21/05/2025
đļ Immediate Newborn Care (Golden Minute Care)
â āύāĻŦāĻāĻžāϤāĻā§āϰ āϤāĻžā§āĻā§āώāĻŖāĻŋāĻ āϝāϤā§āύ (āĻĒā§āϰāĻĨāĻŽ ā§§ āĻŽāĻŋāύāĻŋāĻā§āϰ āϝāϤā§āύ)
đ Definition (āϏāĻāĻā§āĻāĻž):
Immediate Newborn Care āĻŦāϞāϤ⧠āĻŦā§āĻāĻžā§âāĻļāĻŋāĻļā§ āĻāύā§āĻŽā§āϰ āĻĒāϰāĻĒāϰāĻ, āĻŦāĻŋāĻļā§āώ āĻāϰ⧠āĻĒā§āϰāĻĨāĻŽ ā§Ŧā§Ļ āϏā§āĻā§āύā§āĻĄā§āϰ āĻŽāϧā§āϝā§, āϤāĻžāĻā§ āĻā§āĻŦāύ āϰāĻā§āώāĻžāĻāĻžāϰ⧠āĻāĻŦāĻ āĻāĻĒāϝā§āĻā§ āϝāϤā§āύ āĻĻā§āĻā§āĻž, āϝāĻžāϤ⧠āϏ⧠āĻŽāĻžāϤā§āĻāĻ āϰ āĻĨā§āĻā§ āĻŦāĻžāĻāϰā§āϰ āĻĒāϰāĻŋāĻŦā§āĻļā§ āϏāĻ āĻŋāĻāĻāĻžāĻŦā§ āĻŽāĻžāύāĻŋā§ā§ āύāĻŋāϤ⧠āĻĒāĻžāϰā§āĨ¤
đš âGolden Minute Careâ āĻŽāĻžāύ⧠āĻšāϞ⧠â āĻāύā§āĻŽā§āϰ āĻĒā§āϰāĻĨāĻŽ ā§§ āĻŽāĻŋāύāĻŋāĻ, āϝāĻž āĻļāĻŋāĻļā§āϰ āĻļā§āĻŦāĻžāϏāĻĒā§āϰāĻļā§āĻŦāĻžāϏ āĻāĻžāϞ⧠āĻāϰāĻžāϰ āĻāĻŦāĻ āĻā§āĻŦāύāĻā§āĻāĻāĻŋ āĻāĻŽāĻžāύā§āϰ āĻāύā§āϝ āĻ
āϤā§āϝāύā§āϤ āĻā§āϰā§āϤā§āĻŦāĻĒā§āϰā§āĻŖ āϏāĻŽā§āĨ¤
đ Why the Golden Minute is Important? (āĻā§āύ āĻā§āϰā§āϤā§āĻŦāĻĒā§āϰā§āĻŖ?)
âĸ āύāĻŦāĻāĻžāϤāĻā§āϰ āĻļā§āĻŦāĻžāϏāĻĒā§āϰāĻļā§āĻŦāĻžāϏ āĻāĻžāϞ⧠āĻāϰāĻžāϰ āĻāύā§āϝ āĻāĻ āϏāĻŽā§āĻāĻž āϏāĻŦāĻā§ā§ā§ āĻā§āϰā§āϤā§āĻŦāĻĒā§āϰā§āĻŖ
âĸ āĻāĻ āϏāĻŽā§ā§āĻ āϏāĻŦāĻā§ā§ā§ āĻŦā§āĻļāĻŋ āύāĻŦāĻāĻžāϤāĻ āĻŽā§āϤā§āϝā§āϰ āĻā§āĻāĻāĻŋ āĻĨāĻžāĻā§ (Neonatal mortality)
âĸ āĻāĻ ā§§ āĻŽāĻŋāύāĻŋāĻā§ āϏāĻ āĻŋāĻ āϝāϤā§āύ āύāĻž āĻĒā§āϞ⧠birth asphyxia, hypothermia, āĻāĻŦāĻ infection āĻšāϤ⧠āĻĒāĻžāϰā§
đš Key Steps of Immediate Newborn Care (āĻĒā§āϰāϧāĻžāύ āϧāĻžāĻĒāϏāĻŽā§āĻš):
â
1. Dry the baby thoroughly (āĻļā§āĻāύ⧠āϤā§ā§āĻžāϞ⧠āĻĻāĻŋā§ā§ āĻŽā§āĻā§ āĻĻā§āĻā§āĻž)
âĸ āĻļāĻŋāĻļā§āĻā§ āĻāύā§āĻŽā§āϰ āĻĒāϰāĻĒāϰāĻ āĻŽāĻžā§ā§āϰ āĻŦā§āĻ āĻŦāĻž āĻĒā§āĻā§āϰ āĻāĻĒāϰ āϰāĻžāĻāĻž āĻāĻāĻŋāϤ
âĸ āĻ
ā§āϝāĻžāĻŽāύāĻŋāĻāĻāĻŋāĻ āĻĢā§āϞā§āĻāĻĄ āĻāϞāϤā§āĻāĻžāĻŦā§ āĻŽā§āĻā§ āĻĢā§āϞāϤ⧠āĻšāĻŦā§
âĸ āĻāώā§āĻŖāϤāĻž āϰāĻā§āώāĻž āύāĻŋāĻļā§āĻāĻŋāϤ āĻāϰāϤ⧠āĻšāĻŦā§
â
