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The immediate care Print
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When baby appears, he requires immediate care.

Cut of the cord, cleaning of the eyes, test of Apgar. The midwife's first attentions is primordial. Doctissimo sums up the gestures that are going to welcome your child.

The delivery room or of birth is the domain of the obstetrician and the midwife. The pediatrician has her place there of course, but he only intervenes when there is birth to risk, that means in case of important prematurity, of malformation diagnosed to the scan or fetal suffering tracked down during the childbirth by the slowing of the noises of the heart to the continuous registration of the fetal cardiac rhythm.

First gestures

You have just given birth rightly. The midwife showed you your baby enveloped in a sheet, the time for the obstetrician to cut the cord, left then to some steps of there to put it on a heating table.

The first care of baby first gestures of the midwife, the obstetrician or the pediatrician will consist in insuring that the heart and the lungs function correctly. In case of anomaly, all maneuvers will be done. The evaluation of the gravity and the child's surveillance are greatly facilitated by the establishment of the coefficient of Apgar to one, five then ten minutes of life.

The test of Apgar

Doctor Virginia Apgar finalized his score in 1953 to U.S.A. The test includes the survey of the cardiac rhythm and the breathing, the evaluation of reactivity, the tonus and the coloration of skin. Each of these elements is quoted from 0 to 2. The cardiac beating absence is quoted 0 whereas the normal tachycardia superior to 100/mn is quoted 2. The normal score is equal to 10. More the score is low, more the newborn's state is bad.

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