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. (See chart below)
- Assess heart rate. (Neonate- 110-150 HR)
| 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 @ |
| If respirations improve, administer "blow-by" OXYGEN. |