Teaching Aids for Normal Newborn Care

1. Teaching Aids: NNF NC- 1 Care of Normal Newborn Care of Normal Newborn

2. Teaching Aids: NNF NC- 2 Principles of care at birth Principles of care at birth Establishment of respiration Prevention of hypothermia Establishment of breastfeeding Prevention of infection Identification of at risk neonates

3. Teaching Aids: NNF NC- 3 Care of normal newborn Care of normal newborn Preparation before delivery Preparation before delivery Immediate care at and after birth Immediate care at and after birth Essential postnatal care Essential postnatal care

4. Teaching Aids: NNF NC- 4 Contents of clean delivery kit (at home) Contents of clean delivery kit (at home) Soap for washing hands; ensure clean and boiled water Soap for washing hands; ensure clean and boiled water 2 to 3 sterilized cord ties 2 to 3 sterilized cord ties A new clean blade / boiled at home A new clean blade / boiled at home instrument to cut cord instrument to cut cord Clean sun-dried cloth / sheet, small gauze Clean sun-dried cloth / sheet, small gauze pads pads A clean plastic envelope / cloth to keep A clean plastic envelope / cloth to keep the kit in the kit in

5. Teaching Aids: NNF NC- 5 Five cleans to prevent infection Five cleans to prevent infection

6. Teaching Aids: NNF NC- 6 Physical facilities for resuscitation (at hospital) Physical facilities for resuscitation (at hospital) Resuscitation corner with warmer Resuscitation corner with warmer Contents of resuscitation kit Contents of resuscitation kit Suction catheter 10 Fr, De Lee trap, Suction catheter 10 Fr, De Lee trap, suction machine suction machine Resuscitation bag and masks Resuscitation bag and masks

7. Teaching Aids: NNF NC- 7 Physical facilities for resuscitation (at hospital) Physical facilities for resuscitation (at hospital) Infant laryngoscope with blades Infant laryngoscope with blades Endotracheal tubes (2.5, 3.0, 4.0 mm) Endotracheal tubes (2.5, 3.0, 4.0 mm) Medications epinephrine, naloxone, Medications epinephrine, naloxone, normal saline, sodium bicarbonate normal saline, sodium bicarbonate Plenty of disposables Plenty of disposables

8. Teaching Aids: NNF NC- 8 Newer Newer guidelines guidelines for for neonatal resuscitation neonatal resuscitation

9. Teaching Aids: NNF NC- 9 Concept of Routine Care, Supportive care and Ongoing Care

10. Teaching Aids: NNF NC- 10

11. Teaching Aids: NNF NC- 11 Immediate care after birth Immediate care after birth Prevent hypothermia Prevent hypothermia Eye, skin, cord care Eye, skin, cord care Give injection vitamin K Give injection vitamin K Breastfeed within hour of birth Breastfeed within hour of birth Search for malformations Search for malformations

12. Teaching Aids: NNF NC- 12 Increased risk of malformation Increased risk of malformation Single umbilical artery Single umbilical artery Simian crease Simian crease Dysmorphic features Dysmorphic features Asymmetric cry due to absence of Depressor Angularis Oris Muscle Asymmetric cry due to absence of Depressor Angularis Oris Muscle Excessive drooling of saliva Excessive drooling of saliva

13. Teaching Aids: NNF NC- 13 Quick screening for malformations Quick screening for malformations Screen from top to bottom and in midline Screen from top to bottom and in midline Orifice examination Orifice examination Anal opening Anal opening Oesophagus patency* Oesophagus patency* Choanal atresia Choanal atresia * SFD baby, polyhydramnios, excessive drooling, * SFD baby, polyhydramnios, excessive drooling, single umbilical artery single umbilical artery

14. Teaching Aids: NNF NC- 14 Essential postnatal care Essential postnatal care Nurse in thermal comfort Nurse in thermal comfort (warm to touch, pink soles) (warm to touch, pink soles) Check umbilicus, skin, eyes Check umbilicus, skin, eyes Good sucking at breast Good sucking at breast Screen for danger signals Screen for danger signals Advice on immunization Advice on immunization

15. Teaching Aids: NNF NC- 15 Care of umbilical stump Care of umbilical stump Inspect 2 to 4 hours after ligation for Inspect 2 to 4 hours after ligation for bleeding bleeding Do not apply anything, keep cord Do not apply anything, keep cord clean and dry clean and dry Inspect for discharge or infection till Inspect for discharge or infection till healing occurs healing occurs

16. Teaching Aids: NNF NC- 16 Care of the skin Care of the skin Dry using soft prewarmed clean cloth Dry using soft prewarmed clean cloth Bathing soon after birth is not Bathing soon after birth is not recommended recommended Do not make vigorous attempts to Do not make vigorous attempts to remove vernix caseosa remove vernix caseosa Inspect for superficial infections Inspect for superficial infections

17. Teaching Aids: NNF NC- 17 Care of the eyes Care of the eyes Clean at birth and subsequently daily Clean at birth and subsequently daily No kajal application No kajal application For sticky eyes use normal saline or For sticky eyes use normal saline or appropriate medication appropriate medication Nasolacrimal duct blockage, Massaging helps Nasolacrimal duct blockage, Massaging helps

18. Teaching Aids: NNF NC- 18 Summary: care of normal neonates at home Summary: care of normal neonates at home Protect from cold/ heat Protect from cold/ heat Keep umbilical stump clean and dry Keep umbilical stump clean and dry Dont apply anything on cord Dont apply anything on cord No application in eyes No application in eyes Exclusive breastfeeding - day and night for six months Exclusive breastfeeding - day and night for six months

19. Teaching Aids: NNF NC- 19 Weight change pattern in term baby Weight change pattern in term baby May loss up to 5-7% during first 3-5 May loss up to 5-7% during first 3-5 days days Regains birth weight by 7-10 days Regains birth weight by 7-10 days Gains 30 g/day during 1 st month Gains 30 g/day during 1 st month

20. Teaching Aids: NNF NC- 20 Danger signs Danger signs Lethargy Lethargy Hypothermia Hypothermia Respiratory distress Respiratory distress Cyanosis Cyanosis Convulsions Convulsions Abd distension Abd distension Bleeding Bleeding Yellow palms/ sole Yellow palms/ sole Excessive wt loss Excessive wt loss Vomiting Vomiting Diarrhoea Diarrhoea

21. Teaching Aids: NNF NC- 21 Follow up visit: Objectives Follow up visit: Objectives Assess growth & development Assess growth & development Early diagnosis and management of illness Early diagnosis and management of illness Health education Health education Exclusive breastfeeding for 6 months Exclusive breastfeeding for 6 months Complementary feeds after 6 months Complementary feeds after 6 months Spacing of family Spacing of family

22. Teaching Aids: NNF NC- 22 Immunization Immunization Age Vaccine Optional Age Vaccine Optional 0-7 days BCG, OPV, Hep B 0-7 days BCG, OPV, Hep B 6 Weeks OPV,DPT, Hep B Hib 6 Weeks OPV,DPT, Hep B Hib 10 Weeks OPV,DPT, Hep B* Hib 10 Weeks OPV,DPT, Hep B* Hib 14 Weeks OPV, DPT, Hep B Hib 14 Weeks OPV, DPT, Hep B Hib 9 months Measles 9 months Measles 15 months MMR 15 months MMR 18 months OPV, DPT Hib 18 months OPV, DPT Hib School entry(4-5 yrs) OPV, DT School entry(4-5 yrs) OPV, DT 10 years Tetanus toxoid (every 5 years) 10 years Tetanus toxoid (every 5 years) * May omit this dose of hepatitis B vaccine if birth dose is given