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Card 18Carefully monitor the baby.Keep the mother and baby together. Check the baby at the same timethat the mother is being checked. Before beginning, explain what you are doing to the mother / parents. Ensure the room is warm (25°C). Every 15 minutes during the first 2 hours after delivery of the placenta, you should check the baby’s:– Breathing– Colour– Temperature of the feet (if they are cold, check axillary temperature)– Cord stump for bleeding (retie or tie more tightly if there is bleeding)• Share all findings with the mother / parents. Respond immediately if there are any problems identified.QUESTIONS1) How can you maintain the body temperature of the newborn?2) How can you check the body temperature of the newborn?KEY MESSAGES• In order to maintain the temperature of the newborn at birth:– Make sure the room is clean, warm (at least 25 - 28°C), and free from draughts from open windows and doors, or from fans.– Keep the newborn in skin-to-skin contact with her mother.– Begin breastfeeding as soon as possible after birth, preferably within the first hour.– Bathing should not be carried out before 6 hours after birth, and preferably on the second or third day of life.– Before weighing the baby, she should be well wrapped. The weight recorded can then be adjusted by subtracting the weight ofthe covers.– Newborns should be adequately protected from exposure to ambient temperature by clothing and bedding.– Babies should be kept with their mothers 24 hours a day, preferably in the same bed, in a warm room (at least 25°C).• Take the axillary temperature of the baby with a digital thermometer cleaned with an alcohol swab (normal = 36.5-37.5 °C) at leastonce in the six hours. At other times, at least verify the body temperature by touching the abdomen, palms, and soles and ensure thatthey are all warm. If they are cold, recheck axillary temperature.• If the palms and soles are cold or blue, it suggests that the baby is not warm enough. If the abdomen is cold, it suggests an evenmore severe hypothermia. Rewarm the baby, preferably by placing in skin-to-skin contact with the mother’s chest and covering thebaby with layers of clean cloth and a blanket. If, however, this does not warm the baby, it represents a serious danger sign thatnecessitates urgent referral.
Carefully monitor the baby.Republic of SenegalMinistry of Health andMedical PreventionCard 18
Page 1: Managing the third stage oflabor in
Page 6: How to Use the FlipchartYou can use
Page 9 and 10: Prepare for active management of th
Page 11 and 12: Prepare for active management of th
Page 13 and 14: Dry the baby, put her on her mother
Page 15 and 16: See if there is another baby.Card 3
Page 17 and 18: After making sure there are no more
Page 19 and 20: Give misoprostol (if oxytocin is no
Page 21 and 22: Never give misoprostol or oxytocin
Page 23 and 24: Clamp and cut the cord after cord p
Page 25 and 26: Put the baby on the mother’s ches
Page 27 and 28: Wait for a uterine contraction.Card
Page 29 and 30: Do controlled cord traction while s
Page 31 and 32: Gently deliver the placenta.Card 11
Page 33 and 34: Massage the woman’s uterus.Card 1
Page 35 and 36: Teach the woman how to massage her
Page 37 and 38: Carefully examine the placenta.Card
Page 39 and 40: Carefully examine the woman’s ext
Page 41 and 42: Facilitate breastfeeding, if this i
Page 43: Carefully monitor the woman after c
Page 47 and 48: Recognize and teach danger signs in
Page 49 and 50: Recognize and teach danger signs in
Page 51: Recognize and teach danger signs in

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