Immediately after the birth of the child, the medical staff conducts the first child to the newborn. The algorithm of the primary toilet of a newborn is simple and constant. First, the child, to avoid swallowing, sucking from the nasopharynx and the mouth amniotic fluid. This procedure is carried out by a special suction or rubber pear immediately after the eruption of the head through the birth canal.
Umbilical cord: stage one
Then the medical staff starts to bandage and process the umbilical cord. This procedure consists of two stages. As soon as the baby is born, he immediately puts on the umbilical cord 2 clamps of Kocher at a distance of 2 cm one from the other. And between the clamps the umbilical cord is smeared with iodine or alcohol and cut with scissors.
Stage Two
After this, the child is put on a changing table, above which is a powerful lamp. Thanks to the heat emanating from the lamp, the child is not supercooled, so that one can safely engage in the second stage of processing the umbilical cord. A tissue moistened in alcohol solution gently wipe the umbilical cord, then the same place is wiped with a dry napkin. On the umbilical cord is attached the bracket of Rogovin, and approximately 1.5 cm from this staple the umbilical cord is cut off. The wound is treated with a weak solution of "manganese", and then a bandage is applied to it.
We process the skin
The treatment of the baby's skin is the next stage of the newborn's primary toilet. This procedure consists in removing the mucus from the baby's skin and original grease with a napkin (sterile, moistened in vegetable oil). And such places as ulnar, inguinal, knee folds - are powdered with xerophore. This drug is a good anti-inflammatory and drying agent. The skin of a child who has just been born is very tender, delicate, she is not yet able to perform her barrier functions to the fullest, therefore she requires a very careful attitude towards herself.
Prevention of gonorrhea
A very important stage in carrying out the primary toilet of a newborn in the delivery room is the prevention of such a disease as gonorrhoea. To do this, a 20% solution of sodium sulfate is instilled in the eye (in the lower eyelid). Experts carefully delay the eyelid, and after instillation with gentle movements, both eyes are wiped. Somewhere in 2-3 hours the procedure is repeated. For these purposes, instead of sodium sulfate, 1% tetracycline ointment can be used. In addition, newborn girls are dripping 1% silver nitrate solution into the genital gaps.
Anthropometry
After the end of the procedure of the primary toilet, proceed to anthropometry. The child is weighed on special medical scales (the weighing pan is necessarily pretreated with chlorhexicin or hydrogen peroxide).
Then the child's growth is measured, for this the baby is stretched out by the legs and measures the length of the body from the bulge on the head to the heel. It is necessary to measure the circumference of the head. Paper measuring tape is superimposed through the superciliary arches and small fontanel. After measuring the circumference of the head , the breast is measured.
After the anthropometry, the child is put on the handles and legs of oilcloth bracelets. The bracelets indicate the mother's full name, date of birth (date, hour and minute), height, sex and weight of the baby, the birth history number, sometimes even the crib number. The child gets a special card according to the established form "The history of development of the newborn."
It is obligatory to examine the newborn child by a pediatrician, in order to make sure that there are no pathologies or obstetric trauma. If the baby is all right, he is swaddled and after 2 hours transferred to the department for newborns.