NURSES ROLE FOR PREVENTION OF NEONATAL PROBLEMS

·        Screen out high risk babies and liberal use of elective L.S.C.S in case of contracted pelvis, cephalo pelvic disproportion or malpresentation.

·        In normal delivery the nurses should check the following

o       Continuous fetal monitoring to know fetal distress

o       Episiotomy should be done carefully to prevent injury to the scalp

o       Neck should be unduly stretched while delivery the shoulders 

·        Preterm baby should be delivered with episiotomy and forceps application special care in preterm delivery

o       To prevent anoxia

o       To avoid strong sedation

o       To administer vitk 1mg injection prevent or minimize haemorrhage

·        Difficult forceps and never apply traction during the forceps delivery

·        Proper selection and special care should be give while conducting breech delivery

·        Prevent intracranial injury by never be hasty during delivery of head, episiotomy should be done to minimize head compression and contrasted delivery of head by forceps.

·        Trunk should not be pulled one side

·        Limbs are delivered in a manner and not simply by pulling them out

·        Gentle traction in the proper direction is applied

·        Gentleness in the maneuver and fraction in the proper direction to prevent injuries to the born

·        The nurse who have upper respiratory tract infection should not conduct delivery

·        Immediate care of the new born should be given to prevent baby from hypothermia/infection

·        Unnecessary exposure of the baby should be prevented

·        Reassurance the parents about the common problems of neonates and its prevention