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The Zaky ZAK, the RAPP tool, and the Sudden Unexpected Postnatal Collapse (SUPC) risk during birth skin-to-skin contact.

This is how The Zaky ZAK assists in reducing the risk of Sudden Unexpected Postnatal Collapse (SUPC) during the first two hours of life.

All the features, including being able to partially open the zipper, assist the healthcare team to access the baby for assessment using the RAPP tool, with minimum disruption to the baby and mother. 

Respiration:  during skin to skin contact it is imperative to hold the proper posture and alignment to assist with proper breathing. Partially open the zipper to allow the baby to move or look for the breast.  The face of the baby is fully uncovered for proper breathing and assessment.

Activity:  it is easy to go from skin to skin position to breastfeeding, to being contained for sleep. Due to the safety provided by The Zaky ZAK, more evaluations and close attention can be placed on the baby during this critical time. 

Perfusion: Partially open the zipper or uncover the skin of the baby, to evaluate if oxygenated blood is being delivered to the tissues of the body.

Position/Tone: The Zaky ZAK is designed to assist in facilitating skin to skin from birth, vaginal or c-section, allow for adjusted containment to facilitate breastfeeding, and then transfer the mother with the baby to her room.

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To encourage use of skin-to-skin contact with all healthy term infants during the first two hours of life and throughout their mothers' postpartum hospitalization, an easy, rapid newborn assessment tool, the "RAPP", has been developed to enhance labor and delivery and mother-baby nurses' ability to swiftly and accurately assess newborn physiologic condition.

The "RAPP" assessment (Respiratory Activity, Perfusion, and Position) tool is being proposed as a way to swiftly evaluate infants' physiologic condition and position. Position of the infant is a key factor in minimizing risk of Sudden Unexpected Postnatal Collapse (SUPC). SUPC is an emerging complication of skin-to-skin contact and breastfeeding in the first hours and days post-birth. The "RAPP" assessment parameters and flow sheet are discussed, risk factors for SUPC are enumerated, and a checklist to prevent SUPC is presented so skin-to-skin contact can be safely provided.




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