Normal new born care FREQUENTLY ASKED QUESTIONSFAQ BY
Normal new born care FREQUENTLY ASKED QUESTIONS(FAQ) BY DR S N PANJAWANI Consultant pediatrician and neonatologist Dixit hospital.
Normal new born �Definition- Full term, Vertex presentation born after completed 37 weeks, 2. 5 kg birth Wt. Early diagnosis of congenital malformation. 1. Polyhydramnios 2. Oligohydramnios 3. Single umbilical artery 4. Gross external cong. anamolies.
First day examination. �Vitals �Weight �Head circumference �Color �Breathing �Limbs �LEVELS OF NICU CARE- 3 Levels.
BREAST FEEDING �Start within ½ hr in normal delivery and 4 hrs in caesarian delivery. �If not possible expressed barest milk-good for 4 -6 hrs at room temp. , 12 hrs in refrigerator. �If not other mothers milk �If not formula milk 1. How to prepare? 2. How to give? 3. How much to give?
Bath �Delayed till second day. �In babies Wt <2 kg only sponging �Bath in PT babies after cord falls. �Warm water , not more than 3 min. �Clean the genitals last. �Avoid daily bath in winter. �Talcum powder not necessary.
Oil massage �Yes �Oil that suits the baby �After 2 -3 weeks �Olive oil, coconut oil �Avoid mustard oil.
Umbilical cord �Falls in 7 -10 days. �Not to touch with unclean hands �Can apply Neosporin powder, ethyl alcohol �No dressing
Care of eyes �Don’t apply kajal �Instillation of colostrum decreases the chances of conjunctivitis. �Eye drops only if eyes are sticky.
Cloths and immunization �Dress should be �BCG, OPV AND loose HEP. B at birth. �Soft, cotton �Regular vaccination. �Open from front or �Ask doctor about behind new vaccines. �No plastic nappies. �Do not avoid for the �Thick, soft, absorban risk Of minor t material nappies. adverse effects.
Danger signs �Bleeding from any site �Jaundice �Not passing stool in first 24 hrs and urine in first 48 hrs. �Poor feeding. �Apnea �Excess crying �Seizures �Cyanosis and difficulty in breathing.
Supplements �Multi vitamin drops including Vit D in all babies till 6 months of age. �Calcium �Iron drops started after 3 -4 weeks. �Simyl MCT oil and HMF sachets for pre term/LBW babies.
Common neonatal problems Vomiting-Normal if spits 2 -3 times, small quantity. -Up right position, Burping, anti emetic drops 2. Constpation- Up to 7 days normal. -Can give glucose water. 3. Diarrhea- What is normal. -If exclusive breast feed. Reassurance 1.
�See the Quantity, Frequency, Color, Smell. 4. -Jaundice- Abnormal if in first 24 hrs. -Mild yellowish-sclera-normal. -Consult immediately when in doubt. 5. Hiccough, Sneezing, Yawning. Normal, Physiological. 6. Dehydration fever-More in summer. -Frequent feeding, no excess wrapping. 7. Superficial infections-Conjunctivitis -Pustules -Umbilical sepsis
CONTINUED 8. Excess crying-Mostly due to colic. 9. Evening colic-Cuddling, kissing, taking to a drive, patting, prone positioning. -Anti spasmodic drops, Application of Hing, ajwaine to umbilical area. 10. Breath holding spells 11. Choking episode 12. Excess sleepiness.
NORMAL AILMENTS �Mastitis neonatorum �Vaginal bleeding, discharge �Caput succedaneum �Cephalohematoma �Cradle cap-coconut oil application �Flat head �Extended legs in breech delivery
�Watering from eyes- Eye massage, drops �Umbilical hernia-Common salt application �Nappy rash-Coconut oil, cream �Erythema toxicum-Disappear by 4 -5 days. �Peeling of skin-Liquid paraffine, olive oil �Cutis marmorata �Millia �Stork bites �Mongolian spots �Sub conjunctival haemorrage.
�Epstain pearls on palate �Succing callosities �Congenital teeth-Requires removal if interfere with feeding �Tongue tie �Phimosis �Congenital hydrocele- Wait till 3 months �Hymenal tags �Sacral dimple �Prominent xyphisternum �Umbilical hernia �Bowed legs.
Acrocyanosis
Epstein pearls and erythema toxicum
Milia and Jaundice
More pictures NEONATAL TEETH CUTIS MARMORATA
More slides CRADLE CAPUT SUCCIDENUM
No dipers Why? DIPER RASH DIPER DERMATITIS
Mongolian spots ON BUTTUCKS ON BACK
More slides PHIMOSIS SACRAL DIMPLE
More slides STORK BITES SUB CONJUNCTIVAL HAEMORRAGE
More slides UMBILICAL GRANULOMA PROMINENT XYPHISTERNUM
Thank you.
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