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Training of Roma Health Mediators in Reproductive Health

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SESSION 8: NEWBORN CARE<br />

OBJECTIVES: By the end <strong>of</strong> the session, the participants should be able to:<br />

1. Identify normal behavior and physical characteristics <strong>of</strong> a newborn<br />

2. Describe the basic care <strong>of</strong> newborns<br />

3. Identify signs <strong>of</strong> potentially serious problems <strong>in</strong> newborns and what to do <strong>in</strong> case<br />

they occur<br />

TRAINING METHODS: Presentation, Discussion, Demonstration<br />

TIME: 60 m<strong>in</strong>utes<br />

MATERIALS:<br />

• Baby doll<br />

• Cotton swabs (for clean<strong>in</strong>g baby’s eyes), baby oil or cream, towels, diapers<br />

Tra<strong>in</strong>er document:<br />

• Essential Newborn Care<br />

• Later Care <strong>of</strong> the Infant<br />

Participant document:<br />

• Later Care <strong>of</strong> the Infant<br />

INSTRUCTIONS<br />

I-II. NORMAL NEWBORN BABIES AND THEIR CARE (45 m<strong>in</strong>utes)<br />

Introduction: In previous sessions, we focused mostly on the woman’s health dur<strong>in</strong>g<br />

pregnancy and after childbirth. Now we will turn our attention to the health <strong>of</strong> the<br />

newborn (babies dur<strong>in</strong>g the first 28 days <strong>of</strong> their lives).<br />

Briefly describe the physical appearance and normal behavior <strong>of</strong> the newborn baby.<br />

• The eyes may be uncoord<strong>in</strong>ated and appear slightly crossed for the first several<br />

weeks.<br />

• The stump <strong>of</strong> the umbilical cord is very moist at birth; it dries slowly until it falls <strong>of</strong>f<br />

<strong>in</strong> a week to ten days.<br />

• The baby’s genitals may appear swollen for the first several days.<br />

• Some babies may have slightly swollen breasts; some baby girls may bleed a little<br />

from their vag<strong>in</strong>as (like a small period). This is an effect <strong>of</strong> the hormones from the<br />

mother and will disappear <strong>in</strong> a few days.<br />

• Newborns have two small s<strong>of</strong>t spots on the top <strong>of</strong> the head (fontanelles) that will<br />

slowly close dur<strong>in</strong>g the first year.<br />

• Some babies are covered with f<strong>in</strong>e hair that falls <strong>of</strong>f dur<strong>in</strong>g the first few months.<br />

• Some babies are covered with a creamy white substance (vernix) when they born.<br />

This is not a sign <strong>of</strong> any problem.<br />

• Many babies have small pimples cover<strong>in</strong>g their faces and bodies. These slowly go<br />

away dur<strong>in</strong>g the first few days or weeks.<br />

130<br />

RFHI/JSI <strong>Roma</strong>nia <strong>Tra<strong>in</strong><strong>in</strong>g</strong> <strong>of</strong> RHMs <strong>in</strong> <strong>Reproductive</strong> <strong>Health</strong> Session 8: Newborn Care

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