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Management of Labour
Published in Gowri Dorairajan, Management of Normal and High Risk Labour During Childbirth, 2022
The face of the newborn is cleaned. The oropharynx is cleared of any secretions. There is no need for routine suctioning of the nasopharynx. Delayed cord clamping (after 3 minutes) is recommended. The cord is cut between the clamps after the pulsations stop unless there is a need for early clamping. The newborn can be landed on the mother’s abdomen, and immediate rooming-in should be encouraged and recommended. This not only improves bonding but also reduces hypothermia and encourages early feeding. The oxytocin released on sucking further ensures good uterine contractility. However, logistics are to be kept in mind. The mother should be fully awake and in control and an assistant should ensure the baby does not fall off the mother’s abdomen or chest.
Impact of COVID–19 on Reproductive, Maternal and Child Health
Published in Srijan Goswami, Chiranjeeb Dey, COVID-19 and SARS-CoV-2, 2022
Clinical features of Covid-19 infection in children are similar to that of adult infection. Prevalent symptoms are of the respiratory system (Coronavirus Disease 2019 (COVID-19), 2020b). Infants and children with certain conditions like obesity, asthma or respiratory disease, cardiac disease, diabetes, sickle cell disease and immunocompromised conditions are more prone to a severe form of Covid-19 infection. A newborn baby to a Covid-19 infected mother very rarely presents symptoms. They might be infected from an adult but are mostly asymptomatic (Chawla et al., 2020). Perinatal transmission of infection is very rare and prevention of maternal infection can prevent neonatal infection. Various methods can be adopted to curb maternal infection. The infected neonate can be treated in isolation with proper hygiene controls. Rooming-in and direct breastfeeding can be safely adopted. Breastfeeding should be continued. Recommended national guidelines include fluid therapy, oxygen therapy, antibiotics, management of shock and respiratory support for hypoxemic respiratory failure (Chawla et al., 2020; Wastnedge et al., 2021).
Breastfeeding and Weaning
Published in Rosa Maria Quatraro, Pietro Grussu, Handbook of Perinatal Clinical Psychology, 2020
‘Rooming in’ together in the hospital after having given birth can help to develop the bond between mother and baby, and it will also strengthen the chances of breastfeeding successfully. This is likely to facilitate attachment. A hungry baby is an unhappy, stressed-out baby. Allowing the baby to feed more often and for longer periods of time in the beginning usually results in a greater production and supply of milk. The danger of doing this though is that the nipples might become sore, enflamed and cut.
Identified gaps and opportunities in perinatal healthcare delivery for women in treatment for opioid use disorder
Published in Substance Abuse, 2021
Karen Alexander, Vanessa Short, Megan Gannon, Neera Goyal, Madeline Naegle, Diane J. Abatemarco
Women felt dependent on nurses in the neonatal intensive care unit (NICU) to teach them how to provide the best care for their child, since many of the children had special needs in terms of feeding. The women also felt that the child did not score as well in their absence, and they appreciated any accommodations that could be made to improve their ability to be at the bedside. One woman mentioned that she was able to room-in during the NOWS stay with her newborn for the duration of the treatment. She felt as if that improved her child’s feeding ability from a bottle instead of needing a naso-gastric tube, and that her newborn’s scores improved if she was present. Most women who delivered at the affiliated hospital with the treatment center reported not being provided rooming-in accommodations.
Feasibility of auricular acupressure as an adjunct treatment for neonatal opioid withdrawal syndrome (NOWS)
Published in Substance Abuse, 2021
Heather J. Jackson, Cristina Lopez, Sarah Miller, Barbara Englehardt
Physiologic functional status refers to the infant’s physical and functional well-being for maternal-fetal health and encompasses gestational age, timing and method of delivery, as well as overall transition to extrauterine life.33Nursing care practice comprises the quality of care a neonate receives by registered or advance practice nurses, and the care environment refers to the care setting including social, cultural, political, and economic factors.33 The family role incorporates the value of family involvement in the care of neonates such as mothers rooming in, breastfeeding, skin-to-skin contact, and holding. Attention to these four concepts ensures healthy outcomes and a medically stable neonate at the time of hospital discharge.
Occupational Therapy Management Strategies for Infants With Neonatal Abstinence Syndrome: Scoping Review
Published in Occupational Therapy In Health Care, 2019
Samantha A Oostlander, Jillian A Falla, Kimberly Dow, Sandra Fucile
Rooming-in as an intervention was suggested by 12 articles, one of which had level 1 quality of evidence. Rooming-in, compared, to keeping infants with NAS in the NICU, was suggested to lead to a decreased need for pharmacologic intervention, reduced length of stay in the hospital as well as increased mother-infant bonding and attachment (Abrahams et al., 2007; Hünseler, Brückle, Roth, & Kribs, 2013; Brogly et al., 2017). Promoting skin-to-skin contact between the infant and caregiver/mother has been suggested to be beneficial in nine articles, three of which had level 1 quality of evidence. Skin-to-skin contact as the potential to decrease infant pain scores and promote continuous sleeping patterns, as well as be beneficial to the mother, by promoting empowerment and positive attitudes regarding contributions to their infant’s care (Hahn et al., 2016; Ludingon-Hoe, 2013).