8/12/2019 Delivery Room Rating Sheet

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Amando Cope CollegeMIDWIFERY DEPARTMENT

Tabaco City

RELATED LEARNING EXPERIENCEDELI VERY ROOM RATING SHEET

Name: ________________________________ RATING: __________________Group.: ________________________________ DATE: ____________________Course and Year: ________________________

Legend:5 Excellent -Carries out the procedure efficiently, systematically and independently.

4 Very Satisfactory - Carries out the procedure efficiently and systematically but requires minimal guidanceand supervision.

3 Satisfactory - Carries out the procedure efficiently, systematically but requires moderate guidance and supervision.

2 Fair - Carries out the procedure efficiently, systematically but requires close guidance and supervision.1 Needs Improvement - Carries out the procedure inefficiently, unsystematically and requires close guidance

and supervision.

ESSENTIAL INTRAPARTUM AND NEWBORN CARE

5 4 3 2 1 CIs Remarks In advance, prepare decontamination solution by mixing 1 part 5 chlorine

bleach to 9 parts water to make 0.5% chlorine solution. Change chlorinesolution at the beginning of each day or whenever solution is verycontaminated or cloudy.

PRIOR TO WOMAN TRANSFER TO THE DELIVERY ROOM (DR)

Ensure that the mother is in her position of choice while in labor.Asked the mother if she wishes to drink.Communicate with the mother informed her of the progress of labor,gave reassurance and encouragement.

WOMAN ALREADY IN THE DELIVERY ROOM (DR)

PREPARE FOR DELIVERY

Temperature in the DR area to be 25-28 OC; eliminated air draft.Ask woman if she is comfortable in semi-upright position (the defaultposition of delivery table) Ensures the womans privacy

Removed all jewelry then washed hands thoroughly observing the WHO1-2-3-4-5 procedure.Prepare a clear clean new born resuscitation area. Checked theEquipment if clean, functional and within easy reach.Arrange materials or supplies in a linear sequence:Gloves, dry li nen, bonnet, oxytocin in jection, plastic, clamp, instrumentclamp, scissors, 2 kidney basins in a separate sequence ,

for after 1 st breast feed:Eye ointment, (Stethoscope to symboli ze PE), vit k, H epatit is B andBCG vaccines, tape measur e, 2 syringe 1cc,cotton bal ls)Clean the perineum with antiseptic solution.

Washed hands and put on 2 pairs of sterile gloves aseptically (if sameworker handles perineum and cord)

AT THE TIME OF DELIVERY

Encouraged woman to push as desired.Draped the clean, dry linen over the mothers abdomen or arms in

preparation for drying the baby.Applied perineal support and did controlled the delivery of the head.Called out time of birth.

8/12/2019 Delivery Room Rating Sheet

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FIRST 30 SECONDS

Thoroughly dried baby for at least 30 seconds, starting from the faceand head, going down to the trunk and extremities while performing aquick check for breathing.

1 -3 MINUTESRemove the wet cloth.Placed baby skin-to- skin contact on the mothers abdomen or chest. Covered baby with the dry cloth and babys head with bonnet. Excluded a 2 nd baby by palpating the abdomen in preparation forgiving oxytocin.Used wet cloth to wipe the soiled gloves. Gave IM oxytocin with oneminute of the babys birth. Disposed of wet cloth. Removed first set of gloves and decontaminate them properly (in 0.5%chlorine solution for at least 10 mins.)Palpate umbilical cord to check for pulsation.After pulsation stop for 1-3 minutes, clamped cord using plastic clampor cord tie 2 cm from the base.Cut near plastic clamp (midway)Performed the remaining steps of the AMTSL

Waited for strong uterine contractions then applied controlled cordtraction and counter traction on the uterus, continue until placentawas delivered.

Massaged the uterus until it is firmed.Inspect the lower vagina and perineum for lacerations / tears, asnecessary.Examine the placenta for completeness and abnormalities.Cleaned the mother, flushed perineum and applied perineal pad /napkin / cloth.Checked babies color and breathing; checked that mother wascomfortable, uterus contracted.Disposed of placenta in a leak-proof container or plastic bag.Decontaminated (soaked in 0.5% chlorine solution) instruments beforecleaning; decontaminate 2 nd pair of gloves before disposal, stating thatdecontamination last for at least 10 mins.Advised mother to maintain skin-to-skin contact. Baby should be

prone on mothers chest / in between the breasts with head turn on toone side.

15-90 MINUTES

Advised mother to observe for feeding cues and cited examples offeeding cues.Supported mother, instruct her on positioning and attachment.Waited for FULL BREASTFEEDING to be competed.

Signed by: Clinical Instructor

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