done if a baby’s heart rate is less than 60 bpm during resuscitation?

If the baby’s heart rate is less than 60 bpm, chest compressions should be initiated in addition to ventilation. This step is critical to improving blood circulation and oxygen delivery to vital organs.

What is the recommended oxygen flow when using an ambu bag with a reservoir bag during neonatal resuscitation?

When using an ambu bag with a reservoir bag, it provides 100% oxygen. If no reservoir bag is used, the oxygen concentration is approximately 21%, and it can be increased by connecting an oxygen source.