Adaptation to extrauterine life

Physiology: In utero, the placenta delivers oxygenated blood to the fetus through the umbilical vein. Upon delivery, the umbilical cord is cut. The cardiovascular system must now adapt. Blood CO₂ rises because it is now not removed by the placenta. This is a powerful stimulus for the infant to start breathing. Breathing sharply increases O₂ in the lungs, thus quickly reverting hypoxic pulmonary vasoconstriction that had held the pulmonary vascular resistance high during the uterine life. Lung ventilation also extends the so far convoluted, shrunk pulmonary vessels, also contributing to the quick and marked drop in the pulmonary vascular resistance. As a result, much higher proportion of the right ventricle output flows into the pulmonary vessels than into the systemic circulation through the ductus arteriosus. The detachment of the placenta causes an increase in systemic vascular resistance, which leads to an increase in pressure gradient from the left atrium.[2] The left atrium now has higher pressure than the right atrium causing the foramen ovale to close. Within the first 10 minutes of birth, blood begins to flow left-to-right through the ductus arteriosus. This causes a significant increase in output of the left ventricle and increase in stroke volume. Subsequently, calcium channel activity increases and potassium channel decreases furthering ductal constriction. Functional closure of the ductus arteriosus occurs within the first 24 hours, with permanent closure following within 4 weeks. Lastly cardiac output increases to nearly double what it was in utero. All of these cardiovascular system changes result in the adaptation from fetal circulation patterns to an adult circulation pattern. During this transition, some types of congenital heart disease that were not symptomatic in utero during fetal circulation will present with cyanosis or respiratory signs.

Changing the composition of hemoglobin before and after birth. Also identifies the types of cells and organs in which the gene expression (data on Wood W.G., (1976). Br. Med. Bull. 32, 282.)

Manifestations: When the newborn cries, there is a reversal of blood flow through the foramen ovale which causes the newborn to appear mildly cyanotic in the first few days of life. The heart rate of the newborn should be between 110 and 160 beats per minute and it is common for the heart rate to be irregular in the first few hours following birth. The heart sounds will have a variation in pitch, duration, and intensity than that of an adult. Blood pressure readings should range from 60 to 80 mm Hg systolic and 40–50 mm Hg diastolic. Mean arterial pressure should be the same as the weeks of gestation at birth. Within the first hour after birth, there may be a drop of up to 15 mm Hg in the systolic blood pressure.[1]

Delayed cord clamping is defined as waiting more than 2 minutes to clamp the newborn's umbilical cord. This has been proven to be beneficial in improving hematocrit and iron while also decreasing anemia. These benefits can last up to 6 months for the newborn.[3]

Assessments/Interventions: Assessment and monitoring of vital signs and skin color are important in detecting cardiovascular issues in the infant. The apical pulse rate should be auscultated for one full minute when the newborn is calm or sleeping. Any irregular heart rate after the first few hours of life that is not related to crying or another outside factor should be monitored and evaluated.[1] Blood pressure will be taken with an appropriately sized cuff, preferably when the newborn is at rest. Consistent tachycardia should be evaluated for conditions such as anemia, hyperthermia, hypovolemia, and sepsis. Consistent bradycardia could be an indication of congenital heart block or hypoxemia. Pallor and central cyanosis (cyanosis in hands and feet is a common and normal finding) can also indicate cardiovascular issues.[1]

Physiology: Upon birth, the newborn's lungs become the center for gas exchange. There are a variety of factors that influence newborn respiratory functions; these factors include chemical, mechanical, thermal, and sensory. Respirations begin when fetal aortic and carotid chemoreceptors are stimulated by the varying concentrations of oxygen and carbon dioxide. During vaginal birth, the newborn's chest is compressed by the birth canal. Upon delivery, negative pressure allows air into the lungs. The first cries of the infant allow for alveoli expansion and absorption of fetal lung fluid. Temperature changes and other sensory stimulation contributes to respiratory function as well.

Manifestations: Breathing patterns are often irregular and shallow. The infants respiration rate should be between 30 and 60 breaths per minute with preference for nasal breathing. Ribs expands horizontally. Breath sounds should be clear and equal in both lungs. Abdominal breathing is normal. Acrocyanosis is a normal finding.[1]

Assessments/Interventions: Suctioning of nasal and oral secretions promotes fluid clearance. Auscultation of lung sounds to assess for any abnormalities. Pulse oximetry is performed to determine oxygen saturation. Monitor signs of respiratory distress such as: nasal flaring, grunting, central cyanosis.[1]

Physiology: At birth, the newborn is cut off from the mother's glucose supply and will begin to rely on stored fat for energy. Glycogen stores are maximal at term. Within the first hour of life, blood glucose will typically reach its lowest point and then stabilize within 2 to 4 hours, hence breastfeeding is promoted immediately. In cases where feeding is delayed, the neonate can use lactate, free-fatty acids, and ketone bodies.

Manifestations: Normal blood glucose levels range from 40 to 50 mg/dl.[1] Rooting and sucking reflex should be present and the neonate will eat small amounts frequently. All vital signs should be within normal limits coinciding with the neonates presentation of calmness and satiation.

Assessments/Interventions: Monitor blood glucose level and encourage breastfeeding or formula feeding as early as possible. Lactation and breastfeeding education should be provided as appropriate.

Physiology: Newborns lack the ability of thermogenesis due to underdeveloped shivering mechanism. Body heat is lost through conduction, convection, and radiant heat.[1] Thermoregulation is achieved through several methods: the metabolism of brown fat and Kangaroo care, also known as skin to skin. "Brown fat" is specialized adipose tissue with a high concentration of mitochondria designed to rapidly oxidize fatty acids in order to generate metabolic heat. Skin to skin to care is the immediate placement of the neonate directly onto a caregiver's bare chest. This promotes thermoregulation of the neonate through heat generated from caregiver.

Manifestations: Normal temperature ranges between 97.7° and 100.0° Fahrenheit (36.5° to 37.78° Celsius). Cold infants may cry or appear restless. The neonates' arms and legs maintain a fetal position, lessening their body surface area and reducing heat loss.[1]

Assessments/Interventions: Dry neonate immediately after birth and initiate skin-to-skin contact. Provide warm blankets and a hat. Utilize a radiant warmer if skin-to-skin is not appropriate. Frequently monitor axillary body temperature. Limit neonate's exposure during diaper changes and assessments.

• Shock of birth