HI!

GOOD DAY, THIS IS DARWIN

QUIRIMIT YOUR STUDENT NURSE IN-
CHARGED FOR TODAY & I WILL BE
DEMONSTRATING EENC OR EARLY
ESSENTIAL NEWBORN CARE

EENC OR EARLY ESSENTIAL

NEWBORN CARE is a comprehensive plan
for improving the health of infants through
treatments prior to conception, during
pregnancy, during and shortly after birth,
and in the postnatal period.

 GREETS AND INTRODUCE

YOURSELF TO THE PATIENT.
“GOOD MORNING MA’AM, I AM SN,
DARWIN, I WILL BE YOUR NURSE
FOR TODAY I AM HERE TO HELP
AND GUIDE YOU BEFORE
DELIVERING OF YOUR BABY.

 SO HOW ARE YOU FEELING RIGHT

NOW? OKEY MA’AM. SO MA’AM
YOUR CERVIX IT NOT YET FULLY
 DILATED. IT IS ONLY 7CM SO WHILE
WAITING JUST RELAX, CALM DOWN
AND PRAY.

 THEN PLEASE DO NOT EAT OR

DRINK ANY KIND OF FOOD BEFORE
DELIVERY. THANK YOU.

 TAKE NOTE THAT IT IS NOT

ADVISABLE FOR THE PREGNANT
MOTHER TO EAT OR DRINK ANY
KIND OF FOOD BC SHE WILL JUST
ESQUISITE DURING HER DELIVERY

 IN PREPARATION FOR DELIVERY:

 CHECK THE ROOM TEMPERATURE (IT
SHOULD BE 25-280C) I’M GOING TO USE
A PIECE OF PAPER, IF THIS PAPER
DIRECTLY FEEL DOWN INTO THE
GROUND THATS MEAN IT’S FREE TO
AIRDRAFT.
 CHECK THE MOTHER IF SHE IS
COMFORTABLE WITH HER
POSITION WHICH IS SEMI UPRIGHT
 POSITION. MA’AM ARE U
COMFORTABLE WITH YOUR
POSITION? OH THAT’S GREAT.
 SEMI UPRIGHT POSITION AND
LITHOMY POSITION ARE THE
DEFAULT POSITIONS FOR
DELIVERY OF NEWBORN
 ENSURED THE MOTHERS PRIVACY
 THEN REMOVE ALL JEWELRIES
 THEN CHECK ALL THE
NECESSARY EQUIPMENTS

 PERFORM HAND WASHING TO

PREVENT TRANSFER OF VISIBLE
MICROORAGANISM

 THEN USE THE 2 STERILE GLOVES

1. GRAB THE DRY LINEN AND ACROSS

THE MOTHERS ABDOMEN IN THE
PREPARATION OF DRYING THE BABY.
THEN APPLY PERINEAL SUPPORT
AND CONTROL IN DELIVERING THE
BABY’S HEAD.
2. ADVISED THE MOTHER TO PUSH.
MA’AM IN MY COUNT 1,2,3 PUSH,
1,2&3 PUSH.
3. ONCE THE BABY OUT THE PERIUM,
“CALL OUT THE TIME OF BIRTH AND
SEX OF THE NEWBORN.” BABY GIRL
OUT 5:30 IN THE MORNING.
4. USE THE FIRST LINEN TO DRY TO
BABY FOR ATLEAST 30 SECONDS,
THIS WILL STIMULATE THE BABY TO
BREATH.
5. DO NOT WIPE OFF THE VERNIX, AS
DISCONTINUES TO PROVIDE THE
NATURAL PROTECTIVE COVERS FOR
THE BABY.

6. DO NOT WASH THE BABY WITHIN

THE FIRST 6HRS. WASHING MAY
LEAD TO HYPOTHERMIA AND
INFECTION.
7. REMOVE THE WET LINEN
8. INITIATE SSC (SKIN TO SKIN
CONTACT) BY PLACING THE BABY
INTO PRONE POSITION IN MOTHERS
ABDOMEN OR BETWEEN HER BREAST
9. PLACE THE BONNET TO THE BABY
THE USE THE SECOND LINEN TO
COVER THE BACK OF THE BABY.

