[Recommendations for the care of the healthy normal newborn at delivery and during the first postnatal hours]

Abstract

Standardised normal newborn care at delivery and during the first hours of life is one of the objectives of the Spanish National Society of Neonatology. The object of this review is to apply the best evidence possible to the procedures of the care of the newborn from delivery and during the first moments after delivery; as well as standards and routines in care to improve quality and the safety of the newborn. A PubMed (MeSH) review using the key words: term newborn; prophylaxis of ophthalmia neonatorum; haemorrhagic disease of the newborn; neonatal jaundice; neonatal screening and hospital discharge. Concepts of regular care of the healthy newborn at delivery; normal practices in the delivery room; prophylaxis of ophthalmia neonatorum; prevention of vitamin K deficiency bleeding; care of the umbilical cord; newborn screening and hospital discharge are reviewed. The standard of care of the newborn at delivery and during the first hours of life have been updated; recommendations based on evidence and on experts of the standard committee of the spanish society of neonatology are done.