SOP THE FIRST STEPS RESUSCITATION

OF THE NEWBORN BABY

Members of 1. Defi Elisa

Group 2. Sarah Rahmawati

3. Fita Fatimah

4. Wayan Anita

Class C5

Definition Efforts to provide adequate ventilation, giving oxygen and cardiac

output which is enough to channel oxygen to the brain, heart and

other vital organs

Purpose 1 . Provide adequate ventilation

2. Limiting damage to the cerebi

3. To start or maintain uteri extra life

Procedure Patient Preparation:

1. Client identification

2. Explain the purpose and procedure of the action to be taken

3. Informed consent

Tools Preparation

1. Flat, hard, clean, dry and warm resuscitation place

2. Clean and dry towel or cloth to dry, and cover the body and
 head of the baby, small cloth (1) to prop the shoulder (5cm)

3. Mucus suction device

• Clean and dry rubber ball

• Suction de lee DTT / Sterile

4. Air / oxygen conductor

• Rebreathing mask for term infants and

premature babies

• Hoods with rubber or air pads

• Hooded balloons with pressure

regulators

5. 60 watt lamp with a distance from the lamp to the baby about

60 cm

Implementation

ASSESSMENT OF NEWBORN BABIES

1. Perform a assessment (fleeting)

• Is the baby quite month?

• Is the amniotic water clear, not mixed with meconium?

• Does the baby cry loudly and / or breathe without

difficulty?

• Does the baby move actively?

If one of answer is “NO” proceed to the resuscitation step in

asphyxia newborn baby

2. If the amniotic fluid is mixed with meconium, assess whether

the baby is crying / breathing normally / gasping / not

breathing:

• If the baby crying or breathe normally, cut the umbilical

cord quickly, not tied and not sprinkled with anything

followed by the First Step

• If the baby is gasp or not breath, open your mouth

wide,wipe it mouth and suction lender, cut the umbilical

cord quickly, not tied and not spiked with anything,

followed by the First Step

INITIAL STEP

3. Cover the baby with a towel / cloth placed on the mother's

stomach, the baby's face and chest remain open

4. Put the baby in the resuscitation area

5. Position the baby's head in an avoiding position, namely the

head of a little extension by arranging the thick towel / cloth

that has been prepared shoulder

6. Clean the airway by sucking the lender in the mouth as deep

as < 5 cm and then the baby's nose < 3 cm deep

7. Dry the baby (with a little pressure) and rub the baby's chest

/ abdomen / back as tactile stimulation to stimulate

breathing. Replace a cloth that is wet with a clean, dry cloth.

Cover the baby with a dry cloth. Leave face and chest open
 8. Positioning the baby's head and returning the breath effort

a. If the baby cry strongly or breathe spontaneously, take

care of a newborn baby

b. If the baby still do not breathe or gasp, then ventilate

Attenttion steps 2-8 have been done in 30 second