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Modifications in the updated Sub Divisional Hospital (SDH) 51 ... - IIMB

Modifications in the updated Sub Divisional Hospital (SDH) 51 ... - IIMB

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NEWBORN CARE STABILIZATION UNIT<br />

Sett<strong>in</strong>g of Stabilization Unit at First Referral Units<br />

Annexure V A<br />

Every first referral unit, whe<strong>the</strong>r or not care of sick babies is undertaken, must have<br />

clearly established arrangements for <strong>the</strong> prompt, safe and effective resuscitation of babies<br />

and for <strong>the</strong> care of babies till stabilized, ei<strong>the</strong>r <strong>in</strong> <strong>the</strong> maternity ward or by safe transfer<br />

elsewhere.<br />

Services at <strong>the</strong> Stabilization Unit<br />

FRUs are not <strong>in</strong>tended to provide any <strong>in</strong>tensive care, a newborn that has problems<br />

identified immediately after birth, or who becomes ill subsequently, may have a<br />

requirement for one or more of <strong>the</strong> follow<strong>in</strong>g services. These should <strong>the</strong>refore be<br />

available to ensure safe care of <strong>the</strong> baby prior to appropriate transfer:<br />

• Provision of warmth<br />

• Resuscitation<br />

• Supportive care <strong>in</strong>clud<strong>in</strong>g oxygen,drugs,IV fluids<br />

• Monitor<strong>in</strong>g of vital signs, <strong>in</strong>clud<strong>in</strong>g blood pressure<br />

• Breast feed<strong>in</strong>g/ feed<strong>in</strong>g support<br />

• Referral Services<br />

Configuration of <strong>the</strong> Stabilization Unit<br />

• Stabilization unit should be located with<strong>in</strong> or <strong>in</strong> close proximity of <strong>the</strong> emergency<br />

ward where sick and low birth weight newborns and children can be cared .<br />

• Space of approximately 40-50 sq ft per bed is needed, where 4 radiant warmers<br />

will be kept.<br />

• Provision of hand wash<strong>in</strong>g and conta<strong>in</strong>ment of <strong>in</strong>fection control<br />

108

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