Adaptation Considerations

 

The very first hour in a baby’s life can have a significant, life-long impact on the health of the baby and on the neuro-motor developmental outcome. The transition to extra-uterine life is a remarkable physiological event that involves a series of modifications that depend on the degree of maturation in late gestation and the process of delivery itself. The establishment of the independent physiological processes for regulating homeostasis takes place.

These events are establishment for regular pattern of respiration, change from parallel to serial circulation, oral feeding, thermoregulation and metabolic adjustments including the glucose homeostasis. The events are affected by many factors, which play vital role in the process, as demanding changes need to occur in a short period of time. The focus of clinicians on early postnatal care is aimed at delayed clamping of umbilical cord, appropriate use of non-invasive ventilation and oxygen, and thermoregulation.

This overview can be used as a framework for further brainstorming and self-reflection on our professional actions in first hour of life to achieve consistency of care and improvements in outcomes.


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