{"id":24128,"date":"2025-09-28T12:22:09","date_gmt":"2025-09-28T09:22:09","guid":{"rendered":"https:\/\/www.drsalihaydemir.com.tr\/altin-dakika-ve-yenidogan-bakimi-dogumdan-sonraki-ilk-60-saniyede-neler-yapilmali\/"},"modified":"2026-05-09T09:25:13","modified_gmt":"2026-05-09T06:25:13","slug":"altin-dakika-ve-yenidogan-bakimi-dogumdan-sonraki-ilk-60-saniyede-neler-yapilmali","status":"publish","type":"post","link":"https:\/\/www.drsalihaydemir.com.tr\/en\/altin-dakika-ve-yenidogan-bakimi-dogumdan-sonraki-ilk-60-saniyede-neler-yapilmali\/","title":{"rendered":"Golden Minute and Newborn Care: What Should Be Done in the First 60 Seconds After Birth?"},"content":{"rendered":"

Entrance<\/span><\/strong><\/h2>

The first 60 seconds after birth, the Golden Minute, is the most critical time for your baby to step into a healthy life. Applications made during this period; It plays a decisive role in the baby's breathing, circulation, temperature balance and initial bonding process. The World Health Organization (WHO), American College of Obstetrics and Gynecology (ACOG), American Academy of Pediatrics (AAP), CDC and Turkish Neonatology Association (TND) particularly emphasize the importance of this period.<\/p>

Why is the Golden Minute Important?<\/span><\/strong><\/h3>

neonatal adaptation<\/span><\/strong><\/h3>

\u2013 Do\u011fumla birlikte bebekte solunum, dola\u015f\u0131m ve \u0131s\u0131 reg\u00fclasyonu h\u0131zla devreye girer.
\u2013 Bu d\u00f6nemde yap\u0131lan basit uygulamalar, \u00f6m\u00fcr boyu sa\u011fl\u0131k \u00fczerinde kal\u0131c\u0131 etkilere sahiptir.<\/p>

Golden Minute in international guides<\/span><\/strong><\/h3>

\u2013 WHO ve ACOG, Alt\u0131n Dakika\u2019da geciktirilmi\u015f kordon klemplemeyi \u00f6nermektedir.
\u2013 AAP ve TND, Vitamin K uygulamas\u0131 ve Hepatit B a\u015f\u0131s\u0131n\u0131 do\u011fum sonras\u0131 ilk saatlerde zorunlu kabul etmektedir.
\u2013 Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 Yenido\u011fan \u0130zlem Protokol\u00fc\u2019nde de \u201cAlt\u0131n Dakika\u201d kavram\u0131 a\u00e7\u0131k\u00e7a yer al\u0131r.<\/p>

Routine Practices in Healthy Babies<\/span><\/strong><\/h2>

Delaying the cord<\/span><\/strong><\/h3>

The cord is cut after waiting 30-60 seconds after birth. Additional blood flow to the baby occurs, and hemoglobin and iron stores increase. It reduces the risk of intraventricular bleeding in preterm babies.<\/p>

Drying and removing wet covers<\/span><\/strong><\/h3>

Wet linens are quickly removed and the baby is dried. The risk of hypothermia is reduced.<\/p>

Putting on a hat and gloves<\/span><\/strong><\/h3>

It is applied to prevent heat loss from the head and extremities.<\/p>

skin-to-skin contact<\/span><\/strong><\/h3>

The baby is laid on the mother's breast and a warm blanket is covered on her back. Thermal balance is maintained, bonding is strengthened, and breastfeeding becomes easier.<\/p>

eye care<\/span><\/strong><\/h3>

Prophylaxis is performed to prevent eye infections.<\/p>

Vitamin K injection<\/span><\/strong><\/h3>

It prevents neonatal bleeding (VKDB).<\/p>

Hepatitis B vaccine<\/span><\/strong><\/h3>

It reduces the risk of transmitting the virus from mother to baby. It is recommended to do it in the first 24 hours.<\/p>

first examination<\/span><\/strong><\/h3>

The baby's vital signs such as breathing, pulse, and muscle tone are evaluated. Weight, height and head circumference are measured. Congenital anomalies and trauma findings are checked.<\/p>

Special Situations<\/span><\/strong><\/h2>

Babies born prematurely<\/span><\/strong><\/h3>

Although basic care is similar, additional precautions are needed to prevent hypothermia and respiratory problems.<\/p>

Babies with health problems<\/span><\/strong><\/h3>

Resuscitation and additional interventions may be performed in babies with low Apgar scores, birth trauma, or risk of severe infection.<\/p>

Risk factors in the mother<\/span><\/strong><\/h3>

In cases of hepatitis B, HIV or active infections, the baby's care protocol is specially regulated.<\/p>

Prominent Findings in the Literature<\/span><\/strong><\/h2>

\u2013 Geciktirilmi\u015f kordon klempleme \u2192 daha y\u00fcksek hemoglobin ve demir depolar\u0131 (ACOG, 2020).
\u2013 Ten-tene temas \u2192 hipotermi riskinde %70 azalma, emzirme ba\u015far\u0131s\u0131nda art\u0131\u015f (WHO, 2017).
\u2013 Vitamin K uygulanmayan bebeklerde \u2192 ge\u00e7 tip VKDB ve beyin i\u00e7i kanama riski belirgin y\u00fcksek (AAP, 2022).
\u2013 Hepatit B a\u015f\u0131s\u0131 \u2192 do\u011fumda yap\u0131lmazsa anneden ge\u00e7i\u015f riski %90\u2019a kadar \u00e7\u0131kabilir; a\u015f\u0131lanan bebeklerde %10\u2019un alt\u0131na d\u00fc\u015fer (CDC, 2023).<\/p>

