Page 88 - 33Elctronic Book (3) Normal Labor
P. 88
o Ensure that an infant mask is attached to the resuscitation bag.
o Attach an appropriate size suction catheter to the suction canister tubing.
o Make sure the suction pressure does not exceed 100 mmHg
o Attach the laryngoscope blade to the handle and do not turn it on
o Make sure the resuscitation cart is in place. Check the contents of the cart
daily.
o Put gloves on
During Labor
Deliveries can be classified into three categories according to the expected risk to
the newborn.
o Low risk delivery:
o Identification:
▪ Mothers with uncomplicated pregnancy, labor and delivery.
o Personnel:
▪ Labor room nurse will provide the care to the normal infant in the labor
room.
▪ If the infant is unexpectedly ill, resuscitation should start while awaiting
the arrival of the pediatric staff.
o Equipment:
▪ The labor room nurse is responsible for ensuring that the following infant
care equipment is present and operating properly:
✓ Infant bed warmer.
✓ Oxygen unit.
✓ Infant suction apparatus.
✓ Infant resuscitation bag and masks.
✓ Laryngoscope with appropriate endotracheal tubes.
o Mild to moderate risk delivery
o Identification
▪ Premature delivery from 32 - 36 weeks gestation.
▪ Post-term delivery greater than 42 weeks gestation.
▪ Meconium stained amniotic fluid.
▪ Cesarean section.
▪ Fetal distress as determined by obstetrician. Expected fetal growth
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