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• Indicate that everything possible was done to save the baby. Respond to the questions the family may wish to ask and let them express their feelings. • Show the baby to the parents and family members and, if culturally appropriate, provide them with an opportunity to hold the baby. Ensure that the family has privacy for holding the baby in these sad circumstances. • Explain that the mother will need rest, good nutrition, and emotional support at home. • With the baby’s death, the mother will face mammary engorgement 2-3 days after delivery. Advise the mother to: o support the breasts with a large cloth band or a bra. o apply cold compresses on the breasts to decrease congestion and pain. o avoid breast massage or exposure to heat. o avoid stimulating the nipples. o prescribe oral paracetamol when necessary for pain. • Make arrangements to follow the mother for at least three days to make sure she is improving. • Discuss the options of family planning and explain that in this case there is a greater chance of the woman conceiving earlier and that for the health of the mother and future babies it is better to have an interval of three years before the birth of the next baby. • Prepare the death certificate and follow the protocol to register the death. Completing Medical Records All healthcare facilities must keep charts/documents that record each birth and information about the events surrounding the birth. The basic protocols must provide the necessary information, such as the condition of the infant at birth and if resuscitation or any other treatment was administered. This information must be copied into the health records of the baby where separate records exist for the baby. All problems detected at birth as well as procedures and treatment applied must be written legibly in the chart for future reference in case it is needed for healthcare or administrative reasons. The systematic collection of information is important to establish health statistics and to serve as educational material to improve the quality of care. Good documentation is also extremely important in case of medico-legal issues that may surface later. The following details should be present: • date and time of birth • condition of the baby at birth • procedures used to initiate breathing where applicable • time delay between birth and the first breath • observations during and after resuscitation, if any • result of resuscitation procedures • in case of unsuccessful resuscitation, list the likely reason(s) for failure • name of the healthcare worker(s) present at resuscitation The key steps in resuscitation and for integrating with AMTSL are summarized in the algorithms given below (Figures 8.9 and 8.10). 106 Integrated maternal and newborn care Basic skills course
Reference Manual Figure 8.9 Algorithm for resuscitation for birth asphyxia Integrated maternal and newborn care Basic skills course 107
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HEALTH INTEGRATED PROGRAMMING MATER
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Reference Manual U.S. Agency for In
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Reference Manual ACKNOWLEDGEMENTS M
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Reference Manual TABLE OF CONTENTS
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Reference Manual List of Figures In
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Reference Manual About the Learning
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Reference Manual INTRODUCTION While
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Reference Manual 4 Million Newborn
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Reference Manual Materials required
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Reference Manual The Hand Rub When
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Reference Manual Table 1. Mixing A
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Reference Manual Table A.1. Uteroto
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Reference Manual REFERENCES The fol
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Reference Manual World Health Organ
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