YOUR BABY FIRST 24 HOUR
Are you an expectant mom and wants to know what happens to you and your baby after delivery. Perhaps you want to know what to expect when a new born is delivered. This article is about the your baby first 24 hours and newborn care immediately after birth.
When your new born comes into this world, the nurses will keep him warm and dry, this should control their temperature. The baby would be placed on your abdomen and allowed to dry off there. He would be covered in warm cloths, maybe a warm towel or blanket and also covered with a cap to keep his head warm.
- Since the baby is on your body, the skin to skin contact is enough to start the bonding process.
The doctor or midwife will then clamp the umbilical cord at two points and cut in-between the points. The nurses will collect the blood from the cut to check blood type and for any other tests necessary.
Discuss the time to cut the umbilical cord because research has shown that cutting the cord almost immediately increases the risk of new born aneamia and iron deficiency in infancy, and this is the practice in most parts of the United States. The research also recommends waiting a few minutes before cutting the cord to allow for more blood to flow from the placenta to the baby.
- During delivery, just before the delivery of the baby’s shoulders, you will notice that the doctor or the nurses may have suctioned your baby’s mouth and nose. This may continue later if nose fluid is found in his mouth and nose later.
- The nurses or caregivers would continue to observe to make sure that the baby and the mom are in super condition. Within five minutes, an Apgar Assessment would be conducted to assess the baby’s heart rate, breathing, muscle tone, reflex response and colour. This assessment can be done and is usually done while the baby is still on your belly.
Once everything is certified okay and you’re both are willing, you can start breastfeeding. The American Academy of paediatrics (AAP) recommends that the child should never be separated from the mother until the first breastfeeding is accomplished.
Don’t panic or get upset if your baby Does not suck your breast at first. Some children just lick the nipple. Do not fret because within an hour, he will get a hang of it.
Never be afraid or shy to ask for any assistance you need while at the hospital. There’s always a lactation consultant at every major hospital, make use of the one-to-one coaching available.
If the doctors notice any problems with the baby, the baby would be taken away from you and dried up. After cutting the umbilical cord, the baby would be placed on a radiant warmer. The baby would be left naked in the warmer while the doctors resuscitate or try to make the baby have a successful transition to life- outside the womb. If need be, depending on the severity of the issues, he may be taken to an intensive care unit (I.C.U) for closer observation.
If all is okay, he would be swaddled up in a warm blanket and brought back to you to continue the bonding process.
BIRTH THROUGH A C-SECTION
If you gave birth through a c-section; your baby would be handed to a nurse, and the nurse will take the baby to a radiant warmer where he would be dried up, suctioned and an Apgar Assessment done-with any other assistance he needs.
If everything is okay with the baby, he’ll be brought to your partner swaddled in a warm blanket. While you’re being stitch up. After the stitching, you’ll be moved to the recovery room where you can breastfeed and bond with your baby.
Before leaving the room, the nurses will put an identity band, commonly called an ID band on your baby and your partner. This must be done before you leave the room for any reason. The nurse will also take a footprint of the baby if you need one, you can ask for a copy if the hospitals only keep one for their records.
After an hour of giving birth, the United State’s law require that the nurse chop an anti-biotic ointment on the baby’s eyes to prevent blindness and other eye infections. There infections are caused by a number of bacteria your baby may have been exposed to just before or during birth, example are Gonorrhea and Chlamydia.
The baby would be given a slot of vitamin K to help his blood clot and will have his weight, head and length measured.
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BABY FIRST BATH
Once everything has been stabilized, the nurses will then give the baby a sponge bath in the nursery where there is radiant heat to warm up afterwards. He would be covered in warm blanket to keep warm.
BABY TESTS AFTER DELIVERY
After the first bath, the baby will go through a series of paediatric exams. The procedure starts from pricking her heels for blood which would be used to test for Phenylketonuria, hypothyroidism and many other disorders including many genetic and metabolic disorders.
The number of tests differ from state to state, though there is a movement to adopt a standard in all 50 States.
You may pay for any additional tests you want that is not done in your state of residence, for instance, the hearing loss test.
So many world organizations , recommend that a hearing loss exam be conducted. The centers for disease control, the American Academy of Pediatrics, the march of dimes are the major supporters of this test and we also recommend you conduct this test.
If your HIV status is unknown, you should also carry out this test for the new born.
Also, your baby would be given a shot of hepatitis B Vaccine. You should request for this if your status for hepatitis B is positive or unknown.
If you are a known carrier of hepatitis B, your baby would be injected with Hepatitis B immune globulin (HBIG) which gives a short term protection within 12 hours of birth.
If your status is unknown, your blood would be drawn for a test, and if positive, the HBIG dose would be administered as soon as possible.
WHEN WILL MY BABY BE CIRCUMCISED
Most doctors recommend that the circumcision of an infant be done within a few days after delivery, others recommend 2 or 3 weeks after delivery. In America, if the delivery took place in the hospital, circumcision is usually done after 48 hours. Pain relief measures like anesthesia are usually used to relieve pains during the procedure.