Challenges Faced by Babies in the Early Neonatal Period When Mother Had PPH
THE BABIES EXPERIENCE:
My Mother had PPH!What
will my life be like?
Dr Msandeni Chiume-Kayuni
PPH Maternal Outcome versus
newborn experience
MOTHER ALIVE
No delayed cord clamping (
Anaemia)
Skin to Skin- depending on Mums
general status
Breastfeeding- Delayed initiation but
possible with initial expression until
stable
Where the baby is also taken care
by the same midwife,
The baby’s life is secondary to
mother’s Life
MOTHER DEMISE
No delayed cord clamping (
Anaemia
No immediate Skin to skin- Even
surrogate or granny is usually
disturbed by death
Breastfeeding- Usually not possible
unless, unless wet nursing which
many do not prefer
The baby’s life remains secondary
as health workers nurse their
emotions
Will I thrive? Will my siblings thrive?
My mother had PPH-Baby’schallenges in
the early neonatal period?
My mother had PPH-My challenges in
the early neonatal period?
My mother had PPH-My challenges in
the early neonatal period?
My mother had PPH-My challenges in
the early neonatal period?
Long term Follow Up
Baby may require long admission and long term follow up due to
complications
High changes of loss to follow up due to lack of maternal initiative
Babies face unique challenges in the early neonatal period when their mothers experience PPH. The outcomes vary based on whether the mother survives or not, affecting factors like delayed cord clamping, skin-to-skin contact, breastfeeding, and maternal care. Premature birth, birth asphyxia, and normal birth scenarios present different obstacles for the newborn, requiring specialized care and support. Long-term follow-up may be necessary for babies due to potential complications.
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Presentation Transcript
THE BABIES EXPERIENCE: My Mother had PPH!What will my life be like? Dr Msandeni Chiume-Kayuni
PPH Maternal Outcome versus newborn experience MOTHER DEMISE No delayed cord clamping ( Anaemia No immediate Skin to skin- Even surrogate or granny is usually disturbed by death Breastfeeding- Usually not possible unless, unless wet nursing which many do not prefer The baby s life remains secondary as health workers nurse their emotions Will I thrive? Will my siblings thrive? MOTHER ALIVE No delayed cord clamping ( Anaemia) Skin to Skin- depending on Mums general status Breastfeeding- Delayed initiation but possible with initial expression until stable Where the baby is also taken care by the same midwife, The baby s life is secondary to mother s Life
My mother had PPH-Babyschallenges in the early neonatal period? PRETERM ASPHYXIA NORMAL Im out, but tired, and weak and floppy. Will I make it?? Im not ready to get out, but Im out anyway and must cope! What a way of getting out? How is mummy?
My mother had PPH-My challenges in the early neonatal period? PRETERM BABY Will I still be close to my mum? Were prenatal corticosteroids on board to mature my lungs? Is it warm in the nursery? Does my facility have CPAP? Is there surfactant? Will I breastfeed?
My mother had PPH-My challenges in the early neonatal period? BIRTH ASPHYXIA No cooling in my facility Supportive management only Will I have supportive support for my neurological system?
My mother had PPH-My challenges in the early neonatal period? NORMAL BABY I m Happy with my grandama! BUT do we meet the AFFASS Criteria for us to start using bottled milk? Are my blood levels normal since my mum lost a lot of blood!
Long term Follow Up Baby may require long admission and long term follow up due to complications High changes of loss to follow up due to lack of maternal initiative
