Managing Complications in Pregnancy and Childbirth: - IAWG

S-150 Immediate newborn conditions or problems- Ensure that the baby is kept warm. Wrap the baby in a soft,dry cloth, cover with a blanket and ensure the head is coveredto prevent heat loss;- Encourage the mother to begin breastfeeding as soon as thebaby is ready;- Monitor axillary temperature hourly until normal;- Alternatively, the baby can be placed in an incubator or undera radiant heater.CONVULSIONSConvulsions in the first hour of life are rare. They could be caused bymeningitis, encephalopathy or severe hypoglycaemia.• Ensure that the baby is kept warm. Wrap the baby in a soft, drycloth, cover with a blanket and ensure the head is covered toprevent heat loss.• Transfer the baby to the appropriate service for the care of sicknewborns as quickly as possible.MODERATELY PRETERM OR LOW BIRTH WEIGHT BABYModerately preterm (33–38 weeks) or low birth weight (1 500–2 500 g)babies may start to develop problems soon after birth.• If the baby has no breathing difficulty and remains adequatelywarm while in skin-to-skin contact with the mother:- Keep the baby with the mother;- Encourage the mother to initiate breastfeeding within the firsthour if possible.• If the baby is cyanotic (bluish) or is having difficulty breathing(less than 30 or more than 60 per minute, indrawing of the chest orgrunting), give oxygen by nasal catheter or prongs (page S-146).• If axillary temperature drops below 35°C, rewarm the baby (pageS-148).PRETERM AND/OR PROLONGED RUPTURE OF MEMBRANESAND AN ASYMPTOMATIC NEWBORN