Scribd
Upload
2 views3 pages

EINC

The document outlines a performance checklist for Essential Intrapartum and Newborn Care (EINC) during delivery, detailing the necessary steps from preparation to post-delivery care. It includes specific tasks to ensure the safety and comfort of both the mother and newborn, as well as guidelines for administering immediate care and vaccinations. The checklist is designed to be used for evaluation purposes, with scoring based on task completion and correctness.

Uploaded by

Asteria Tollino
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
2 views3 pages

EINC

The document outlines a performance checklist for Essential Intrapartum and Newborn Care (EINC) during delivery, detailing the necessary steps from preparation to post-delivery care. It includes specific tasks to ensure the safety and comfort of both the mother and newborn, as well as guidelines for administering immediate care and vaccinations. The checklist is designed to be used for evaluation purposes, with scoring based on task completion and correctness.

Uploaded by

Asteria Tollino
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 3

REGION II TRAUMA AND MEDICAL CENTER

Performance Checklist: Essential Intrapartum and Newborn Care (EINC) Delivery

Step/Task Performed Attempted, Not Done Not


Correctly Not (0) Observed
(2) Correctly (NO)
(1)
PREPARING FOR DELIVERY
1. Checked temperature in DR area to be
25-28⁰ Celsius; eliminated air draft.
2. Asked woman if she is comfortable in
the semi-upright position (the default
position of delivery table)
3. Ensured the woman’s privacy.
4. Removed all jewelry then washed hands
thoroughly observing the WHO 1-2-3-4-
5 procedure.
5. Prepared a clear, clean newborn
resuscitation area on a firm and flat
surface. Checked the equipment if clean,
functional and within easy reach.
6. Arranged materials/supplies in a linear
sequence:
6.1 Gloves, dry linen, bonnet, oxytocin
injection, plastic clamp, instrument
clamp, scissors, 2 kidney basins.
6.2 In a separate sequence, for after
the 1st breastfeed: eye ointment,
(stethoscope to symbolize PE)
Vitamin K, hepatitis B and BCG
vaccines (plus cotton balls, etc.)
7. Cleaned the perineum with antiseptic
solution.
8. Washed hands and put on 2 pairs of
sterile gloves aseptically (if same
worker handled perineum and cord).
AT THE TIME OF DELIVERY
9. Encouraged woman to push a
desired.
10. Draped the clean, dry linen over the
mother’s abdomen or arms in
preparation for drying the baby.
11. Applied perineal support and did
controlled delivery of the head.
12. Called out time of birth and sex of
baby.
13. Informed the mother of outcome.
FIRST 30 SECONDS
14. Thoroughly dried the baby for at least
30 seconds, starting from the face
and head, going down to the trunk
and extremities while performing a
quick check for breathing.
1-3 MINUTES
15. Removed the wet cloth.
16. Placed baby in skin-to-skin contact on
the mother’s abdomen or chest.
17. Covered baby with the dry cloth and
the baby’s head with a bonnet.
18. Excluded a 2nd baby by palpating the
abdomen in preparation for giving
oxytocin.
19. Gave IM oxytocin within one minute
of baby’s birth after wiping the soiled
gloves with the wet cloth. Disposed
of wet cloth properly.
20. Removed 1st set of gloves after
positioning the baby for cord
clamping. Decontaminated the gloves
properly (in 0.5% chorine solution for
at least 10 mins).
21. Palpated umbilical cord to check for
pulsations.
22. After pulsations stopped, clamped
cord using the plastic clamp or cord
tie 2 cm from the base.
23. Placed the instrument clamp 5 cm
from the base.
24. Cut near plastic clamp (not midway).
25. Performed the remaining steps of the
AMTSL:
25.1 Waited for strong uterine
contractions then applied
controlled cord traction and
counter traction on the uterus,
continuing until placenta was
delivered.
25.2 Massaged the uterus until it was
firm.
26. Inspected the lower vagina and
perineum for lacerations/tears and
repaired lacerations/tears, as
necessary.
27. Examined the placenta for
completeness and abnormalities.
28. Cleaned the mother: flushed
perineum and applied perineal
pad/napkin/cloth.
29. Checked baby’s color and breathing;
checked that mother was
comfortable, uterus contracted.
30. Disposed of the placenta in a leak-
proof container or plastic bag.
31. Decontaminated (soaked in 0.5%
chlorine solution) instruments before
32. Advised mother to maintain skin-to-
skin contact. Baby should be prone
on mothers chest/in between the
breasts with head turned to one side.

15-90 MINUTES
33. Advised mother to observe for
feeding cues and cited examples of
feeding cues.
34. Supported mother, instructed her on
positioning and attachment.
35. Waited for FULL BREASTFEED to be
completed.
36. After a complete breastfeed,
administered eye ointment (first), did
thorough physical examination, then
did Vit. K, Hepatitis B and BCG
injections (simultaneously explain
purpose of each intervention).
37. Advised OPTIONAL/DELAYED bathing
of baby (and was able to explain the
rationale).
38. Advised breastfeeding per demand.
39. In the first hour: checked baby’s
breathing and color; and checked
mother’s vital signs and massage
uterus every 15 minutes.
40. In the second hour: checked mother-
baby dyad every 30 minutes to 1
hour.
41. Completed all RECORDS.

Score: ____________ = ______%


Examinee: ___________________________
Examiner: ___________________________
Date: _______________________________

You might also like