Professional Documents
Culture Documents
TUNJUNG WIBOWO
Introduction
Newborn must adapt quickly to life
outside uterus at birth
Newborn’s body must make change
Breathing the first and most important
adaptation
The care of newborn in the first hour,
days, weeks will determine their survival
and wellbeing
Baby need basic care to survive
essential newborn care (ENC)
ENC at Birth and After Birth
1. Clean and safe delivery
2. Keep the baby warm
3. Initiation of spontaneous breathing (included
resuscitation)
4. Prevention of infection (included universal precaution)
5. Keep the baby warm (included late bathing, skin to
skin, head cap)
6. Cut and care the cord
7. Early initiation of breastfeeding (include breast crawl)
and Exclusive breastfeeding
8. Eye care
9. Vitamin K1
10. Hepatitis B immunization
11. Rooming in
12. Oral Polio vaccine before discharge in facilities
1. Clean and safe delivery
Delivery at the health facilities
Attended by trained-health worker
Prepare the Birth Room
Clean: prevent infection
Warm: warm room, and close doors or windows to
prevent drafts.
Light: The health worker must be able to see the
newborn to check color and breathing. If there is not
enough natural light, use candles, a lamp, or another
light source.
Private: let the mother decide who will be present for
the birth. Provide as much privacy as possible. If
possible, allow her to have the support of the person
of her choice during the facility birth.
2. Keep the baby warm
Heat loss may lead to hypothermia and the
risk of death.
Body heat lose quickly if: wet, uncovered,
exposed to drafts, placed on or near a cool
surface
The Warm Chain
Keep the birthplace warm, at least 25 °C (77 °F), and avoid drafts.
Immediately after the birth, dry the baby. In the first 1-2 minutes, the
newborn may lose enough heat for his body temperature to fall 2 °C
Keep the baby lying on the mother’s abdomen or chest for all care.
Put the baby in skin-to-skin contact with the mother for at least 2
hours after birth.
breastfeed the baby as soon as possible
Wait for at least 6 hours and preferably 24, to bathe the baby. Wait
longer if: 1) the baby feels cold or the axillary temperature is below
36 °C (96.8 °F), 2) the environment is cold, 3) the newborn is low birth
weight, or 4) the baby is unwell.
Dress the baby in light, loose, warm clothing. Baby needs at least 1-2
more layers than an adult in the same climate. cover the baby’s head
with a hat. Lastly, cover the baby with a light, warm cover or blanket.
Keep the mother and baby together in a warm room and encourage
breastfeeding
Keep the baby warm during transportation, if referred.
Teach both health workers and families about the risks of
hypothermia and how to prevent it.
3. Initiation of spontaneous breathing
Most babies breathe and cry at birth with no help
If Baby not breathing well Decide if the Baby Needs
Resuscitation
Meconium-
stained?
Yes
No
Yes
Type of Vit K
• Vitamin K1 (phytomenadione) : Vegetable, milk