ESSENTIAL INTRAPARTUM AND NEWBORN CARE PRACTICE SESSION CHECKLIST

Prepared by TEAM EINC for the Association of Deans of Philippine Colleges of Nursing Inc. 3-day live-in Training of Trainers on EINC

Name of Participant:__________________________________________________ FACILITATOR’S COMMENTS:

Date: ____________________________________

CHECK THE BOX IF THE STEP WAS DONE Facilitator’s Name and Signature: _________________________________________
In advance, prepare decontamination solution by mixing 1 part 5% chlorine bleach to 9 parts water to make 0.5%
chlorine solution. Change chlorine solution at the beginning of each day or whenever solution is very Covered baby with the dry cloth and the baby’s head with a bonnet.
contaminated or cloudy.
PRIOR TO WOMAN’S TRANSFER TO THE DR Excluded a 2nd baby by palpating the abdomen in preparation for giving oxytocin.
Used wet cloth to wipe the soiled gloves. Gave IM oxytocin within one minute of baby’s birth. Disposed of wet
Ensured that mother is in her position of choice while in labor.
cloth properly.
Asked mother if she wishes to eat/drink or void. Removed 1st set of gloves and decontaminated them properly (in 0.5% chlorine solution for at least 10 mins).
Communicated with the mother – informed her of progress of labor, gave reassurance and encouragement Palpated umbilical cord to check for pulsations.
WOMAN ALREADY IN THE DR After pulsations stopped, clamped cord using the plastic clamp or cord tie 2 cm from the base.
PREPARING FOR DELIVERY Placed the instrument clamp 5 cm from the base.
Checked temperature in DR area to be 25-28 O Celsius; eliminated air draft. Cut near plastic clamp (not midway).
Asked woman if she is comfortable in the semi-upright position (the default position of delivery table). Performed the remaining steps of the AMTSL:
Waited for strong uterine contractions then applied controlled cord traction and counter traction on the
Ensured the woman’s privacy.
uterus, continuing until placenta was delivered.
Removed all jewelry then washed hands thoroughly observing the WHO 1-2-3-4-5 procedure. Massaged the uterus until it is firm.
Prepared a clear, clean newborn resuscitation area. Checked the equipment if clean, functional and within Inspected the lower vagina and perineum for lacerations/tears and repaired lacerations/tears, as necessary.
easy reach.
Arranged materials/supplies in a linear sequence: Examined the placenta for completeness and abnormalities.
Gloves, dry linen, bonnet, oxytocin injection, plastic clamp, instrument clamp, scissors, 2 kidney basins Cleaned the mother: flushed perineum and applied perineal pad/napkin/cloth.
In a separate sequence, for after the 1st breastfeed: Checked baby’s color and breathing; checked that mother was comfortable, uterus contracted.
Eye ointment, (stethoscope to symbolize PE), vit K, hepatitis B and BCG vaccines (plus cotton balls, etc)
Cleaned the perineum with antiseptic solution. 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
Washed hands and put on 2 pairs of sterile gloves aseptically. (If same worker handles perineum and cord).
gloves before disposal, stating that decontamination lasts for at least 10 mins.
Advised mother to maintain skin-to skin contact. Baby should be prone on mother’s chest/in between the breasts
AT THE TIME OF DELIVERY
with head turned to one side.
Encouraged woman to push as desired. 15 - 90 MINUTES
Draped the clean, dry linen over the mother’s abdomen or arms in preparation for drying the baby. Advised mother to observe for feeding cues and cited examples of feeding cues.
Applied perineal support and did controlled delivery of the head. Supported mother, instructed her on positioning and attachment.
Called out time of birth and sex of baby. Waited for FULL BREASTFEED to be completed.
After a complete breastfeed, administered eye ointment (first), did thorough physical examination, then did Vit.
Informed the mother of outcome.
K, hepatitis B and BCG injections (simultaneously explained purpose of each intervention).
FIRST 30 SECONDS Advised OPTIONAL / DELAYED bathing of baby (and was able to explain the rationale).
Thoroughly dried baby for at least 30 seconds, starting from the face and head, going down to the trunk and Advised breastfeeding per demand.
extremities while performing a quick check for breathing
In the first hour: checked baby’s breathing and color; and checked mother’s vital signs and massaged uterus
1 - 3 MINUTES
every 15 minutes.
Removed the wet cloth. In the second hour: checked mother-baby dyad every 30 minutes to 1 hour.
Placed baby in skin-to-skin contact on the mother’s abdomen or chest. Completed all RECORDS.
\23Apr2013