3

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

NC- 6Teaching Aids: ENC

Four key elements

1.Breastfeeding

2.Ensure warmth

3.Cord care

4.Hygiene

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

Four major domains

1. Postnatal environment

2. Every day care of the baby Breastfeeding Ensure warmth Cord care Hygiene

3. Looking for danger signs

4. Preparation for discharge

NC- 16Teaching Aids: ENC