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Integrated Maternal and Newborn Care Basic Skills Course ...

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• Form a proper seal between the mask’s edge <strong>and</strong> the baby’s face so that air does not leak<br />

out during ventilation.<br />

FORM A PROPER SEAL<br />

BETWEEN THE MASK<br />

AND FACE<br />

CORRECT<br />

INCORRECT<br />

Figure 8.7: Correct positioning of the mask <strong>and</strong> formation of a good seal.<br />

• Commence ventilation at about 40 times a minute (the range for ventilation is<br />

40-60 breaths/minute). A simple way is to count “one – two – breathe” <strong>and</strong> squeeze the<br />

bag at each “breathe.”<br />

• Make sure the baby’s chest rises <strong>and</strong> the valve of the self-inflating bag moves with each<br />

inflation; this is an indication that ventilation is efficient. If this does not happen, adjust the<br />

position of the head of the infant <strong>and</strong> the bag, suction the mouth <strong>and</strong> nose again to remove<br />

secretions, <strong>and</strong> proceed with ventilation with a slightly higher pressure. You must see the<br />

chest rise.<br />

102<br />

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

<strong>Basic</strong> skills course

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