Newborn care
Care of all newborns at and after birth: resuscitation, jaundice, screening.
Care topics 3
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The routine care a baby gets after birth and in the first days: keeping warm, feeding, skin-to-skin contact, screening tests and a vitamin K shot. This page links to the page about each one.
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Tests that every newborn is offered before going home: a few drops of blood from the heel, a hearing test and a skin test of blood oxygen. They look for serious conditions that can be treated early...
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Keeping a newborn warm and preventing a low body temperature.
Conditions 3
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Brain injury in a newborn after a period of low oxygen around birth. Babies with moderate or severe HIE are the babies in the cooling trials recorded here.
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Low blood sugar in a baby soon after birth. In the Sugar Babies trial, babies at risk were enrolled and 242 of 514 (47%) went on to have low blood sugar. The trial authors call it common and a...
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Yellow skin and yellow whites of the eyes in a newborn, caused by too much bilirubin. Many healthy babies have some jaundice in the first week of life, and it usually goes away. It can also be a sign...
Fronts 5
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Pages about how care is organised: visit schedules, guidelines, campaigns, networks and the checks after leaving hospital.
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Pages about medicines and vaccines given in pregnancy, at birth, after birth or to the baby. Each page says who receives it, the mother or the baby.
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Pages about helping a newborn stay warm, breathe and feed, from help with the first breaths to breastfeeding.
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Pages about hands-on care around birth, such as starting labour, caesarean birth, clamping the cord and devices that help control bleeding.
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Pages about the blood, urine, questionnaire and newborn tests that look for a problem before or soon after it shows. Each page says who is tested and what the test looks for.
Interventions 8
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Cooling a baby's body to about 33.5 degrees C for 72 hours after birth to protect the brain. The 2005 US trial found fewer babies died or had disability. A 2021 trial in India, Sri Lanka and...
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Waiting before clamping and cutting the umbilical cord after birth. In the large trial recorded here, which enrolled babies expected to be born before 30 weeks, waiting at least 60 seconds did not...
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A sugar gel (40% dextrose) given to babies with low blood sugar. In the Sugar Babies trial in New Zealand, treatment failed less often with the gel than with a placebo gel. A follow-up at 9 to 10...
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A hearing test that measures the baby's response to sound, offered to newborns before they leave hospital.
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Help for a baby who does not start or keep breathing at birth. WHO says birth asphyxia, the failure to start and keep breathing at birth, causes about one quarter of neonatal deaths worldwide and...
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A treatment for high bilirubin in newborn jaundice. A 2021 review describes phototherapy as the treatment of first choice for jaundice in newborns, and also says some studies link it to harms. When...
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A skin test that measures the level of oxygen in a newborn's blood and can tell whether the baby has a congenital heart defect. MedlinePlus lists it among the screening tests a newborn has before...
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A shot of vitamin K that newborns usually get soon after they are born. Vitamin K helps the blood to clot, newborns have very little of it, and too little can lead to too much bleeding.
Products 1
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A skin meter that gives a digital reading of yellowness in a newborn, to help clinicians monitor jaundice. In the United States it is cleared as a prescription device for hospitals, clinics and...
Biomarkers 1
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Bilirubin is a yellow chemical that builds up when the body cannot clear it, and too much of it causes jaundice. A baby's level can be measured with a blood test or estimated through the skin with a...
Guidelines 2
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A clinical practice guideline revision on managing high bilirubin in newborn infants of 35 or more weeks of gestation, published in Pediatrics in 2022. This atlas lists it as a reference only and...
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A 2008 US Preventive Services Task Force recommendation statement on screening newborns for hearing loss. The Task Force now lists the topic as inactive. This atlas lists the statement as a reference...
Outcomes 1
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Whether a baby who was born alive died in the first 28 days of life.
Publications 2
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The main report of the Sugar Babies trial of dextrose gel for newborn babies with low blood sugar, published in The Lancet in 2013.
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The main report of the NICHD whole-body cooling trial, published in October 2005.
Studies 2
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A trial in India, Sri Lanka and Bangladesh that compared cooling with usual care in babies with brain injury after birth. Cooling did not reduce death or disability, and more babies died with cooling.
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A trial in US hospitals of the NICHD Neonatal Research Network that compared cooling with usual care in term babies with brain injury after birth asphyxia.
Organizations 4
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A nonprofit organization in the United States. Its guidance and the journal articles it publishes are listed as references only, because AAP terms bar use by AI systems.
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A private foundation that funds global health research.
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A US network of neonatal intensive care units that studies newborn care, especially for extremely preterm and very low birth weight babies. It was formed in 1986 and runs both observational studies...
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The United Nations agency for international public health.
People 1
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First author of the 2005 report of a trial of whole-body cooling for newborns with brain injury after birth asphyxia and a principal investigator named on its trial registry record.
Resources 1
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A newborn resuscitation training programme. Two studies of stillbirth and newborn deaths before and after the training, in Tanzania and in India, were published in Pediatrics in 2013. This atlas...
Reading paths 1
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A suggested order for reading this atlas, from before pregnancy through birth to a baby’s first months. Each step points to one page and says in plain words what that page covers. It is a reading...
Roadmaps 1
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A 2014 plan led by WHO and UNICEF to end preventable newborn deaths and stillbirths by 2035. It sets targets for 2035 and milestones on the way, and 194 Member States endorsed it at the World Health...