Cleaning the Feeding Bottles/Sterilizaton/Feeding an Infant

Cleaning the Feeding Bottles

1. Clean the surface/area you are going to work.
2. Gather the materials such as the basin, soap, brush for cleaning the feeding bottles & the dirty nipples.
3. Do handwashing
4. Put a warm water on the basin then put a soap
5. Then form a soapy sud
6. Clean the bottles, cap & teats thoroughly
7. Stand the bottles on a clean surface


Sterilization
8. Put the feeding bottles in a sterilizer
9. Put the cap & teat on a separate container then fill in w/ water
10. Put water on the sterilizer preferably ¾ (75%)of the entire container/sterilizer
11. Wait until the water is boiling then start timing for 30 minutes. But only 2-3 minutes for caps & teats.

12. After 25 minutes, get the feeding bottles from the sterilizer & place them in a clean tray

Feeding
13. In preparing a formula, read the label/instructions of the milk
14. Then fill I the bottle w/ water following instructions of the prescribe amount

15. Loosely held the scoop w/ milk powder & level it off without compacting it.

16. Add the milk power to the water. Making up a feed w/ too much powder can give your baby constipation.

17. Hold the edge of the teat put it on the bottle

18. Screw the remaining ring into the bottle.

19. Cover the teat w/ a cap. Shake the bottle until the powder is dissolved.

20. If you want to cool your baby’s milk, hold the bottle of the cap covering the teat under cold running water.

21. Test the temperature of the feed by dropping a little into the inside of your wrist.

22. When feeding the baby, keep the teat full of milk otherwise your baby will take in air.

23. Hold your baby in a semi-upright position with the head a little higher than the rest of the body

24. Never feed the baby lying down, formula may flow into the ear causing infection.

25. Hold the bottle in such a way that the nipple & the neck are filled w/ the formula

26. Check the nipples hole to make sure that milk is flowing uniformly. The baby should not be gulping.

27. Feed the baby on demand & do not force here to finish the entire bottle if she is full.

28. Burp your baby by draping her over your shoulder, or laying her on her back. This will help remove the air so that the baby has taken in while drinking milk.

PRINCIPLES OF BATHING AN INFANT

- NBs receive a complete bath w/in six hours after birth
- They are bathed once a day
- Wear gloved when handling NBs until a first bath to avoid exposing your hands to body secretions
- Babies of HIV (+) mothers should be bathed immediately to decrease the possibility of HIV transmission.

Purpose:
- Hygiene (wipe off dirt)
- Afford an excellent opportunity for making observation

Principles:
- The room should be about 75 degree F (24 degree C) to prevent chilling.
- Bath water should be around 98-100 degree F (37-38 degree C)
- Temperature that feels pleasantly warm to the elbow or wrist
- If soap is used it should be mild & w/o a Hexachlorophene Base.
- Bathing should take place before not after, a feeding to pevent spitting up or vomiting & possible aspiration
- Teach parents that when giving a bath, it should proceed from the cleanest to the most soiled areas of the body, that is from the eyes, face, ears, scalp, neck, upper extremities, trunk lower extremities & finally the buttocks last to the diaper area.
- Items should be assembled beforehand, so the baby is not left unattended.
- Until the umbilical cord & circumcision if any are healed, tub baths are still not advisable
- NO matter what the room temperature is don’t take off baby’s diaper until its time to wash the bottom; a naked baby is considered armed & dangerous

Equipment:
- Basin of water
- Soap
- Washcloth
- Towel
- Comb
- Clean diaper and shirt
- Cotton wool
- Baby shampoo
- Baby powder

Note:
Head
Face
Neck & chest
Arms
Back
Legs
Diaper Area