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POINTERS.docx - ESSENTIAL INTRAPARTUM AND NEWBORN CARE...

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ESSENTIAL INTRAPARTUM ANDNEWBORN CARE(UNANG YAKAP)ENC is a simple cost-effective newborn care interventionthat can improve neonatal as well as maternal care. IT isan evidence-based intervention thatemphasizes a core sequence ofactions, performed methodically(step -by-step);is organized so that essential timebound interventions are notinterrupted; andfills a gap for a package of bundledinterventions in a guideline format.Essential Newborn Care• A simple, concise, straightforward protocol that isbacked by solid research evidence• Can prevent at least ½ of newborn deaths withoutadditional cost to both families and hospitalsPreparation:Prepare 3 surgical gloves (2 of which will be useby the obstetrician and the remaining pair bythe pediatrician)2 warm blanketsA bonetCord Care setEyecare (erythromycin)Vitamin k and hepatitis b shotWash your hands (1-5 counts for each movement)Put on surgical gloves (double gloving)WITHIN first 3 MINUTES1.Call out the time of birth2.Towel-dry the baby (30 seconds)3.Do not wash the baby with 6 hrs (it leads tohypothermia and complications)4.Do a rapid assessment while drying thebaby5.Remove the wet cloth6.Initiate skin to skin contact (place the babyin the prone position on the mother’sabdomen or between the breast)7.Cover the baby’s back and head (bonet andblanket to keep the baby warm)8.Remove first pair of gloves (prior tohandling the cord)9.Do not cut the cord immediately10.Clamp the cord at 2cm from the base of theumbilicus and clamp the second cord at 5cmthen cut the cord (waiting for 3 minutes oruntil the cord pulsation stops) benefits ofproper cord clamping (anemia and lowerrate of intraventricular hemorrhages)11.Inject 10 iu oxytocin into mother through im12.While maintaining the skin-to-skin contactcheck the mother’s condition and deliverthe placenta13.Check how heavy her bleeding is and checkfor other complicationsBenefits of skin-to-skin contactPromotes bonding between mother andchildOverall success of breastfeeding/ colostrumfeedingColonization with maternal skin floraProtect from hypoglycemiaAfter 30 mins baby will start to kick and it is a cue tostart the breastfeeding. Encourage the crawlingreflex. After 1stbaby breastfeeding carry out eyecareprocedures and administer vaccines. Keep the babyin mother’s side. Rooming in mother and new born.The baby is wash after 6 hours. Exclusivebreastfeeding starts at birth with colostrum feedingand continues for six months. At 6 months,appropriate complementary solids are started whilebreastfeeding continues until two years or beyond
PARTOGRAPHThe partograph is a useful tool for monitoring theprogress of labor. Use it to avoid unnecessaryinterventions so maternal and neonatal morbidity are notneedlessly increased, to intervene in a timely manner toavoid maternal and neonatal morbidity or mortality andto ensure close monitoring of the woman in labor.

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Term
Spring
Professor
NoProfessor
Tags
Intravenous therapy

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