Newborn Care

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Section 7 - PEDIATRIC / OBSTETRICAL

7.08 NEWBORN CARE

Deliver infant according to EMERGENCY CHILDBIRTH PRACTICE PARAMETER (7.06), Note the TIME of delivery.

  • Record APGAR Score (10.02) at 1 (one) and 5 (five) minutes.
  • Continue to suction mouth FIRST, then nose of infant with bulb syringe.


MECONIUM-STAINED INFANTS:

  • Suction only upon delivery of the head PRIOR to delivery of the baby.
  • After delivery, INTUBATE infant and apply suction to the lumen of the ETT while withdrawing from the trachea.
  • After establishing airway and warming infant, clamp and cut cord provided pulsations have ceased.
  • Assess respiratory rate.
    • Premie 40-70
    • Newborn 30-60
  • Assess heart rate.
    • Premie 120-170
    • Newborn 100-160
RESPIRATIONS ADEQUATE/PATIENT CRYING IF RESPIRATIONS SHALLOW, SLOW, ABSENT
Place infant on side in Trendelenburg position. Assist ventilations with OXYGEN @ 100% via BVM.
Assess color and provide OXYGEN @ 100% via
NRB mask if central cyanosis present.

If respirations improve, provide OXYGEN @
100% via NRB mask.

If respirations improve, administer "blow-by" OXYGEN.