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Newborn Care Immediately After Birth

Medium 19 items · 30 min
testuser's avatar
testuser Published 4 months ago
Health

This checklist guides parents and care teams through essential steps in the first hour after birth to support newborn safety, warmth, and early bonding. Inspired by World Health Organization guidelines on Newborn Care Immediately After Birth. Always consult a qualified healthcare professional.

Inspired by World Health Organization (WHO) guidelines. Always consult a qualified healthcare professional where applicable.

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  1. Dry and warm the baby immediately — Pat dry with a warm towel and remove wet linens to prevent heat loss.
  2. Remove wet linens and thoroughly dry the baby — Focus on the head, back, and limbs to reduce heat loss.
  3. Place hat on baby's head and wrap in a warm blanket — Cover head and body to help maintain body temperature.
  4. Clear the airway if needed — Suction mouth then nose gently only if breathing is weak or obstructed.
  5. Gently stimulate the baby to encourage breathing — Rub the back or flick the soles gently if breathing is slow or absent.
  6. Place baby skin-to-skin on parent's chest — Remove baby clothing, place bare baby on chest, and cover both with a blanket.
  7. Assess APGAR at 1 and 5 minutes — Record observations and alert the team if scores suggest concern.
  8. Clamp and cut the umbilical cord per facility protocol — Follow hospital guidance on timing (immediate or delayed clamping).
  9. Administer Vitamin K injection per hospital protocol — Provide Vitamin K to reduce bleeding risk; obtain consent if required.
  10. Apply eye prophylaxis as ordered — Use the prescribed ointment or drops to lower infection risk.
  11. Initiate breastfeeding within the first hour and help with latch — Offer the breast during skin-to-skin and support positioning as needed.
  12. Monitor and keep the baby warm continuously — Watch for shivering, cool skin, or overheating and act quickly.
  13. Use a skin thermometer or touch to check baby's temperature — Take and record temperature; note any changes promptly.
  14. Use a radiant warmer if the baby becomes cold or unstable — Move to a warmer and reassess until the baby is stable.
  15. Observe breathing, color, and muscle tone for the first hour — Watch for grunting, pauses, bluish color, or limpness and report changes.
  16. Record birth weight and basic measurements once stable — Weigh and measure length/head circumference after initial stabilization.
  17. Apply ID bands and document parent and baby details — Match ID bands to parents and note time of birth and attendants.
  18. Prepare and offer Hepatitis B vaccine according to consent and policy — Administer vaccine within the recommended timeframe if consent is given.
  19. Document all findings, interventions, and parental consent in the record — Include times, medications, observations, and any concerns raised.
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