272 7. 0 JI there is an abnonnality observed during the examination refer the patient to the hospital. See Figure 3. 2 of Cbapter 3 for a sample referral fonn. 8. o If the baby·s temperature is below 36 °C, do the follo"ting: 8. L Wrap him in a blanket. 8. 2. Place the baby under a lighted bulb or Uuorescent Jamp. Ifthe latter js used, the bab~ ·s l. ~-e::. should be covered since the light of the fluorescent lamp can cause clamaie lo the baby's eyes. 8. 3 Create an impro;-ised incubator especially if the baby has to be brought to a hospital. PLAN 8: 8. 3. 1 Put warm water inside bottles,...,jth tight covers. 8. 3. 2 Place the bottles insid~ the bo J, large enoug J1 to contain the baby and the bottles. Place the bottle along a1J the sides of the box. 8. 3. 3 Cover the bonom of the box v,;th a warm hlanke L 8. 3-4 Cover the bottles and blanket with another blanket or with a towel. 8. 3. 5 Place the baby inside the impro,ised incubator. LO Refer the patient to a doctor within 24 to 48 hours. 2. 0 Manage the baby as in Plan A.. 3. 0 Pro,. ide the doctor with appropriate clinical material or referral note containi ng a brief history, physical examination findings, and management given at the referring level. See Figure ~1. 2 of Chapter 3 for a sample referra J form. PLAN C: 1. 0 Refer the baby immediately to a hospi. tal (preferably the nearest one). 2. 0 If the baby doe. sn't breathe wilhin one minute after birtl1, do mouth to moutb resuscitation at once. Make sure there is no mucus in the baby's nose or mouth. 3. 0 lflhere is clif:ficu Jty of breathing, dean the nose and mouth. 4. 0 If there is no heart beat., do cardiac massage AT ONCE using the index and middle fingers of one hand. 5. 0 Ifthereisa. n openi. ngal the abdominal wall, aodsomeio ternal organs are exposed, cover it with a clean cloth that was soaked in warm boiled water. 6. o If there is bleeding. try to stop it by applying direct pressure. If the,bleeding is coming from I. he cord, put another tie and make sure it is tight enough. 7. 0 lftherc is a mass along the baby's back place hioi face down (nakada pa) with his head turne<l to one side. 8. o Accnmrany the baby ro the hnspilal or if this is not possible, provide the hospital \,ith a referral note containing a brief history, physical examination findings, and any mnnagcml'nt given. SP. e Figure 3. 2 for a sumplc referral form. 