San Sebastian College- Recoletos de Cavite

College of Nursing
Cavite City
Name:____________________________ Date:________________________
Year and Section:___________________ C.I.__________________________
PERFORMANCE CHECKLIST
ESSENTIAL INTRAPARTUM AND NEWBORN CARE
UNANG YAKAP
1 Stage of Labor
st

5 4 3 2 1 PROCEDURE/BEHAVIORAL/SKILLS COMMENT
PRIOR TO PATIENT’S TRANSFER TO THE DR
Ensured that mother is on her position of choice
when in labor
Asked mother if she wishes to eat/drink or void.
Communicated with the mother- informed her of
progress of labor, gave reassurance and
encouragement.
PATIENT ALREADY IN THE DR
Preparing for Delivery
Checked temperature in DR area, checked for air
draft.
Asked patient if patient is comfortable in the semi-
upright position which is the default position.
Removed all jewelry.
Washed hands thoroughly observing the WHO 1-2-
3-4-5 procedure.
Arranged things in a linear fashion: Gloves, dry
linen, bonnet, oxytocin injection, plastic clamp,
instrument clamp, scissors, 2 kidney basins
Cleaned the perineum with antiseptic solution.
Washed hands
Put on 2 pairs of sterile gloves aseptically. (if same
worker handles perineum and cord).
At the time Delivery
Encouraged woman to push as desired.
Applied perineal support and did controlled
delivery of the head.
Called out time of birth and sex of baby
Informed the mother of outcome.
First 30 seconds
Placed the baby on a clean, dry cloth/towel on the
mother’s abdomen.

Thoroughly dried baby for at least 30 seconds,

starting from the face and head, going down to the
trunk and extremities
1-3 minutes
Removed wet cloth. Placed baby on skin-to- skin
contact on the mother’s abdomen.
Covered the baby with a clean, dry cloth/towel.
Covered baby’s head with a bonnet.
Excluded a 2nd baby by palpating abdomen.
Used the wet cloth to wipe the soiled gloves.
Gave IM oxytocin within one minute of baby’s
birth.
Disposed of the wet cloth properly.
Removed the 1st set of gloves.
Decontaminated these properly (by soaking in
0.5% chlorine solution for at least 10 minutes)
Palpated umbilical cord to check for pulsations.
After pulsations stopped, clamped cord using the
plastic cord clamp at 2 cm from base.
Placed the instrument clamp 5 cm from the base.
Cut near plastic clamp (not midway).
Perfomed the remaining steps of the Active
Management of Third Stage of Labor: Waited for
strong uterine contractions then applied
controlled cord traction and counter traction on
the uterus, continuing until placenta was
delivered.
Massaged the uterus until it is firm.
Inspected the lower vagina and perineum for
lacerations/tears and repaired lacerations/tears if
necessary.
Examined the placenta for completeness and
abnormalities.
Cleaned the mother: flushed perineum and applied
perineal pad/napkin/cloth
Checked baby’s color and breathing; checked that
mother was comfortable, uterus contracted.
Disposed of the placenta in a leak-proof container
or plastic bag.
Decontaminated (soaked in 0.5% chlorine
solution) instruments before cleaning;
decontaminated 2nd pair of gloves before disposal.
Advised mother to maintain skin-to-skin contact.
Baby should be prone on motherâ €s chest/in
between the breasts with head turned to one side.
15-90 minutes
 Advised mother to observe for feeding cues (cited
examples)
Supported mother, instructed her on positioning
and attachment.
Waited for FULL BREASTFEED to be completed.
After a complete breastfeed, administered eye
ointment (first), did thorough physical
examination,
gave Vit. K, hepatitis B and BCG (simultaneously
explained purpose of each intervention).
Advised OPTIONAL/DELAYED bathing of baby
(and was able to explain the rationale).
Advised breastfeeding per demand and about
Danger Signs for early referral
In the first hour: checked babyâ €™s breathing and
color; and checked motherâ €™s vital signs and
massaged uterus every 15 minutes
In the second hour: checked mother-baby dyad
every 30 minutes to 1 hour.
Completed all RECORDS: administered eye
ointment, vitamin K, hepatitis B and BCG.

REMARKS:

__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
___________________________

__________________________

Clinical Instructor