unang yakap DOH EINC

8/11/2019 unang yakap DOH EINC

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Essential Newborn Care (ENC)

a simple, cost-effective newborn care intervention thatcan improve neonatal as well as maternal care.

an evidence-based intervention that :

emphasizes a core sequence of actions, performedmethodically (step-by-step)

is organized so that essential time bound interventions arenot interrupted

fills a gap for a package of bundled interventions in a

guideline format

a series of time bound, chronologically-ordered,standard procedures that a baby receives at birth


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Unang Yakap

A campaign that seeks to engage national and

local sectors, public and private health sectors,

individuals and organizations, mothers,

fathers and families, to embrace the Essential

Newborn Care Protocol to ensure a bright and

healthy future for our newborns.


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Rationale

Every year approximately 40,000Filipino

neonates die, mostly from preventable causes.

The majority die within the first week.

The high mortality and morbidity rates in

newborns are directly related to inappropriate

hospital and community practices currently

employed throughout the Philippines.


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TIME BAND: At perineal bulging

INTERVENTION: Prepare for the delivery

Check temperature of the delivery room

25-28C

Free if air drafts

Notify appropriate staff

Arrange needed supplies in a linear fashion

Check resuscitation equipment

Wash hands with clean water and soap

Double glove just before delivery


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Four Core Steps of Essential Newborn

Care

Immediate and thorough drying

Early skin to skin contact

Properly timed cord clamping Non-separation of the newborn and mother

for early initiation of breastfeeding


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TIME BAND: Within the 1st30 seconds

INTERVENTION: Immediate and

thorough drying

Call out time of birth

Dry the newborn thoroughly for at least 30seconds

wipe the eyes, face, head, front and back, arms

and legs

Remove the wet cloth


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If after 30 seconds of drying, newborn

is not breathing or is gasping

Intervention: Reposition, suction andventilate

Action:

Clamp and cut cord immediately

Call for help

Transfer to a warm, firm surface

Inform the mother that the mother has difficultybreathing and that you will help the baby breathe

Start resuscitation protocol


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TIME BAND: After 30 seconds of drying

INTERVENTION: Early Skin to Skin

Contact

If newborn is breathing or crying:

Position the newborn prone on the mothersabdomen or chest

Cover the newbornsback with a dry blanket

Cover the newbornshead with a bonnet

Place identification band on ankle (not wrist)


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Do not separate the newborn from mother

Do not put the newborn on a cold or wetsurface.

Do not wipe off vernix if present.

Do not bathe the newborn earlier than 6hours of life.

If the newborn must be separated fromhis/her mother, put him/her on a warmsurface, in a safe place close to the mother


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Time Band: 1-3 mins

Properly Timed Cord Clamping

Remove the first set of gloves

After the umbilical pulsations have stopped,

clamp the cord using a sterile plastic clamp or

tie at 2 cm from the umbilical base

Clamp again at 5 cm from the base

Cut the cord close to the plastic clamp


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Notes

Do not milk the cord towards the baby; After the

first clamp- you may strip the cord of blood before

applying the 2ndclamp

Cut the cord close to the plastic clamp so that

there is no need for a 2ndtrim

Do not apply any substance to the cord


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Time Band: With 90 mins

Non separation of Newborn from

Mother for Early Breastfeeding Leave the newborn in skin to skin contact

Observe for feeding cues, including tonguing,

licking, rooting

Point out these to the mother and encourage

her to nudge the newborn towards the breast


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Mother for Early Breastfeeding Counsel on attachment and suckling

Mouth wide open

Lower lip turned outwards

Babys chin touching the breast

Suckling is slow, deep with some pauses


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Notes

Minimize handling by healthworkers

Do not give sugar water, formula or other

prelacteals

Do not give bottles or pacifiers

Do not throw away colostrum


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Mother for Early Breastfeeding Weighing, bathing, eye care, examinations,

injections (hepatitis B, BCG) should be done

after the first full breastfeed is completed

Postpone washing until at least 6 hours

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unang yakap DOH EINC