University of Luzon 12-08-21
Essential Intrapartum
Newborn Checklist (EINC)
Procedure
PRIOR TO WOMAN’S TRANSFER TO THE D.R.
Ensure that the mother is in her
position of choice while in
labor.
Ask mother if she wishes to
eat/drink or void.
Communicate with the mother
and inform her progress of
labor, and give reassurance and
encouragement.
WOMAN ALREADY IN THE D.R. AND
PREPARING FOR DELIVERY
Check temperature in the DR
area to be 25-28℃ (ideal
temperature in the D.R. for
newborn) and eliminate air
draft.
Ask woman if she is
comfortable in the semi-
upright position (the default
position of the delivery
table.)
Ensure the woman’s privacy.
Remove all jewelries, then
wash hands thoroughly by
observing the WHO’s 1-2-
3-4-5 procedure
Prepare a clear clean newborn
Rationale
This helps to allow the
mother to achieve her
greatest comfort during
labor
-It is not advisable for a
mother in labor to eat or
drink prior to the delivery
because she will just
eliminate those during the
delivery.
-Voiding is okay as it helps
the mother achieve comfort
prior to delivery.
This helps the mother to be
informed of her status, and
make her relax. Thus,
ensuring safe parturition.
-The air conditioner is turned
off at the time of delivery.
-To check for air draft, hold a
piece of tissue up and observe
its movement.
-If it falls straight to the
ground, then there is no air
draft. But, if the tissue sways
upon falling to the ground
then there is an air draft.
Immediately check and close
the windows or door.
-Eliminating air draft is
important as it prevents the
newborn to lose heat by
convection when air currents
carry heat away from the
baby’s body surface.
This helps to allow the
mother to achieve her greatest
comfort during delivery.
Close the door or curtains to
provide privacy
This is done to prevent
disruption upon the
delivery, as well as to reduce
the transmission of
microorganisms.
This is done to place the set
resuscitation area and check
the equipment if it’s clean,
functional, and within easy
reach.
Arrange the material supplies
in a linear sequence:
Gloves, 2 dry linen, bonnet,
oxytocin injection, plastic
clamp, Kelly clamp, mayo
scissors, 2 kidney basins.
In a separate sequence, for
after the first breastfeed:
Eye ointment (erythromycin),
(stethoscope to symbolize
PE), vit. K, hepatitis B and
BCG vaccines (plus cotton
balls, etc.)
Clean the perineum with
antiseptic solution.
Wash hands and don 2 pairs
of sterile gloves
AT THE TIME OF DELIVERY
Encourage the woman to
push as desired.
Drape a clean, dry linen over
the mother’s abdomen
Apply perineal support and
control of delivery of the
head.
Call out time of birth and sex
of baby.
Inform the mother of
outcome.
FOR 30 SECONDS
Thoroughly dry the baby for
at least 30 seconds starting
from the face and head,
going down to the trunk and
extremities while performing
a quick check for breathing
and applying APGAR scoring
of equipment needed for the
delivery, to ensure safe
progress of delivery, and to
provide the best way of
delivering a baby.
This is done to easily identify
and use the instruments and
supplies upon the delivery.
This is done to reduce
microorganisms.
-This is done to reduce the
transmission of
microorganisms.
-Double gloving is done if
you’re going to handle both
perineum and cord.
This helps the mother to push
down the best she can
This serves as the area for the
newborn to be placed, and
prepare for the drying of the
newborn.
This is done to safely handle
the newborn once it comes
out of the birth canal and
perineum.
This is done to inform the
health care provider who is
assigned to document the
findings
This is done for the mother to
be informed about the sex
and status of her baby.
-This is done to stimulate the
baby to breathe and prevent
hypothermia.
-Do not wipe off the vernix
caseosa as it continues to
provide a natural protective
cover for the baby, against
infection, as well as it helps
to insulate the baby, and thus
preventing hypothermia
-Do not wash the baby within
the first 6 hours because
washing can lead to

FOR 1-3 MINUTES
Remove the wet cloth
Place the baby in a skin-to-
skin contact on the mother’s
abdomen or chest in a prone
position.
