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Reference Manual<br />

Table 14. Summary of Postnatal Evaluation <strong>and</strong> <strong>Care</strong> of the Baby<br />

1. Implement tasks at the appropriate time. After birth, evaluate <strong>and</strong> provide care:<br />

• before transfer out of the delivery room.<br />

• at least once a day during the stay of the baby at the facility (more frequently for<br />

low birth weight babies <strong>and</strong> if a problem needing observation was noted).<br />

• at discharge.<br />

• during postnatal visits.<br />

2. Carry out a basic systematic examination of the baby (see session 9 for details).<br />

3. Provide appropriate care:<br />

• If a danger sign exists (even if only one), give the first dose of antibiotics <strong>and</strong><br />

refer the baby.<br />

• Administer/prescribe treatment for minor infections.<br />

• Give immunizations: OPV, BCG, hepatitis B (based on recommendations of the<br />

Ministry of Health) if this was not already done.<br />

4. Document findings/care in mother/baby card/register.<br />

5. Promote continued follow-up <strong>and</strong> schedule the next appointment.<br />

6. Counsel the mother/family on basic preventive care at home, identifying danger signs<br />

<strong>and</strong> appropriate care seeking.<br />

7. Where the mother is HIV-positive, ensure appropriate care for the mother <strong>and</strong> baby.<br />

8. Where feasible <strong>and</strong> appropriate, put the family in contact with an available trained<br />

community health worker.<br />

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

<strong>Basic</strong> skills course<br />

125

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