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The action plan is as follows:

0 to 60 minutes after baby birth

• Continue skin-to-skin care & monitor breathing

60 to 90 minutes after baby birth

• Initiate breastfeeding (to prevent diseases of eye care, cord care & give vitamin K) and
• Assess the weight, temperature & examine the baby

90 minutes to 24 hours after birth

If the examination is:

• Normal – Maintain normal temperature
  ==> support breastfeeding
  ==> advise about breastfeeding problems
  ==> Immunize
  ==> Reassess baby for discharge
  ==> Give parents guidance for home care
  

• Problem
  

  1. Abnormal temperature
     ==> Improve thermal care
     ==> Normal
     ==> Improve thermal care
     ==> Requires continued thermal support
     ==> Prolong skin-to-skin
     

  2. Under 2000g
     ==> Prolong skin-to-skin
     ==> Requires continued care
     ==> Continue inpatient care
     

  3. Poor feeding
     ==> Express breast milk
     ==> Use alternative feeding method
     ==> Requires continued care
     ==> Continue inpatient care
     

• Danger sign (Fast breathing, chest in the drawing, temperature <35 or >37.5, not feeding, no movement, convulsions
  ==> Give antibiotics
  ==> Seek advanced care
  

• <1500g or severe jaundice
  ==> Seek advanced care