Preparation

1. lay out three pairs of surgical gloves two of which will be used by the obstetrician and the remaining pair for
the pediatrician
2. 2 warm blankets
3. 1 bonnet
4. Cord care set 
5. Eyecare, vitamin k and hepatitis B shot 
6. wash your hands, following the prescribed one, two, three, four, five counts for each movement
7. put on both sets of gloves

During the first 3 minutes within birth

1. once the baby is delivered from the perineum call out the time of birth
2. use the first linen to towel dry the body of the newborn
3. dry the baby for at least 30 seconds, this will stimulate the baby to breathe
4. do not wipe off the burnings as this continues to provide a natural protective cover for the baby
5. do not wash the baby within his first 6 hours of life, washing could lead to hypothermia and infection
6. carry out a rapid assessment of the baby's breathing as you dry the newborn
7. remove the wet cloth
8. initiate the all-important skin-to-skin contact, by placing the baby prone on the mothers abdomen or between
her breasts
9. place the bonnet on the newborns head
10. use the second linen to cover the baby's back both to keep the infant warm 
11. removing the first set of gloves prior to handling of the cord
12. do not cut the cord immediately
13. Allow the cord pulsations to stop without milking the cord
14. Clamp the cord at 2 centimeters from the base of the umbilicus
15. apply the second clamp at five centimeters from the base of the umbilicus 
16. cut the cord
17. waiting for one to three minutes, or until the cord pulsations have stopped, prevents anemia and protects pre
terms from intraventricular hemorrhages
18. inject 10 IU of oxytocin into the mother's arm to prevent uterine atony
19. while maintaining the skin-to-skin contact, check on the mother's condition and deliver the placenta
20. check how heavy her bleeding is and examine her perineum, lower vagina and vulva for tears
21. clean the mother and keep her comfortable
22. skin-to-skin contact or SSC is essential to creating the bond between mother and child. Increasing the
chances of overall success of breastfeeding. allows colonization with good bacteria. protects the baby from
hypoglycemia

At about thirty minutes to an hour after birth,

23. the baby will start licking rooting and tonguing movements, cues that he is ready to breastfeed
24. encourage the mother to nudge her newborn toward the breast to seek out the nipple
25. Council on positioning and attachment
26. after the baby completes his first breastfeed and detaches from the breast while he is with his mother ,
carry out the eye care procedures and administer vaccines
27. let the infant remain in the mother's arms as she recovers from giving birth
28. the newborn stays with a mother as she is brought to a room or the ward
29. the baby may be washed after at least six hours
 30. the global infant and young child feeding strategy recommends giving the baby nothing but breast milk for
six months. after six months of exclusive breastfeeding child can continue to breastfeed in addition to other
foods up to two years of age or beyond

SUMMARY

1. Immediate and thorough drying

2. Early skin-to-skin contract
3. Properly time cord clamping
4. Non- sepaeration for early breastfeeding
- Carry out eyecare and immunization procedures
- Rooming in