Infants form an essential part of society since their birth symbolizes a new beginning of life

Infants form an essential part of society since their birth symbolizes a new beginning of life

Infants form an essential part of society since their birth symbolizes a new beginning of life. At birth, several things are done by the nurse to ensure the delivered child survives. The nurse would dry the child after delivery by placing the child under a radiant warmer to prevent or reduce heat loss through evaporation. The nurse also puts the child next to the mother for skin contact before cord clamping and finally cutting a few minutes after delivery.

Both early and exclusive breastfeeding of the baby is encouraged to keep sickness at bay and improve the child’s immunity. Nevertheless, children with breathing problems are under positive pressure ventilation, mostly those who haven’t breathed after one minute from the time of delivery (Britton et al., 2020). Some activities are administered after one hour that includes; giving the child special attention for the eye care, aiding vitamin K intake while also giving immunizations to the infant inform of OPV and Hepatitis B. the nurse proceeds to check for the birth weight of the infant, the congenital disabilities while looking for signs of illness in the newborn. All this serves to ensure the child’s safe delivery and prevention of the infant from early death cases. However, the child may develop complications at the time of birth, including failure to breathe or other related illnesses.

LeBron’s case study, a child whose mother, Thatcher, has gone through a normal pregnancy. She, however, delivers through the caesarian. The child was healthy, giving the parents little joy before he refused to breathe, throwing the mother into confusion on what would cause such a case. The nurse took the baby Lebron into the positive pressure ventilation to establish why the child had failed to breathe after a minute. One minute after the birth, infant LeBron has 80 beats heart rate per minute with some irregular gasps. Lebron places under resuscitation, and after 5 minutes of being there, the infant’s heart rate increases to 120 beats, and breathing is now ok for baby Lebron. The infant can now move more swiftly and induce cries. Several nursing questions were formulated to help in addressing such occurrence in infants during birth. The study seeks to address the failure to breathe by the infant’s birth and administer resuscitation successfully.

Is it a must for all infants to breathe well at birth?

In most cases, the answer is a NO; the infants would often breathe well and even induce crying just a few moments after birth; less than a minute. It’s a sign of a healthy child to breathe or cry only one minute from delivery. Infants who fail to live cannot sustain adequate respiration after birth; such children would often gasp or forget to breathe (Glynn, 2017). The number of children who repeatedly fail to live at birth is, however, small. They make about 10% of the total children delivered yearly and would require special assistance to enable them to breathe.

Failure to breathe well has repercussions on the infants. It results in hypoxia. Children need exposure to resuscitation; such cases may result in neonatal deaths. Hypoxia is a condition where the infant has less or no oxygen in the cells of his/her body (Walsh & Smallwood, 2017). A situation that majorly occurs in either the fetus or the infant baby. Hypoxia comes in in the fetus’s case whenever the placenta fails to output enough oxygen for the baby, resulting in fetal distress. For the infant baby, the condition emerges when the infant dies to breathe within one minute of delivery. It occurs during delivery. As a result, it leads to the rate of heart falling, making the child hypotonic.

Is it essential to determine the Apgar score on the child who fails to breathe well at birth?

The recording of the child’s clinical record is crucial as it aid in following the child’s health conditions. Apgar determined the child’s health condition and performed at one minute after the baby’s delivery. The normal Apgar for an infant should be above seven, and any les value should prompt another carrying of the Apgar until level 7 is obtained ( Tehrani). It is usually carried after every 5 minutes if it failed to indicate seven at one minute. And should continue until the standard seven. However, many hospitals prefer carrying out Apgar every 5 minutes, even for normal Apgar, instead of giving their mothers infants. The Apgar is vital in the assurance of the performance of the resuscitation.

Apgar usually falls below 7 for several reasons, including; hypoxia occurring during labor, for the preterm infant when the mother undergoes difficult or traumatic delivery or severe respiratory distress.

The infants that require resuscitation

Resuscitation implies many actions to ensure the infants with depressed signs, such as the low Apgar score, regain a normal breathing and heart rate. Resuscitation happens to all children who do not have normal breathing during birth and have to put under special care. It applies to all the infants who stop breathing when in the nursery.

What causes a lack of breathing at birth?

Healthy children’s delivery is every woman’s dream—no woman desires to deliver a child with complications or a dead child. However, more often than not, some women have children with difficulties or fail to breathe as required. Some of the issues that result in a child not living well include; if the fetus breaches the standard way of the presentation if a mother delivers before the required 37 weeks of gestation ( Di Sefano et al., 2020). Suppose the lady undergoes a traumatic delivery. However, in some cases, it hard to know the child’s breathing capabilities before delivery. Since some does not show before delivery, making it essential to prepare for resuscitation for any infant delivered

How to stimulate respiration after delivery

First, dry the infant thoroughly with a warm towel before placing it in another dry towel for clinical assessment. It is good to ensure heat loss through evaporation is prevented. The second step is to provide all the infant’s body is dried, and any form of blood or feces wiped off the child’s face. The rubbing of the child with a warm towel is enough to cause breathing. The infant should not be shaken or do anything absurd to initiate breathing. The child’s rubbing with the warm towel onsets the breathing, and if the child does not breathe or cry well, the next measures precede like cutting the umbilical cord before taking for resuscitation.

How resuscitation of an infant works

Some infants born cannot breathe within the one minute required prompting resuscitation to be administered immediately to prevent the child from neonatal deaths. After the cutting of the umbilical cord, the child goes for resuscitation. The steps for resuscitation are easy to follow. They are;

Airway: It involves opening the airway, where the head is positioned well by placing the infant on his back and head in a neutral position. It may also include clearing of the infant’s throat due to blockage by meconium or blood.

Breathing: provide adequate ventilation to initiate the breathing process through keeping warm the infant, ventilation of mask,

Circulation: the infant then should be subjected to chest compressions to improve on the breathing ability. The chest compressions applied should be at the rate of 90 times per minute as it allows for three contractions before a breath or ventilation. It is usually done with both hands or just on hand is enough.

Drugs: stimulation drugs such as adrenaline stimulate the heart.

How to determine the effectiveness of the resuscitation

The resuscitation can be determined to have succeeded when the pulse rate has a rating of more than 100 beats a minute, when the baby releases a good cry or good breathing, and when the infant has a pink tongue, which is a good indication of the supply of air to the brain.

Conclusion

The case study on Lebron addresses one of the conditions affecting many new infants. That is the inability to breathe by most infants during birth. The failure to live by many infants is addressed, the study, the causes, means of restoring respiration, and effective means of resuscitation of the baby to restore breathing. Breathing is essential for the determination of life and must be checked for infants with utmost care.