Cover the baby’s back with a
dry linen and the baby’s head
with the bonnet
Exclude a second baby by
palpating the abdomen in
preparation for giving
oxytocin.
Use the wet cloth to wipe the
soiled gloves.
Then. give 10 IU oxytocin IV
within 1 minute of baby’s
birth.
Dispose of wet cloth
properly.
Remove the first pair of
gloves and decontaminate
them in a 0.5% chlorine
solution for at least 10
minutes.
Palpate the umbilical cord for
1 to 3 minutes
After the cord pulsations have
stopped. Clamp the umbilical
cord with a sterile plastic
clamp at 2 cm from the base.
Then, use the Kelly clamp to
clamp the cord at 5 cm from
the base. Cut the cord by
using a mayo scissor near the
plastic clamp.
hypothermia and infection.
- To identify the baby’s
appearance, pulse, grimace,
activity, and respiration
whether if extra medical
care or emergency care is
needed.
As it is already wet and
dirtied, and to prevent the
baby from getting cold.
This helps to achieve success
in breastfeeding, lymphoid
tissue system stimulation,
exposure to maternal skin
flora, protection from
hypoglycemia,
thermoregulation, and last but
not the least, promotion of the
mother-child bonding.
To provide warmth and
comfort
This is done to determine if
there is a second baby. If
there is one, do not give the
oxytocin now, and reassess
for the delivery of the second
baby.
-This is done to remove the
debris from the gloves
-Oxytocin is given IM or IV
to prevent uterine atony, a
condition in which the uterus
fails to contract after the
delivery of the baby and it
can lead to a potentially life-
threatening condition known
as postpartum hemorrhage
-as it is already wet and
dirtied.
This is done to disinfect the
used gloves as a 0.5%
chlorine solution is an
antiseptic one, thus removing
bacteria and other
microorganisms and
preventing infection.
This is done to check for cord
pulsations.
Not cutting the cord
immediately gives benefits,
such as it helps to prevent
anemia and protects
preterm(s) from intra-
ventricular hemorrhage
University of Luzon 12-08-21
Perform controlled cord -This is done to deliver the
traction by placing the Kelly placenta
clamp near the woman’s
perineum to make CCT
easier.
Then, hold the cord near to
the perineum using the Kelly
clamp.
Place the palm of the other
hand on the lower abdomen
just above the woman’s
pubic symphysis to assess for
uterine contractions. (If a
clamp is not available, CCT
can be applied by encircling
the cord around the hand)
When there is a contraction,
apply external pressure on the
uterus in an upward direction
with the hand just above the
pubic symphysis. At the same
time with your other hand,
pull with firm, steady tension
on the cord in a downward
direction.
As the placenta is delivered, -Avoid jerky or forceful
hold and gently turn it with pulling. Do not release
both hands until the support on the uterus until the
membranes are twisted. placenta is visible at the
Slowly pull to complete the vulva. Deliver the placenta
delivery. Gently move slowly and support it with
membranes up and down both hands.
until delivered.
Massage the uterus after the This is done to promote
delivery of the placenta until uterine contractions. Thus,
it is firm. reducing PPH
Inspect the lower vagina and This is done to determine if
perineum for lacerations/tears repairs are needed, and thus
preventing PPH.
Examine the placenta for This is done to determine that
completeness and no part of the placenta have
abnormalities been retained as this may
result in a PPH
Clean the mother, by flushing This is done to remove
the perineum and apply debris, such as blood, wastes,
perineal pad/napkin/cloth. or secretions
Check the baby’s color and This is to done to determine if
breathing; the baby is cyanotic or not,
and if necessary,
interventions are needed,
such as ventilation and such.
Check if the mother is -This is done to make it is
comfortable, and firm.
palpate the uterus every 15
minutes for 2hours
Dispose the placenta in a This is done to prevent
leak-proof container or infection.
plastic bag.
Decontaminate instruments This is done to disinfect the

before cleaning (soak in 0.5%
chlorine solution,
Decontaminate 2nd pair of
gloves before disposal stating
that decontamination lasts for
at least 10 minutes.
