The purpose of monitoring the newborn is to determine the activity or the normal baby would not identify the problem and newborn health that needs attention as well as family and auxiliary health workers did not go.
first 2 hours after birth:
It is assessed:
- The ability to suck strong or weak.
- Infants appear to be active or limp.
- Baby red or blue.
Auxiliary labor Before leaving the mother and baby. Helper labor to check and assess the presence or absence of health problems that require follow-up, such as:
- Baby small for baby during pregnancy or less months.
- Respiratory Disorders.
- Hypothermia.
- Infection.
- Congenital defects and birth trauma.
Situation normal baby clinic immediately after birth
At the time the baby was born very active. Heart sounds in the first few minutes 180x/menit. Which then fell to 140x/menit-120x/menit in infancy berumr 30 minutes. Rapid breathing in the first minute ( 80x/menit) accompanied by respiratory nostrils, retracted and external intercostal supra, and moans only lasted 10-15 minutes. Continuation of activity exaggerated the baby is relatively tense and react to stimuli from outside and from within. In this situation the baby fell asleep for a few minutes to 4 hours. By the time the first baby woke from his sleep he was easily aroused by the frequency of heart bunti increases and the change in color, and sometimes with a discharge of mucus from the mouth. After this period is exceeded, the situation began to stabilize the baby, suction power and reflexes began regularly.
Of particular interest in newborns:
a. Awareness and reaction to the surroundings:
Please note the lack of reaction to the seduction, stimulation of pain or a loud noise or sound shocking toys.
b. Active
Normal infants make the movements of hands and feet at the time symmetric wake. The existence of tremor in the lips, feet and hands at the time of crying is normal, but if this happens at bedtime, possible symptoms of a birth that need further examination.
c. Symmetrical
Is the whole body in balance.
d. Head
Do not symmetrical, a soft tumor on the back of the head causing a longer look, as a result of the birth or soft tumors dibelahan only just left or right or left and right sides do not exceed the diameter or oblong head, measure the circumference of the head.
e. Face / face
Infants without expression.
f. Eyes
Observed any signs of bleeding in the form of red spots will disappear within 6 weeks.
g. Mouth
Salivasi not present in normal infants, when there are excessive secretions, there may be abnormalities in the gastrointestinal tract.
h. Neck, chest and abdomen
See any injuries from childbirth.
i. Ridge
Is there any swelling / tumors or the curve of the spine with a less than perfect.
j. Shoulders, arms, joints, limbs
Please note the form, movement, fracture, peresis.
k. Skin and nail
In normal skin reddish color sometimes get a mild skin peeling. Excessive exfoliation should consider the possibility of disorder. Alert to the emergence of skin color unevenness (eutis marmorata) palms of the hands, feet or fingernails turned blue, the skin becomes pale or yellow. Large patches of blue are often found around the buttocks (mengalion spot) will be lost at the age of 1-5 years.
l. Smoothness inhalation and digestion
m. Faeces or urine
Is expected out in the first 24 hours, watch out in case of sudden stomach dilated, with no exit stool, accompanied by vomiting and possibly a skin kebirua, please consult for further examination.
n. Reflexes
- Rooting reflexes, the baby turned to the things that touched his cheek.
- Sucking reflex, occurs when there are objects to touch lips, accompanied by reflex stop.
- Reflex moro, is the emergence of a symmetrical hand direction when the head suddenly moved.
- Reflex out his tongue when the object is placed in the mouth, which is often interpreted baby refusing food / drink.
o. Weight loss
Should be monitored every day, weight loss 75% of body weight at birth indicate dehydration.
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