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    Care of The Mother, Child and Adolescent (Well Client) : Essential Newborn Care From Evidence To Practice

    Uploaded by

    Alec Anon
    The document outlines essential newborn care practices including: 1. Thoroughly drying the newborn and maintaining skin-to-skin contact with the mother to regulate temperature and encourage bonding. 2. Properly timing cord clamping to reduce anemia in term and preterm babies. 3. Not separating mother and baby for at least the first hour to allow breastfeeding cues to be recognized and breastfeeding to be initiated.

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    © All Rights Reserved
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    Care of The Mother, Child and Adolescent (Well Client) : Essential Newborn Care From Evidence To Practice

    Uploaded by

    Alec Anon
    187 views3 pages
    The document outlines essential newborn care practices including: 1. Thoroughly drying the newborn and maintaining skin-to-skin contact with the mother to regulate temperature and encourage bonding. 2. Properly timing cord clamping to reduce anemia in term and preterm babies. 3. Not separating mother and baby for at least the first hour to allow breastfeeding cues to be recognized and breastfeeding to be initiated.

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    MCHN

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    EINC

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    The document outlines essential newborn care practices including: 1. Thoroughly drying the newborn and maintaining skin-to-skin contact with the mother to regulate temperature and encourage bonding. 2. Properly timing cord clamping to reduce anemia in term and preterm babies. 3. Not separating mother and baby for at least the first hour to allow breastfeeding cues to be recognized and breastfeeding to be initiated.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    187 views3 pages

    Care of The Mother, Child and Adolescent (Well Client) : Essential Newborn Care From Evidence To Practice

    Uploaded by

    Alec Anon
    The document outlines essential newborn care practices including: 1. Thoroughly drying the newborn and maintaining skin-to-skin contact with the mother to regulate temperature and encourage bonding. 2. Properly timing cord clamping to reduce anemia in term and preterm babies. 3. Not separating mother and baby for at least the first hour to allow breastfeeding cues to be recognized and breastfeeding to be initiated.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    1

    CARE OF THE MOTHER, CHILD AND ADOLESCENT


    (WELL CLIENT)  Clamp cord using a sterile plastic clamp or tie at
    2cm from umbilical base
     Clamp again at 5cm from the base
    CARE OF THE CORD
    ESSENTIAL NEWBORN CARE FROM
     Do not milk the cord towards the baby
    EVIDENCE TO PRACTICE  Observe for oozing blood
    HARM OF EARLY BATHING
    SOURCE:  Removes Vernix
     Lecturer - VERNIX is a protective barrier to E. Coli and
    Group B Strep.
    ANTENATAL STEROIDS  Hinders crawling reflex
    - Reduction of child mortality by 31%  Can lead to hypothermia –infx, coagulated bld
    - Reduction in RDS by 34% NON-SEPARATION OF MOTHER AND BABY
    NEWBORN NEEDS: - 20-60 minutes before the baby is ready for
    1. To breathe normally breastfeeding
    2. To be protected - Postpone bathing until at least 6 hours
    3. To be fed - Never leave the mother and baby unattended
    PROVIDING WARMTH - Monitor mother and baby every 2 hours
    - Check temp. of the DR - Assess
    Ideal Temp is 25- 28 Degree Celsius 1. Breathing- listen for grunting, chest in
    - Check for air drafts drawing
    2. Warmth- check to see If feet are cold to
    DRY THE BABY touch if there is no thermometer
    Simple Newborn Care: EARLY AND APPROPRIATE BREASTFEEDING
     Warming - The baby may want to rest for 20- 30mins. And
     Drying- Dry the Baby for a full 30 seconds unless even up to 120 minutes before sharing of signs
    the infant is floppy, limp or apneic of being ready to feed
     Stimulation - Help the mother and baby
    - If the baby is not breathing, stimulate by - Observe the newborn
    drying - Encourage the mother to move the baby
    DO SKIN TO SKIN CONTACT towards her
    - For mother-baby bonding BREASTFEEDING CUES
    B- breastfeeding - Eye movement under closed lids
    L- lymphoid tissue system stimulation - Increased alertness
    E- exposure to maternal skin flora - Tossing, turning, wiggling
    S- sugar (protection from hypoglycemia) - Rooting Reflex
    T- Thermoregulation - Changes in facial expression
    - Squeaking noises
    If the baby is breathing or crying:  CRYING is a late sign of hunger
    - Position baby in a prone position in the INITIATION OF BREASTFEEDING
    mother’s ABD and cover the back of the baby - HCP should not touch the newborn (unless
    with dry linen and the head with a bonnet there is a medical indication)
     Drying - Do not give sugar water/formula
     Room is 25 -28 Degree Celsius - Do not give pacifiers or bottles
     Baby’s temp. is 36.5 -37.5 Degree Celsius - Do not throw away colostrum
    PROPERLY- TIMED CORD - Let the baby feed
     Term babies, anemia reduced by 50%
     Preterm babies, anemia reduced by 51%

