RESUSITASI BAYI BARU LAHIR

Summary

This presentation provides a step-by-step guide on neonatal resuscitation, detailing essential actions for the care of newborns. It covers warming the baby, ensuring the airways are clear, drying the baby, and administering tactile stimulation. The process also includes performing positive pressure ventilation if the heart rate is below 100 beats per minute, using both room air and oxygen. Afterward, the presenter explains evaluating the baby's heart rate, skin color, and breathing patterns to ensure the baby is stable. The session concludes with a final assessment of the baby’s condition.

Takeaways

• 😀 Ensure the newborn is warmed immediately with a spotlight lamp placed 60 cm away.
• 😀 Position the baby with slight extension to maintain an open airway.
• 😀 Begin suctioning to clear mucus from the baby's mouth and both nostrils.
• 😀 Dry the baby from head to toe using a clean cloth, and stimulate tactile responses.
• 😀 Replace the wet cloth with a dry, clean one to maintain warmth.
• 😀 Perform a heart rate check to determine if it is under or above 100 beats per minute.
• 😀 If the heart rate is under 100, perform positive pressure ventilation using room air initially, followed by oxygen if needed.
• 😀 Use a pumping technique (pump-release) for 20 cycles to deliver the ventilation.
• 😀 Recheck the heart rate after ventilation to confirm it is above 100 beats per minute.
• 😀 Assess the baby's skin color for signs of redness or cyanosis (bluish tint).
• 😀 Check if the baby's breathing is regular and stable after the resuscitation steps.

Q & A

What is the first step in resuscitation for a newborn baby?

The first step is to warm the baby using a spotlight lamp placed about 60 cm away from the baby.

How should the baby's position be adjusted during resuscitation?

The baby should be positioned with slight extension to open the airway.

What is the procedure for clearing the baby's airway?

You begin by suctioning the mucus starting from the mouth, followed by both nostrils.

How do you dry the baby after clearing the airway?

The baby is dried starting from the face, head, chest, hands, feet, and back while performing tactile stimulation.

What should you do if the baby is still wet after drying?

Replace the wet cloth with a clean, dry one and make sure the baby stays warm.

How should you check the baby's heart rate?

You perform an assessment of the baby's heart rate for six seconds and calculate it by multiplying the result by 10.

What should be done if the heart rate is less than 100 beats per minute?

If the heart rate is under 100 beats per minute, perform positive pressure ventilation using room air and then continue with ventilation using oxygen from an oxygen tank.

What is the proper way to perform positive pressure ventilation?

Ventilate using the pump cycle: one pump, release, second pump, release, third pump, release, and so on, until 20 cycles are completed.

How do you assess the baby's condition after performing positive pressure ventilation?

You assess the heart rate again after completing positive pressure ventilation. If the heart rate is above 100 beats per minute within six seconds, it indicates improvement.

What other factors are assessed after checking the heart rate?

After checking the heart rate, the baby's skin color and breathing pattern should also be assessed, looking for signs of redness or cyanosis and whether the baby is breathing regularly.