ESSENTIAL NEWBORN CARE
organized so that essential time bound
 Philippines under-five mortality rate was 26.2
deaths per thousand live births in 2020
 The global under-five mortality rate declined by
59 per cent, from 93 deaths per 1,000 live births
in 1990 to 38 in 2019. Despite this considerable
progress, improving child survival remains a
matter of urgent concern. In 2019 alone,
roughly 14,000 under-five deaths occurred
every day, an intolerably high number of largely
preventable child deaths.
 Base on the National Demographic and Health
Survey (NDHS) of 2003, 3 out of 4 newborn
deaths occur in the 1st week of life
 Every year approximately 40,000 Filipino
neonates die, mostly from preventable causes.
The majority die within the first week. The high
mortality and morbidity rates in newborns are
directly related to inappropriate hospital and
community practices currently employed
throughout the Philippines. Furthermore,
newborn care has fallen in a gap between
material and child care.
ESSENTIAL NEWBORN PROTOCOL
- series of time bound and chronologically
ordered care that a baby receives at birth, and it
has standardized effective procedural steps.
- simple, cost-effective newborn care
intervention that can improve neonatal as well
as maternal care
- n evidence-based intervention that;
a. emphasizes a core sequence of actions,
performed methodically (step -by-step);
b.
interventions are not interrupted;
c. ills a gap for a package of bundled
interventions in a guideline format.
UNANG YAKAP
 seeks to engage national and local sectors,
public and private health sectors, individuals
and organizations, mothers, fathers, and
families, to embrace the essential newborn care
to ensure a bright and healthy future for our
newborns, It is very significant for us to reduce
the neonatal mortality and morbidity since
according to WHO, every year approximately
40,000 neonates die most from preventable
cause. The high mortality and morbidity rates in
newborns are directly related to inappropriate
hospital ang community practices towards
newborn care
 The 1st 24 hours of life is a very significant and a
highly vulnerable time due to critical transition
from intrauterine to extrauterine life.
APGAR Score is assessed in 5 parts

Dr. Virginia Apgar created the system in 1952 4 ESSENTIAL STEPS OF ENC

Immediate and thorough drying

- Using clean cloth to dry the baby by wiping the

eyes, face, head, front and back, arms and legs
as well as removing the wet cloth. We also do
quick check of newborn’s breathing and
assessing the APGAR score

RATIONALE: prevents hypothermia

Early Skin to Skin contact

 - the health care provider place the newborn
prone on the mother’s abdomen or chest, cover
the newborn with blanket and bonnet as well as
placing identification band

RATIONALE: improve women's chances of successfully

breastfeeding. Having early contact may also help keep
babies warm and calm and improve other aspects of a
baby's transition to life outside the womb.

Properly timed Cord Clamping

- Observe for the oozing of blood. If blood

oozes, place a second tie between the skin and
the clamp
- the health care provider clamp and cut the cord
after cord pulsations have stopped which is
typically at 1 to 3 minutes

RATIONALE: Reduce the incidence of anemia in term

newborns and intraventicular haemorrhage in preterm
newborns by delaying or non-immediate cord clamping.

Non-separation of bay from mother and breastfeed

initiation

- the health care provider leave the newborn on

mother’s chest in skin and observe for feeding
cues as well as look for signs of good
attachment and sucking

RATIONALE: Ensures that the infant receives the

colostrum, which is rich in protective factors. It protects
the newborn from acquiring infection and reduces
newborn mortality. It also prevents 19.1% of all
neonatal deaths.