einc

• A package of evidence-based practices recommended by the 3 organization and department?


  Department of Health (DOH), Philippine Health Insurance Corporation (PhilHealth), World Health Organization (WHO)
• A package of evidence-based practices recommended by the Department of Health (DOH), Philippine Health Insurance Corporation (PhilHealth), and the World Health Organization (WHO) as the standard of care in all births by skilled attendants in all government and private.


  Essential Intrapartum Newborn Care
• 4 goals of EINC?

  • Immediate and thorough drying of the baby
  • Early skin-to-skin contact between the mother and the newborn
  • Properly-timed cord clamping
  • Non-separation of the mother and baby for early breastfeeding initiation
• Assessment: Ensure that mother is in her position of choice while in labor.


  • Increased satisfaction
  • Sense of control
• Use ______, as indicated, to monitor labor. Allow companion of choice. 

  partograph
• A printed form that includes a graph with time on the horizontal and vertical axis that records cervical dilatation, descent of the baby’s head, and strength and frequency of contraction.


  partograph
• Assessment: A printed form that includes a graph with time on the horizontal and vertical axis that records _____, _____, and _____.


  cervical dilatation, descent of the baby’s head, strength and frequency of contraction
• Assessment: Allow the mother to have _____ and _____, as  indicated in Physician’s orders.

  oral fluids and light snacks
• Planning: Check room temperature (__-__ degrees Celsius). Eliminate air drafts.


  25-28
• Planning: Arrange materials/supplies in a linear sequence?

  gloves, dry linen, bonnet, oxytocin injection, plastic clamp, instrumental clamp, scissors, 2 kidney basins
• Planning: Wash hands and put on _ pairs of sterile gloves aseptically (if solitary birth attendant).

  2
• Implementation: Call out ____ of birth and ___ of the baby.

  time and sex
• Implementation: Deliver the baby _____ on the mother’s abdomen or chest

  prone
• EINC is divided into 4 segment which are?


  first 30 seconds, 1-3 minutes, 15-90 minutes, more than 6 hours
• First 30 seconds: When the newborn premature or small baby is vigorous, place skin-to-skin on the mother's abdomen/chest, head covered with a cap and back covered with blanket(s) and mother's gown. Consider use of _______ for very small newborn.


  plastic wrap
• 1-3 minutes: Remove the ___ cloth. Place baby in skin to skin contact on the mother’s abdomen or chest.

  wet
• 1-3 minutes: Cover baby with the dry cloth and the baby’s head with a ______.

  bonnet
• 1-3 minutes: Exclude a 2nd baby by palpating the abdomen in preparation for giving ______.


  oxytocin
• 1-3 minutes: Within 1-3 minutes of birth, feel for cord pulsations. After pulsations stopped, clamp cut cord aseptically using the plastic clamp _ cm from the base.


  2
• 1-3 minutes: Place the instrument clamp _ cm from the base.


  5
• 1-3 minutes: Cut near plastic clamp (not _______).


  midway
• 1-3 minutes: Deliver the placenta by ______ of cord of the mother with counter-traction


  controlled traction
• 3 Signs of placental separation:

  • Change in the shape of the uterus
  • Lengthening of the cord
  • Gush of blood
• Gentle downward traction?


  Brandt Andrews Maneuver
• 1-3 minutes: Massage uterus of the mother gently until it is _____.


  firm
• 1-3 minutes: Examine the birth canal for?

  lacerations and bleeding
• 1-3 minutes: Examine the placenta and membranes for?

  completeness and abnormalities
• 15-90 minutes: Support first full breastfeed. Instruct her on _____ and _____.

  positioning and attachment
• 15-90 minutes: Monitor as a mother-infant dyad every __ minutes, or less if indicated.


  15
• 15-90 minutes: Check that the mother’s uterus is _____ and there is no profuse ________.

  contracted; vaginal bleeding
• 15-90 minutes: After a first full breastfeeding of the newborn, apply ______ on the newborn’s eyes


  Crede’s prophylaxis
• 15-90 minutes: Inject vitamin K __.


  IM
• 15-90 minutes: Inject hepatitis B vaccine __, when appropriate.


  IM
• 15-90 minutes: Inject BCG vaccine __, when appropriate.


  ID
• May do newborn bath using _____ water. No additional "cord care" with trimming and application of alcohol or povidone iodine should be done.

  lukewarm
• Encourage mother to push as desired.

  • Conserve energy
  • Reduced risk of perineal trauma
  • Increased comfort and control
• Allow the mother to have oral fluids and light snacks, as indicated in Physician’s orders.

  • Sustained energy
  • Hydration
  • Nourishment