10. PLACE ID BAND ON THE ANKLE

AND DO NOT SEPARATE THEM
UNLESS RESPIRATORY DISTRESS
OCCURS

11. REMOVE THE FIRST GLOVE PRIOR

TO HANDLY THE CORD.
12. DO NOT CUT THE CORD
IMMEDIATELY
13. ALLOW THE CORD PULSATION
W/IN 1-3MINS TO STOP W/O MILKING
THE CORD.
14. CLAMP THE CORD AT 2CM FROM
THE UMBILICAL BASE.
15. APPLY THE 2ND CLAMP AT 5CM
FROM BASE OF UMBILICUS THEN
CUT THE CORD WHEN THE
PULSATION STOP.
16. THE BENEFITS OF PROPER CORD
CLAMPING IT TO PREVENT ANEMIA
AND LOWER RATE
INTRAVENTICULAR
HEMORRPHAGES.
17. INJECT 10iu OF OXYTOCIN INTO
THE MOTHERS ARM TO PREVENT
HEMORRAGE OF EXCESSIVE
BLEEDING AFTER THE VAGINAL
BIRTH.
18. WHILE MAINTAING THE SSC,
CHECK THE MOTHER’S CONDITION
AND DELIVER THE PLACENTA.
19. CHECK HOW HEAVY BLEEDING IS
AND EXAMINE HER PERINEUM
LOWER HER VAGINA AND BULBA
FOR TEARS.

20. AFTER THE PLACENTA BEEN

DELIVERED, INSPECT IT FOR
COMPLETENESS AND
ABNORMALITIES, THE PLACENTA IS
COMPLETE AND NO
ABNORMALITIES.

21. CLEAN THE MOTHER AND KEEP

HER COMFORTABLE.

22. DISPOSE THE PLACENTA IN A

LEEK-PROOF CONTAINER.
23. THE BENEFITS OF SSC ARE TO
PROMOTE MOTHER & CHILD BONDING,
BREASTFEEDING SUCCESS, LYMPHOID
TISSUE SYSTEM STIMULATION,
EXPOSURE TO MATERNAL FLORA,
PROTECTION FROM HYPOGLYCEMIA, &
THERMOREGULATION.

24. AND ABOUT 30MINS DUE AN HOUR

AFTER BIRTH, THE BABY WILL START
LICKING, ROOTING & TUMMY
MOVEMENTS CUES THAT THE BABY IS
READY TO BREASTFEED.

25. ENCOURAGE THE MOTHER TO

NUDGE HER BABY TOWARD HER
BREAST TO SEEK OUT THE NIPPLE.

26. Then council on positioning and attached

after the baby complete the first breastfeed
and while the baby is on the breast of the
mother.

27. Perform eyecare FOR PROTECTION OF

UNKOWN GONORRHEA INFECTION FROM
MOTHER’S BODY and administer vaccines
(WHICH ARE 1CC OF VITAMIN K & 5CC HEPA
B) INTRAMUSCULAR VASTUS LATERALIS
28. Keep the child in the mother’s arms until
she recover from giving birth.

29. THE BABY STAYS WITH THE MOTHER’S

ARM UNTIL SHE RECOVER OF GIVING BIRTH.

30. THE BABY MAYBE WASHED AFTER

ATLEAST 6HRS

31. EXCLUSIVE BREASTFEEDING STARTS AT

BIRTH W/ COLUSTRUM FEEDING AND
CONTINUES FOR 6 MONTHS

32. AFTER 6 MOTHS OF EXCLUSIVE OF

BREASTFEEDING THE CHILD CAN CONTINUE
TO BREASTFEEDING IN ADDITION TO OTHER
FOOD.

33. REMOVE GLOVES AND PERFORM

HANDWASHING.

34. DOCUMENT ALL THE PROCEDURES IN THE

CHART OF THE MOTHER.
IN SUMMARIZATION…
 Drying for atleast 30 seconds with rapid
assessment of breathing and tone
 Early SSC or skin-to-skin contact
 Properly timed for clamping
 Early breastfeeding initiation
 Eye care and immunization procedures
after completion of 1st breastfeed
 Rooming in
 Exclusive breastfeeding for 6months