Post on 15-Dec-2015
transcript
Demonstrate evidence-based daily care
of the newborn baby
Counsel the mother how to look after her
baby and to identify the danger signs
NC- 2Teaching Aids: ENC
Four major domains
1.Postnatal environment
2.Every day care of the baby
3.Looking for danger signs and giving
treatment
4.Preparation for discharge
NC- 3Teaching Aids: ENC
Ensure that the mother and baby are in a warm room (>250 C)
Keep a radiant warmer or another heating device ready, if necessary
Keep the room warm
Keep the room warm
NC- 4Teaching Aids: ENC
Keep the baby in the same room with the mother, ideally in her bed
Rooming-inRooming-in
NC- 5Teaching Aids: ENC
Support exclusive breastfeeding on demand day and night
Help mothers with breastfeeding difficulty; explain key points of attachment and positioning
Assess breastfeeding before planning to discharge
DO NOT discharge the baby if breastfeeding is not established
1. Breastfeeding1. Breastfeeding
NC- 7Teaching Aids: ENC
The first day and later Dress the baby Wrap in soft dry clean cloth, cover
head with cap Assess warmth every 4 hours by
touching baby’s feet: If feet are cold, provide skin-to-skin
contact and extra blanket; reassess
Keep the room warm; if room not warm cover baby with a blanket or use skin-to-skin
2. Ensuring warmth2. Ensuring warmth
NC- 8Teaching Aids: ENC
At home One more layer of clothes than
older children / adults Keep room warm for baby During the day, dress or wrap
baby At night, let baby sleep with
mother
2. Ensuring warmth2. Ensuring warmth
NC- 9Teaching Aids: ENC
Wash hands before and after cord care
Put nothing on the stump Fold diaper below stump If the stump is soiled, wash with clean
water and soap Ask mother to visit health facility, if
umbilicus is red or draining pus / blood or adjoining skin is red
3. Cord care3. Cord care
NC- 10Teaching Aids: ENC
Wipe the face, neck, underarms DAILY Wipe the buttocks when soiled Give bath when necessary:
Use lukewarm water for bathing Dry the baby thoroughly; dress and cover
after bath
Use cloth diaper on baby’s bottom to collect stool; wash hands after disposing
DO NOT put anything in baby’s eyes or ears
4. Hygiene4. Hygiene
NC- 11Teaching Aids: ENC
Not feeding well Less active than before Fast breathing (>60/ min) Moderate or severe chest in-
drawing Grunting Convulsions
Floppy or stiff Temperature >37.50C or
<35.50C Umbilicus draining pus or
umbilical redness extending to skin.
>10 skin pustules Bleeding from umbil. Stump
Early recognition and treatmentEarly recognition and treatment
NC- 12Teaching Aids: ENC
Ensure immunization as per National schedule
Ensure immunization as per National schedule
AgeAge VaccineVaccine Optional Optional
0-7 days BCG, OPV, Hep B
6 Weeks OPV,DPT, Hep B Hib
10 Weeks OPV,DPT, Hep B Hib
14 Weeks OPV,DPT, Hep B Hib
9 months Measles
15 months MMR
18 months DPT, OPV Hib
5 years DT, OPV
NC- 13Teaching Aids: ENC
Feeding wellsuckling effectively 8 times in 24 hours, day and
night No danger signs Mother confident of taking care of the baby
NC- 14Teaching Aids: ENC
Assessment of growth & development Ensure immunization Early diagnosis and management of illness Health education
Exclusive breastfeeding for 6 monthsComplementary feeds after 6 monthsSpacing of family
NC- 15Teaching Aids: ENC