The risk of the baby becoming hypothermic (low body temperature) will increase if the baby has not been dried adequately, is preterm or is less than the expected weight for its gestational age. However, unswaddling a baby and removing hats when the baby demonstrates good temperature control encourage good role modelling, particularly in relation to the prevention of sudden infant death syndrome. It is also good practice to assess the temperature of the baby before commencing the examination and maintain awareness of its temperature during the examination. In some sites, checking the temperature of the baby may not be routine but assessing the warmth of the baby’s chest and upper back with the back of the hand during the examination is good practice. The Midwives’ Rules and Standards (NMC 2012) clearly highlight’s a midwife’s responsibility within her sphere of practice. A midwife’s ability and attitude at this time are extremely important in providing the parents with adequate and understandable information.
At birth, the midwife’s immediate concern is usually related to the baby’s ability to accomplish the initial changes that are required in order to adapt and survive outside the uterus, such as the physiological changes in heart function. This chapter also provides a foundation for those students who are undertaking their midwifery education within universities that have integrated the ‘Physical Examination of the Healthy Newborn’ course within their pre-registration midwifery programmes of study. Soon you might have them on your limbs, face (as theold gentleman in the picture has), back and elsewhere, as shown in the photo here. 1. First remove makeup from your face. This face pack is perfect to get a natural and healthy glow onto your skin. Focus on eating high quality, natural foods. Make sure that the gecko is eating and doing well. If you are eating the right foods, you don’t have to worry about calories.
Under normal circumstances, this initial examination can be performed within the first hour after birth after the parents have had time to look at and cuddle their baby. The examination itself should be performed quickly and comprehensively, only uncovering the part of the baby to be examined and re-covering the baby as soon as practicable. The examination should be performed where it can be easily witnessed by the parents and the lighting is good, particularly natural daylight. A natural baby skin care barrier cream protects against further dehydration and assists in keeping nappy rash and skin rashes in babies at bay. Whether your role is that of a doctor or a health care administrator, working in the field of health care is both highly rewarding and challenging. The immediate care and handling of the baby should provide the parents with a professional and appropriate role model at all times; for example, limbs are not handles with which to turn a baby over. The midwife needs to be vigilant in facilitating the baby’s adaptation to extrauterine life by being aware of the interactions between these three major factors and her role in recognising external factors that may have an adverse impact.
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