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6. Immunization
7. Management of newborn illness 8. Care of the preterm and/or low birth weight newborn
Minimum equipment
Use of room air
3 | Global Newborn Conference 2013, Johannesburg | 16 April 2013
2000, 2007
2005
2010
What is different?
Emphasis on not clamping the cord too early Reduced indications for suctioning:
No routine suctioning even before ventilation For babies born through meconium-stained amniotic fluid who do not start breathing on their own
Preference of bulb syringe in the absence of mechanical equipment Recommendation to start PPV within one minute
The cord should be clamped after 1 to 3 minutes in all newly-born babies; the cord should be clamped and cut before one minute only if this is needed for resuscitation.
Newly-born babies requiring ventilation should be assessed by measuring heart rate after 60 seconds.
In newborn resuscitation providing adequate ventilation is more important than chest compressions.
9 | Global Newborn Conference 2013, Johannesburg | 16 April 2013
Ventilation should be stopped if the baby has no detectable heart beat after 10 minutes of effective ventilation, or continues to have a heart rate below 60/min and no spontaneous breathing after 20 minutes.
Assessing Impact
Proposed Service Delivery Indicators:
Proportion of health professionals attending births competent and equipped in basic newborn resuscitation Proportion of births attended by health personnel skilled and equipped in basic newborn resuscitation Proportion of newborns requiring resuscitation with outcomes
Thank you