Upbringing to CARE On Baby M With ASFEKSIA NEONATORUM

I. SAVVY

Asfeksia Neonatorum which is situation where newborn baby that berbafas can't off the cuff and tertaur soon afters comes into the world.

II. PHENOMENA AND SIGN

a. DJJ> 160x / minute or <100x/menit>

b. Mekonium in ketuban's water

c. Nose lobe exhalation

d. Fast exhalation

e. Oyanosis

f. apgar's point less than 6

g. Fast artery

III. ETILOGI

a. Mother factor

1. Hipoksia

2. Mother age <20> 5 yr

3. Gravida 4 or more

4. Low economic social

5. pembukuh's disease blood

b. Placenta factor

1. Thin afterbirth

2. Little afterbirth

3. Afterbirth doesn't stick

c. Factor about copy

1. Partus is long time

2. Partus is action

d. Embryonic factor

1. Premature

2. Gemeli

3. Konginetal's abnormality

IV. ASFEKSIA'S LEVEL

1. Asfeksia is Demulcent : A. 5 7 - 10

2. Asfeksia be : A. 5 4 - 6

3. Asfeksia Beart : A. 5 0 - 3

V. MANAGEMENT

1. Clearing breathing road with suck da's mucus perceives sterile

2. String crosscut centers with aseptik's tech and antiseptic

3. Taktil's excitement

4. Stick out for body temperature in order not to deteriorates

5. If on APGAR'S 5th minute SCORE has reached normal gets things square baby to be referred

6. If APGAR on minute 5th was normal does babyish care normal which is:

a. Clearing baby body

b. String care centers

c. Attention application as early as maybe

VI. DIAGNOSIS

- In Utera

DJJ is its Frequency>160x / minute or <100x/menit>

- After baby comes into the world

Pale observable baby and bluish and not breathed if have experienced about blood is racked brains therefore evoked neorologik's phenomena.

VII. ACTION THAT ARE DONE ON BABY CAN BE DIVIDED DEEP 2 FACTIONS

a. Common measure

This action is worked on every baby without see APGAR'S point after baby comes into the world diusakan that baby gets good exhalation therefore has to be prevented or reduced by heat loss of body. Baby placed by inferior head and upper respiratory tract exploitation shortly been done. It shall be done neglectless to avoid evoked mukosa's damages clears a root breath, smasmus is larynx or kolaps is lung.

b. Special act

1. Asfeksia is weight (apgar's point 0 3)

Resusitasi is active this in a state has shortly be done main stage clears a root to fix lung ventilation with application o 2 direct pressure ala and monotonous. Excellent way it does Imubasi Endorektal and after keteter is inserted in trakea, O 2 given by pressure no more than 30 ml waters, positive pressure to be worked by blows air already be enriched by o 2 via catheter.

2. Asfeksia is Demulcent be( APGAR'S point 4 6)

Herein gets to be tried by gives excitement to evoke exhalation. It can be worked up to 30 60 seconds. After estimation terminologicals APGAR 1 minute. If in the period of that exhalation don't arise brand exhalation shall shortly be done. Active exhalation that modestly gets to be done by frogs exhalation ala. This trick did by inserts pipe into nose and o 2 streamed by speed 1 2 deep liters 1 minutes. That sal breath is free, baby placed by head in dorso fleksi, regularly been done movement opens and close nostril and mouth by espoused move chin onto and to down in frequency 20x / minute.

LITERATURE

1. Mochtar, Rustam. 1998. OBSTERI'S SYNOPSIS. Jakarta: EGC

2. Prawirohardjo, Sarwono. 2002. GYNECOLOGY. Jakarta: YBP SP

3. Stright, Barbara R. 2004, To newborn baby Mother care. Jakarta: EGC

4. Wong, Donnal. Clinic guidance to Paediatrics care, Jakarta: EGC.