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Essential Intrapartum Newborn Care: Prepared by

The document outlines the Essential Intrapartum and Newborn Care (EINC) program which provides evidence-based practices for newborn babies and mothers. It details the 4 time-bound interventions of EINC: immediate drying, early skin-to-skin contact, properly timed cord clamping 1-3 minutes after birth, and non-separation of newborn from mother. It then provides step-by-step instructions for health workers to follow during labor, delivery, and in the first 1-2 hours after birth to properly implement EINC.

Uploaded by

Jayrelle D. Safran
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© © All Rights Reserved
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
198 views

Essential Intrapartum Newborn Care: Prepared by

The document outlines the Essential Intrapartum and Newborn Care (EINC) program which provides evidence-based practices for newborn babies and mothers. It details the 4 time-bound interventions of EINC: immediate drying, early skin-to-skin contact, properly timed cord clamping 1-3 minutes after birth, and non-separation of newborn from mother. It then provides step-by-step instructions for health workers to follow during labor, delivery, and in the first 1-2 hours after birth to properly implement EINC.

Uploaded by

Jayrelle D. Safran
Copyright
© © All Rights Reserved
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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EINC

ESSENTIAL INTRAPARTUM
NEWBORN CARE

Prepared by:

ARACELI FLORES SURAT, MAN


EINC
• Essential Intrapartum and
Newborn care (EINC) is a
package of evidence-based
practices recommended by
the Department of Health
(DOH), Philippine Health
Insurance
cely 2013 EINC
• Unang Yakap is part of
Essential newborn Care
that is adopted by the
DOH to address the
increasing mortality rate of
neonates, and to save
lives until first week of life.

cely 2013 EINC


PURPOSE OF EINC
• EINC is a series of time-
bound and evidence-based
interventions for newborn
babies and their mothers that
ensure the best care for
them.

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Four (4) time-bound
interventions in EINC
• immediate and thorough drying,
• early skin-to-skin contact followed
by,
• properly-timed clamping and cutting
of the cord after 1 to 3 minutes, and.
• non-separation of the newborn from
the mother for early breastfeeding
initiation and rooming-in.
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PRIOR TO WOMAN’S TRANSFER TO THE DR

• Ensured that mother is in her


position of choice while in labor
• Asked mother if she wishes to
eat/drink or void
• Communicated with the mother –
informed her of progress of labor,
gave reassurance and
encouragement

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WOMAN ALREADY IN THE DR

• Checked temperature in DR area to


be 25-28C, eliminated air draft 

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• Asked woman if she is comfortable
in the semi upright position 

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• Ensured the woman’s privacy

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• Removed all jewelry then washed
hands thoroughly observing the
WHO 1-2-3-4-5 procedure

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• Prepared a clear, clean newborn
resuscitation area. Checked the
equipment if clean, functional and
within easy reach.

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• Arranged materials/supplies in a
linear sequence

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• Gloves, dry linen, bonnet, oxytocin
injection, plastic clamp, instrument
clamp, scissors, 2 kidney basins. In
a separate sequence for after the 1st
breastfeed: eye ointment,
( stethoscope to symbolize PE), vit
K, hep B and BCG vaccines ( plus
cotton balls)

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• Cleaned the perineum with antiseptic
solution
• Washed the hands and put on 2
pairs of sterile gloves aseptically ( if
same worker handles perineum and
cord)

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AT THE TIME OF DELIVERY

• Encouraged the woman to push as


desired
• Draped the clean, dry linen over the
mother’s abdomen or arms in
preparation for drying the baby

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• Applied perineal support and did
controlled delivery of the head

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• Called out time of birth and sex of
the baby
• Informed the mother of outcome

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FIRST 30 SECONDS

• Thoroughly dried 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
•  

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1-3 MINUTES

• Removed the wet cloth


• Placed baby in skin-
skin contact on the
mother’s abdomen and
chest
• Covered baby with the
dry cloth and the baby’s
head with a bonnet