2. Provide warmth (āϤāĻžāĻĒāĻŽāĻžāϤā§āϰāĻž āύāĻŋāĻļā§āĻāĻŋāϤ āĻāϰāĻž)
âĸ Skin-to-skin contact (Kangaroo care) āĻāϰāĻž āĻāĻāĻŋāϤ
âĸ āĻļā§āĻāύ⧠āĻ āĻĒāϰāĻŋāώā§āĻāĻžāϰ āĻāĻžāĻĒā§ā§ āĻŽā§ā§āĻŋā§ā§ āϰāĻžāĻāĻž
âĸ 72 āĻāĻŖā§āĻāĻžāϰ āĻāĻā§ āĻā§āϏāϞ āύāĻž āĻĻā§āĻā§āĻž
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3. Clear airway if needed (āĻĒā§āϰā§ā§āĻāύ⧠āĻŽā§āĻ āĻ āύāĻžāĻ āĻĒāϰāĻŋāώā§āĻāĻžāϰ āĻāϰāĻž)
âĸ āĻļāĻŋāĻļā§āĻāĻŋ āύāĻž āĻāĻžāĻāĻĻāϞ⧠āĻŦāĻž āĻļā§āĻŦāĻžāϏ āύāĻŋāϤ⧠āĻ
āϏā§āĻŦāĻŋāϧāĻž āĻšāϞ⧠airway āĻĒāϰāĻŋāώā§āĻāĻžāϰ
âĸ Blocked āĻšāϞ⧠suction āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻāϰāϤ⧠āĻšāĻŦā§
âĸ āĻ
āĻĒā§āϰā§ā§āĻāύ⧠suction āĻāĻĄāĻŧāĻŋā§ā§ āĻāϞāĻž
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4. Assess breathing (āĻļā§āĻŦāĻžāϏāĻĒā§āϰāĻļā§āĻŦāĻžāϏ āĻĒāϰā§āϝāĻŦā§āĻā§āώāĻŖ āĻāϰāĻž)
âĸ āĻļāĻŋāĻļā§ āĻāĻžāĻāĻĻāĻā§ āĻāĻŋ āύāĻž āĻŦāĻž spontaneous breathing āĻāĻā§ āĻāĻŋ āύāĻž
âĸ āύāĻž āĻĨāĻžāĻāϞ⧠Helping Babies breathe (HBB) āĻļā§āϰ⧠āĻāϰāϤ⧠āĻšāĻŦā§ ā§§ āĻŽāĻŋāύāĻŋāĻā§āϰ āĻŽāϧā§āϝā§
âĸ āĻāĻāĻŋ Golden Minute-āĻāϰ āϏāĻŦāĻā§ā§ā§ āĻā§āϰā§āϤā§āĻŦāĻĒā§āϰā§āĻŖ āϧāĻžāĻĒ
â
5. Clamp and cut the umbilical cord (āύāĻžāĻāĻŋāϰ āϤāĻžāϰ āĻāĻžāĻāĻžāύā§) āĻāĻŦāĻ ā§.ā§§% āĻā§āϞā§āϰāĻšā§āĻā§āϏāĻŋāĻĄāĻŋāύ āĻĒā§āϰāϝāĻŧā§āĻ āĻāϰāĻž āĨ¤
âĸ ā§§âā§Š āĻŽāĻŋāύāĻŋāĻ āĻĻā§āϰāĻŋ āĻāϰ⧠āĻāĻžāĻāĻž āĻāĻžāϞā§, āϝāĻĻāĻŋ āϰāĻŋāϏāĻžāϏāĻŋāĻā§āĻļāύ āĻĒā§āϰā§ā§āĻāύ āύāĻž āĻšā§
âĸ āĻĒāϰāĻŋāώā§āĻāĻžāϰ āĻŦā§āϞā§āĻĄ/āĻāĻžāĻāĻāĻŋ āĻŦā§āϝāĻŦāĻšāĻžāϰ
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6. Early initiation of breastfeeding (ā§§ āĻāĻŖā§āĻāĻžāϰ āĻŽāϧā§āϝ⧠āϏā§āϤāύā§āϝāĻĻāĻžāύ āĻļā§āϰā§)
âĸ Bonding āϤā§āϰāĻŋ āĻšā§
âĸ Colostrum āĻļāĻŋāĻļā§āϰ āϰā§āĻ āĻĒā§āϰāϤāĻŋāϰā§āϧ āĻā§āώāĻŽāϤāĻž āĻŦāĻžā§āĻžā§
âĸ Hypothermia āĻĒā§āϰāϤāĻŋāϰā§āϧ⧠āϏāĻšāĻžā§āĻ
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7. Assess for birth injury or congenital anomalies (āĻāύā§āĻŽāĻāĻžāϞā§āύ āĻāĻāĻžāϤ āĻŦāĻž āĻāύā§āĻŽāĻāϤ āϤā§āϰā§āĻāĻŋ āĻāĻā§ āĻāĻŋ āύāĻž āϤāĻž āĻĒāϰā§āϝāĻŦā§āĻā§āώāĻŖ)
âĸ āĻļāĻŋāĻļā§āϰ āĻļāϰā§āϰ⧠āĻāĻāĻžāϤā§āϰ āĻāĻŋāĻšā§āύ (bruises, fracture) āĻāĻā§ āĻāĻŋ āύāĻž āĻĻā§āĻāĻž
âĸ Congenital anomalies āϝā§āĻŽāύ â cleft lip/palate, limb deformity, neural tube defects āĻāϤā§āϝāĻžāĻĻāĻŋ āĻā§āĻ āĻāϰāĻž
âĸ Tally āĻāϰāĻž āĻŦāĻž refer āĻāϰāĻž āĻĒā§āϰā§ā§āĻāύ āĻšāϞ⧠āĻĻā§āϰā§āϤ āĻŦā§āϝāĻŦāϏā§āĻĨāĻž āύā§āĻā§āĻž
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8. Perform complete physical examination within 90 minutes of birth (āĻāύā§āĻŽā§āϰ ⧝ā§Ļ āĻŽāĻŋāύāĻŋāĻā§āϰ āĻŽāϧā§āϝ⧠āύāĻŦāĻāĻžāϤāĻā§āϰ āĻĒā§āϰā§āĻŖ āĻļāĻžāϰā§āϰāĻŋāĻ āĻĒāϰā§āĻā§āώāĻž):
âĸ āĻāĻāύ, āĻĻā§āϰā§āĻā§āϝ, āĻŽāĻžāĻĨāĻžāϰ āĻĒāϰāĻŋāϧāĻŋ āĻĒāϰāĻŋāĻŽāĻžāĻĒ āĻāϰāĻž
âĸ vital signs (temperature, heart rate, respiratory rate) āϝāĻžāĻāĻžāĻ āĻāϰāĻž
âĸ āϤā§āĻŦāĻ, āĻā§āĻ, āύāĻžāĻ, āĻŽā§āĻ, āĻŦā§āĻ, āĻĒā§āĻ, āĻ
āĻā§āĻ-āĻĒā§āϰāϤā§āϝāĻā§āĻ āĻāĻžāϞā§āĻāĻžāĻŦā§ āĻĒāϰā§āĻā§āώāĻž āĻāϰāĻž
âĸ āĻāϰā§āϰ āĻāĻžāĻāĻ āĻ (āϝ⧠*āύāĻž *āĻā§āĻ) āĻĒāϰā§āĻā§āώāĻž āĻāϰ⧠āϤā§āϰā§āĻāĻŋ āĻāĻā§ āĻāĻŋ āύāĻž āĻĻā§āĻāĻž
âĸ āϝāĻĻāĻŋ āĻā§āύ⧠āĻ
āϏā§āĻŦāĻžāĻāĻžāĻŦāĻŋāĻāϤāĻž āϧāϰāĻž āĻĒā§ā§, āϤāĻžāĻšāϞ⧠āĻĒā§āϰāĻžāĻĨāĻŽāĻŋāĻ āĻŦā§āϝāĻŦāϏā§āĻĨāĻž āύāĻŋā§ā§ āĻĻā§āϰā§āϤ āϰā§āĻĢāĻžāϰ āĻāϰāĻž āĻĒā§āϰā§ā§āĻāύ
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Apgar Score Assessment (āĻĒā§āϰā§ā§āĻāύā§)
âĸ ā§§ āĻ ā§Ģ āĻŽāĻŋāύāĻŋāĻā§ āϏā§āĻā§āϰ āύāĻŋāϰā§āϧāĻžāϰāĻŖ
âĸ Parameters:
âĸ A = Appearance (āϤā§āĻŦāĻā§āϰ āϰāĻ)
âĸ P = Pulse (āĻšā§āĻĻāϏā§āĻĒāύā§āĻĻāύ)
âĸ G = Grimace (āĻĒā§āϰāϤāĻŋāĻā§āϰāĻŋā§āĻž)
âĸ A = Activity (āĻāύā§āĻĻā§āϞāύ)
âĸ R = Respiration (āĻļā§āĻŦāĻžāϏāĻĒā§āϰāĻļā§āĻŦāĻžāϏ)