30Post Delivery Care Initial care of baby Set baby down Same level or lower than birth canalOn side with head slightly lower than bodyContinue to aspirate
31Initial care of the baby Wrap in blanketWarm prior if possibleLeave only face exposeIf not breathing, perform CPR
32Cutting the Umbilical cord Clamp with two clampsFour fingers width from the babyTwo to six inches apartCut between clamps
33Apgar score1 and 5 minutesHealthy baby will score 10Five areas
34APGAR Appearance - pink shortly after birth Pulse- greater than 100/minGrimace - crying, or withdrawing in response to stimuliActivity - resistance or muscle tone when attempts are made to straighten legsRespirations - regular and rapid
35Delivery of Placenta Normal Delivery Within a few minutes of baby’s birthUsually less than 250 ml blood lossRecord delivery timeTake to hospital
36Delivery of Placenta Provide prompt transport If not delivered within 30 minutes250ml of bleeding occurs before delivery of placentaSignificant bleeding occurs after delivery of placentaDo not pull cord!