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The target users are skilled birth attendants including midwives, nursesThe mention of speci?c companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the W orld Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. T he responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. EARLY ESSENTIAL NEWBORN CARE Clinical practice pocket guide A newborn infant dies every two minutes in the Western Paci?c Region, accounting for more than half of all under-?ve child deaths. Many of these deaths are preventable. In a push to meet the Millennium Development Goals (MDGs) 4 and 5 relating to women and children’s health, United Nations Secretary- General Ban Ki Moon championed the Global Strategy on Women’ s and Children’s Health (2010). In his initiative, the UN Secretary-General called on governments, United Nations agencies and other stak eholders to take actions towards achieving these targets in MDGs 4 and 5. Likewise, Every Newborn: An Action Plan to End Preventable Deaths (2014) was developed by the World Health Organization (WHO), the United Nations Children’s Fund (UNICEF) and other partners. Supporting Member States to update clinical protocols, the Regional Of?ce has now developed the Early Essential Newborn Care: Clinical Practice Pocket Guide. This practical, hands-on reference volume provides health workers with WHO-recommended steps to care for mothers during labour and delivery and for newborn infants after birth.
Within these pages, health work ers will ?nd effective, low-cost recommendations that can be easily implemented even at the community level. Special attention is also paid to common practices that are harmful and must be stopped. Shin Y oung-soo, MD, Ph.D. Regional Director Foreword.The high mortality and morbidity rates among newborns are related to inappropriate hospital and community practices that currently occur throughout the Region. Furthermore, newborn care has fallen into a gap between maternal care and child care. The target users are skilled birth attendants including midwives, nurses and doctors, as well as others involved in caring for newborns. T his pocket book provides a step-by-step guide to a core package of essential newborn care interventions that can be administered in all health-care settings. It also includes stabilization and referral of sick and preterm newborn infants. Intensive care of newborns is outside the scope of this pocket Guide. The Newborn Care T echnical Working Group reviewed the available materials from six countries of the Western P aci?c Region (Cambodia, China, the Lao People’ s Democratic Republic, Papua New Guinea, Philippines and Viet Nam). The text and clinical algorithms have been updated and enhanced through the recent WHO publications and guidelines: the 2013 second edition of the Pocket book of hospital care for children: Guidelines for the management of common childhood illnesses; the 2012 Guidelines on basic newborn resuscitation; the 2012 WHO recommendations for the prevention and treatment of postpartum haemorrhage; the 2009 Infant and young child feeding. Home visits for the newborn child: a strategy to improve survival; the 2011 Guidelines on optimal feeding of low-birth-weight infants in low- and middle-income countries; the 2010 WHO best practices for injections and related procedures toolkit; and the 2009 WHO Guidelines on hand hygiene in health care.Experience shows that babies weighing ?
1800 g can usually start KMC at birth. IF KMC is not possible, wrap the baby in a clean, dry, warm cloth and place in a crib. Cover with a blanket. Skin-to-skin care (in kangaroo position) NOTES ACTION INTERVENTION B. CARE FOR A SMALL BABY (OR TWIN) (continued) ? 62 ADDITIONAL CARE NEONATA L CARE ’S ENVIRONMENT MAINTENANCE CHECKLIST NEONATA L CARE ’S ENVIRONMENT MAINTENANCE CHECKLIST.Experience shows that babies weighing ? 1800 g can usually start KMC at birth. IF KMC is not possible, wrap the baby in a clean, dry, warm cloth and place in a crib. Cover with a blanket. Skin-to-skin care (in kangaroo position) NOTES ACTION INTERVENTION B. CARE FOR A SMALL BABY (OR TWIN) (continued) This clinical practice guide is organized chronologically. It guides health workers through the standard precautions for essential newborn care practices, beginning at the intrapartum period with the process of preparing the delivery area, and emphasizing care practices in the ?rst hours and days of a newborn’s life. Each section has a colour tab for easy reference.Is the fetus in transverse lie.If the gestational age is estimated to be START tocolytics to slow down labour, if no contraindications; START antibiotics for preterm prelabour rupture of membranes; CALL for help; and PREPARE for resuscitation and management of a preterm baby. An update will be provided once available.TIME BAND: WITHIN THE FIRST 30 SECONDS Dry and provide warmth NOTE intervention action 2. TIME BAND: FROM 30 SECONDS T O 3 MINUTES If after thorough drying and stimulation (as close to 30 seconds as possible), newborn is gasping or is not breathing: Start of positive pressure ventilation If breathing or crying Continue skin-to-skin contact Manage as in a multifetal pregnancy. NOTES Inject oxytocin into the mother’s arm or thigh Assist with multiple births TIME BAND: FROM 30 SECONDS T O 3 MINUTES (continued) intervention action Baby will make several attempts to breastfeed before being successful.See Bibliography.
