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Integrated Maternal and Newborn Care Basic Skills Course ...

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• A stethoscope where available.<br />

• Miscellaneous: sterile gauze/pieces of sterile cloth <strong>and</strong> sterile/HLD gloves.<br />

Attempts should be made to procure as many sterile items as possible in order to avoid<br />

nosocomial infection which will increase morbidity <strong>and</strong> mortality. All equipment has to be<br />

cleaned <strong>and</strong> disinfected after use. The manufacturer gives specific instructions for cleaning,<br />

disinfecting, <strong>and</strong> sterilizing equipment. Follow these instructions carefully.<br />

To ensure that all the necessary items are kept ready for every delivery, attach a list on the wall<br />

near the table for resuscitation in the “baby corner.” To protect the list it can be laminated or<br />

framed with a glass cover or attached inside a locked notice board. Here is a sample:<br />

Equipment <strong>and</strong> Supplies for <strong>Newborn</strong> Resuscitation in the<br />

“Baby Corner or Area” of the Delivery Room<br />

It is m<strong>and</strong>atory to ascertain (a) every morning, (b) at the beginning of every shift, <strong>and</strong><br />

(c) before each delivery that the equipment/supplies listed below are available, in<br />

working order, sterile/clean, <strong>and</strong> ready to be used.<br />

1. A heat <strong>and</strong> light source<br />

2. A table for resuscitation with a mattress with a clean washable surface covered<br />

with a clean, preferably sterile cloth. This could be part of the warming table.<br />

3. Three to five pieces of clean, preferably sterile, cloth to dry <strong>and</strong> wrap the baby,<br />

including the head, a cap or bonnet, where available, <strong>and</strong> a washable blanket or<br />

several layers of cloth where required.<br />

4. Sterile gauzes/pieces of cloth<br />

5. Disposable sterile (preferable)/high-level disinfected gloves<br />

6. Suction equipment with suction tubes/catheters<br />

7. A self-inflating bag (500 mL) <strong>and</strong> masks (sizes 1 <strong>and</strong> 0)<br />

8. A wall clock with a second h<strong>and</strong><br />

9. A wall thermometer<br />

10. A clinical thermometer to record the axillary temperature of the baby<br />

11. Disposable syringes (1 mL, 2 mL, 10 mL)<br />

12. Vitamin K1<br />

13. A weighing scale<br />

Figure 8.4. Sample list of equipment for newborn resuscitation<br />

98<br />

<strong>Integrated</strong> maternal <strong>and</strong> newborn care<br />

<strong>Basic</strong> skills course

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