Neonatal Nursing: The primary care required for the normal healthy neonates are provided by the mothers under the guidance of nurses or the health care providers. Establishment of open airway and circulation, maintenance of temperature, Vitamin K injection, identification of new-born, and initiation of breastfeeding are the basic level immediate practices.
The temperature is usually maintained with the help of skin to skin contact with the mother, keeping the neonates head covered or by drying the baby under a radiant warmer.
At birth, the first cry and the involuntary respiration happens. When the head is delivered, birth attendant immediately removes the secretions by suction, wipe mucus from face, mouth, and nose. Suction the mouth and nose are carried out with the help of a bulb syringe. The baby’s head is kept slightly lower than the body, positions the baby on their backs or tilted to the side, but not on their stomachs.
Identification of the baby is done before the baby leaves the delivery; bracelets with identical numbers are placed on the baby and mother for the identification process. Babies often have two, one on the wrist and the other on the angle.
During the first few days of life, until the infant is able to produce vitamin k by itself, it is supplied by the nurses. Vitamin K helps in preventing neonatal hemorrhage. Babies can be breastfed as soon as the airway is cleared and they are breathing normally.
The daily routine care of the neonates include breastfeeding, warmth, skin care & baby bath, care of the eyes, care of umbilical cord, clothing of the baby, general care, observation, taking the anthropometric measurement, immunization, follow up & advice.
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