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Pocket book of hospital care for children: guidelines for the management of common childhood illnesses. Monitor breathing and w armth. If the baby has signs of illness or does not show readiness to feed, i.e. feeding cues within 90 minutes, EXAMINE the baby and MANA GE urgent conditions. NOTES Do eye care TIME BAND: WITHIN 90 MINUTES (continued) Newborn care (from 90 minutes to 6 hours) If a thermometer is not available, assess warmth every 4 hours by touching the baby’ s feet. Ensure that the room is w arm and draft-free, and use w arm water for bathing. Thoroughly dry the baby, then dress and cover the baby after the bath. Care prior to discharge (but after the ?rst 90 min) Teach the mother to treat this local infection with gentian violet. If no improvement in 2 days, or if worse, refer the baby urgently. Give the ?rst dose of IM ampicillin and gentamicin. Refer the baby urgently. If the umbilicus is draining pus, consider possible serious illness. Give the ?rst dose of IM ampicillin and gentamicin. Refer the baby urgently. Refer for evaluation. If, consider local skin infection.Bonnets or caps are recommended. TIME BAND: FROM DISCHARGE TO 6 WEEKS (continued) Support unrestricted, on demand, exclusive breastfeeding, day and night (continued) NOTES Ensure warmth for the baby intervention action TIME BAND: FROM DISCHARGE TO 6 WEEKS (continued) Ensure warmth for the baby (continued) intervention action VENTILATING A NEONATE WITH BAG AND MASK If you hear air escaping from the mask, form a better seal. The most common leak is between the nose and the cheeks.Observe to ensure that the baby continues to breathe well. Ventilate, if still not breathing (continued) intervention action A. NEWBORN RESUSCIT ATION (continued) If KMC is not possible, wrap the baby in a clean, dry, warm cloth and place in a crib. Cover with a blanket.NOTES Discharge planning action intervention B. CARE FOR A SMALL BABY (OR TWIN) (continued) 1.
EXPRESSING MILK DIRECTL Y INTO THE B ABY’S MOUTH Feed the baby with the mother’s own milk whenever possible by one of THREE METHODS, as follows: Document ?ndings, treatments, referrals, and follow-up plans on clinical and home-based records. Prepare workplace for deliveries Restock delivery area intervention action 7. Setting up the environment f or good neonatal car e A. PREP ARING FOR SHIFTS B. AFTER EVERY DELIVERY C. STANDARD PRECA UTIONS Do not leave boiled items sitting in water that has stopped boiling. HLD kills all germs except some endospores (dif?cult-to-kill bacteria, such as tetanus or gas gangrene). If sterilization is not available, HLD (by boiling or steaming) is the only other acceptable choice. Processing instruments and other items intervention action C. STANDARD PRECA UTIONS (continued) Any item that will come into contact with the bloodstream or tissues under the skin should be sterilized using steam (autoclaving) or dry heat. Steam sterilization uses moist heat under pressure, so both water and heat are needed. Proper storage is as important as decontamination, cleaning, sterilization, or HLD. Open up scissors and other instruments with joints. Processing instruments and other items (continued) NOTE intervention action C. STANDARD PRECA UTIONS (continued) Department of Child and Adolescent Health and Development. WHO technical consultation on postpartum and postnatal care. Geneva: World Health Organization; 2003. Managing complications in pregnancy and childbirth: a guide for midwives and doctors. Geneva: World Health Organization; 2000. Pregnancy, childbirth, postpartum and newborn care: a guide for essential practice. 2nd ed. Geneva: World Health Organization; 2006. Guidelines on basic newborn resuscitation. Geneva: World Health Organization; 2012. Guidelines on maternal, newborn, child and adolescent health approved or under review by the WHO Guidelines Review Committee.
