Neonatal Resuscitation

ANIETE, JENNY ROSE T.

NCMP107 RLE
RR22

ASSESS PERFORMANCE
Unfolding Case of Baby Chan

Baby Chan was born at term. He came out not crying, blue and with poor muscle tone. His birth
weight was 3.2 kg. Rupture of membranes happened at home; contractions were regular. His mother
was in labor for a long period of time, but progressed to normal delivery in hospital. No chronic illness
and no pre-eclampsia were diagnosed before. Chan is her first baby.

1. What emergency (danger) and priority (important) signs have you noticed from the history
and from the picture?

Based from the history, it was mentioned that Baby Chan came out not crying, cyanotic and
with poor muscle tone. When we look at the picture, it seems that there is presence of
chest retraction and he is unresponsive.
Neonatal Resuscitation

2. Describe the routine care of the newborn at delivery.

Care of all newborns includes immediate and thorough drying, skin to skin contact of the
newborn with the mother, cord clamping and cutting after the first minutes after birth,
early initiation of breastfeeding, and exclusive breastfeeding. In the case of Baby Chan, he is
unresponsive; no signs of crying; and has poor muscle tone, there is a need to stimulate the
baby in order to trigger spontaneous breathing.

3. What are the steps of neonatal resuscitation?

The initial steps of resuscitation are to provide warmth by placing the baby under a radiant
heat source, positioning the head in a “sniffing” position to open the airway, clearing the
airway if necessary with a bulb syringe or suction catheter, drying the baby, and stimulating
breathing.

4. What supportive care and monitoring are required after stabilization?

After the baby was stabilized, reevaluate all vital signs, look for danger signs and measure
blood glucose. Perform a retroactive Apgar score assessment. If there is no abnormal
findings, keep the mother and the neonate together.

5. What continuing care and follow-up are required?

Keep the baby under observation for at least 24 hours. Check for any danger signs and
monitor vital signs every 2 hours.