Unang Yakap: Time-Bound Non-Time-Bound Unnecessary

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

Unang yakap

 Adapted from WHO: Essential Intrapartum Newborn Care (EINC)


NON-TIME-
TIME-BOUND UNNECESSARY
BOUND
 Drying (wiping  Vitamin K  Suctioning
the newborn injection  The only
body of fluids  Weighing of the indication is
and secretions) baby asphyxia
 Primary  BCG neanotorum
purpose: is to  Hepa B (meconium) of
promote crying the post term
 Full-term has  Separation of the
strong cry infant from the
 Weak cry- mother
preterm <37 wks  Footprinting (ID
injection (means tags are already
that the shunts of done)
the heart are  Prelacteal
possible not feeding (sterile
closing) water before
 Skin-to-skin feeding milk)-
(abdomen first the purpose is to
then to the chest rule out
after the cord is esophageal
cut) atresia (prevent
 Cord-cutting asphyxiation)
 Breastfeeding and
(begin within 30 tracheoesophage
minutes after al fistulas
giving birth)
 If CS, after 4
hours d/t
sedation

Immediate care of the newborn


 Right after delivery
 Extension: once the head of the baby is delivered → external
rotation → expulsion: the whole body is delivered
 Before suctioning, wipe the face first of secretions
 Suctioning is done during the extension, mouth first before the
nose
 A bulb syringe is used when suctioning and not a suctioning
catheter

PRINCIPLES
 Initiate and Maintain Respiration
 Wipe out secretions, mucus, and fluids from the fetal face to
prevent aspiration
 Suction using a bulb syringe
 Mouth first, because babies are nose breathers
 When the nose is suctioned, it will stimulate the gasp reflex
and stimulate breathing that will lead to

aspiration of the mucus inside the mouth of the baby


 Best position of a newborn baby: Trendelenburg position to
promote drainage of sections but is contraindicated with
increased ICP (hydrocephalus)
 Time for suctioning for term babies: 10-15 seconds
 Preterm: <10 seconds
 Prolonged suctioning (especially in the premature) will cause
bradycardia → decrease in CO
 Hypoxia → d/t low oxygen, the lungs have just expanded →
laryngospasms
 Premature: <10 seconds
 >15 seconds: bradycardia (decreased cardiac output), hypoxia,
laryngospasm (airway obstruction)
 Position: Trendelenburg
o To promote drainage of secretions
o Contraindicated with increased ICP (hydrocephalus)
 Maintain Normal Body Temperature
 36.5-37.5 degree Celsius
 OR is kept cold to prevent the proliferation of microbes and
infection
 Mechanisms of heat loss
o Convection: loss of heat d/t cooler room temperatures
o Conduction: in contact with a cool body surface
o Radiation: not in contact with a cool surface
o Evaporation: heat is turned to vapor
 Partial bath (done only after 6 hours)
 Vernix caseosa (created by the SQ of the baby) is not
removed because this serves as heat insulation
o When weighing a baby on a metal weighing scale, place cloths
to prevent heat loss
o When there is hypothermia, the body will use glucose →
hypoglycemia → fats will be used → metabolic acidosis →
dysrhythmia
o Hypothermia is called cold stress (<35 degrees Celsius) in
babies

You might also like