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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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