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EINC-report-chn

Essential Intrapartum Newborn Care (EINC) is a set of evidence-based practices aimed at improving newborn health outcomes and reducing mortality rates during the first hour of life. The protocol, mandated by the DOH in December 2009, emphasizes immediate and thorough drying, early skin-to-skin contact, properly timed cord clamping, and non-separation of mother and baby. EINC eliminates unnecessary interventions to ensure the safety and well-being of both mother and newborn.

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16 views12 pages

EINC-report-chn

Essential Intrapartum Newborn Care (EINC) is a set of evidence-based practices aimed at improving newborn health outcomes and reducing mortality rates during the first hour of life. The protocol, mandated by the DOH in December 2009, emphasizes immediate and thorough drying, early skin-to-skin contact, properly timed cord clamping, and non-separation of mother and baby. EINC eliminates unnecessary interventions to ensure the safety and well-being of both mother and newborn.

Uploaded by

Mary Grace Jainar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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GROUP 3

ESSENTIAL
INTRAPARTUM AND
NEWBORN CARE
EINC

Essential Intrapartum Newborn Care (EINC) is a package of


evidence-based practices recommended by the DOH and
WHO, which is the standard of care in all births by skilled
attendants in all govrenment and private hospitals.

It constitute a series of time-bound,


chronologically ordered, standard procedures
that a bay receives at birth.
Essential
Intrapartum EINC aims to prevent at least half
of newborn death without
additional cost to both families

and Newborn and hospitals.

EINC focuses on the first hour of

Care life of the newborn.

EINC or Unang Yakap campaign,


launched on December 9, 2009
In december 2009, the secretary of the DOH,
Francisco Dudue signed Administrative Order 2009-
0025 which mandate implementation of the EINC
protocol in both public and private hospital.
Unnecessary Interventions
Eliminated
• Fluid and food intake restrictions
• Fundal pressure to facilitate second stage
of labor is no longer practiced, because it
resulted to maternal and newborn injuries
and death.
• Early bathing of the newborn
• Application of various substances to the
cord.
• Giving pre-lacteals or artificial infant milk
formula or other breast-milk substitute.
4 core steps of EINC

1 2

Immediate and Early skin to skin


thorough drying of the contact between
newborn mother and the
newborn
3 4

Properly timed cord Non-separation of


clamping and cutting of
baby from mother
cord
Immerdiate and
Immediate and thorough
drying for 30sec-1min wars thorough drying of
the newborn and stimulates
breathing. the newborn

Using a clean, dry cloth,


thoroughly dry the baby,
wiping the face, eyes, head,
front and back, arms and
leg.
Early skin to skin contact,
Early skin to skin
place the newborn prone on
the mothers abdomen or
chest.
contact between
mother and the
Cover newborns back with a
blanket and head with a
bonnet, Place identification

newborn
band on ankle.

This prevents :
Hypothermia
Infection
Hypoglycemia
Properly timed cord clamping and
cutting of cord

• Clamp the cord after cord pulsations have stopped (typically at 1-


3 minutes after expulsion of the baby.
• Put clamp around the cord 3cm away from the baby’s abdomen
and another one 5 cm away from the babys abdomen.
• Cut the cord near the first cord clamp.
• Observe for oozing blood.
• After cord clamping ensure oxytocin IM is given to the mother.
Non-separation of baby from mother

• Observe the newborn for e. Move her newborn onto her


feeding cues. breast, aiming the infants lower
• counsel the mother on lip well below the nipple.
positioning and attachment g. look for signs of good
• When the baby is ready, advise
attachment and sucking:
the mother to:
-Mouth open wide
a. Make sure the newborns neck is
-Lower lip turned outward
neither flexed nor twisted.
b. make sure the newborn is facing
-Baby’s chin touching breast
the breast, with the newborn’s -Sucking is slow, deep with some
nose opposite her nipple and chin pauses, and painless.
touching the breast. -If the attachmnet or sucking is
c. Hold the newborn’s body close to not good try again and reassess.
the mothers body.
d. Support the newborn’s body
In summary, Enhanced
Immediate Newborn
Care (EINC) is vital for
improving newborn
health outcomes and
reducing mortality
rates. By implementing
best practices
immediately after birth,
EINC not only fosters
healthy development
but also strengthens
the emotional bond
between mother and
Thank you for your
attention

References
• Who EINC Briefer (2011). Essential
Intrapartum and newborn Care (EINC): Saving
mother’s and newborns loves by translating
evidence to practice
• World Helath Organization. (2009). Newborn
Care Until the First Week of Life

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