1. Ideal temperature of delivery room.
25-28
2. IMMEDIATE & THOROUGH DRYING
3. Effects of hypothermia
4. EARLY SKIN TO SKIN CONTACT
5. Normal range of temperature of the newborn.
6. PROPERLY TIMED CORD CLAMPING
7. Appropriate period to cord clamping.
8. NON SEPARATION OF NEWBORN FROM
MOTHER FOR EARLY BREASTFEEDING
9. Postponement of bathing until?
10. Proper positioning
11. Proper latching
12. Component of ventilation corrective steps
13. Primary Apnea
14. Secondary Apnea
15. At what period you may achieve 85-95% O 2?
16. When will you do resuscitation?
17. What to do if coordinated PPV and chest
compressions not enough?
18. What limb will you put the pulse ox for
oxygenation?
Thermoregulation and stimulation
infection, coagulation defects, acidosis, delayed
fetal to
newborn circulatory adjustment, hyaline
membrane disease, & brain hemorrhage
Thermoregulation, Provides protection from
infection because of colonization with maternal
skin flora
36.5- 37.5
Reduces the risk of anemia in both term & pre-
term babies
Reduces the needs of transfusions & brain
hemorrhage in pre-terms
Preterm – within 1 minute
Term – within 1-3 minutes
Monitor mother & baby every 15 minutes in the
first 1-2 hrs. assess warmth & breathing
>6 hours
Facing the breast
Body is close to mother’s body
Whole body is supported
Neck is not flexed nor twisted
Mouth wide open
Lower lip turned outwards
Baby’s chin touching breast
Suckling is slow, deep with some pauses
M - Mask adjustment
R - Reposition airway
S - Suction mouth and nose
O - Open mouth
P - Pressure increase
A - Airway alternative
Decrease in activity, loss of heart rate variability,
and heart rate decelerations
Tactile stimulation is sufficient
Fall in heart rate and blood pressure
Tactile stimulation is not sufficient and requires
ventilation
10 minutes
HR < 60 bpm
Give Epinephrine
Right fingers (preductal)
19. PPV No adequate spontaneous breathing and at
least 100 bpm of birth
Should be started within 1 minutes
20. CPAP At least <100 bpm
21. Term 21%
22. Pre-term 21-30%
23. 2.5 <1000, <28 weeks
24. 3.0 1000-2000, 28-34 weeks
25. 3.5 2000, 3000, 34-38 weeks
26. Estimated insertion depth of ET? NTL (nasal septum to tragus) +1 cm
27. 1 7
28. 2 8
29. 3 9
30. 4 10
31. Chest compression technique Depth 1/3
90 compressions per minute
Stop when HR is >60
32. Recommended dosage of epinephrine IV/IO: 0.1 to 0.3 ml/kg
ET: 0.5 to 1 ml/kg
If still <60 bpm – repeat doses every 3-5 minutes
33. When to stop resuscitation? persistent absence of a detectable heart rate
(Apgar 0) at 10 minutes is a strong predictor of
mortality
34. Optimal breastfeeding  Early initiation of breastfeeding within an
hour after birth
 Exclusive breastfeeding for the first six
months after birth
 Continued breastfeeding for two years and
beyond with appropriate introduction of
complementary foods at 6 months of age
35. Stimulus for milk production Sucking
36. Lactogenesis I Development of breast
37. Estrogen Ductal growth
38. Progesterone Alveoli/acinar development
39. Prolactin Increases breast tissue in preparation for milk
production
Milk production
Usually takes 30-40 hours after birth before
large volume of milk is produced
40. Oxytocin Milk let-down
41. Advantages of night-time feedings more prolactin is produced at night
Induces relaxation in mothers & promotes sleep
42. Prolactin reflex Hypothalamus  Anterior pituitary gland
stimulation  prolactin secretion  stimulate
acinar cells  milk production
43. Let-down reflex Hypothalamus  stimulates posterior pituitary
gland 
 release oxytocin  contraction of
myoepithelial cells  letdown reflex

44. Major differences of human vs cow’s milk More protein (cow)

More casein (cow)
(+) Beta lactoglobulin (cow)

Whey protein (human)

Alpha lactalbumin (human)
Lactoferrin (human)
Lactose (human)
45. Similarities of human vs cow’s milk 20 cal/oz
Composition Human Milk
Water (ml/100ml) 87.1
Caloric Density 20 cal/oz
Protein (g/100 ml) 1.1
Casein (% protein) 40
Whey proteins 60
Alpha lactalbumin 2.6 g/L
Lactoferrin 1.7
Beta lactoglobulin ---
Lactose (g/ 100 ml) 6.8
Fat Balanced unsaturated and
More saturated FA
saturated
Iron Efficient absorption
46. Colostrum 2 – 4 days post delivery
immunologic function
47. Transition milk 7 – 10 days after delivery
48. Mature milk 14 days after delivery
Foremilk
Hindmilk (responsible for satiety, Needed in
order for the child to gain weight)
49. Inverted nipple Hoffman maneuver
50. Breastfeeding pattern need to feed every 1-3 hrs

51. How long breastmilk last at room air? 3-4 hours

52. Breastmilk at refrigerator? 72 hours (or 5-8 days – clean condition)
53. Breastmilk at freezer? 6 months – 12 months
54. Most important factor for preventing early Poor attachment of sore nipples
problems leading to premature weaning
55. Newborn stomach capacity 20-40 ml
56. Permanent avoidance of breastfeeding HIV