Immediate Nursing care of a newborn

1. NURSING CARE OF NEWBORN
ANAMIKA RAMAWAT
M.Sc. Nursing Prev.
Batch-2017-18
GCON, Jodhpur

2. Introduction
• Newborns are one of the most curious and interesting humans
you could ever encountered. They continue to become
everyone’s joy wherever they go. As their healthcare provider,
we are one of them who handled them primarily at the moment
they were delivered, so it is up to us to give the best primary
care to these little angels before we handover them to their
parents.
• Care provided during the prenatal and neonatal period is critical
to ensure the health of mother and baby and new born care is a
comprehensive strategy designed to improve the health of new
born through intervention before conception, during pregnancy
and soon after birth. Components of essential new born care are
ensuring warmth, immediate skin to skin care, initiation of early
breast feeding, umbilical cord care, eye care, vitamin K
administration and immunization.

3. DEFINITION
“The period from birth to 28 days
of life is called neonatal period and
infant in this is termed as neonate
or new born baby.”
The first week of life is known as
early neonatal period and the late
neonatal period extends from 7th
day to 28 days of age.
Care given to new born during
neonatal period is known as new
born care.

4. TYPES OF NEWBORN CARE
Immediate care of newborn
• Care of the baby that needs to be given at
birth in the labor room.
Later care of newborn
• Care of the baby that needs to be given in the
postnatal ward and after discharge at home.

5. ELEMENTS OF NEW BORN CARE
A) Basic preventive care including clean
delivery practices and exclusive breast feeding.
a)B) Early detection of danger signs.
C) Treatment of problems such as sepsis and
birth asphyxia.

6. APGAR SCORE
Apgar scoring is described by Dr.Virginia Apgar.
It is useful to quantitative assessment of newborn’s
condition at birth especially for the respiratory,
circulatory and neurological status.
Five objective criteria are evaluated at 1 minute and 5
minute, after the newborn body is completely born.

7. Respiration
Heart rate /minute
Muscle tone
Reflex irritability
Skin color

9.  Each parameter can have the highest score of
two and the lowest is 0.
 The scores of the five parameters are added to
determine the status of the infant.

10. •0-3 points: the baby is serious & in danger and need
immediate resuscitation.
•4-6 points: the baby’s condition is guarded and may need
more extensive clearing of the airway and supplementary
oxygen.
•7-10 points: are considered good and in the best possible
health.

11. IMMEDIATE CARE OF NEWBORN
Objectives-
• To establish and maintain respiration.
• To ensure warmth.
• To prevent infection.
• To provide care to the eyes.
• To provide care to the umbilical cord.
• To provide care to the skin.
• To make observation and documentation.
• To make identification and transfer.

12. CARE AT BIRTH
1. Wipe mouth and nose of secretion after delivery of the head with clean
sterile gauze pad.
2. Position-
Trendelenburg- Head lower than the body.
Side Lying position- to permit drainage of mucus from the mouth. Place a small
pillow or rolled towel at the back to prevent newborn from rolling back to supine
position.
3. Gently suctioning with bulb syringe and short catheter from mouth first then
nose to prevent aspiration of fluid into the lungs.
4. Deliver the baby onto a warm, clean and dry towel or cloth and keep on
mother's abdomen or chest (between the breasts).
5. Wipe both the eyes separately with sterile swab.

13. 6. Clamp and cut the umbilical cord after 1 minute, if baby breathing
well.
7. Immediately dry the baby with a warm clean towel or piece of cloth.
8. Assess the baby's breathing while drying.
9. Leave the baby between the mother's breasts to start skin-to-skin
care for at least an hour.
10. Cover the baby's head with a cap. Cover the mother and baby with
a warm cloth.
11. Place an identity label/band on the baby.
12. Encourage mother to initiate breastfeeding (within half an hour of
birth in normal delivery) & (after 2 hrs. in LSCS)

14. LATER CARE OF NEWBORN
Objectives –
• To receive the baby in the postnatal ward.
• To initiate feeding.
• To preventing infection.
• To maintain personal hygiene.
• To observe for early signs of disease or congenital anomalies.
• To provide parental teaching.

15. I) ENSURING WARMTH

16. II) ESTABLISH NORMAL BREATHING

17. III) INITIATING BREAST FEEDING

19. IV) PREVENTION OF INFECTIONS

20. V) CORD CARE

21. VI) EYE CARE

22. VII) SKIN CARE

23. APGAR VIDEO

24. SUMMARY…

25. Thank You!