Algorithm: Essential Newborn Care: Is The Baby Gasping or Not Breathing?
Algorithm: Essential Newborn Care: Is The Baby Gasping or Not Breathing?
Algorithm: Essential Newborn Care: Is The Baby Gasping or Not Breathing?
all
Decision points Yes
Algorithm: Essential
Condition points Then
B
newborn care
Call out time of birth and sex of the baby
Deliver the baby onto the dry cloth draped over the mother’s abdomen or arms
Start drying baby within 5 seconds after birth:
o wipe eyes, face, head, trunk, back, arms and legs thoroughly
ir
o check breathing while drying
Remove wet cloth to start skin-to-skin contact
Cover the baby with dry cloth and head with bonnet
Do not do routine suctioning
1min
Continue skin-to-skin contact on mother’s abdomen or chest
Inject oxytocin 10 IU IM after excluding a second baby and informing the mother, then remove
soiled set of gloves, if you are lone birth attendant
Clamp/cut cord after pulsations stop, no earlier than 1 minute
Do not separate the baby from the mother for at least 60 minutes, unless in respiratory distress
or with maternal emergency
Encourage breastfeeding when baby shows feeding cues
Do eye care (before 1 hour)
Monitor the baby every 15 minutes
Postpone bathing until after baby > 24 hours of age
NO
NO
NO then
Provide routine postnatal care – Re-examine the baby before discharge
- Jaundice?
NO
24hrs Provide counselling and discharge – Do not discharge before 24 hours after birth