Li 6.

perawatan bayi dini

 Essential Newborn Care: First 30
Seconds
• Call out time of birth
• Dry the baby (first 5 seconds)
– Clean, dry cloth  dry the baby
– Wipe the eyes, face, head, front, back, arms, legs
– Check breathing while drying
• Remove wet cloth  skin to skin contact
• Cover with a clean warm cloth
• Cover the baby’s head with a bonnet
 Immediate Newborn Care: 30 Seconds
– 3 Minutes
• Gasping/not  Breathing/crying (1)  Continue skin
breathing  positive to skin contact
pressure ventilation  Avoid manipulation (routine suctioning)
– Call for help + postpone routine procedures
– Clamp + cut the cord (weighing + measurements)
– Warm + firm surface  Skin to skin contact with the baby prone
– Inform the mother on the mother’s abdomen or chest +
turn the baby’s head to one side
– Start ventilation 
Algorithm for  Covering with a blanket (back) and
resuscitation bonnet (head)
Immediate Newborn Care: 30 Seconds
– 3 Minutes
 Breathing/crying (2)
 Inject oxytocin (arm/thigh)

 Assist with multiple birth (deliver the next baby)

 Do appropriately timed cord clamping and cutting

(after cord pulsations have stopped between 1-3

minutes)
 Immediate Newborn Care: Within 90
Minutes
 Skin to skin contact  Provide breastfeeding
support to ensure good
 Baby on mother’s chest positioning and attachment
+ with head turned to  Look for signs of good
one side attachment and suckling,
including:
 Mother  semi-upright  Mouth wide open
position  Lower lip turned

 Observe the baby outwards

 Baby’s chin touching
 Feeding cues (opening breast
of the mouth, tonguing,  Slow and deep suckling,
licking, rooting) with some pauses
Diagrams of Infant’s Mouth
Emmediate Newborn Care: Within 90
Minutes
 Immediate Newborn Care: Within 90
Minutes
 Do eye care
 Erythromycin/tetracycline ointment, or 2,5% povidone-iodine drops
(both eyes)
 Provide additional care for a small baby (or twin)
 For a visibly small baby or a baby born >1 month early:

 Skin to skin contact

 Extra blankets  keep the baby warm

 Don’t bathe the baby

 Hygiene (wiping with a damp cloth, but only after 24h)

 Prepare for referral  baby (<1500 g or born >2 months early)

Essential Newborn Care: 90 Minutes –
24 Hours
 Essential Newborn Care: 90 Minutes –
24 Hours
• Examine the baby  General Examination
 Breathing difficulties: grunting,
– Identification tag + chest in-drawing, fast or slow RR
weight the baby and (N RR: 30-60 breaths per minute)
record  Temperature (N axillary: 36,5-
37,5 C); eye (redness, swelling,
– Explain  examining & pus draining); umbilical stump
checking for birth (oozing blood)
injuries/malformations  Abdominal distention
– (General Examination)  Head, trunk, all limbs
– Inform  Fracture (sweeling, crying when
touched)
– Refer for special  Skin (cuts/abrasions)
treatment/evaluation  Mouth (cleft palate/lip)
– Breatfeeding
Essential Newborn Care: 90 Minutes –
24 Hours
 Essential Newborn Care: 90 Minutes –
24 Hours
• Vit K1 (phytomenadione) prophylaxis 1 mg IM
 prevent bleeding
• Hepatitis B & BCG intradermal
• Dry cord care
• Additional care for a small baby(or twin)
PANDUAN PELAYANAN KESEHATAN BAYI BARU LAHIR BERBASIS PERLINDUNGAN ANAK.
DIREKTORAT KESEHATAN ANAK KHUSUS. 2010