Care at Birth
As soon as the head of the infant is delivered, wipe its eyes clean with sterile saline. Maintain its head lower than the body to allow drainage of mouth secretions and keep the infant lower than the mother until the cord is cut. This way the baby will get more blood and will be stronger.
• Suck infant’s throat with sterile catheter.
• At birth the cord pulsates and it, is fat and blue, wait till it becomes thin and white and stops pulsating.
• Clamp the cord between two artery forceps and cut it with sterile scissors or tie it in two places with ribbon and cut between the ties with clean unused razor blade under aseptic precautions. Always cut cord close to the body of the baby, leaving about 2 cm attached to the abdominal wall. Cover the cut end of the cord with clean beta dine soaked swale on Tincture Benzoicco.
• Baby should cry immediately if its condition is satisfactory. If it does not, it might need resuscitation. Rub his back with towel or a cloth. If still does not breathe then suck the mucus from nose and mouth with suction or clean cloth wrapped around your finger. If he does not breathe within one minute, then start mouth to mouth breathing at once. When spontaneous breathing is established, place infant in a prewarmed cot with head one side tilted down to allow drainage of secretions from respiratory tract. In many hospitals all infants are given one dose of 1 mg of vit. K to prevent hemorrhagic disease of new born but remember, if you give milk in higher doses it can lead to severe jaundice.
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