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Algorithm: Essential Newborn Care: Is The Baby Gasping or Not Breathing?

The document outlines essential newborn care procedures including: - Drying the baby within 5 seconds of birth and starting skin-to-skin contact - Checking breathing while drying and performing resuscitation if not breathing - Continuing skin-to-skin contact and encouraging breastfeeding when cues shown - Clamping/cutting cord after pulsations stop at 1 minute - Monitoring baby every 15 minutes and managing any urgent conditions if signs of illness - Providing routine postnatal care like vaccines, weighing, and examining before discharge

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Dela cruz Kimberly
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338 views1 page

Algorithm: Essential Newborn Care: Is The Baby Gasping or Not Breathing?

The document outlines essential newborn care procedures including: - Drying the baby within 5 seconds of birth and starting skin-to-skin contact - Checking breathing while drying and performing resuscitation if not breathing - Continuing skin-to-skin contact and encouraging breastfeeding when cues shown - Clamping/cutting cord after pulsations stop at 1 minute - Monitoring baby every 15 minutes and managing any urgent conditions if signs of illness - Providing routine postnatal care like vaccines, weighing, and examining before discharge

Uploaded by

Dela cruz Kimberly
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Essential care for No

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

30s Is the baby gasping or not breathing? New born


Resuscitation:
NO YES - Clamp and cut cord
- Start ventilation


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

Examine the baby and


YES manage urgent conditions
Does the baby have signs of illness?

NO

90min After the baby has detached from breast:


– examine the baby – weigh the baby and record
1

Does the baby have:


- birthweight < 1500g? YES Manage urgent conditions
- a danger signs?
- feeding difficulty?

NO

Provide preventive measures – Inject vitamin K, hepatitis B and BCG vaccines

YES Manage other


Does the baby have other problems? problems

NO then
Provide routine postnatal care – Re-examine the baby before discharge

Does the baby have YES


- A danger signs? Manage urgent conditions

- Jaundice?
NO

24hrs Provide counselling and discharge – Do not discharge before 24 hours after birth

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