Neonatal asphyxia is an emergency situation. Without prompt rescue, it can be life-threatening. Therefore, timely and appropriate nursing measures are crucial, as any delay can pose risks to the child. So, how should effective care be provided in the face of neonatal asphyxia?
Throughout the emergency process, keeping the baby warm is a basic requirement. As asphyxia can lead to weakened respiratory and circulatory functions, the baby’s body temperature tends to be low, with the indoor temperature should be maintained between 24°C and 26°C. For babies with low body temperature, a hot water bottle can be used to assist in raising the temperature until it reaches above 36°C, and then they can be placed in an incubator based on the specific circumstances.
Oxygen therapy is an essential aspect that all asphyxiated babies need to receive until their skin color returns to normal, breathing stabilizes, and overall condition improves. Medical personnel will adjust the oxygen supply method based on the baby’s specific condition and closely monitor their breathing, skin color changes, and blood oxygen saturation levels to ensure the effectiveness of oxygen therapy, which is crucial to nursing care.
In terms of feeding, severely asphyxiated babies typically need to fast for 12 to 48 hours before gradually starting milk feeding. This is because severe asphyxia can affect multiple systems like the heart, brain, kidneys, digestion, and metabolism, early feeding may increase gastrointestinal burden, or even lead to digestive issues. For babies with swallowing difficulties, feeding must be done carefully to prevent choking or aspiration. Feeding should be done in a head-raised position, with small frequent meals, followed by gentle back patting to reduce spit-up. Also, closely monitor the baby’s complexion, breathing, and mental status, detailed record vomiting, bloating, bowel movements, urine output, etc., to assist doctors in diagnosis and treatment.
The care for neonatal asphyxia not only involves the implementation of emergency measures but also entails meticulous follow-up care. Understanding these nursing knowledge is extremely crucial for new parents. It can help you take swift action in a crisis, protect your child from further harm, promote their healthy growth, and maintain family harmony and happiness.
