Page 210 - كتاب تمريض نسا الاكتروني

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• If non reassuring pattern is severed, other staff members should be alerted to the
possibility of immediate delivery usually cesarean, unless operative vaginal birth is
possible and quicker. - Birth prep should include staff prepared for neonatal

resuscitation. 45 Fetal monitoring

2) Immediate Care of the Newborn

ABCW Principles of Delivery
• Remember the following ABCW principles of delivery to ensure adequate
resuscitation of the infant:

o Airway
o Breathing
o Circulation

o Warmth

Objectives of Immediate Care of the Newborn

• To establish and maintain respiratory function.
• To provide warmth and prevent hypothermia.

• To ensure safety from injury and infection.
To identify actual and potential problems that might require immediate action
Assessment of the Infant's Condition

• The airway: To clear the airway, hold the infant upside down for few seconds
and perform gentle suction to establish breathing, and improve infant's color.
• The APGAR Score: APGAR Score involves consideration of 5 signs, and the

degree to which they are present or absent. It is recorded at 1 and 5 minutes after
birth

The APGAR Score
Sign 0 1 2
Hear rate Absent Slow blew 100 Fast above 140

Respiration Absent Weak crying Good crying
Reflex irritability No response Grimace Good response

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