ESSENTIAL INTRAPARTAL

NEWBORN CARE
(EINC)

OUR LADY OF FATIMA UNIVERSITY

COLLEGE OF NURSING
OBJECTIVES
• To know the background of EINC – Unang Yakap
Campaign
• To know the four core steps of EINC
• To gain knowledge of routine newborn care
procedure
• To adhere to the ethico-legal considerations
related to EINC
ESSENTIAL INTRAPARTAL NEWBORN CARE

An evidence based standards for safe quality

care of birthing mothers and their newborns
within 48 hours of intrapartum period and a
week of life for the newborn.
Administrative Order 2009 – 0025 – December
2009
Unang Yakap
 EINC PRACTICES
Continuous maternal support, by a companion of her choice,
during labor and delivery
Mobility during labor – the mother is still mobile, within reason,
during this stage
Position of choice during labor and delivery
Non-drug pain relief, before offering labor anesthesia
Spontaneous pushing in a semi-upright position
Episiotomy will not be done, unless necessary
Active management of third stage of labor
Monitoring the progress of labor with the use of partograph
 PURPOSES
Assess and evaluate the newborn as he or she
transitions from intrauterine life to extrauterine life.
Evaluate and monitor the newborn, system-by-
system for normal versus abnormal functioning,
providing maintenance of normal and potential
treatment of abnormal findings.
Foster bonding between infant and parent/s
Provide a safe environment at all times
 Immediate and thorough
drying

4 CORE
Early skin to skin contact
STEPS OF
EINC Properly timed cord clamping

Non-separation of newborn from

mother for early breastfeeding
Immediate and thorough drying
Call the time of birth
Using a clean dry cloth, dry the
newborn thoroughly for at least 30
seconds
Wipe the eyes, face, head, front and
back, arms and legs
Remove wet cloth
Do a quick check of breathing while
drying
 APGAR SCORING
0 1 2 NURSING
SCORE INTEPRETATION
INTERVENTION
Accrocyanosis
A
Blue/Pale PINK
all over Circumural
Appearance the body ALL OVER
Cyanosis
Severely Immediate
0-3
Depressed Resuscitation
P 0 <100 bpm >100 bpm
Pulse

G NO
REACTION to
No cry to stimulation
Weak Cry / Grimace
Strong Cry 4-6 Guarded Suctioning
Grimace stimulation

A None,
Flaccid
Some flexion of
arms & legs
Well flexed
Proceed to
Activity
Arms & legs
7-10 Good Prognosis Routine
R <30 >30
0 Strong vigorous Newborn Care
Respiration
Wear, irregular cry cry
Early skin to skin contact
Position the newborn prone on the
mother’s abdomen or chest
Cover the newborn’s back with dry
blanket
Cover the newborn’s head with bonnet
Place identification band on ankle
If newborn is crying and breathing
normally avoid any manipulation
Properly timed cord clamping
Remove the first sets of gloves
Hold the cord and feel the pulsation.
Wait 1-3minutes until the pulsation
stop then put the sterile clamp or tie
2cm above the base, and get the Kelly
clamp 5cm above the base
Cut the cord close to the plastic
clamp
Non separation of mother from her newborn

Observe the newborn and

feeding cues (crawling,
licking, rooting, sucking)
Counsel on positioning and
attachment
Initiate breastfeeding
Anthropometric Measurement
HC: 33-35 cm (1 finger breath
HEAD from the eyebrow)

CHEST CC: 31-33cm (nipple line)

ABDOMEN AC: 31-33 cm (umbilical level)

BL: 47-54 cm (posterior fontanel
LENGTH up to the heel of the foot following
contour of newborn’s body
WT: 2.5-4 kg. or 5.5 -8.8lbs. or
WEIGHT 2500-4000 grams
 MEDICATIONS

VITAMIN K
 Promote blood clotting

BCG (BACILLUS CALMETTE  Prevent bleeding

CREDE'S PROPHYLAXIS
 Prevent Hypofibrinogenemia
ERYTHROMYCIN GUERINE)
Dosage & Route: 0.05 ml, ID  DRUG OF CHOICE: PHYTOMENADIONE,
OPHTHALMIC Deltoid (R)
AQUAMEPHYTON
OINTMENT To prevent lung TB infection, TB  ROUTE: Intramuscular
TERRAMYCIN Meningitis, Miliary TB  SITE: Left-Vastus lateralis (common)
 To prevent OPTHALMIA  Rectus Femoris (alternative site)
NEONATORUM HEPA - B  DOSAGE:
 applied from inner to Dosage & Route: 0.5ml , IM  PRE TERM - 0.05 CC
outer canthus of the
 FULLTERM - 0.1 CC
eyes Site: Vastus Lateralis
 POST TERM – 0.1 CC
Every Newborn Has Needs
• To breathe normally
• To be warm
• To be protected
• To be fed.