Overview of the routine management of the healthy newborn infant
- Tiffany M McKee-Garrett, MD
Tiffany M McKee-Garrett, MD
- Associate Professor of Pediatrics
- Baylor College of Medicine
After birth, most full term infants (gestational age [GA] >39 weeks) and early term infants (GA 37 0/7 to 38 6/7 weeks) require normal neonatal routine care to make a successful transition to extrauterine life. Depending on hospital policy, late preterm infants (GA 34 0/7 to 36 6/7 weeks) who are >35 weeks and well appearing may also only require routine care and may be admitted and cared for in the newborn nursery (neonatal level of care 1).
Routine management of the healthy newborn (GA >35 weeks) will be reviewed here. The assessment of the newborn is discussed in greater detail elsewhere. (See "Assessment of the newborn infant".)
The major components of routine care of the neonate are:
●Delivery room and transitional care, including early bonding
●Newborn assessment including a comprehensive review of the maternal history and a complete physical examination
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- DELIVERY ROOM CARE
- Initial management
- - Assessment and disposition
- - Apgar score
- Transitional period
- NEWBORN NURSERY CARE
- Overview of care
- Eye care
- - Technique
- - Timing and side effects
- Vitamin K
- - Preterm infants
- Umbilical cord
- Hepatitis B vaccination
- Newborn screening
- - Hearing loss
- - Metabolic and genetic disorders
- - Critical congenital heart disease
- - Weight loss
- Glucose screening
- Newborn circumcision
- LENGTH OF HOSPITAL STAY
- Discharge criteria
- Discharge legislation
- FOLLOW-UP VISIT
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS