3

 Demonstrate evidence-based daily care of the newborn baby  Counsel the mother how to look after her baby and to identify the danger signs NC- 2 Teaching Aids: ENC

Four major domains 1. Postnatal environment 2. Every day care of the baby 3. Looking for danger signs and giving treatment 4. Preparation for discharge NC- 3 Teaching Aids: ENC

 Ensure that the mother and baby are in a warm room (>25 0 C)  Keep a radiant warmer or another heating device ready, if necessary Keep the room warm NC- 4 Teaching Aids: ENC

Keep the baby in the same room with the mother, ideally in her bed Rooming-in NC- 5 Teaching Aids: ENC

NC- 6 Teaching Aids: ENC Four key elements 1. Breastfeeding 2. Ensure warmth 3. Cord care 4. Hygiene

 Support exclusive breastfeeding on demand day and night  Help mothers with breastfeeding difficulty; explain key points of attachment and positioning  Assess breastfeeding before planning to discharge  DO NOT discharge the baby if breastfeeding is not established 1. Breastfeeding NC- 7 Teaching Aids: ENC

The first day and later  Dress the baby  Wrap in soft dry clean cloth, cover head with cap  Assess warmth every 4 hours by touching baby’s feet:  If feet are cold, provide skin-to-skin contact and extra blanket; reassess  Keep the room warm; if room not warm cover baby with a blanket or use skin-to-skin 2. Ensuring warmth NC- 8 Teaching Aids: ENC

At home  One more layer of clothes than older children / adults  Keep room warm for baby  During the day, dress or wrap baby  At night, let baby sleep with mother 2. Ensuring warmth NC- 9 Teaching Aids: ENC

Wash hands before and after cord care  Put nothing on the stump  Fold diaper below stump  If the stump is soiled, wash with clean water and soap  Ask mother to visit health facility, if umbilicus is red or draining pus / blood or adjoining skin is red 3. Cord care NC- 10 Teaching Aids: ENC

 Wipe the face, neck, underarms DAILY  Wipe the buttocks when soiled  Give bath when necessary:  Use lukewarm water for bathing  Dry the baby thoroughly; dress and cover after bath  Use cloth diaper on baby’s bottom to collect stool; wash hands after disposing  DO NOT put anything in baby’s eyes or ears 4. Hygiene NC- 11 Teaching Aids: ENC

 Not feeding well  Less active than before  Fast breathing (>60/ min)  Moderate or severe chest in- drawing  Grunting  Convulsions  Floppy or stiff  Temperature > C or < C  Umbilicus draining pus or umbilical redness extending to skin.  >10 skin pustules  Bleeding from umbil. Stump Early recognition and treatment NC- 12 Teaching Aids: ENC

Ensure immunization as per National schedule AgeVaccineOptional 0-7 daysBCG, OPV, Hep B 6 WeeksOPV,DPT, Hep BHib 10 WeeksOPV,DPT, Hep BHib 14 WeeksOPV,DPT, Hep BHib 9 monthsMeasles 15 monthsMMR 18 monthsDPT, OPVHib 5 yearsDT, OPV NC- 13 Teaching Aids: ENC

 Feeding well  suckling effectively 8 times in 24 hours, day and night  No danger signs  Mother confident of taking care of the baby NC- 14 Teaching Aids: ENC

 Assessment of growth & development  Ensure immunization  Early diagnosis and management of illness  Health education  Exclusive breastfeeding for 6 months  Complementary feeds after 6 months  Spacing of family NC- 15 Teaching Aids: ENC

Four major domains 1. Postnatal environment 2. Every day care of the baby Breastfeeding Ensure warmth Cord care Hygiene 3. Looking for danger signs 4. Preparation for discharge NC- 16 Teaching Aids: ENC