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    Neonatal Resuscitation

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    Hampson Malekano
    Poor intrapartum fetal oxygenation Also referred to as asphyxia Common cause of death and long term disability (mental and neurological) Estimated to contribute to 9% of all 5 mortality (mdg4) Burden of disease assessment - 42 million disability-adjusted life years (DALYs)

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    Neonatal Resuscitation

    Uploaded by

    Hampson Malekano
    3K views17 pages
    Poor intrapartum fetal oxygenation Also referred to as asphyxia Common cause of death and long term disability (mental and neurological) Estimated to contribute to 9% of all 5 mortality (mdg4) Burden of disease assessment - 42 million disability-adjusted life years (DALYs)

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    NEONATAL RESUSCITATION.ppt

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    Poor intrapartum fetal oxygenation Also referred to as asphyxia Common cause of death and long term disability (mental and neurological) Estimated to contribute to 9% of all 5 mortality (mdg4) Burden of disease assessment - 42 million disability-adjusted life years (DALYs)

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    3K views17 pages

    Neonatal Resuscitation

    Uploaded by

    Hampson Malekano
    Poor intrapartum fetal oxygenation Also referred to as asphyxia Common cause of death and long term disability (mental and neurological) Estimated to contribute to 9% of all 5 mortality (mdg4) Burden of disease assessment - 42 million disability-adjusted life years (DALYs)

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 17

    NEONATAL

    RESUSCITATION
    Rachel Musoke
    University of Nairobi
    KNH/UON SYMPOSIUM 10TH Jan
    2013

    Poor intrapartum fetal


    oxygenation
    Also referred as asphyxia
    Common cause of death & long term
    disability (mental & neurological)
    Estimated to contribute to 9% of all
    < 5 mortality (MDG 4)
    Burden of disease assessment 42
    million disability-adjusted life years
    (DALYs)

    Contributing factors
    The delays
    Delay in recognition of the problem
    in the mother
    Delay in transportation to a medical
    facility
    Delay in providing appropriate care
    at the health facility

    Solutions to reduce deaths


    & disability
    Primary prevention maternal care
    (early recognition & management)
    Secondary prevention
    appropriate neonatal
    resuscitation
    Tertiary prevention recognition &
    management of acute complications

    The Global Need for neonatal


    Resuscitation, FIGO, Wall et al

    Which babies need


    resuscitation?
    Assess:
    Gestation term or preterm?
    Breathing or Crying?
    Good tone?
    If NO then act quickly

    The first golden


    minute

    The ABC of resuscitation


    Airway (Position and clear)
    Breathing (stimulate to breathe)
    Circulation (Majority of babies have
    normal hearts)

    Warmth

    Breathing

    Ventilation of babys lungs is the


    most important and effective
    action in neonatal resuscitation

    Room air vs.O2 for


    Resuscitation

    Term Infants

    Pre-Term Infants
    (< 32 weeks)

    Room air or oxygen?


    Term infants:
    Mortality lower with room air vs 100% O2
    Shorter recovery

    Preterm
    Balance the needs for oxygen vs
    possible toxicity

    Oxygen saturations at
    birth
    1 minute

    60-65%

    2 minutes

    65-70%

    3 minutes

    70-75%

    4 minutes

    75-80%

    5 minutes

    80-85%

    10 minutes

    85-95%

    Meconium stained liquor


    Clear mouth & nose before drying &
    stimulation to avoid aspiration
    Suctioning of the trachea reserved
    for nonvigorous babies

    Equipments
    Warmth towels & heater
    Airway suction catheters
    Ventilate bag (500ml). & masks
    (sizes)
    Source of oxygen (& blender)
    Auscultate stethoscope
    Pulse oximeter (if possible)
    Intubation equipment

    Key behavior skills

    Know your environment


    Anticipate & plan
    Call for help & work as a team
    The person present must initiate
    resuscitation
    Communicate effectively
    Use all available resources

    SUMMARY

    Effective Resuscitation

    Airway & Breathing

    Circulation
    Drugs

    Summary
    Everybody who conducts a delivery
    must be able to resuscitate
    We should be prepared at all times
    Lets give our newborn a good start

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