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• Excluded a 2nd baby by palpating the
abdomen in preparation for giving
oxytocin.
• Used wet cloth to wipe the soiled
gloves. Give IM Oxytocin within one
minute of baby’s birth. Disposed of
wet cloth properly

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Removed 1st set of gloves and
decontaminated them properly

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• Palpate umbilical cord to check for pulsations

• After pulsations stopped, clamp cord using


the plastic clamp or cord tie at 2cm from the
base

• Place the instrument clamp 5 cm from the


base
• Cut near plastic clamp

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2cm 3cm

BABY

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• Performed the remaining steps of the
AMTSL:
Waited for strong uterine
contractions then applied controlled
cord traction and counter traction on
the uterus, continuing until placenta
was delivered

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• Massage the uterus until it is firm
• Inspected the lower vagina and
perineum for lacerations and repaired
lacerations/tears as necessary
• Examined the placenta for
completeness and abnormalities
• Cleaned the mother. Flushed perineum
and applied perineal pad/napkin

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• Checked baby’s color and breathing;
checked that mother was
comfortable, uterus is contracted
• Disposed of the placenta in a leak
proof container or plastic bag

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• Decontaminated instruments before
cleaning, decontaminated 2nd pair of
gloves before disposal, stating that
decontamination lasts at least 10
mins.
• Advised mother to maintain skin-skin
contact. Baby should be prone on
mother’s chest between the breasts
with head turned to one side.
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15-90 MINUTES

• Advised mother to observe for feeding cues


• Supported mother, instructed her on
positioning and attachment
• Waited for full breastfeed to be completed 
• After a complete breastfeed, administered
eye ointment ( first) did thorough physical
examination, then did vit K, hep B and BCG
injections( simultaneously explained
purpose of each rationale) 
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• Advised OPTIONAL/DELAYED
bathing of baby ( AND was able to
explain the rationale)
• Advised breastfeeding per demand
• In the first hour: checked baby’s
breathing and color; and checked
mother’s vital signs and massaged
uterus every 15 minutes

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• In the second hour; checked mother
baby dyad every 30 minutes to 1
hour
• Completed all records

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VACCINATION
• Eye Ointment- erythromycin- to
prevent pink eye in the first month of
life” ophthalmia neonatorum”.
Common cause is chlamydia, a
sexually transmitted infection.

• Hepatitis B- given to newborn baby’s


“insurance policy” against being
infected with the hepatitis virus.
Within 12 cely
hours
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• Vitamin K- given to form blood clots
and to stop bleeding. Vitamin
deficiency bleeding(VKDB). (0.5mg-
weighing below 1,500g & 1.0mg-
weighing above 1,500mg).

• BCG-Bacille Calmette-Guerin-
vaccine given to baby to protect
them from serious forms of
tuberculosis(TB) such as TB
meningitis(infection of the brain).
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ANTHROPOMETRIC
• LENGTH-48CM-50 CM
• WEIGH- 2.5KG- 3.5KG
• HEAD CC- 33 CM-35 CM
• CHEST CC-30CM-33CM
• ABDOMINAL CC-33CM-35CM
• THIGH CC-12-16CM
• ARM CC-8-9CM

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• Lays out material in linear manner.
• Wears sterile gloves. (Double
gloving)
• Supports the perineum.
• Calls out the time of birth and sex of
the baby.
• Dries throrougly the baby for full 30
seconds using the 1st towel.
• Performs a rapid assessment of the
baby’s breathing.
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• Initiates immediate skin-to skin
contact.
• Positions the newborn prone on the
mother’s abdomen.
• Covers the newborn’s back with a
dry blanket.
• Covers the newborn’s head with a
bonnet.
• Removes the 1st set of gloves prior
to cord clamping and cutting.
• Clamps and cuts properly timed cord
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between 1-3 minutes.
• Injects oxytocin 10 IU to the mother’s
deltoid.
• Checks the mother’s condition and
delivers the placenta.
• Initiates breastfeeding for the 1st 30-
60 minutes.
• Administer ointment, Vit K, Hep B
and BCG after the baby completes
her breastfeeding.
• Performs anthropometric
measurements.
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