Guidelines on optimal feeding of low birth-weight infants in low- and middle-income countries. Geneva: World Health Organization; 2011. Hormann E, Savage F. Relactation: a review of experience and recommendations for practice. Geneva: World Health Organization; 2009. March 2014 supplement to the 2013 consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection: recommendations for a public health approach. Geneva: World Health Organization; 2009. 10. Bibliography Pocket book of hospital care for children: guidelines for the management of common childhood illnesses. 2nd ed. Geneva: World Health Organization; 2013. Background and implementation. Geneva: World Health Organization; 2009. WHO best practices for injections and related procedures toolkit. Geneva: World Health Organization; 2010. WHO guidelines on hand hygiene in health care. Geneva: World Health Organization; 2009. WHO recommendations for the prevention and treatment of postpartum haemorrhage. Geneva: World Health Organization; 2012. WHO recommendations on postnatal care of the mother and newborn. Geneva: World Health Organization; 2014. Geneva: World Health Organization; 2013. World Health Organization Jan 2010 Essential newborn care course. Geneva: World Health Organization; 2010. WHO technical consultation on postpartum and postnatal care. Geneva. Geneva: World Health Organization; Pregnancy, childbirth, postpartum and newborn care: a guide for essential practice Jan 2006 Pregnancy, childbirth, postpartum and newborn care: a guide for essential Guidelines on basic newborn resuscitation Jan 2012 Guidelines on basic newborn resuscitation. Geneva: World Health. Organization; 2012. Guidelines on optimal feeding of low birth-weight infants in low-and middle-income countries Jan 2011 Guidelines on optimal feeding of low birth-weight infants in low-and Geneva: World Health Organization; 2011. Relactation: a review of experience and recommendations for practice.
Geneva: World Health Organization Jan 1998 E Hormann F Savage Hormann E, Savage F. Relactation: a review of experience and Geneva: World Health Organization; 1998 Geneva: World Health. Organization; 2009. supplement to the 2013 consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection: recommendations for a public health approach Jan 2009 March 2014 supplement to the 2013 consolidated guidelines on the Geneva: World Health. Less attention has, however, been paid by caregivers to women's and their partner's emotional needs during their transition through pregnancy and birth to parenthood although recent recognition of the importance of support in labour and birth has acknowledged this need. The lack of any clear role, or indeed any role at all, for perinatal psychologists in this process, is evidence of this omission. This paper highlights the potential role to be played by perinatal psychologists and the need to develop care facilities that include this contribution. In 2013, there were an estimated 289 000 maternal deaths and 2.9 million deaths of newborns, most of which might have been averted with proper antenatal care or the presence of a midwife during delivery. In addition to delivering infants, midwives provide health services for mothers and newborns and sexual and reproductive education. Read more Article Accuracy of Pulse Oximetry Screening for Critical Congenital Heart Defects after Home Birth and Earl. To assess the accuracy of pulse oximetry screening for critical congenital heart defects (CCHDs) in a setting with home births and early discharge after hospital deliveries, by using an adapted protocol fitting the work patterns of community midwives. Study design. Positive screenings were referred for pediatric assessment. Primary outcomes were sensitivity, specificity, and false-positive rate of pulse oximetry screening for CCHD. Secondary outcome was detection of noncardiac illnesses. Results.
