GOOD DAY MA’AM! I AM MARIE JOY ANDAYA, A STUDENT NURSE FROM LORMA COLLEGES.

TODAY
IM GOING TO PERFORM THE ESSSENTIAL INTRAPARTUM AND NEWBORN CARE, THIS IS IMPORTANT
TO DO BECAUSE THIS IS A SERIES OF TIME-BOUND AND EVIDENCE-BASED INTERVENTION FOR
NEWBORN BABIES AND THEIR MOTHERS THAT ENSURE THE BEST CARE FOR THEM.

IN PREPARATION FOR THE DELIVERY, WE HAVE TO MAKE SURE THAT THE ROOM TEMPERATURE IS
25-28 DEGREE CELCIUS AND FREE OF AIR DROPS.

NEXT WE HAVE TO ASK THE WOMAN IF SHE IS COMFORTABLE IN THE SEMI UPRIGHT POSITION.
MA’AM ARE YOU COMFORTABLE WITH YOUR POSITION? YOU HAVE TO CLOSE THE CURTAIN FOR
THE PRIVACY OF THE PATIENT.

1. Lays out material in linear manner

2. Wears sterile gloves (double gloving) (PUT TOWEL ON THE ABDOMEN)
3. Supports the perineum (ENCOURAGE THE WOMAN TO INHALE AND EXHALE)
4. Calls out the time of birth and sex of the baby
5. Dries thoroughly the baby for full 30 seconds using the first towel and we’re going to wipe the
eyes. face, head, front, back, arms and legs and wipes it gently. And do not wipe the vernix
6. Next is we’re going to remove the wet cloth and replace with a dry one
7. And Next we’re going to perform a rapid assessment of the baby’s breathing
8. And Initiate skin to skin contact and then position the newborn prone on the mother’s abdomen
or chest
9. And covers the newborns back with dry blanket and covers the newborn’s head with a bonnet
10. So the purpose of skin to skin contact ARE TO PROMOTE MOTHER AND CHILD BOND,
BREASTFEEDING SUCCESS, LYMPHOID TISSUE SYSTEM STIMULATION, EXPOSURE TO MATERNAL
FLORA, PROTECTION FROM HYPOGLYCEMIA AND THERMOREGULATION
11. And then we’re going to remove the first glove prior to cord clamping and cutting.
12. NOW WE’RE GOING TO PALPATE THE UMBILICAL CORD (USING THE BACK OF HAND)
13. AFTER YOU PALPATE CLAMP THE CORD USING STERILE CORD CLAMP AT 2 CM FROM THE
UMBILICAL BASE THEN MILK THE CORD GENTLY SLIGHTLY AWAY FROM THE BABY, SQUEEZING
THE BLOOD ALONG THE UMBILICAL CORD CAN BOOST THE BABY BLOOD VOLUME.
14. AND THEN CLAMP AGAIN AT 5 CM FROM THE UMBILICAL BASE
15. THEN CUT THE UMBILICAL CORD NEAR THE 1 ST CLAMP THEN WRAP THE UMBILICAL CORD IN
THE SCISSOR
16. THEN NEXT WE’RE GOING TO PALPATE THE MOTHER’S ABDOMEN IN PREPARATION FOR GIVING
THE OXYTOCIM 10 IU IM TO THE MOTHERS DELTOID
17. AND NOW WE’RE GOING TO CHECK ON THE MOTHER’S CONDITION AND DELIVERS THE
PLACENTA (REMOVE THE NAPKIN AND PUT IN KIDNEY BASIN) AND WE’RE GOING TO EXAMINE
AND CHECK THE PLACENTA FOR COMPLETENESS AND ABNORMALITIES , SO THE PLACENTA IS
COMPLETE AND HAS NO ABNORMALITIES.
18. AND NEXT WE’RE GOING TO CLEAN THE MOTHER AND KEEP HER COMFORTABLE (MA’AM ARE
YOU COMFORTABLE RIGHT NOW?)
19. THEN NEXT CHECK THE PERENIUM OF THE MOTHER TO ASSESS FOR BLEEDING AND TEARS
20. AFTER THAT WE’RE GOING TO INITIATE THE BREASTFEEDING FOR THE 1 ST 30-60 MINUTES.
 21. AND WE’RE GOING TO ENCOURAGE THE MOTHER TO LATCH HER NEW BORN TOWARDS HER
BREAST.
22. COUNSELS ATTACHMENT AND POSITIONING. (REMOVE THE GLOVES)
23. AND WE’RE GOING TO APPLY AN EYE OINTMENT TO PROTECT THE BABY FROM AN UNKNOWN
GONORRHEA IN FECTION IN THE MOTHERS BODY
24. THEN NEXT WE’RE GOING TO ADMINISTER THE VITAMIN K TO PREVENT LOW LEVELS OF
VITAMIN K AND VITAMIN K DEFICIENCY BLEEDING (INJECT LEFT BABA NG TUHOD )
25. AND NEXT IS THE HEPATITIS B VACCINE TO PROTECT THE BABY AS EARLY AS POSSIBLE FROM
ANY EXPOSURE TO THE HEPATITIS B VIRUS (right baba ng tuhod)
26. AND THE NEXT IS BCG VACCINE TO PROTECT THE BABY FROM SERIOUS FORM OF TUBERCOLOSIS
SUCH AS TB MENINGITIS AND MILIARY TB. (IN THE ARM OF BABY)

HEAD CIRCUMFERENCE – 33CM

CHEST CIRCUMFERENCE – 32CM

ABDOMEN – 27CM

ARM – 7.5CM

THIGH – 14.1CM

LENGTH – 47CM

WEIGHT – 3,500 GRAMS

I ADVISE MAM TO BATH YOUR BABY AFTER 6 HOURS BECAUSE DELAYED BATHING PROVIDES MORE
INITIAL SKIN TO SKIN CONTACT BETWEEN YOU AND THE BABY.