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Integrated Maternal and Newborn Care Basic Skills Course ...

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Weigh the Baby <strong>and</strong> Record the Weight<br />

• Take the weight when the baby is stable <strong>and</strong> warm.<br />

• Place a clean cloth or paper on the pan of the weighing scale.<br />

• Adjust the weight so it reads “zero” with the paper/cloth on it.<br />

• Place the baby over the pan. If a cloth was used, fold it to cover the body of the baby.<br />

• Note the weight when the baby <strong>and</strong> pan are not moving.<br />

• Never leave the baby unattended on the scale.<br />

• Write down the weight of the baby in the partograph/maternal/baby charts <strong>and</strong> in the<br />

delivery room registers as recommended by the Ministry of Health.<br />

• Return the baby to skin-to-skin contact with the mother.<br />

Keep the Mother <strong>and</strong> Baby Together<br />

If no emergency care is required, keep the baby warm by putting her/him in skin-to-skin contact<br />

with the mother <strong>and</strong> covering both with a clean cloth/blanket as required. If the baby cannot be<br />

in skin-to-skin contact with the mother due to issues such as a Cesarean operation, an ill<br />

mother, or an ill baby, then wrap her/him with a clean dry cloth <strong>and</strong>/or blanket, taking care to<br />

cover the head, <strong>and</strong> keep the baby away from drafts.<br />

Note: Never leave the woman <strong>and</strong> newborn alone soon after delivery.<br />

Avoid separating the mother <strong>and</strong> the baby.<br />

Counsel the Mother <strong>and</strong> Family<br />

Counsel the mother before she leaves the delivery room. However, if she is very tired after<br />

delivery, only talk to her about the key points noted below.<br />

• Keep the baby warm.<br />

• Continue breastfeeding frequently on dem<strong>and</strong> day <strong>and</strong> night.<br />

• Do not give any other fluids/food to the baby.<br />

• Do not apply any harmful substances on the cord, such as ash or herbal preparations.<br />

More detailed counseling can be done in the postnatal period in the facility before the mother is<br />

discharged <strong>and</strong> at subsequent postnatal visits. The major issues are noted in chapter 10 on<br />

postnatal care.<br />

60<br />

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

<strong>Basic</strong> skills course

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