Initial Steps of Newborn Care-2

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Initial steps of

newborn care
Check term, tone and cry
• Gestation Age

• Muscle tone

• Cry
Check term, tone and cry
• Gestation Age 🗸

• Muscle tone 🗸

• Cry 🗸
Initial steps for vigorous, term newborn
• Provide warmth
• Dry
• Stimulate
• Position the head and neck
• Clear secretions if needed
Check term, tone and cry
• Gestation Age < 37 weeks
Or
• Muscle tone: Flaccid extremities
Or
• Cry : No cry
Check term, tone and cry
• Gestation Age < 37 weeks
Or
• Muscle tone: Flaccid extremities
Or
• Cry : No cry
No
Bring the baby to radiant warmer

Warm, dry, stimulate, position


airway, suction if needed
No
Bring the baby to radiant warmer

Warm, dry, stimulate, position


airway, suction if needed
Initial steps for non vigorous and preterm newborn
• Provide warmth
• Dry
• Stimulate
• Position the head and neck
• Clear secretions if needed
Step-1: Providing warmth
• Maintain between 36.5º C and 37.5º C
Step-2: Drying

Drying

Note: Very preterm, less than 32 weeks, drying is not necessary,


place immediately in polyethylene plastic
Step-3: Stimulate
• Gently rub back, trunk or extremities

• Never shake a baby


Step-4: Position the head and neck
Step-5: Clear secretions if needed
Evaluation of a newborn’s response to initial steps
● Is the newborn apneic
or gasping
Evaluation of a newborn’s response to initial steps
● Is the newborn apneic
or gasping

● If the newborn is
breathing after initial
steps, assess the heart
rate
Newborn breathing, HR 100, but cyanotic
Pulse oximeter
Indications for pulse oximetry

● When resuscitation is anticipated

● To confirm your perception of


persistent central cyanosis

● When supplemental oxygen is


administered

● When PPV is required


Labored breathing or persistent cyanosis
Labored breathing or persistent cyanosis
Oxygen administration
Oxygen administration
Oxygen administration
Umbilical cord clamping
Thank You

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