1. 3

2.  Demonstrate evidence-based daily care of the newborn baby  Counsel the mother how to look after her baby and to identify the danger signs NC- 2 Teaching Aids: ENC

3. Four major domains 1. Postnatal environment 2. Every day care of the baby 3. Looking for danger signs and giving treatment 4. Preparation for discharge NC- 3 Teaching Aids: ENC

4.  Ensure that the mother and baby are in a warm room (>25 0 C)  Keep a radiant warmer or another heating device ready, if necessary Keep the room warm NC- 4 Teaching Aids: ENC

5. Keep the baby in the same room with the mother, ideally in her bed Rooming-in NC- 5 Teaching Aids: ENC

6. NC- 6 Teaching Aids: ENC Four key elements 1. Breastfeeding 2. Ensure warmth 3. Cord care 4. Hygiene

7.  Support exclusive breastfeeding on demand day and night  Help mothers with breastfeeding difficulty; explain key points of attachment and positioning  Assess breastfeeding before planning to discharge  DO NOT discharge the baby if breastfeeding is not established 1. Breastfeeding NC- 7 Teaching Aids: ENC

8. The first day and later  Dress the baby  Wrap in soft dry clean cloth, cover head with cap  Assess warmth every 4 hours by touching baby’s feet:  If feet are cold, provide skin-to-skin contact and extra blanket; reassess  Keep the room warm; if room not warm cover baby with a blanket or use skin-to-skin 2. Ensuring warmth NC- 8 Teaching Aids: ENC

9. At home  One more layer of clothes than older children / adults  Keep room warm for baby  During the day, dress or wrap baby  At night, let baby sleep with mother 2. Ensuring warmth NC- 9 Teaching Aids: ENC

10. Wash hands before and after cord care  Put nothing on the stump  Fold diaper below stump  If the stump is soiled, wash with clean water and soap  Ask mother to visit health facility, if umbilicus is red or draining pus / blood or adjoining skin is red 3. Cord care NC- 10 Teaching Aids: ENC

11.  Wipe the face, neck, underarms DAILY  Wipe the buttocks when soiled  Give bath when necessary:  Use lukewarm water for bathing  Dry the baby thoroughly; dress and cover after bath  Use cloth diaper on baby’s bottom to collect stool; wash hands after disposing  DO NOT put anything in baby’s eyes or ears 4. Hygiene NC- 11 Teaching Aids: ENC

12.  Not feeding well  Less active than before  Fast breathing (>60/ min)  Moderate or severe chest in- drawing  Grunting  Convulsions  Floppy or stiff  Temperature >37.5 0 C or <35.5 0 C  Umbilicus draining pus or umbilical redness extending to skin.  >10 skin pustules  Bleeding from umbil. Stump Early recognition and treatment NC- 12 Teaching Aids: ENC

13. Ensure immunization as per National schedule AgeVaccineOptional 0-7 daysBCG, OPV, Hep B 6 WeeksOPV,DPT, Hep BHib 10 WeeksOPV,DPT, Hep BHib 14 WeeksOPV,DPT, Hep BHib 9 monthsMeasles 15 monthsMMR 18 monthsDPT, OPVHib 5 yearsDT, OPV NC- 13 Teaching Aids: ENC

14.  Feeding well  suckling effectively 8 times in 24 hours, day and night  No danger signs  Mother confident of taking care of the baby NC- 14 Teaching Aids: ENC

15.  Assessment of growth & development  Ensure immunization  Early diagnosis and management of illness  Health education  Exclusive breastfeeding for 6 months  Complementary feeds after 6 months  Spacing of family NC- 15 Teaching Aids: ENC

16. Four major domains 1. Postnatal environment 2. Every day care of the baby Breastfeeding Ensure warmth Cord care Hygiene 3. Looking for danger signs 4. Preparation for discharge NC- 16 Teaching Aids: ENC