The prenatal detection rate of CCHDs was 73. After we excluded these cases and symptomatic CCHDs presenting immediately after birth, 23 959 newborns were screened. Pulse oximetry screening sensitivity in the remaining cohort was 50.0 (95 CI 23.7-76.3) and specificity was 99.1 (95 CI 99.0-99.2). Pulse oximetry screening was false positive for CCHDs in 221 infants, of whom 61 (134) had noncardiac illnesses, including infections (31) and respiratory pathology (88). Pulse oximetry screening did not detect left-heart obstructive CCHDs. Including cases with prenatally detected CCHDs increased the sensitivity to 70.2 (95 CI 56.0-81.4). Conclusion. Pulse oximetry screening adapted for perinatal care in home births and early postdelivery hospital discharge assisted the diagnosis of CCHDs before signs of cardiovascular collapse. High prenatal detection led to a moderate sensitivity of pulse oximetry screening. The screening also detected noncardiac illnesses in 0.6 of all infants, including infections and respiratory morbidity, which led to early recognition and referral for treatment. It will examine the problems faced by pregnant homless women and how well these women are served by social policies and initiatives. The conclusion of this paper will discuss the potential benefits for homeless pregnant women with the introduction of the children's centres. Read more Discover the world's research Join ResearchGate to find the people and research you need to help your work. Join for free ResearchGate iOS App Get it from the App Store now. Install Keep up with your stats and more Access scientific knowledge from anywhere or Discover by subject area Recruit researchers Join for free Login Email Tip: Most researchers use their institutional email address as their ResearchGate login Password Forgot password. Keep me logged in Log in or Continue with LinkedIn Continue with Google Welcome back.
Keep me logged in Log in or Continue with LinkedIn Continue with Google No account. All rights reserved. Terms Privacy Copyright Imprint. Once home, though,Many hospitals have feedingYour doctor or theEven if you disagree on certain things,But if you don't feel up to having guests or you haveNewborns don't have aCradle the head when carryingLimit any activity that could be too rough orPhysical closenessAnother way to think of. Children thrive from having a parentMany books and videos cover infant massage — ask yourBe careful, however — babies are not as strong asBaby rattles and musical mobilesIf your little one is beingProper swaddlingSwaddling also may help limit the startle reflex, which canBe sure not to wrap too tightly aroundWrapping your babyTo make sure your baby is not wrappedMake sure, however, that the blanket is notAt this age, some babiesWhichever you use, your little one will dirty diapers aboutYou'll need: Use the water, cotton balls, and washcloth or theWhen removing a boy's diaper,When wiping a girl,To prevent or heal a rash, apply ointment.
Always rememberMost rashes happen because the baby'sCreams with zincThis gives the skin a chance toMore frequent bathingFill a sink, if nearby, orThen wet the cloth againIf he or she becomes upset, go back to sponge baths forMake sure the water in the tub is no more than 2 to 3 inchesUse one of your hands toSpeaking gently,Gently massage your baby's scalpWhen you rinse the soap or shampooGently wash the rest of your baby's bodyAfter the bath, wrap your baby in a towel immediately, makingBaby towels with hoods are great for keeping a freshlyCircumcision and Umbilical Cord Care Gently wipe the tip clean with warm water afterSome doctors suggest swabbingTalk to your child'sUntil it falls off, the cord stump will change color fromCall your doctor if the navel areaGenerally, it's recommendedIf you're breastfeeding, giveIf your baby seemsTalk to your doctorTo help preventSupport your baby'sSupport your baby's chest and head with one hand bySupport your baby's head, making sure it'sAlways burp your baby when feedingSleeping Basics Don't expect yours toMany babies sleep throughLike adults, babies must develop their own sleep patternsAlso be sure to alternate the positionOne way to help them is to keepKeep the lights low, such as by using a nightlight.When your baby wakes upIf you have questions or concerns. People should neverRarely, it can happen in children upThis pressure makes it hard for blood,Many signs of abusive head trauma, like fussinessSo it can be hard forA key part of prevention is increasing. Here's how to be prepared.
