kuliah neonatal care
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TUJUAN INSTRUKSIONAL UMUM :
Setelah mengikuti kuliah : ------- Mampu :
Mengetahui dan memahami perbedaan janin
dan neonatus
Mengetahui dan memahami perawatanneonatus normal
Mengetahui dan memahami tanda tanda
bahaya / Kegawatan perinatal pada
neonatus
Mengetahui dan memahami pengelolaan awal
Kegawatan Perinatal
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TUJUAN INSTRUKSIONAL KHUSUS
MAMPU MENGETAHUI DAN MEMAHAMI
KEGAWATAN PERINATAL DAN TATA CARA
MERUJUK KE UNIT PERAWATAN NEONATAL
YANG LEBIH TINGGI
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PediatricsObstetrics
Perinatology
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Perinatal period :
Statistic usage:
28 weeks ------- 1 week after birth
Science and Service usage :
conception ----- 1 month after birth
Neonatal period :
Birth--------- 1 month after birth
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Fetus Neonates
*
* Fetal circulation * Neonatal circulation
* O2 depend to Utero * O2 own produce
placental circulation by breathing
* Nutrition depend on * Feed ---- Breast feeding
maternal status
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Fetus Neonate
Birth
ResuscitationAdaptation
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Normal Newborn
Gestational age > 37 weeks
Birth weight : 2500 4000 gr
Crying at birth ( Apgar Score >7)
No severe Congenital Malformation
Regardless to the type of delivery
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NEONATAL ESSENTIAL CARE
1. CLEAN & SAFE DELIVERY
2. TEMPERATURE STABILITY
3. INISIATE SPONTANEOUSRESPIRATION
4. EARLY BREAST FEEDING
5. INFECTION PREVENTION &IMMUNIZATION
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Content of clean delivery kit
( At home )
Soap for washing hands
2 to 3 sterilized cord ties
A new clean blade/boiled home instrument to cut cord
Clean sun dried cloth sheet, small gauze pads
A clean plastic envelope/cloth to keep the kit in
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Assessing/Evaluate the baby :
At birth : - respiratory effort, heart rate, skin color
** Asphyxia resuscitate*** Not Asphyxia Apgar Score
Newborn care
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APGAR SCORE
Symptom/Sign 0 1 2
Pulse 0 < 100/mnt >100/mnt
Respiratory
effort
none grunting Crying
Muscle tone Floppy Partial flexion Full flexion.
active
Sensitive tostimulation
No response Grimace Crying
Color Pale Blue Pink
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Just for Assesment Not for starting resuscitation
For determine prognosis
5 variables comprehensively
Observed consecutively : 1- 5
10 minutes
Divided : - Mild, Moderate, Severe
Asphyxia
APGAR SCORE
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DAOM = Depressor angular oris muscle
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Another option : - alcohol 70 %
- povidone iodine
- breast milk (colustrum )
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Erythromycine 0,5 % ,
Tetracycline 1 % oinment ----
for prophylaxis
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Prefer to Refer: I D A I Guideline for Immunization
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PERINATAL DISTRESS AFTER BIRTH
. Pallor
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