NURSES ROLE FOR PREVENTION OF NEONATAL PROBLEMS

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·        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

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