ESSENTIAL INTRAPARTUM AND NEWBORN CARE

Suggested Actions Correctly Partially Not Remarks

Done Done Done

1 1. Ensure that mother is in her position of

choice, as upright as possible, while in
labor,

2. Ask mother if she wishes to eat/drink or

void.

3 3. Communicate with the mother informed

her of progress of labor, give reassurance
and encouragement. 

WOMAN ALREADY IN THE DR 

PREPARING FOR DELIVERY

4.Check temperature in DR to be 25- 28

degree Celsius; eliminate air  draft. 

5. Ask woman if she is comfortable in  the

semi-upright positon (the  default position
of delivery table).

6. Ensure the woman’s privacy. 

7 7. Remove all jewelry then washed 

thoroughly observing the WHO 1- 2-3-4-5
procedure.

8. Prepare a clear, clean newborn 

resuscitation area. Check the  equipment
if clean, functional and  within easy
reach. 

9 9. Arrange materials/supplies in a  linear

sequence:

a. Gloves, dry linen, bonnet,  oxytocin,

injection, plastic  clamp, instrument
clamp,  scissors, 2 kidney basin.

In a separate sequence, for after the  first

breastfeed. 

b. Eye ointment, (stethoscope to 

symbolize PE), Vitamin K,  hepatitis B
 and BCG vaccines  (plus cotton balls
etc.)

Suggested Actions  Correctly  Done Partially   Not Remarks

Done Done 

1 10. Clean the perineum with antiseptic 

solution. 

111. Wash hands and put on 2 pairs of 

sterile gloves aseptically (If same 
worker handles perineum and  cord). 

AT THE TIME OF DELIVERY

1 12. Encourage woman to push as 

desired. 

1 13. Place a clean, dry linen over the 

mother’s abdomen or arms in 
preparation for drying the baby. 

14. Apply perineal support and do 

controlled delivery of the head.

1 15. Once the baby is delivered from  the

perineum, call out the time of  birth and
sex of the baby.

16. Inform the mother of outcome

FIRST 30 SECONDS.

1 17. Do immediate drying of the 

newborn with the following 
considerations.

a. Dry the newborn thoroughly for  a full

30 seconds using the first  clean and
dry cloth or towel  starting from the
face and  head; going down to the
trunk  and extremities while 
performing a quick check for 
breathing.

b. Do not remove the vernix  caseosa. 

 c. Do the rapid initial assessment  (1 st

APGAR score) 1 - 5 minutes  after

birth. 

d. Do not wash the baby within  the

first 6 hours of life. 

Suggested Actions  Correctly  Done Partially   Not Remarks

Done Done 

1 18. Clean the perineum with antiseptic 

solution. 

1 19. Wash hands and put on 2 pairs of 

sterile gloves aseptically (If same 
worker handles perineum and  cord). 

2 20. Use wet cloth to wipe the soiled 

gloves. Give IM Oxytocin within  one
minute of baby’s birth. Dispose  wet
cloth properly.

2 21. Remove 1 set of gloves and 

st

decontaminated them properly (in 

0.5% chlorine solution for at least  10
mins.)

2 22. Palpate umbilical cord to check for 

pulsations.

2 23. After pulsations stop, clamp the  cord

at 2 cm from the base of the  umbilicus.
Apply the second clamp  5 cm above
the umbilicus and cut  the cord near the
first clamp. 

2 24. Perform the remaining steps of the 

AMTSL: 
Waited for strong uterine 
contractions then applied  controlled
cord traction and  counter traction
on the uterus,  continuing until it is
firm.

25. Massage the uterus until it is firm.

2 26. Inspect the lower vagina and 

 perineum for lacerations/tears and 
repaired lacerations/tears, as 
necessary.

27. Examine the placenta for 

completeness and abnormalities.

2 28. Clean the mother: flushed  perineum

and applied Perineal  pad/napkin/cloth.

Suggested Actions  Correctly  Done Partially   Not Remarks

Done Done 

2 29. Check baby’s color and  breathing(2 nd

APGAR); check that  mother is

comfortable and uterus is  contracted.

30. Dispose of the placenta in a leak

proof container or plastic bag.

3 31. Decontaminate (soaked in 0.5% 

chlorine solution) instruments  before
cleaning; decontaminated  2 pair of
nd

gloves before disposal,  stating that

decontamination lasts  for at least 10
mins.

3 32. Advise 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 

3 33. Advise mother to observe for 

readiness to be breastfeed such as 
opening the mouth, tonguing,  licking
and rooting. Encourage the  mother to
nudge her newborn  towards the breast
(crawling  reflex) to seek out the nipple
and  counsel on proper positioning and 
attachment. 

3 34. Wait for a full breastfeed to be 

completed. 
3 35. After the completion of the first 
feeding and baby detaches the  mouth
from the breast, while still  with the
mother, perform the  following while
simultaneously  explaining the purpose
of each 
intervention.

a. Administer eye ointment  starting

from the inner to  outer canthus/

Suggested Actions  Correctly  Done Partially   Not Remarks

Done Done 

b. Do physical examination.

c. Administer Vitamin K 
intramuscularly on the upper 
quadrant (vastus lateralis) of  the
thigh.

d. Administer Hepatitis B Vaccine 

intramuscularly on the upper 
quadrant (vastus lateralis) of  the
thigh. 

e. Administer BCG intradermal  on the

deltoid area.

36. Perform anthropometric 

measurements and vital signs. 

3 37. Dress the baby and place 

identification on ankle. 

3 38. Place the infant in the mother’s  arms

as she recovers from giving  birth until
she is brought to her  room or ward. 

39. Give health teachings to mother 

with emphasis on the following:

a. Bathing is done after 6 hours  of life.

b. Exclusive breastfeeding is  done as

per demand and for 6  months. 
4 40. In the first hour, check baby’s 
breathing and color, and check 
mother’s vital signs and massage 
uterus every 15 minutes.

4 41. In the second hour, check mother

baby dyad every 30 minutes to 1  hour.

42. Do the aftercare procedure:

a. Discard the used materials. 

b. Wash the used equipment.

Suggested Actions  Correctly  Done Partially   Not Remarks

Done Done 

43. Perform handwashing.

44. Perform the complete 

documentation.

DOCUMENTATION:

Record’s the baby’s condition, nature  of

delivery, name of obstetrician, 
anthropometric measurement, vital 
signs, IV infusions (if any) and APGAR 
score. 

ATTITUDE CRITERION 
3  2  1  Score  Remar
ks

Behavior

Compliance to prescribed uniform

Completion of other Task (assignment,  reflection, journal,

etc.)

Time Efficiency

Total Score
 EQUIVALENT 

Total Weight/ __________ = __________ 

Score: 3 x __________ = __________ 

 2 x __________ = __________ (no. of items)  1 x __________ = __________

SCORE: __________________________ K (_____%) = _______% EQUIVALENT:

______________ S (_____%) = _______% 

A (_____%) = _______% 

Total = _______% 

___________________________________ __________________________
Signature of Student Over Printed Name Date 

_______________________________________ __________________________
Signature of Clinical Instructor Over Printed Name Date