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The newborn was placed on the mother’s belly and the cord was ligated when the pulses of
the umbilical arteries ceased, approximately three minutes after birth. Delivery of the placenta
was spontaneous, and its examination showed that it was complete. After the delivery of the
placenta the woman received oxytocic agents. Ever since she was admitted, the mother was
always accompanied by her husband.
The newborn, a male, is checked by the staff in the delivery room, and the APGAR scores
are 9 and 10 at 1 and 5 minutes respectively. The newborn is alert, breathes normally; there
is no evidence of external defects and the baby cries vigorously when they take him to be
weighed and dressed. Weight: 3230 g, length: 49.0 cm and head circumference is 36.5 cm.
The gestational age estimated by the physical examination is consistent with amenorrhea.
The child voids normally and he has passed meconium uneventfully.
Care during puerperium
The mother and her newborn leave the delivery room together and they are taken to a
rooming-in ward where they stay until discharge.
Mother and child were discharged on March 13 2007, at 10.15. Before discharge the mother
received recommendations for her own care and for the care of her child, reinforcing the
importance of placing the baby in the cradle in dorsal recumbent position (face up) and
stressing the importance of exclusive direct breastfeeding. She has also received counseling
and has been offered contraceptive methods. A joint visit to the health care is scheduled for
the follow-up of both mother and child between the days 7 and 10 after discharge.
Cord blood VDRL is negative and the values of TSH are normal. The baby weighs 3110 g
and the previous hours it had received only breastfeeding; the newborn has also received
BCG immunization.
Latin American Perinatology Center / Women’s Reproductive Health