However, in the UK active management of the third stage (delivery of the placenta and control of bleeding) is recommended by the National Institute for Health and Clinical Excellence (NICE) (2007). Efficient emptying of the milk from the breast will lead to the release of prolactin. The most important aspect in the early days is to achieve the correct positioning and attachment of the baby to the breast.
In the early days, observing feeding and recording information about the baby's excretion patterns is a crucial part of the midwife's role. The general appearance and handling of the baby should indicate to the midwife whether this is a healthy baby. The separation of the child from the parents should be managed with grace and compassion.
Problems related to illegal drug use and drug abuse have greatly increased in recent years and midwives often come into contact with women who have drug-related problems during pregnancy. Alcohol and drugs taken antenatally affect babies in different ways and midwives caring for the babies postnatally need to be aware of the effects these drugs have on the developing fetus and newborn baby so that care can be planned in a systematic and coordinated manner become It should be remembered that for women who have problems related to drug and alcohol abuse, pregnancy can present opportunities as well as risks.
It is known that some prescription medications can have a detrimental effect on the developing fetus, for example some antimicrobials, anticonvulsants and steroids.
It is essential that the midwife performing the delivery is aware of the mother's drug problem. A tender, swollen, circular bruise (ecchymosis) can be seen on the head in the area of the scalp that was the presenting part during childbirth. The neonate should be referred to the pediatric team and may require specialist ENT care for manual reduction of the dislocation within the first few days of life.
Alternatively, you can dress the baby in a long-sleeved vest and glue the sleeve to the front of the vest. Obstetric palsy of the brachial plexus may result from a traumatic stretching injury during delivery to the head and neck. Obstetric palsy of the brachial plexus may be accompanied by fractures of the clavicle and/or humerus.
Gently palpate and examine the arm to assess for a humeral fracture. There are huge implications for the family of a newborn who survives with quadriplegia. It is thought that pressure on the neck when the baby is in the birth canal can cause edema and necrosis of part of the sternocleidomastoid muscle.
The focus of treatment is to reduce the long-term limitation of the baby's range of motion. The newborn will have a distended abdomen, pallor, shock and may have abdominal skin staining.
Building on women's strengths rather than using a deficit model of health care is essential. Contrary to what is currently practiced and encouraged in the UK health system, placing the baby in the womb immediately after birth can be extremely distressing for some Muslim women. Immediately after birth, it is customary for the father or a respected member of the local community to whisper the Adhan (ritual call to collective prayer) into the baby's right ear and the Iqamat (ritual announcement to begin prayer) into the left ear.
It is mentioned in the Hadith (a collection of oral traditions about the life of the Prophet Muhammad) that the devil runs away from the sound of the Adhan. A small piece of softened date is gently rubbed into the upper palate of the child. Tahneek (as the ritual is called) is performed based on the practice of the Holy Prophet.
It is the taste of the sweetness of the date or similar foods that is sought and not the consumption of it (Shaikh and Ahmed, 2006). It is clear that it is of utmost importance to parents that the taweezis are handled with respect at all times. In some cultures, shortly after birth, a family member writes the mystical sign 'Om' or 'Aum' (representing the Supreme Spirit) on the child's tongue with honey or ghee.
Nowhere does there seem to be any recognition of the mother's cultural beliefs and how these could be respected within the standards. Where infants are jaundiced, circumcision should be delayed because of the potential risk of bleeding. Muslims believe in the resurrection of the body after death, so they are always buried and never cremated.
In addition, midwives must respect the differences between their own culture and that of the woman. Therefore, it is advisable that they acquire some basic knowledge about the beliefs and practices of the mothers' cultures. However, the 'problem' may lie in these individuals' perceptions of the culture and traditions of minority groups.
9 Choose a place on the child's chest just below the nipple line or just in the middle of the chest. 4 Give five back blows with the heel of your hand in the middle of the shoulder blades. The baby should not be immersed in the bath for more than 5 minutes (see Chapter 7).
If the baby is fed in the early postnatal period, it can further compromise the gut, leading to further complications such as necrotizing enterocolitis. Parents often worry about placing their baby on their back in bed if the child vomits. It is recommended by the Foundation for the Study of Infant Deaths (2009a) that babies sleep in the same room as their parents for the first six months.
Firstly, as you say, blood in the female baby's diaper is due to hormonal imbalances. Second, in the first days after birth, the baby is expected to wet his or her diaper at least twice every 24 hours. The umbilical cord stump does not become infected as easily in the first week of life.
Although it wouldn't hurt the baby to do things in the wrong order, it's important to open the airway first so that when you breathe for the baby, the air gets into the lungs. However, where there are higher levels of bilirubin that cannot be transferred to the liver, they float freely in the circulation and leave the baby's skin looking yellow. It is normal for babies to lose weight in the first few days of life and we can expect up to 10 percent.
It is unrealistic to expect that babies should sleep through the night in the early postpartum period. Foundation for the Study of Infant Deaths (2009a) Babies who sleep in the same room as their parents. Foundation for the Study of Infant Deaths (2009b) Using dolls to prevent sudden infant death syndrome.
