NORMAL
Asuhan bayi baru lahir normal
Partograf
Kemajuan persalinan:
1. Pembukaan serviks
2. Turunnya kepala
3. His
Keadaan janin:
1. Frekuensi Djj
2. Warna, jumlah, lama ketuban pecah
3. Mulase kepala
Keadaan ibu:
1. Tensi, nadi dan suhu
2. Urin: volume, protein, aseton
3. Obat obatan dan cairan IV
4. Pemberian oksitoksin
IMMEDIATE ESSENTIAL NEWBORN CARE
The First 90 Minutes
Bayi baru lahir sehat.
Infant mortality rate indonesia masih paling tinggi
diantara negara negara Asia Tenggara.
Immediate Essential Newborn Care
D11
Phil. ENCC 10
STANDARD PRECAUTIONS A4
drying.
Remove the wet cloth.
Drying The Newborn
Phil. ENCC 15
Do not remove the vernix!!!
Time band: If after 30 secs of drying, newborn
is breathing or crying
Intervention: Skin -to-skin (STS) contact
Action:
Avoid any manipulation, such as routine
suctioning.
Place the newborn prone on the mothers abdomen
or chest skin-to-skin.
Cover newborns back with a blanket and head with
a bonnet.
Place identification band on ankle
Immediate skin-to-skin contact
Immediate skin-to-skin contact
Skin-to-Skin Contact
Provides warmth
Improves bonding
Provides protection from infection by exposure of the
baby to good bacteria of the mother
Increases the blood sugar of the baby
Contributes to the overall success of breastfeeding
Skin-to-Skin Contact
Effect on Immunoprotection
Colonization with maternal skin flora
system.
Ingestion of colostrum
Risks of Hypothermia
[i] Tunell R. Hypothermia: epidemiology and prevention, in Improving Newborn Health in Developing
Countries, A. Costello and D. Manandhar, Editors. 2000, Imperial College Press: London, UK. p. 207-
220.
When should the cord be clamped after
birth?
Ceriani Cernadas ,et al. 2006;Rabe H, et al. 2004; McDonald SJ, et al.
2008; Hutton EK, et al. 2007; Kugelman A, et al. 2007
Van Rheenen PF, et al. 2006 Van Rheenen PF & Brabin BJ. 2006
Washing should be delayed until after 6 hours
[i] Tollin M, Bergsson G, Kai-Larsen Y, Lengqvist J, Sjovall J, Griffiths W, Skulavottir G, Haraldsson A, et al. Vernix Caseosa as a multicomponent defense
system based on polypeptides, lipids and their interactions. Cell Mol Life Sci 2005; 62:2390-2399
[ii] Righard L, Alade M. Effect of delivery room routines on success of first breastfeed. Lancet 1990; 336: 1105-07
Time: WITHIN 90 min of age
Intervention: Provide
breastfeeding support
for initiation of breastfeeding
Action:
Leave the baby on the mothers chest in skin-to-skin
contact.
Observe the newborn.
Place identification tag / bracelet on the babys
ankle
Maintain skin-to-skin contact
- uninterrupted
for at least 90
minutes after
birth and until
the first
thorough
breastfeed is
complete
Monitor the mother and baby during the first hour after
complete delivery of the placenta
record
Monitor every 15 minutes:
Baby
Breathing
warmth
SKIN TO SKIN CONTACT & INITIATION OF
BREASTFEEDING
Interventions:
Examine the baby
Check for birth injuries, malformations
or defects
Action:
Thoroughly examine the baby.
- Discharge planning
Unneccesary Procedures