ESSENTIAL INTRAPARTUM AND NEWBORN CARE PRACTICE SESSION CHECKLIST

Name: ______________________________ Date: _________________

Year and Block: _______________

CHECK THE BOX IF THE STEP WAS DONE:

PROCEDURE Demonstrated Remarks

Yes No
1. In advance, prepare decontamination solution by mixing 1 part 5%
chlorine bleach to 9 parts of water to make 0.5% chlorine solution. Change
chlorine solution at the beginning of each day or whenever solution as very
contaminated or cloudy.
PRIOR TO WOMAN’S TRANSFER TO THE DR
2. Ensured that mother is in her position of choice while in labor.
3. Asked mother if she wishes to eat/drink or void.
4. Communicated with the mother – informed her progress of labor, gave
assurance and encouragement.
WOMAN ALREADY IN THE DR
PREPARING FOR DELIVERY
5. Checked temperature in DR area to be 25-280 Celsius; eliminated air
draft.
6. Asked woman if she is comfortable in the semi upright position (the
default position of delivery table)
7. Ensured the woman’s privacy.
8. Removed all jewelry then washed hands thoroughly observing WHO 1-2-
3-4-5 procedure
9. Prepared a clear, clean newborn resuscitation area on a firm flat surface.
Checked the equipment if clean, functions and within easy reach.
10. Arranged materials/supplies in a linear sequence.
Gloves, dry linen, bonnet, oxytocin injection, plastic clamp, instrument
clamp, scissors, 2 kidney basins.
In a separate sequence, for after 1st breastfeed:
Eye ointment, (stethoscope to symbolize PE), vit K, hepatitis B and BCG
vaccines (plus cotton balls, etc.)
11. Cleaned the perineum with antiseptic solutions.
12. Washed the hands and put on 2 pairs of sterile gloves aseptically. (if
same worker handles perineum and cord).
AT THE TIME OF DELIVERY
13. Encouraged woman to push as desired.
14. Draped the clean, dry linen over the woman’s abdomen or arms in
preparation for drying the baby.
15. Applied perineal support and did controlled delivery of the head
16. Called out time of birth and sex of baby.
17. Informed the mother of outcome.
FIRST 30 SECONDS
18. Thoroughly dried baby for at least 30 seconds from the face and head,
going to the trunk and extremities while performing a quick check for
breathing.
1-3 MINUTES
19. Removed the wet cloth.
20. Placed the baby in skin-to skin contact on the mother’s abdomen or
chest.
21. Covered the baby with the dry cloth and the baby’s head with a bonnet
22. Excluded a 2nd baby by palpating the abdomen in preparation for giving
oxytocin.
23. Give IM oxytocin within one minute of baby’s birth after wiping the
soiled gloves with the wet cloth. Disposed of wet cloth properly.
24. Removed 1st set of gloves after positioning the baby for cord clamping.
Decontaminated the gloves properly (in 0.5% chlorine solution for at
least 10 minutes)
25. Palpated umbilical cord to check for pulsations.
26. After pulsations stopped, clamped cord using the plastic clamp or cord
tie 2cm from the base.
27. Placed the instrument clamp 5cm from the based.
28. Cut near the plastic (not midway)
Performed the remaining steps of the AMTLS:
29. Waited for strong uterine contractions then applied controlled cord
traction and counter traction on the uterus, continuing until placenta
was delivered.
30. Massaged the uterus until it is firm.
31. Inspected the lower vagina and perineum for lacerations/tears and
repaired lacerations/tears, as necessary.
32. Examined the placenta for completeness and abnormalities.
33. Cleaned the mother: flushed the perineum and applied perineal
pad/napkin/cloth.
34. Checked the baby’s color and breathing; checked that mother was
comfortable, uterus contracted.
35. Disposed of the placenta in a leak -proof container or plastic bag.
36. Decontaminated (soaked in 0.5% chlorine solution) instruments before
cleaning; decontaminated 2nd pair of gloves before disposal, stating that
decontamination lasts for at least 10 minutes.
37. Advised mother to maintain skin-to-skin contact. Baby should be prone
on mother’s chest/in between the breasts with head turned to one side.
15-90 minutes
38. Advised mother to observe for feeding cues and cited examples of
feeding cues.
39. Supported mother, instructed her on positioning and attachment.
40. Waited for FULL BREASTFEED to be completed.
41. After a complete breast feed, administered eye ointment(first), did
thorough physical examination, then did Vit k, Hepatitis B and BCG
injections (simultaneously explained purpose of each intervention).
42. Advised OPTIONAL/DELAYED bathing of baby (and was able to explain
the rationale)
43. Advised breastfeeding per demand.
44. In the first hour, checked baby’s breathing and color and checked
mother’s vital signs and massages uterus every 15 minutes.
45. In the second hour: checked mother-baby dyad every 30 minutes to 1
hour.
46. Completed all records.

SCORE:

Name and Signature of CI: ____________________

COMMENT: ____________________________________________________________