Newborn Care

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.