Good day!

My name is Ashley Dawn Buenafe of BSN2 B, so for

today’s video I’m going to demonstrate Delivery assist and Unang
Yakap. First I’m going to perform hand washing, 2 nd towel folding,
3rd Cord care set & Instruments needed for delivery, 4 th Skin
preparation or Perineal care, 5th Delivery of the baby and the Unang
Yakap, 6th APGAR scoring, Last is Placental Delivery.
1ST HAND WASHING (To make our hands clean & sterile, to prevent
passing microorganisms during the delivery)
2ND TOWEL FOLDING (It will make the towel neat and organize
before using it)
3RD INSTRUMENTATION (These are the things that needed for the
delivery Enamel tray w/6towels, 6pcs 4x4 gauze, umbilical cord
scissor, umbilical cord clamp, Kelly forcep, allis forcep, Gauge
18&21 needle, 10cc syringe, double armed suture, needle holder,
bandage scissor for episiotomy, suture scissor) You need to prepare
& check first all the instruments that needed if it’s complete to
avoid wasting time during the delivery.
4th SKIN PREPARATION (We need to clean the perineum or the
vaginal part of a pregnant woman to prevent infections and skin
breakdown)
5th DELIVERY OF THE BABY (The pregnant woman is ready for labor
if her Bag of Water ruptured, Her cervix dilates 7-10cm, if the
pregnant woman is in pain, lithotomy pxn on padded stirrups. Lift
legs at the same time (to prevent perineal laceration) if there is no
heart problem, pregnant woman can choose what position she
wants that makes her comfortable.
 Baby’s out 10:30 pm, Then we will proceed to Thorough drying
atleast 30 seconds this will stimulate the baby to breathe, and
do not wipe off the vernix this will continue to provide a
natural protective cover for the baby. Do not wash the baby
within the first 6 hrs, washing may lead to infection and
hypothermia, we can assess or observe the appearance and
breathing of the baby.
 After drying initiate skin to skin contact by placing the baby in
chest or abdomen of in prone position to provide bond with
the mother then cover the back of the baby with a linen to
keep the infant warm.
 Do not cut the cord immediately, and allow the cord pulsations
to stop without milking the cord, waiting for 1 to 3 mins until it
stop to prevent anemia and protects pre terms from
intraventricular hemorrhages, then you can clamp the cord at
2cm from the base of the umbilicus, apply the second clamp
5cm from the base of the umbilicus cut the cord near the
umbilical clamp.
 6th APGAR Scoring- The total score of the baby is 9. Heart rate
is 120 bpm, Baby has a good cry, The baby’s arms and feet are
well flexed, baby is crying, baby’s trunk color is pink and
extremities are blue which is normal because of compromised
peripheral circulation (immature blood vessels). It occurs
within 24hrs post birth upto 2nd day.
 7th PLACENTAL DELIVERY Inject 10 IU of oxytocin into the
mother’s arm to prevent uterine atony. While Skin-skin contact
happen. Check mother’s condition. To deliver the Placenta.
Maximum time for placental delivery is 30mins. Sign of
Placental Separation, Calkin’s sign (earliest) firm & globular,
Uterus rises in abd, placenta detached SUDDEN GUSH OF
BLOOD, and Lengthening of cord = Length of baby. Placenta
out, it can be Schultz-Fetal side SHINY and Duncan- Maternal
side DIRTY. Check if there’s any retained placenta fragments
remains
 After this, check how heavy is her bleeding, and examine her
perineum, lower vagina and vulva for tear. Clean the mother
and make her comfortable, and breastfeeding will take place
after 30 mins to an hour after birth, this will protect the infant
having hypoglycaemia and to have good bacteria. The baby will
start licking, rooting and tonguing movements these are the
cues that the infant is ready for breastfeed. Teach the mother
to nudge the baby near to her nipples and proper positioning
during breastfeeding. After the baby completed 1st breastfeed,
carry out eyecare and administer vaccines and let the infant
remain on her mother’s arm and the newborn stays with her
mother brought to a room and the baby may be wash after at
least 6 hrs.