Professional Documents
Culture Documents
practices recommended by the Department of Health as the standard of care in all births for health
workers and medical practitioners under AO 2009-0025 dated by December 1, 2009. It aims to ensure
that health workers have the skills and knowledge to provide appropriate care at the most vulnerable
period in a baby’s life. Through the EINC protocol, there is potential to decrease newborn death by at
least half.
-Good morning Mrs. Care. I am Angelika your student nurse for today. I am here to help and guide you
before the delivery of your baby. How are you feeling right now? Ma’am please do not eat or drink any
kind of food before the delivery, okay?
*Take note that before the delivery of the baby, it is not advisable for the mother to drink or eat because
she will just excrete it during the delivery.
-Ma’am so your cervix is not yet fully dilated. It is only 8 cm. Okay, so let’s wait for a while for your cervix
to be fully dilated. While waiting, just relax and calm down.
A. Check for the temperature of the delivery room (25-28C), free of air drafts
To check for the room temperature, I’m going to use a piece of paper. If the paper directly fell
into the ground, it means that the room has free of air drafts. But if the paper fell in the other
way, it means that we need to check and close all the windows and door
B. Check if the mother is comfortable with her position. Semi – upright and lithotomy position are the
default positions in the delivery room.
C. Remove all the jewelries.
D. Check for resuscitation equipment and arrange the needed supplies
Gloves
Dry clean linen
Oxytocin injection
Bonnet
Cord clamps
Equipment clamp
Scissor
Kidney basin
Vitamin K, Hepatitis B and BCG vaccinations
E. Perform sterile technique in handwashing
F. Double glove just before the delivery.
A. Perform the remaining steps of the active management for the next stage of labor. Wait for the
strong uterine contraction then apply controlled cord traction and counter traction in the uterus
continuing until the delivery of the placenta.
B. Massage the uterus until it is firm.
C. Inspect the lower vagina and perineum for any lacerations and prepare for the laceration
D. Examine the placenta for the abnormalities and completeness.
- The placenta is complete and has no abnormalities and it is Schultz.
E. Clean the mother by flushing the perineum and apply perineal pad, napkin or cloth.
F. Checked the baby’s color and breathing
- The baby’s color and breathing are normal
G. Check if the mother is comfortable and for uterine contraction
H. Dispose the placenta in a leak-proof container or plastic bag.
I. Decontaminate (soaked in 0.5% chlorine solution) instruments before cleaning;
J. Decontaminate 2nd pair of gloves before disposal, stating that decontamination lasts for at least
10 minutes.
A. Advised mother to maintain skin-to-skin contact. Baby should be prone on mother’s chest / in
between the breast with head turned to one side.
B. Advise mother to observe for feeding cues and cited examples of feeding cues.