|00:00||Welcome to the spoken tutorial on Basics of newborn care.|
|00:05||In this tutorial, we will learn- How to handle a newborn,|
|00:11|| Umbilical cord care,
Feeding and burping a newborn,
|00:15||Diapering and diaper rash and|
|00:19||Sleeping pattern of a newborn.|
|00:23||The entire family gets excited upon the birth of a newborn and everyone wants to see the baby and hold the baby.|
|00:34||Therefore it is necessary to set some key rules while handling a newborn baby.|
|00:40||Newborns don’t have a strong immune system. This makes them prone to infections.|
|00:48||To protect the baby from infections it is important to have clean hands before touching or holding the baby.|
|00:57||To clean the hands, wash with soap and water and dry well using a clean dry cloth before holding the newborn.|
|01:07||Now comes the first thing to learn which is how to hold a baby.|
|01:11||Hold the baby by supporting her head and neck with one hand and bottom with the other hand.|
|01:19||To lay a baby down, always support the baby’s head and neck and hold her bottom as well.|
|01:26||On the other hand, to wake a sleeping baby up, do the following -|
|01:31||Tickle the baby's feet or lift and support the baby in a sitting position or gently touch the baby’s ear.|
|01:42||Always remember that a newborn baby is sensitive.|
|01:46|| Some precautions to be taken while handling a newborn are -
The newborn is not ready for rough play.
|01:55||Therefore, do not jiggle the baby on the knee or throw her in the air.|
|02:01||Never shake the newborn, whether in play or in frustration.|
|02:05|| Avoid sudden jerky movements of the baby’s neck.
All these may cause internal injuries to the baby.
|02:14||We will now learn about Umbilical cord care at home.|
|02:18|| When the baby is in the mother’s womb, the umbilical cord is the baby's lifeline.
However, it is no longer needed once the baby is born.
|02:30||Within a few minutes after birth as soon as the cord stops pulsating, it is clamped.|
|02:37||By the time the baby goes home from the hospital the cord begins to dry and shrivel.|
|02:45||The cord falls off by itself in about one to two weeks.|
|02:50||Please note that the umbilical cord may be a place for infection to enter the baby's body.|
|02:57||Hence, it is essential to take care of it properly.|
|03:02||For that, please remember baby’s cord should be kept dry and exposed to air.|
|03:09||Only sponge baths should be given until the cord falls off.|
|03:14||The cord should be kept on the outside of the baby's nappy or can also be folded down to the top edge of the nappy.|
|03:24||Please consult the baby’s doctor if there is - Bleeding from the end of the cord or the area near the skin,|
Swelling or redness around the navel,
|03:36||Signs that the navel area is painful to the baby|
|03:41||and if the cord has not fallen off by one month of age.|
|03:46|| Sometimes it might also happen that there may be a small amount of blood when the stump is about to fall off
and also after the cord falls off. But this should be stopped quickly.
|04:01||Remember, never pull the cord off.|
|04:04||Also, do not apply any cream or powder or|
|04:08||tie any bandage on the baby’s umbilicus after the cord has fallen.|
|04:13||For the nutritional aspects of the newborn care we will discuss how to feed the baby.|
|04:20||The newborn should be breastfed within 1 hour after delivery.|
|04:25||Exclusive breastfeeding is recommended for the first 6 months.|
|04:30||Additionally, the mother should provide adequate skin to skin contact to the baby and observe the hunger cues of the baby.|
|04:40||All these points have been discussed in other tutorials of the same series.|
|04:46|| In some cases, newborns may need to be awakened frequently so that they are fed enough,
especially the smaller, premature babies.
|04:57|| Incase a baby, healthy or premature, does not seem to be interested in sucking then
the mother should consult a doctor or health worker.
|05:09||While breastfeeding, babies often swallow air which can make them fussy.|
|05:15||To prevent this, make the baby sit and burp after every feed.|
|05:20||It has been explained in another tutorial of the same series.|
|05:25||Next is diapering. After each bowel movement or if the cloth nappy is wet- lay the baby on her back and remove the dirty nappy.|
|05:37||Use water and soft washcloth to gently clean and wipe the baby's genital area.|
|05:44|| Do not apply soap on baby’s genital area.
Whenever wiping a girl, wipe her from front to back to avoid a urinary tract infection.
|05:55||The mother or caregiver should always thoroughly wash hands before and after changing the nappy.|
|06:03||Sometimes it could happen that a baby may suffer from diaper rash.|
|06:08|| Diaper rash is a common concern.
Typically the rash is red and bumpy and will go away in a few days with warm baths,
|06:18||some diaper cream and at times without any diaper or nappy on the genital area.|
|06:25||Most rashes happen because the baby's skin is sensitive and becomes irritated by the wet nappy.|
|06:33||To prevent or treat diaper rash, change the baby's nappy often especially after bowel movements.|
|06:41||Gently clean the area with a soft cloth and water.
Avoid using wipes as sometimes they can be irritating.
|06:50||Apply a very thick layer of diaper rash or "barrier" cream.|
|06:55||Creams with zinc oxide are preferred as they form a barrier against moisture.|
|07:03||Wash the baby’s nappies using dye and fragrance-free detergents.|
|07:08|| Let the baby stay without a diaper or a nappy for part of the day.
This gives the skin a chance to air out.
|07:18||Incase, the diaper rash continues for more than 3 days or seems to be getting worse, please consult the doctor.|
|07:27||It may be caused by a fungal infection that requires a prescription.|
|07:33||In the end, let’s discuss about baby’s sleeping pattern.|
|07:38||Babies sleep for around 14 to 16 hours or more, in a day.|
|07:43||Newborns typically sleep for a period of 2–4 hours.|
|07:48||Many newborns have their days and nights mixed up.|
|07:52||They tend to be awake and alert at night and sleepy during the day.|
|07:58|| One way to help them sleep more at night is to keep minimum stimulation at night.
Example: keep the lights low by using a night lamp and during the day time try to keep her awake a little longer by talking and playing with her.
|08:17||The mother or caregiver should remember that a baby should always be on her back while sleeping.|
|08:24||This reduces the risk of sudden infant death syndrome.|
|08:30|| For other safe sleeping practices, avoid using the following items in their crib -
Blankets, Quilts, Sheep skins, stuffed toys and pillows.
|08:44||All these can suffocate the baby.|
|08:47||Also, be sure to alternate the position of the baby's head each night - first right, then left and so on.|
|08:58||This will prevent the development of flat spot on one side of the baby’s head.|
|09:04|| This brings us to the end of this tutorial on Basics of newborn care.
Thanks for joining.