fbnbc

Last modified at 20/07/2016 14:33 by hfwnhm

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​FACILITY BASED NEW BORN CARE

Facility Based Newborn Care (FBNC) programme is one of the key initiatives under the National Rural Health Mission and RMNCH+A Strategic programme to improve the status of newborn health in the country. Under the programme, efforts are being made to provide different level of newborn care at the health facilities. While Newborn Care Corners (NBCCs) have been established at all delivery points to provide essential newborn care, Newborn Stabilization units (NBSUs) have being established at all Community Health Centres/First Referral Units for management of selected newborn conditions and to stabilize serious and sick newborns before referral to higher centres.


Three Tier structure of Newborn Care

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SNCU: SPECIAL NEWBORN CARE UNIT, NBSU: NEWBORN STABLISATION UNIT, NBCC: NEWBORN CARE CORNER     * Status in 2015-16.


Functions of NBCC, NBSU and SNCUs:



SPECIAL NEWBORN CARE UNITS (SNCUs) 

To provide quality facility based newborn healthcare to sick newborns.
Special Newborn Care Units are units in a large hospital generally at district level with more than 3000 deliveries per year and meant to reduce the case fatality among sick newborns, either born within the hospital or outside including home delivery. It is a separate unit in close proximity to the labour room with 12 or more beds, and managed by adequately trained paediatricians, medical officers, staff nurses and support staff to provide 24x7 services. It also acts as the teaching and training hub for imparting the skills of newborn care.


Status of SNCU Functioning:

 

NEWBORN STABILISATION UNITS (NBSUs) 

NBSUs are established at community health centres /FRUs. These are 4 bedded units with trained doctors and nurses for stabilization of sick newborns. One staff nurse per shift trained in F-IMNCI is placed under this unit.
Neonatal Stabilization Unit is a facility within or in close proximity of the labour ward, OT, maternity ward where most sick and low birth weight newborns can be taken care at the hospitals which are functioning as FRUs. Presently 160 FRUs and 6 Maternity hospitals are having NBSUs. They have also been provided two or more staff nurses to take care of the newborn babies in these stabilization unit in the year 2015-16. The staff nurses working in these centres were trained in Facility based IMNCI program for stabilising the baby.


NEWBORN CARE CORNER (NBCCs) 

These are 1 bedded facility attached to the labour room and Operation Theatre (OT) for provision of essential newborn care. NBCC at each facility where deliveries are taking place should be established.
The first hour of birth has a major influence on the survival, future health and well being of a newly born infant. With majority of delivery happing at the institution in Karnataka, health workers have an important role at this time. The care they provide during this period is critical in helping to prevent complications and ensuring survival.
There are Four basic needs of a normal baby at birth and first few weeks of life: (i) Warmth (ii) Normal Breathing (iii) Mother’s Milk (iv)Prevention for Infection.

Essential Care provided at birth at NBCCs:
 Resuscitation of newborn.
 Provision of warm.
 Early initiation of breastfeeding.
 Weighing the neonate.
 Inspecting newborn for gross congenital anomalies.
Every labour room and obstetric OT has an NBCC, with a radiant warmer and a functional bag and mask of appropriate size.

Equipments and Accessories available in NBCCs
1. Baby Tray 
2. Paediatric Stethoscope
3. Baby Scale
4. Radiant Warmer
5. Self inflating bag and mask-neonatal size (0 and 1)
6. Oxygen hood (neonatal)
7. Laryngoscope and End Tracheal Intubation Tubes (at TH,DH,MCH)
8. Torch
9. Mucus extractor with suction tube and foot operated suction machine (in-case of power failures), Naso-gastric tubes
10. Two Clean and Dry Towels
11. Feeding Tubes
12. Empty Vials for Collecting Blood
13. Alcohol Hand Rub
14. Sterile Gloves
15. Syringe Hub Cutter