ESSENTIAL

NEW BORN
CARE
ESSENTIAL NEWBORN CARE
The campaign employs ESSENTIAL NEWBORN
CARE protocol as a strategy to improve the health
of the NEWBORN soon after birth, and in the
postnatal period.

OBJECTIVES
Discuss essential newborn care.
Demonstrate and explain preparation for a birth.
 Demonstrate and explain the steps for immediate
care of the newborn.
Assessment and care of the baby using APGAR.
Counsel the mother and family on baby care.
To further understand and gain extensive knowledge
about essential newborn care.
To allow students with real experience and
understanding.
Request the students to take risks , make judgments
in an uncertain situations

PATIENT PROFILE

NAME OF MOTHER : JULIE ANDAYA FERNANDEZ

AGE : 25 YEARS OLD
DATE OF BIRTH : AUGUST 26,1992
ADDRESS:DAGUPAN CITY
EDUCATIONAL ATTAINMENT : COLLEGE GRADUATE
MIDWIFERY
NAME OF HUSBAND :JOHNWELL FERNANDEZ
AGE : 48 YEARS OLD
OCCUPATION OF THE HUSBAND : FARMER / DRIVER
ADDRESS : BRGY. NAGSAING CALASIAO PANGASINAN
 LAST MENSTRUAL PERIOD : JANUARY 4 , 2016
EXPECTED DATE OF CONFINEMENT : OCTOBER 11, 2016
HOSPITAL : PANGASINAN PROVINCIAL HOSPITAL
DATE OF BIRTH OF THE BABY : OCTOBER 3 , 2016
TIME OF DELIVERY : 7:24 AM
GENDER OF THE BABY : MALE
APGAR SCORE : 8/9
HEAD CIRCUMFERENCE : 35 CM
CHEST CIRCUMFERENCE : 34 CM
ABDOMINAL CIRCUMFERENCE : 27 CM
RIGHT ARM CIRCUMFERENCE : 13 CM
TEMPERATURE : 36.5

ANATOMY AND PHYSIOLOGY

Anatomy of the female breast

The important organ that is not only involved in the human reproductive cycle but also involved in the
development of the child following child birth is the human female breast. The mature female breast
contains mammary glands. They are attached to the Pectoralis muscle via connective tissue. The
mammary glands which located at the center of the breast consist of lobules of glandular tissue (also
known as alveoli/milk ducts) The lobes of glandular tissue are the grape like structure that consist of
specialized gland cells, specialized secretory cell that produce and release milk. And when the milk is
produced and released, it is release in to these milk ducts and these ducts act as passageways. They
allow the movement of the milk from the lobules of the glandular tissue and to the nipple where the
nipple has very tiny holes that allows the passageway of the milk out of the breast. Nipple also contains
nerve endings and when the baby suckles the nipple the nerve essentially creates action potentials
electrical signals that travel all the way to hypothalamus and the hypothalamus stimulates the posterior
and anterior pituitary gland to basically release special hormones (Prolactin & Oxytocin) and these
hormones stimulates the process of lactation (the production and the release of milk) The ligaments of
cooper is a fibrous bonds of connective tissue attaches the breast to the skin. The adipose tissue found
around the lobules determines the size and softness of the breast. The blood vessels consist of arteries
which carries the oxygenated nutrient filled blood to the cell of the breast while the veins carry away the
de-oxygenated blood that contains waste products away from the cells found inside of the breast.
Around the nipple there is a relatively dark region of the tissue known as areola. Areola is a small
circular structure that is color differently than the surrounding tissue and this is found around the actual
nipple.

Physiology of Lactation

SUCKLING STIMULUS

HYPOTHALAMUS

High PRH Secretion High activity in neurosecretory cells

ANTERIOR PITUITARY POSTERIOR PITUITARY
High prolactin secretion High oxytocin secretion

Milk secretion by alveoli Contraction of Myoepithelial cells

Breasts
Milk ejection

MEDICAL MANAGEMENT
When the baby is out is been wipe thoroughly and place in
the mothers chest with the head covered and blanket,to
promote bonding and skin to skin contact between the
mother and child for 30 minutes.
After 30 minutes the baby will be taken from the mother
for anthropometric measurement:
Keep warm on top of the chest of the mother .
Care on the drop light.
Antropometrics
Birth weight
Temperature
Head circumference
Chest circumference
 Abdominal circumference
Right hand circumference
Birth length
Wearing baby clothes
Eye Prophylaxis or ointment to prevent eye infections
A shot of Vitamin K will be given to prevent the possibility
of bleeding
A shot of Hepatitis B vaccine is given to protects against
the Hepatitis B Virus which causes liver damage.
Baby is place on drop light to keep the stable temperature
while the doctor do assessment causes apgar test which
consists of: heart rate, breathing, reflex response, muscle
tone, and skin coloration. After Doctors assessment, baby
is been taking back to the mothers for first breastfeeding.

HEALTH
TEACHINGS
SLEEPING
YHealthy babys should sleep on their back. One of the most
important things you can do to help reduce the incident of SIDS.

EATING
THBaby feed whenever he or she is hungry. Most babies should
be feed every two to four hours. Do not wait longer than five hours
in between feeding.

BOWEL MOVEMENTS
 The bowel movements (stool) will change as the baby eat. The
first two days babies have black thick bowel moements. The next two
days the stool is yelow green in color.
UMBILICAL CORD CLAMPING
The babys umbilical cord will fall off 7-10 days. It must be kept
clean and dry. Just in case he cord is being wet just wipe it with dry
gauze or let it be dry first.
BREASTFEEDING
THERE ARE SEVERAL ADVANTAGES TO BREAST FEEDING. IT IS INEXPENSIVE,
CONVENIENT, SATISFYING AND PROVIDES PROTECTION AGAINST ILLNESS.