Newborn Resuscitation.ppt

Newborn Resuscitation Lesson 7 Overview of Newborn Resuscitation Urgent Maternal History Step by step routine care for the newborn Care Prior to Delivery Care Following Delivery Meconium presentation Case Scenario Review Lab Skill Practice Simulations Urgent Maternal History Is the baby more than four weeks early? If the water has broken, was the fluid brownish or greenish in color? multiple births expected? narcotic drugs recently? Care Prior to Delivery As the head emerges from the birth canal: attempt to unwrap umbilical cord wrapped around the neck. Clamp in two places and cut if unable to unwrap the cord. Suction the mouth with a bulb syringe 2-3 times. Follow by suctioning the nose. Inverted Pyramid of Newborn Resuscitation Care Following Delivery Quickly dry and warm the baby. Work quickly, but efficiently. Use gentle rubbing to dry. Dry thoroughly. Discard towels used for drying and wrap in a clean, dry towel or blanket. Prevent drafts. Warm the environment whenever possible. Position and Suction Position the airway with the head slightly lower than the body. Elevate the shoulders with a 1” pad. Turn the infant’s head to the side. Suction the mouth first with bulb syringe inserted 1 - 1.5 inch(es). Do this 2-3 times. Follow by suctioning the nose with bulb syringe inserted 0.5 inch into the nostril. Position and Suction If the nose is suctioned before the mouth, the newborn may be stimulated to breathe in, and may inhale any fluid or secretions in the mouth. What About the Cord? The first priorities are to dry, warm, suction and position the baby. The cord should be tightly clamped or tied in two places and cut between. Place first clamp or tie 8-10” from the baby. Place second clamp or tie 4 finger widths from the baby. Cut between when pulsations cease. Gently Stimulate 1. Flick one fingertip against the newborn’s heel. 2. Lightly slap the sole of the newborn’s foot. 3. Gently rub the lower back. If needed, repeat for 10-15 seconds only. Never hold