BORN BEFORE ARRIVAL

This is a baby born either at home or on the way to the health facility. Most mothers will not have had a skilled attendant at delivery. Sometimes when the delivery was at night there may be several hours before presenting to the health facility.

Management

Weigh the baby and assess for danger signs (see below). Then do the following, if the baby is stable:

  • Keep baby warm if cold.
  • Ensure the cord is properly clamped and not bleeding.
  • Do a thorough physical examination.
  • Clean the cord with spirit.
  • Apply 1% tetracycline ointment in both eyes once.
  • Initiate breastfeeding unless the baby is unable to breastfeed.
  • Treat any underlying condition.