WEEK V: FETAL-NEONATAL TRANSITION AND NEWBORN INFANT

(0-1 month of age)

Overall WEEK OBJECTIVES:

1. Understand the fetal-neonatal physiology and its changes following birth
2. Know how to assess a newborn through a comprehensive anamnesis and physical examination
3. Understand the WHO essential newborn care (including early initiation of breast feeding)
4. Understand the aspects of neonatal physiology and common problems during neonatal period
5. Know how to do initial and pre-referal management of sick newborn
6. Understand the common birth trauma and its management
7. Know the major congenital anomalies and newborn screening tests.
8. Explain the pathophysiology, common etiology, and management of jaundice in newborn
9. Understand the common problems, basic management, and long-term complication of low birth weight
and premature infants
10. Understand Kanggoro mother care at health facilities and community
11. Understand how to help low birth weight and premature infants to breastfeed
12. Understand the feeling of mother with unwanted pregnancy
13. Describe the types of child abuse and its management
14. Explain the management of a neglected child.
LECTURE OBJECTIVES WEEK V

Case: Low Birth Weight and Prematurity.

LECTURE
Topic : Fetal-Neonatal Transition and Assessment of a Newborn
Duration : 50 minutes
Lecturer : Dr. Kristin Handojo, Sp.A
Objectives : Students should be able to
1. Understand the physiological changes which take place following birth
2. Understand the aspects of neonatal physiology: limited reserve capacity for temperature
control, cardiovascular and respiratory function
3. Explain the WHO essential newborn care (including early initiation of breast feeding)
4. Newborn physical examination

LECTURE
Topic : Birth trauma and congenital anomalies
Duration : 50 minutes
Lecturer : dr. Dina Garniasih, SpA
Objectives : Students should be able to
1. Understand the common birth trauma (caput succedaneum, cephalhematom, Erb palsy,
Klumke palsy)
2. Understand the newborn screening test (congenital hypothyroid, G6PD, hearing screening
test)
3. Know the major congenital anomalies (nervous system anomalies, cardiac anomalies,
gastrointestinal anomalies, and extremities anomalies)
LECTURE
Topic : Common problems of a newborn
Duration : 50 minutes
Lecturer : Dr. Anita Halim, SpA
Objectives : Students should be able to
1. Understand the clinical aspects and management of hypoglycemia in newborn
2. Understand the clinical aspects and management of hypothermia in newborn
3. Understand the clinical aspects and management of respiratory distress in newborn
4. Know how to do initial and pre-referal management of sick newborn.

LECTURE
Topic : Sepsis in Newborn
Duration : 50 minutes
Lecturer : Dr. Matheus Tatang P, SpA
Objectives : Students should be able to
1. Understand the pathophysiology and risk factors in neonatal sepsis.
2. Know how to develop the diagnosis of neonatal sepsis
3. Understand the management of neonatal sepsis

LECTURE
Topic : Low birth weight infant and prematurity
Duration : 50 minutes
Lecturer : dr. Anita Halim, SpA
Objectives : Students should be able to
1. Understand the common problems of low birth weight and premature infants
2. Understand the basic management of low birth weigth and premature infants
3. Understand Kanggoro mother care at health facilities and community
4. Understand how to help low birth weight and premature infants to breastfeed
5. Describe the long term complication of low birth weight and premature infants
LECTURE
Topic : Unwanted pregnancy causes neglected child and battered baby syndrome
Duration : 50 minutes
Lecturer : Dr. WM. Roan, SpKJ
Objectives : Students should be able to
1. Understand the feeling of mother with unwanted pregnancy.
2. Know affective of the neglected child.
3. Describe different types of child abuse (physical, sexual and emotional abuse).
4. Describe the management of child abuse and neglection.

LECTURE
Topic : Newborn jaundice
Duration : 50 minutes
Lecturer : Dr. Andry Juliansen, SpA
Objectives : Students should be able to
1. Explain the patophysiology of jaundice in newborn
2. Describe the common etiology of jaundice in newborn
3. Explain the management of jaundice in newborn

Case: Low birth weight in a preterm infant, with hyaline membrane disease
Case Objectives
1. Describe the cardiorespiratory physiology following birth
2. Discuss how to assess problems in low birth weight and preterm infant, and its management
3. Discuss the short and long-term complication may be happened in preterm infant
 4. Discuss how to do the long-term follow up in preterm infant

LABORATORY PRACTICES WEEK V

LABORATORY : Newborn resuscitation
(Video demonstration) Newborn assessment
Early skin to skin contact
Instructor : Dr. Vinia Rusli, SpA
Dr. Fransisca Handy, SpA

SKILLS LAB
CLINICAL SKILL 1 : Newborn resuscitation
CLINICAL SKILL 2 : Newborn resuscitation