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

ESSENTIAL INTRAPARTAL NEWBORN CARE EINC PRACTICES

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
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

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Immediate and thorough

PURPOSES drying

Assess and evaluate the newborn as he or she

transitions from intrauterine life to extrauterine life.
4 CORE
STEPS OF
Early skin to skin contact
Evaluate and monitor the newborn, system-by-
system for normal versus abnormal functioning,
providing maintenance of normal and potential
treatment of abnormal findings.
EINC Properly timed cord clamping

Foster bonding between infant and parent/s Non-separation of newborn from

Provide a safe environment at all times mother for early breastfeeding

Immediate and thorough drying APGAR SCORING

0 1 2 NURSING
Call the time of birth Accrocyanosis
SCORE INTEPRETATION
INTERVENTION
Blue/Pale
Using a clean dry cloth, dry the A all over Circumural
PINK
Appearance the body ALL OVER
Cyanosis
newborn thoroughly for at least 30 0-3
Severely
Depressed
Immediate
Resuscitation
seconds P 0 <100 bpm >100 bpm
Pulse

Wipe the eyes, face, head, front and G NO No cry to stimulation

REACTION to Strong Cry 4-6 Guarded Suctioning
back, arms and legs Grimace stimulation Weak Cry / Grimace

Remove wet cloth A None,

Flaccid
Some flexion of
arms & legs
Well flexed
Arms & legs Proceed to
Do a quick check of breathing while
Activity
7-10 Good Prognosis Routine
>30
drying R 0
<30
Strong vigorous Newborn Care
Respiration
Wear, irregular cry cry

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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
Non separation of mother from her newborn
Observe the newborn and
feeding cues (crawling,
licking, rooting, sucking)
Counsel on positioning and
attachment
Initiate breastfeeding
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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
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
up to the heel of the foot following
LENGTH
contour of newborn’s body
WEIGHT
WT: 2.5-4 kg. or 5.5 -8.8lbs. or
2500-4000 grams
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MEDICATIONS Every Newborn Has Needs

VITAMIN K
• To breathe normally
 Promote blood clotting • To be warm
BCG (BACILLUS CALMETTE  Prevent bleeding
CREDE'S PROPHYLAXIS
ERYTHROMYCIN GUERINE)  Prevent Hypofibrinogenemia • To be protected
Dosage & Route: 0.05 ml, ID  DRUG OF CHOICE: PHYTOMENADIONE,
OPHTHALMIC
OINTMENT
Deltoid (R)
AQUAMEPHYTON
 ROUTE: Intramuscular
• To be fed.
To prevent lung TB infection, TB
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