Frequently Asked Questions (FAQ)<\/span><\/strong><\/h2>

Why isn't the baby washed immediately during the Golden Minute?<\/span><\/strong><\/h3>

Because early bathing causes the baby to lose heat. Thermal balance is maintained by drying and skin-to-skin contact.<\/p>

Is late cord cutting harmful?<\/span><\/strong><\/h3>

No. On the contrary, it increases the baby's blood volume. The only risk is that the chance of jaundice increases slightly. This can be managed with follow-up and phototherapy.<\/p>

Is Vitamin K injection mandatory? Does it have any side effects?<\/span><\/strong><\/h3>

Vitamin K injections are the gold standard for preventing neonatal bleeding. It has no serious side effects.<\/p>

What happens if the hepatitis B vaccine is not given at birth?<\/span><\/strong><\/h3>

If the mother is a Hepatitis B carrier, the probability of transmission to the baby increases to 90% if the vaccine is not given at birth.<\/p>

Is the Golden Minute applied the same for premature babies?<\/span><\/strong><\/h3>

Yes, the core practices remain the same; however, additional precautions are taken for hypothermia and respiratory support.<\/p>

Conclusion and Recommendations<\/span><\/strong><\/h2>

Golden Minute practices\u2014cord lagging, drying, hat and gloves, skin-to-skin contact, eye care, Vitamin K injection, Hepatitis B vaccine, and initial examination\u2014should be routine for all healthy babies.<\/p>

Although care for premature babies or babies with health problems is basically similar, additional interventions may be required.<\/p>

\uf4de To get more information about Golden Minute and newborn care, you can contact our clinic in Izmir Alsancak.<\/p>

Source<\/span><\/strong><\/h2>

1. ACOG Committee Opinion No. 814: Delayed Umbilical Cord Clamping After Birth, 2020.<\/h2>

2. WHO. Delayed umbilical cord clamping for improved maternal and infant health outcomes. 2014.<\/h2>

3. American Academy of Pediatrics. Vitamin K and the Newborn Infant. Pediatrics, 2022.<\/h2>

4. CDC. Hepatitis B Perinatal Vaccine Guidance. 2023.<\/h2>

5. Turkish Neonatology Association. Newborn Resuscitation Guide and Clinical Practice Recommendations.<\/h2>

6. T.R. Ministry of Health. National Immunization Schedule and Newborn Surveillance Protocols.<\/h2>


Golden Minute, newborn care, delayed cord cutting, Vitamin K injection, Hepatitis B vaccine, skin-to-skin contact, eye care, baby examination, Izmir pediatrician, neonatal doctor<\/p>\n\n

\u0130lgili hizmet:<\/strong> \u0130zmir yenido\u011fan muayenesi<\/a><\/p>","protected":false},"excerpt":{"rendered":"

Giri\u015f Do\u011fumdan sonraki ilk 60 saniye, yani Alt\u0131n Dakika, bebe\u011finizin sa\u011fl\u0131kl\u0131 bir ya\u015fama ad\u0131m atmas\u0131 i\u00e7in en kritik zamand\u0131r. Bu s\u00fcrede yap\u0131lan uygulamalar; bebe\u011fin nefes almas\u0131, dola\u015f\u0131m\u0131, \u0131s\u0131 dengesi ve ilk ba\u011flanma s\u00fcreci a\u00e7\u0131s\u0131ndan belirleyici rol oynar. D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc (WHO), Amerikan Kad\u0131n Do\u011fum Koleji (ACOG), Amerikan Pediatri Akademisi (AAP), CDC ve T\u00fcrk Neonatoloji Derne\u011fi […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21],"tags":[],"class_list":["post-24128","post","type-post","status-publish","format-standard","hentry","category-yenidogan"],"_links":{"self":[{"href":"https:\/\/www.drsalihaydemir.com.tr\/en\/wp-json\/wp\/v2\/posts\/24128","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.drsalihaydemir.com.tr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.drsalihaydemir.com.tr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.drsalihaydemir.com.tr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.drsalihaydemir.com.tr\/en\/wp-json\/wp\/v2\/comments?post=24128"}],"version-history":[{"count":7,"href":"https:\/\/www.drsalihaydemir.com.tr\/en\/wp-json\/wp\/v2\/posts\/24128\/revisions"}],"predecessor-version":[{"id":24459,"href":"https:\/\/www.drsalihaydemir.com.tr\/en\/wp-json\/wp\/v2\/posts\/24128\/revisions\/24459"}],"wp:attachment":[{"href":"https:\/\/www.drsalihaydemir.com.tr\/en\/wp-json\/wp\/v2\/media?parent=24128"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.drsalihaydemir.com.tr\/en\/wp-json\/wp\/v2\/categories?post=24128"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.drsalihaydemir.com.tr\/en\/wp-json\/wp\/v2\/tags?post=24128"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}