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The Department of Health has recently launched the Essential Newborn Care Protocol aimed to significantly reduce infant deaths in the country. Health Secretary Francisco Duque III expressed his optimism that the protocol can pave the way to the reduction of neonatal deaths. ³We are very positive that its adoption will directly reduce the count of newborn deaths in the country´, he said. Essential Newborn Care is a comprehensive strategy to improve the health of the newborn through interventions before conception, during pregnancy, at and soon after birth and in the post natal period. This protocol will focus on the first few hours of life of the newborn with the manual guiding the health workers and medical practitioners in providing evidence-based essential newborn care, said Secretary Duque. The guidelines are categorized into to the time bound and non-time bound and unnecessary procedures. Time bound procedures should be routinely performed first which are immediate drying, skin to skin contact followed by clamping of the cord after 1-3 minutes, non-separation of the newborn from the mother and breastfeeding initiation. Non-time bound interventions include immunizations, eye care, Vitamin K administration, weighing and washing while unnecessary procedures include routine suctioning, routine separation of newborn for observation, administration of prelacteals like glucose water or formula. The signing of the Protocol by Secretary Duque is in line with the launching of Unang Yakap Campaign on December 7. Meanwhile, according to health authorities, Philippines is one of the 42 countries in the world where 90% of all global deaths of under 5 year old children are accounted to. ³Childhood death rates in the country showed downward trend from 1993 to 2003, the decline slowed down in the last 10 years,´ said Secretary Duque. (PIA)
Aleli Sudiacal of the DoH explained at a forum held at the Quirino Memorial Medical Center in Quezon City Tuesday. Proponents of the Essential Newborn Care (ENC) are changing the protocol currently observed by childbirth practitioners. Philippines²The current practice of handling newborns. She said delaying the cord clamping two to three minutes after birth (or waiting until the umbilical cord has stopped pulsing) has been shown to increase the baby¶s iron reserves.6 times more prone to infection. Doctors are introducing a new way of caring for newborns in the first few minutes of life. ³What should be done [immediately] after birth is to dry the baby because hypothermia can lead to several risks. She said a delay of one day could make the newborn 2. Children MANILA. ³This is a paradigm shift.´ she said. like clamping and cutting the umbilical cord and washing the baby right after birth. It prescribes a proper sequence of interventions that even a single health worker could perform and calls for initiating breastfeeding within the first hour of life. increase the duration of breastfeeding. which could cut by almost half the number of newborn deaths estimated at 40. and allow the ³good bacteria´ from the mother¶s skin to infiltrate the newborn.´ Sudiacal stressed. ³Washing should be delayed until after six hours because this exposes the newborn to hypothermia and removes the vernix (skin covering) which is a natural protective barrier against bacteria.NEWBORN CARE KEY TO BABY¶S SURVIVAL²DOH By Dona Pazzibugan Philippine Daily Inquirer First Posted 08:48:00 11/25/2009 Filed Under: Health. ³Delaying the start of breastfeeding is harmful. .´ Dr. Instead of immediately washing the newborn.´ was how Director Honorata Catibog. described the new program introduced by the DoH and the World Health Organization. the baby should be placed on the mother¶s chest or abdomen to provide warmth. have been known to actually contribute to the high incidence of neonatal deaths and illnesses in the country. The ENC protocol prioritizes drying the newborn and initiating skin contact with the mother before clamping and cutting the umbilical cord. Washing also removes the baby¶s crawling reflex. head of the Department of Health (DoH) task force on the rapid reduction of maternal and neonatal mortality. It also reduces the risk of iron-deficiency anemia and improves blood circulation.000 each year.
and in the postnatal period. Thursday. have been known to actually contribute to the high incidence of neonatal deaths and illnesses in the country.000 Filipino children under five years old die every year. The campaign employs Essential Newborn Care (ENC) Protocol as a strategy to improve the health of the newborn through interventions before conception. the Department of Health launched the Unang Yakap Campaign. 2010 The DOH Unang Yakap Campaign Posted by InstantMommy at 3:14 AM On December 7. and Fabella Memorial Medical Center and Philippine General Hospital in Manila. Majority of them (3/4) die within the first two days of life. 2009. 82. 37% of them are newborn. during pregnancy. low cost. Based on health statistics. low technology package of interventions that will save thousands of lives. The current practice of handling newborns. With this campaign. The ENC Protocol provides an evidence-based. the DOH aims to cut down infant mortality in the Philippines by at least half. April 8.The ENC protocol is being practiced in three hospitals so far²Quirino Memorial Medical Center in Quezon City. . Mostly due to stressful events or conditions during labor. the Philippines is one of the 42 countries that account for 90% of under-five mortality worldwide. like clamping and cutting the umbilical cord and washing the baby right after birth. Thus the need for a paradigm shift from the prevailing standard procedures into the new protocol. at and soon after birth. delivery and immediate postpartum period.
The so-called unnecessary procedures include routine suctioning. routine separation of newborns for observations.immediate drying. The guidelines categorize procedures into time-bound. non time-bound and unnecessary procedures: y y y Time bound procedures should be routinely performed first . Non time-bound intervention should only be done after the first full breastfeed. water formula and footprinting. Vitamin K administration and weighing. Maria Asuncion Silvestre F. eye care.P. Washing must be postponed by at least 6 hours.A.A. These are immunizations. skin-to-skin contact followed by clamping of the cord after one to three minutes. Here's a screen capture of the ENC time-bound intervention flowchart as presented by Dr.Health Secretary Duque explained that the ENC Protocol involves focusing on the first hours of life of the newborn with the manual guiding health workers in providing evidence-based essential newborn care. . administration of prelacteals like glucose. non-separation of the newborn from the mother and breastfeeding initiation.
some participants from the medical and academe sectors commented that the new protocol is contrary with the common practices of most local hospitals today. Sadly.P.In celebration of the International Women's Month. the U. The ENC is currently being practiced by three hospitals in Metro Manila: Quirino Memorial Medical Center in Quezon City. Manila School of Health Sciences held a symposium with the theme "Unang Yakap: Yakap ng Ina. Yakap ng Buhay" to tackle the New DOH-WHO ENC Protocol. . and Fabella Memorial Medical Center and Philippine General Hospital in Manila.
Time Band: At perineal bulging .
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