Advise mother to maintain
skin-to-skin contact. Baby
should be prone on mother’s
chest/in between the breasts
with head turned to one
side.
FOR 15-90 MINUTES
Advise mother to observe for
feeding cues and cite
examples of feeding cues.
Instruct her and support on
positioning and attachment.
Wait for FULL
BREASTFEED to be
complete.
After a complete breastfeed,
do Crede’s prophylaxis,
administer eye ointment,
Thoroughly examine the
baby, get the weight,
anthropometrics
measurement and check
patency of the anus through
rectal temperature and record
used gloves as a 0.5%
chlorine solution is an
antiseptic one, thus removing
bacteria and other
microorganisms and
preventing infection
This helps to achieve success
in breastfeeding, lymphoid
tissue system stimulation,
exposure to maternal skin
flora, protection from
hypoglycemia,
thermoregulation, and last but
not the least, promotion of the
mother-child bonding.
It means that the baby is
ready to breastfeed.
These are important
interventions that are correct
and safe for both mother and
baby.
Because after that, the
administration of vaccines is
accomplished
-Eye ointment(erythromycin)
is given for the prevention of
eye infections like
Ophthalmia neonatorum,
conjunctivitis in newborns
that occurs within the first 30
days of life. It is caught
during birth by contact with
the mother's birth canal that is
infected with an STD.
rmine if the baby is
Small for Gestational Age
(less than 2.5 kg) or Large
for Gestational Age (more
than 4 kg) or normal (2.5 to
3.5)
e baby’s head
circumference must be 34-35
cm. if more than 33, suggests
occipitofrontal circumference
circumference must be 32-33
cm
46-50 cm
baby’s abdominal
circumference must be 29-33
cm
Rectal temperature is done
to determine if there is an
imperforated anus.
must be 37.2
University of Luzon
then inject Vit K 1 mg IM at
left vastus lateralis.
Hepatitis B .5 mg IM at right
vastus lateralis
Bacillus Calmette Guerin
injections . 05 ml at deltoid
region
Advise OPTIONAL/
DELAYED bathing of baby
Cord Care, put nothing on the
stump and keep it loosely
covered with clean and dry
clothes.
Dress the baby by folding
diaper below stump.
Attach and secure name tag
on the lower leg or upper foot
Swaddle the baby with a
towel
Advise breastfeeding per
demand of the baby
In the first hour; check baby’s
breathing and color and
checked mother’s vital signs
and massaged uterus every 15
minutes.
In the second hour; check
mother-baby dyad every 30
minutes to 1 hour.
But after the first 90
minutes
Keep the newborn in the
room with her mother. Do not
separate them and support
exclusive breastfeeding on
demand day and night
12-08-21
-Vitamin K helps the blood to
clot and prevent serious
bleeding. In newborns, they
have low levels of vitamin K
that’s why vitamin K
injections are given to
prevent a bleeding disorder
called 'hemorrhagic
disease of the newborn'
(HDN).
-to prevent liver disease and
cancer from hepatitis b virus
-to prevent severe TB in
infants, which can affect the
lungs and the brain.
Because washing is usually
done after 6 hours to prevent
hypothermia
Because there are no such
studies that binding a baby’s
umbilicus can improve the
removal of the stump.
To provide warmth and
comfort
To allow the baby to void and
defecate inside of it, and thus
preventing leakage and
wetting of the surface
To easily identify the baby
To provide warmth and
comfort
Because breastfeeding allows
the baby to be satisfied with
his hunger and get enough
milk for nutrition and
immunity. It also benefits
the development of emotional
and cognitive aspects.
-This is to done to determine
if the baby is cyanotic or not,
and if necessary,
interventions are needed,
such as ventilation and such.
And to determine the
mother’s status
-This is done to make it is
firm.
To ensure safety and effective
care
To promote maternal-child
dyad Because breastfeeding
allows the baby to be
satisfied with his hunger and
get enough milk for nutrition
and immunity. It also benefits
 University of Luzon 12-08-21

the development of emotional

and cognitive aspects.
Complete all RECORDS. For baseline data and future
references