Transportation of new born:

It is not easy task. it is better to transport the baby with mother in the uterus itself

Constraints of transportation:

1.    Facilities are often for away

2.    Families have poor recourses

3.    Organized transport facilities are not available: some time baby will be transported with rickshaw a or auto.

4.    No health providers are available to accompany the baby.

5.    Facilities are nit in readiness to receive sick neonates.

6.    Communication system are non existence or inefficient.

Skill need for transportation:

1.    Technical skill ( to handle emergency equipment in transportation)

2.    Communication skill

3.    Cognitive skill to handle emergency situation

Types of transportation:

1.     Road transportation:

Advantages:

Easily accessible and affordable.

Disadv:

 Problem with traffic jam.

Take more time

2.     Air transportation:

Adv: less time consuming.

No traffic problem

Disadv: problem with change of equilibrium

3.     Utro transportation:

Adv: very safe and no cost requirement

Prepare before transportation:

1.    Assess ( need for referral)

2.    2. Communicate: ( condition, prognosis. Reason for referral, where to go, whom to conduct to family)

3.    Correct hypothermia:

4.    Stabilize:

A.    Clear the airway of secretions.

B.    Resuscitate if necessary

C.    Give breast feed or spoon feed if the baby is sucking

D.    Administer 2 inj dextrose  (2ml/kg/10% dextrose)

E.    Administer first dose of antibiotics in needed.

F.    Administer inj k 1 mg  im.

G.    Administer inj aminophylin  (5mg/kg/iv slowly)if indicated.

5.    Write a note

6.    Encourage mother to accompany

7.    Arrange a provider to accompany

Ensure warm transportation:

1.    Skin to skin care (kmc)

2.    Cover the baby

3.    Improvised container ( thermocol box, basket, padded pouch, polythene covering sheets)

Other care during transportation:

1.    Ensure warm feet

2.    Ensure open airway

3.    Check breathing

4.    Provide feed