    Transcribed by: Kristine Maderazo and Vance Jowie Anne S. Sedilla


    2
    CARE OF THE MOTHER, CHILD AND ADOLESCENT
    (WELL CLIENT)  Side Lying Position

    SUPPORT CONTINUOUS AND EXCLUSIVE BREASTFEEDING


    1. Breastfeeding support is continued
    2. Counsel on positioning
    3. Counsel on attachment and suckling
    PROPER BREASTFEEDING HOLD
    - Look for a quiet place
    - Find a most relaxed position for the mother
    POSITIONS: EVIDENCE FOR ESSENTIAL NEWBORN CARE
     Cradle Hold 1. Immediate and thorough drying
    2. Early skin to skin contact
    3. Properly-timed cord clamping
    4. Non-separation of newborn from mother

    ESSENTIAL INTRAPARTUM CARE


    Prior:
    1. Ensure that the mother is in her position of choice
    while in labor
    BEST POSITION: Left Side- Lying
     Cross Cradle Hold
    2. Ask mother if she wishes to eat, drink or void
    3. Communicate with the mother and inform her the
    progress of labor
    Woman in the Delivery Room:
    1. Check the temp. in the DR are. It should be 25-28
    Degree Celsius. Eliminate air draft.
    2. Ask woman if she is comfortable in the semi-
    upright position
    3. Ensure the woman’s privacy
    4. Remove all jewelry and wash hands thoroughly

     Football Hold
    5. Prepare a clear, clean resuscitation are on a firm
    and flat surface
    6. Check equipment if clean
    7. Arrange materials in a linear sequence (Gloves, Dry
    linen, Oxytocin injection, Plastic Clamp, Instrument
    Clamp, Scissor, Kidney Basin, eye ointment,
    stethoscope, Vit. K, Hepa.
    B, BCG and Cotton Balls
    8. Clean the perineum with antiseptic solution
    9. Wash hands and put sterile gloves aseptically

    DURING DELIVERY:
    1. Encourage woman to push as desired
    2. Drape the linen over the mother’s ABD
    3. Apply perineal support (to avoid laceration)

    Transcribed by: Kristine Maderazo and Vance Jowie Anne S. Sedilla


    3
    CARE OF THE MOTHER, CHILD AND ADOLESCENT
    (WELL CLIENT)
    4. Call on time of birth and sex of the baby
    5. Inform the mother pf the outcome

    NEWBORN CARE UNTIL THE FIRST WEEK OF LIFE


     Thoroughly dry baby for 30 seconds (Face,
    head, trunk, extremities/ cephalocaudal)
     In 1-3 minutes, remove wet cloth to prevent
    hypothermia
     Place baby in skin to skin contact with the
    mother
     Exclude/give oxytocin for another contraction
    (to check if there’s still another baby)
     Position baby for clamping
     Palpate the cord for pulsation (AVA)
     After pulsation stops, clamp cord 2 cm from
    the base
     And 5 cm from the base, clamp instrument
    clamp
     Cut near the plastic clamp
     Wait for small uterine contraction to
    *Ice/ massage to let the uterine contract and
    prevent hemorrhage
     Inspect lower vaginal perineum of the mother
    for laceration
     Apply perineal pad
     Check baby’s color and breathing
    AFTER THE CORD IS CUT:
     Decontaminate instruments used
     Advise mother for continuous skin to skin contact
     Support mother and instruct her in positioning
     Wait for full breastfeeding to complete before
    performing full care on the baby

    NEWBORN CARE:
     Apply ointment and also do thorough P.E.
     Inject Vitamin K and Hepa B. intramuscularly to
    promote coagulation of bld. (common in the right
    thigh
     Inject BCG
     Advise bathing after 6 hours
     Advise monitoring of color and breathing
    every 15 minutes

    Transcribed by: Kristine Maderazo and Vance Jowie Anne S. Sedilla

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