49 MONITORING A BABY IN KMC Preterm/LBW babies need intensive monitoring in immediate KMC as they are still not stable.This monitoring will be done by the nurses and doctors.The mother and the KMC provider also need to monitor the baby during KMC and alert the health personnel, if necessary. The monitoring done by the mother contributes to the improved outcomes with KMC. Temperature: Touch the soles of the baby and the tummy. Both should be equally warm. If the soles are cold, check the temperature with a digital thermometer placed in the axilla till the beep sound is heard. Normal temperature is 36.5 – 37.5°C. If lower, then cover yourself with an extra layer of clothing. If low temperature persists, seek care. Monitoring a baby’s weight and temperature Airway, apnea, and breathing: Ensure that the neck is slightly extended so that the breathing is normal. Feel the breathing of the baby against your chest. If breathing ceases, gently stimulate the baby. If it persists, seek care urgently.
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