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    NRP ppt1

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    sumana Banerjee
    This document outlines West Bengal's newborn resuscitation programme. It notes that the neonatal mortality rate in West Bengal is currently 18 per 1000 live births, while the infant mortality rate is 25 per 1000 live births. The goal is to achieve single digit neonatal mortality by 2030. To do so, the program emphasizes care at birth like immediate skin-to-skin contact and early breastfeeding within 1 hour, as well as kangaroo mother care for preterm infants. It also discusses assessing newborns for complications like poor muscle tone or respiration that may require resuscitation, and providing steps for personal preparation, environmental preparation, and newborn resuscitation including stimulation, ventilation, chest compressions, epinephrine

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    NRP ppt1

    Uploaded by

    sumana Banerjee
    133 views29 pages
    This document outlines West Bengal's newborn resuscitation programme. It notes that the neonatal mortality rate in West Bengal is currently 18 per 1000 live births, while the infant mortality rate is 25 per 1000 live births. The goal is to achieve single digit neonatal mortality by 2030. To do so, the program emphasizes care at birth like immediate skin-to-skin contact and early breastfeeding within 1 hour, as well as kangaroo mother care for preterm infants. It also discusses assessing newborns for complications like poor muscle tone or respiration that may require resuscitation, and providing steps for personal preparation, environmental preparation, and newborn resuscitation including stimulation, ventilation, chest compressions, epinephrine

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    This document outlines West Bengal's newborn resuscitation programme. It notes that the neonatal mortality rate in West Bengal is currently 18 per 1000 live births, while the infant mortality rate is 25 per 1000 live births. The goal is to achieve single digit neonatal mortality by 2030. To do so, the program emphasizes care at birth like immediate skin-to-skin contact and early breastfeeding within 1 hour, as well as kangaroo mother care for preterm infants. It also discusses assessing newborns for complications like poor muscle tone or respiration that may require resuscitation, and providing steps for personal preparation, environmental preparation, and newborn resuscitation including stimulation, ventilation, chest compressions, epinephrine

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    133 views29 pages

    NRP ppt1

    Uploaded by

    sumana Banerjee
    This document outlines West Bengal's newborn resuscitation programme. It notes that the neonatal mortality rate in West Bengal is currently 18 per 1000 live births, while the infant mortality rate is 25 per 1000 live births. The goal is to achieve single digit neonatal mortality by 2030. To do so, the program emphasizes care at birth like immediate skin-to-skin contact and early breastfeeding within 1 hour, as well as kangaroo mother care for preterm infants. It also discusses assessing newborns for complications like poor muscle tone or respiration that may require resuscitation, and providing steps for personal preparation, environmental preparation, and newborn resuscitation including stimulation, ventilation, chest compressions, epinephrine

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 29

    Newborn Resuscitation Programme

     Low birth weight with complications


     Perinatal asphyxia
     Prematurity with complications

    Present status of West Bengal: Sept 2017


     Neonatal mortality rate:18/1000 live birth
     Infant mortality rate 25/1000 live birth
     Single digit neonatal mortality by 2030

    To achieve this
     Care at birth
     Skin to skin contact atleast for 1 hour
     Early breastfeeding within 1 hour.
     KMC 90 mins to 2hrs ( atleast for 6-8 hrs /day)
     Quality improvement.
     Poor muscle tone.
     Poor respiration.
     Bradycardia.
     Low blood pressure
     Tachypnea
     Persistent cyanosis
    ANTEPARTUM INTRAPARTUM
     Maternal hypertension  Abnormal fetal heart rate
     Maternal diabetes  Meconium stained liquor
     Antepartum haemorrhage
     Maternal medical problems
     Intrapartum haemorrhage
     Polyhydromnios/  No vertex presentation
    oligohydromnios  Forcep/ vacum delivery
     Multiple pregnancy  Emergency C/S
     PROM  General anaesthesia to
     Post term pregnancy mother
     IUGR  Premature labour
     Fetal malformation  Prolonged labour
     Mother <18yrs or >35 yrs  Cord prolapse
     Inadequate antenatal care  Big baby
     Previousfetal death
     Personal preparation.
     Environmental preparation.
     Provide warmth
     Position
     Dry
     Stimulation
     Start PPV
     MRSOPA
     Chest compression:
    3 compressions 1 breath
    ( in 1 min 90 compressions and
    30 breaths are given)
     Epinephrine: 0.1 to 0.3 ml/kg of a 1:10,000
    solution
    Preparation of drug: 1ml ampoule of 1:1000
    concentrations however for neonate , add 9ml
    distilled water
    Route: endotracheal or intravenous
     Routine care:
     Observational care: for baby who have
    received PPV for<1min ,
    monitoring for every 30mins for 2 hrs
     Post resuscitation care: newborn
     received PPV for >1min ,
     Preterm with laboured breathing to be shift
    in SNCU.
     To suction trachea in presence of meconium.
     To improve efficacy of ventilation .
     To facilitate coordination of chest
    compressions & ventilation.
     To administer epinephrine if required.
     An experienced person.
     Laryngoscope blade with light.
     Suction equipment.
     Oxygen source.
     If after 10 minutes of effective ventilation,
    chest compression, medications the heart
    rate is absent or no progress is being made in
    certain condition such as extreme
    prematurity it may be appropriate to
    discontinue resuscitative effeorts.
     FBNC.. Neonatal Resuscitation Module
     Updated neonatal resuscitation guidelines
    2015
    indianpediatrics.net
     Newborn resuscitation slideshare ppt

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