New Born Care

New Born Care

Dr Somendra ShuklaMBBS, DNB (Ped), MNAMS,

MRCPCH (London-UK), Fellow Neonatology (NNF)

Consultant Neonatologist

Breast feeding

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Bathing

• Sponging till the cord falls.

• complete warm water bath

• From cleanest to dirties part

• DO NOT remove vernix caseosa vigorously

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Cord Care

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Weight/ Anthropometric Measurements

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Dressing/ Wrapping

• “Mummy”• Wrap in warm blanket• Cover head with

stockinette cap

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Skin Color

• Velvety smooth and puffy esp. at the legs, dorsal aspects of hands & feet and in the scrotum or labia

• Pinkish red (light skinned) to pinkish brown to yellow (dark skinned)• “Ruddy” or reddish due to increased RBC concentration and decreased

subQ tissues

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Skin Color

• Cyanosis/ Acrocyanosis• Pallor• Jaundice• Meconium Staining

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Vernix Caseosa

• Protective cheesy-like, gray-white fatty substance• FT: skin folds under the arms and in the groin under the

scrotum or in the labia• Nursing Considerations:

– Use baby oil– DO NOT attempt to remove vigorously

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MiliaMilia• Multiple, yellow or pearly white papules

approx. 1 mm wide• Due to enlarged or clogged sebaceous gland• Usually found on the nose, chin, cheeks,

eyebrows and forehead

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Birthmarks

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Mongolian Spots

• Blue-green or gray pigmentation• Lower back, sacrum & buttocks• Disappears by 4 years of age

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Erythema toxicum

• Newborn rash• Small, white, yellow, or pink to

red papular rash• Trunk, face & extremities• Within 48 hrs

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Newborn Screening

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• The Newborn Screening Reference Center (NSRC) is an office under the National Institutes of Health (NIH), University of the Philippines Manila created under RA 9288– The Newborn Screening Act of 2004

• Performed after 24 hours of life up to 3 days except for patient in intensive care, must be tested by 7 days

• Congenital Hypothyroidism (CH)• Congenital Adrenal Hyperplasia (CAH)• Galactosemia (GAL)• Phenylketonuria (PKU)• Glucose-6-Phosphate-Dehydrogenase Deficiency (G6PD Def)

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Dr Somendra Shukla Pediatrician

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W Pratiksha Hospital Golf Course Extension Road, Sector 56, Sushant Lok II, Gurgaon 122011, Haryana T 0124 413 1091E [email protected] www.w-hospital.in