ALGORITHM ON IMMEDIATE NEWBORN CARE

Dry the baby.

Remove wet Cloth. “Is the baby floppy/limp
Keep baby warm. and not breathing within
30 Check Breathing 1st 30 seconds of drying?
SECONDS

Is the baby YES Perform Newborn

gasping or not Clamp the cord.
Resuscitation
breathing?

NO
Call for help

 Place the baby in skin-to-skin contact(STS)on mother's abdomen or chest.

 Clamp the umbilical cord after pulsations stop at around 1-3 minutes.
 Encourage breastfeeding.
 Do not separate the baby from the mother for at least 90 minutes unless in
respiratory distress or maternal emergency.
 Do eye care, cord care.
 Postpone bathing until after newborn is at least 6 hours of age.

Does the baby YES Refer to SPECIAL CARE

have signs of (IMPAC: Managing Newborn
90 minutes illness Problems)

NO
Keep baby Skin to Skin with
YES mother.
Is the baby visibly Cover with extra blanket.
small
Prepare for referral if very
small.
 ALGORITHM ON IMMEDIATE NEWBORN CARE

Does the baby YES Refer to SPECIAL CARE

have signs of (IMPAC: Managing Newborn
illness Problems)

90 minutes NO
Keep baby Skin to Skin with
YES mother.
Is the baby visibly
Cover with extra blanket.
small
Prepare for referral if very
small.

*After 90 minutes of age(after baby has detached from breast)

- examine the baby
- weigh the baby
- inject Vit. K, Hep B, BCG
*Room in and continue exclusive per demand breastfeeding

Does the baby YES Go to additional Care for the

weigh <2.5 kg? Small Baby
NO
Are there
Go to Dealing w/Feeding
Breastfeeding
Problems
problem
NO

Plan Discharge