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Preparing for Newborn Resuscitation

This document discusses preparing for newborn resuscitation. It provides information on risk factors that can help predict which babies will require resuscitation, how to assemble a resuscitation team, key questions to ask before birth, and how to perform a pre-resuscitation team briefing. The document emphasizes the importance of anticipating the need for resuscitation before every birth and having the necessary qualified personnel and equipment available without delay in case resuscitation is needed.

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Norhafizah Ahmad
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98 views15 pages

Preparing for Newborn Resuscitation

This document discusses preparing for newborn resuscitation. It provides information on risk factors that can help predict which babies will require resuscitation, how to assemble a resuscitation team, key questions to ask before birth, and how to perform a pre-resuscitation team briefing. The document emphasizes the importance of anticipating the need for resuscitation before every birth and having the necessary qualified personnel and equipment available without delay in case resuscitation is needed.

Uploaded by

Norhafizah Ahmad
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

LESSON

Preparing for
resuscitation
LESSON

• What you will learn


• Risk factors that can help predict which babies
will require resuscitation
• How to assemble a resuscitation team
• Four key questions to ask the obstetric provider
before birth
• How to perform a pre-resuscitation team briefing
• How to assemble and check resuscitation
supplies and equipment
LESSON2

WHY IS IT IMPORTANT TO
ANTICIPATE THE NEED FOR
RESUSCITATION BEFORE
EVERY BIRTH?
LESSON2
Antepartum risk factors
• Gestational age less than • Oligohydramnios
36 0/7 weeks • Fetal hydrops
• Gestational age greater • Fetal macrosomia
than or equal to 41 0/7 • Intrauterine growth
weeks restriction
• Preeclampsia or • Significant fetal
eclampsia malformations or
• Maternal hypertension anomalies
• Multiple gestation • No prenatal care
• Fetal anemia
• Polyhydramnios
LESSON2
Intrapartum risk factors
• Emergency cesarean • Intrapartum bleeding
delivery • Chorioamnionitis
• Forceps or vacuum-assisted • Narcotics administered to
delivery mother within 4 hours of
• Breech or other abnormal delivery
presentation • Shoulder dystocia
• Category II or III fetal heart • Meconium-stained amniotic
rate pattern* fluid
• Maternal general • Prolapsed umbilical cord
anesthesia
• Maternal magnesium
therapy
• Placental abruption
LESSON2

WHAT QUESTIONS
SHOULD YOU ASK
BEFORE EVERY BIRTH?
LESSON2
4 pre-birth questions

• ❶ What is the expected gestational age?


• ❷ Is the amniotic fluid clear?
• ❸ How many babies are expected?
• ❹ Are there any additional risk factors?
LESSON2

What personnel should


be present at delivery?
LESSON2

• Every birth should be • If risk factors are present


attended by at least 1 at least 2 qualified people
qualified individual, should be present.
• skilled in the initial steps • The number and
of newborn care and qualifications of
• positive-pressure personnel will vary
ventilation (PPV), depending on the
• whose only responsibility – anticipated risk,
is management of the – the number of babies, and
newly born baby. – the hospital setting.
LESSON2

• A qualified team with full • Example:


resuscitation skills • During uncomplicated
should be identified delivery, a nurse will
and immediately available evaluate gestation, tone
for every resuscitation. and respiration
– at the time of birth - if
extensive resuscitation
measures is anticipated.
– It is not sufficient to have
the team on call at home /
in a remote area of the
hospital.
• When resuscitation is
needed, it must begin
without delay.
Perform a pre- Gestation,
resuscitation team Tactile
muscle tone,
briefing. stimulation
respiration

No appropriate
Position & clear
Start PPV response
airway

Get
immediate
help Ongoing
resuscitation
LESSON2

Perform a pre-resuscitation
team briefing.
LESSON2

Review risk factor &


Assemble a any management
Identify team
team plan during antenatal leader
counseling

Gather all perinatal discuss the


information to Assign roles &
anticipate possible
possible
responsibility
complication scenarios

Plan your
response
LESSON2

What supplies and


equipment should be
available?
LESSON2
Suction equipment

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