INITIAL CARE OF NEWBORN
The most important care is to: Position, Dry, Keep warm, Stimulate to breathe.
Normal range of vital signs: Pulse (greater than 100/min)
• Can check pulse at brachial artery
• Can also check pulse at umbilical cord
Respirations (should be > 30 breaths/min)
• A crying baby is a good thing!
Color (pink is good), may be a little blue at the extremities initially, but should continue to pink up.
Repeat suctioning as needed.
Continue to stimulate to breathe if needed: Rub back, Flick soles of feet.
If the newborn doesn’t begin to breathe, or continues to have trouble breathing after 1 minute, additional measures have to be considered:
• Ensure airway open and patent.
• Ventilate at rate of 30–60 per min using infant BVM with supplemental oxygen.
• Reassess after 1 minute.
• If heart rate drops below 100 at any time, assist ventilations using BVM with supplemental oxygen.
• If pulse drops below 60 beats per min, begin CPR, and reassess after 30 seconds.
Prolapsed cord – cord presents before the infant – this is a SERIOUS emergency, with the infant’s life in danger.
– Usual patient assessment steps, and:
• Mother should be given high flow oxygen
• Position mother with head down or buttocks raised (this uses gravity to lessen pressure in the birth canal)
• Update responding EMS of the complication