Plan to bring loose-fitting clothing forDress your baby as you wouldIf it's cold, put footie pajamas, a hat, and warm blanketThe Car Trip Your baby could be pulled from yourThere are two kinds of car seats for babies: infant-onlyThe American Academy of Pediatrics (AAP) recommendsKids who are small can remain inPassenger-side airbags in the frontWhen it's cold, strap your baby inAvoid seatsLATCH (Lower Anchors and Tethers for Children) is a systemIt uses built-in hooks to connect the seatEven though LATCH is standard in the United States,Follow the manufacturer's instructionsAsk your doctor or nurse about local resources where your carMake sure that the evaluation is done by someone trained andYou'll likely be nervous. In fact, you may actually feelBut you'll know before long —You'll be lessMeanwhile, your partner may feel a little left out ifRemember: youngIf you have other kids,Some parents bring home giftsBut rememberFamily and Friends Although babies typically aren't shy around strangers forYou might say something. Her name is Julia Marie; she was bornWe're all fine and adjusting to our newAsk anyone who's ill to wait untilYou shouldn't hesitate toCall if you see any of. Childbirth classes helped prepare you for giving birth, butIt also canYour body's adjustment to new hormone andThe stretching of your musclesThese are most noticeable when your baby nursesInitially heavier than your periodThese baby bluesBaby blues usually go away within 1 toPPD can be diagnosed up to a yearDoctors oftenIf unexpected,Also wait until you can make suddenEven thoughAn easy way to stay on top of drinking enough fluids is toAt least until your milk supply isYour clinicCall your doctor if this happens.Sitting on a pillow may be more comfortable than sittingAfter a bowel movement, wipe from front to back to avoid infection.Local anesthetic spraysWalking and swimming are excellent choices.
It also canDon't use laxatives, suppositories, orIncrease your intake of fluids and fiber-rich fruitsDoctors usually recommend waiting 4-6 weeks to have sex to reduce the risk of infection, increased bleeding,You'll probablyTry to find positions that put less pressureTell your partner if you're sore orEncourage the process with Kegel exercises, which helpTo find the correct muscles, pretend you're tryingFor example: Ask your partner, friends, and family for help.When people offerFor example: Nutrients You Need. Baby’s Best Chance is a reference guide for parents. Topics covered include pregnancy, birth and parenting a baby up to six months of age. Baby’s Best Chance provides easy-to-read tips on having a healthy pregnancy and giving your baby a good start in life. It also provides you with information on how to take care of your own well-being. Print copies of Baby’s Best Chance are also available in French from the Federation des parents francophones de Colombie-Britannique. The book is also translated into Chinese, French, Punjabi and Spanish. The Passport provides one central place for parents to record their child’s growth, illnesses, injuries, allergies, hospitalizations and vaccinations. There is also information on child safety and where to find other helpful parenting resources. Parents typically receive a Child Health Passport in their birth packs, or they can be obtained through the local public health units as part of immunization services. The Child Health Passport is available in French from the Federation des parents francophones de Colombie-Britannique. This guide covers child development, healthy eating, health and well-being, parenting and safety for children. Ask your health care provider if a printed copy is available or read it online. Safer Sleep For My Baby is provided by the Ministry of Health. Call 9-1-1 or the local emergency number immediately.
And by having access to our ebooks online or by storing it on your computer, you have convenient answers with Baby Care Manual. To get started finding Baby Care Manual, you are right to find our website which has a comprehensive collection of manuals listed. Our library is the biggest of these that have literally hundreds of thousands of different products represented. I get my most wanted eBook Many thanks If there is a survey it only takes 5 minutes, try any survey which works for you.