Integrated Maternal and Newborn Care Basic Skills Course ...
Integrated Maternal and Newborn Care Basic Skills Course ...
Integrated Maternal and Newborn Care Basic Skills Course ...
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Preparation<br />
• Promote cleanliness of the site where the baby is examined.<br />
• Arrange to have adequate light.<br />
• Welcome the mother <strong>and</strong> her family/companion, install them comfortably in a draft-free<br />
area, <strong>and</strong> explain what you are going to do.<br />
• Wash h<strong>and</strong>s with soap <strong>and</strong> water; if these are unavailable, use alcohol/glycerine<br />
h<strong>and</strong> rub.<br />
• Prevent heat loss/hypothermia. Select a draft-free area, keep the baby warm during<br />
examination with a heat source, or, if not available, keep the baby covered, close to the<br />
mother, <strong>and</strong> expose only the part(s) to be examined.<br />
CARRYING OUT THE EXAM<br />
Main Steps of the Exam<br />
1. Prepare a suitable place.<br />
2. Plan to maintain the baby’s temperature during the examination.<br />
3. Greet the mother <strong>and</strong> make her feel comfortable.<br />
4. Review available records of the mother <strong>and</strong> baby.<br />
5. Ask about danger signs <strong>and</strong> other problems.<br />
6. Check for danger signs (<strong>and</strong> refer the baby if even one sign is present).<br />
7. Check for jaundice.<br />
8. Check for minor infections.<br />
9. Evaluate breastfeeding.<br />
10. Weigh the baby.<br />
11. Document observations <strong>and</strong> care of the baby in appropriate charts/cards/registers.<br />
12. Counsel the mother on basic newborn care.<br />
Detailed advice for some of these 12 steps is provided in the following sections.<br />
Review the mother’s <strong>and</strong> baby’s records <strong>and</strong> ask about danger signs<br />
Look for information related to:<br />
• Pregnancy: Note any care received by the mother <strong>and</strong> risk factors for infection.<br />
• Regarding the delivery, note:<br />
o condition at birth, when the baby cried after birth <strong>and</strong> if it was spontaneous; if not,<br />
note what actions were taken to initiate the cry<br />
o birth weight<br />
o care given at birth (eye <strong>and</strong> cord care, vitamin K1 injection)<br />
o immunizations<br />
• Inquire about danger signs (see below).<br />
• Ask about any other problems the newborn may have.<br />
• Ask about the passage of stools <strong>and</strong> urine, specifically the approximate number<br />
per day (urine being passed more than six times a day is reasonable evidence of<br />
adequate breastfeeding).<br />
110<br />
<strong>Integrated</strong> maternal <strong>and</strong> newborn care<br />
<strong>Basic</strong> skills course
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