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Integrated Maternal and Newborn Care Basic Skills Course ...

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Evaluate Breathing<br />

• Check if the baby is crying while drying him/her.<br />

• If the baby does not cry, see if the baby is breathing properly.<br />

• If the baby is not breathing <strong>and</strong>/or is gasping:<br />

o Call for help. The assistant can provide basic care for the mother while you provide<br />

the more specialized care for the baby who is not breathing.<br />

o Cut the cord rapidly <strong>and</strong> start resuscitation as described in chapter 8 on<br />

resuscitation.<br />

o If the baby breathes well, continue routine essential newborn care.<br />

• Do not do suction of the mouth <strong>and</strong> nose as a routine. Do it only if there is meconium,<br />

thick mucous, or blood.<br />

• Announce the time of birth <strong>and</strong> the sex of the infant after you have made certain that the<br />

baby is breathing well.<br />

Prevent Hypothermia<br />

Keep the baby warm by placing him/her in skin-to-skin contact on the mother’s abdomen.<br />

Cover the baby’s body <strong>and</strong> head with a cloth. If the room is cool (

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