Supplemental Appendix-1:
| Guide for First Care/Evaluation of the Newborn at the Delivery Room | ||||
|---|---|---|---|---|
| 1. Not enough: | Did not perform the step, performed wrongly | |||
| 2. Needed improvement: | Did not perform the step in order, deficits and/or need help from the trainer | |||
| 3. Adequate/Expert | Performed the steps correctly and in order without stopping or help | |||
| 1 | 2 | 3 | Min-max score | |
| Preparedness for delivery | ||||
| 1.Taking antenatal anamnesis | 9-27 | |||
| 2.Examining risk factors | ||||
| 3.Set the delivery room at temperatures of >26C /control | ||||
| 4.Opening radiant heater for the newborn 15 minutes before | ||||
| 5.Preparing warm dry covers for the newborn | ||||
| 6.Preparing resuscitation materials/control | ||||
| 7.Preparing arm bands | ||||
| 8.Preparing materials | ||||
| 9.Determining the delivery team | ||||
| First minute evaluation after birth | ||||
| 1.Newborn term | 4-12 | |||
| 2.Respiratory effort | ||||
| 3.Is tonus good | ||||
| 4.HR (hearth rate)>100 | ||||
| Placenta/Umbilical cord | ||||
| 1.Wait with mother or low at least for 1 minute | 2-6 | |||
| 2.Clamp the cord and cut | ||||
| Applications/Interventions | ||||
| 1.Drying by starting with the head with warm cover and protecting vernix caseosa | 5-15 | |||
| 2.Remove moisture quickly | ||||
| 3.Swap in mouth and nose | ||||
| 4.Supply skin-to-skin contact (place baby’s face directly on the mother, cover the baby’s back with a warm cover, cloth a hat for the baby) (at least 30 minutes-1 hour) | ||||
| 5.If there is excessive secretion, place baby under radiant heater, give head position, aspire mouth at first, nose after (80-100 mmHg) | ||||
| First examination (Short and fast evaluation) | ||||
| 1.Vital signs | 9-27 | |||
| 2.General view | ||||
| 3.Extremity movement (flexion, symmetry, movement) | ||||
| 4.Birth trauma (caput succedaneum, cephalohematoma) | ||||
| 5.Major congenital anomalies (omphalocele, neural tube defects, cleft lip, etc.) | ||||
| 6.Length-weight-head circumference | ||||
| 7.1 mg vitamin-K IM (vastus lateralis) | ||||
| 8.Prophylactic eye drop | ||||
| 9.Hepatitis B vaccine | ||||
| Documents and security | ||||
| 1.Make the mother and the infant wear arm bands (name-surname, birth date, hour, birth weight) | 4-12 | |||
| 2.Take footprint of the baby and fingerprint of the mother | ||||
| 3.Record all implementation to file | ||||
| 4.Supply breastfeeding within the first 30 minutes | ||||
| TOTAL | 33-99 | |||