UNANG YAKAP
 GREETS AND INTRODUCE YOURSELF TO THE
PATIENT. “GOOD MORNING MA’AM, I AM SN,
DARWIN, I WILL BE YOUR NURSE FOR TODAY I AM
HERE TO HELP AND GUIDE YOU BEFORE
DELIVERING OF YOUR BABY.
 SO HOW ARE YOU FEELING RIGHT NOW? OKEY
MA’AM. SO MA’AM YOUR CERVIX IT NOT YET
FULLY DILATED. IT IS ONLY 7CM SO WHILE
WAITING JUST RELAX, CALM DOWN AND PRAY.
 THEN PLEASE DO NOT EAT OR DRINK ANY KIND
OF FOOD BEFORE DELIVERY. THANK YOU.
 TAKE NOTE THAT IT IS NOT ADVISABLE FOR THE
PREGNANT MOTHER TO EAT OR DRINK ANY KIND
OF FOOD BC SHE WILL JUST ESQUISITE DURING
HER DELIVERY
 IN PREPARATION FOR DELIVERY:
 CHECK THE ROOM TEMPERATURE (IT SHOULD BE
25-280C) I’M GOING TO USE A PIECE OF PAPER, IF
THIS PAPER DIRECTLY FEEL DOWN INTO THE
GROUND THATS MEAN IT’S FREE TO AIRDRAFT.
 CHECK THE MOTHER IF SHE IS COMFORTABLE
WITH HER POSITION WHICH IS SEMI UPRIGHT
POSITION. MA’AM ARE U COMFORTABLE WITH
YOUR POSITION? OH THAT’S GREAT.
 SEMI UPRIGHT POSITION AND LITHOMY POSITION
ARE THE DEFAULT POSITIONS FOR DELIVERY OF
NEWBORN
 THEN REMOVE ALL JEWELRIES
THEN CHECK ALL THE NECESSARY EQUIPMENTS:
 PERFORM HAND WASHING TO PREVENT
TRANSFER OF VISIBLE MICROORAGANISM
 THEN USE THE 2 STERILE GLOVES
1. GRAB THE DRY LINEN AND ACROSS THE MOTHERS
ABDOMEN IN THE PREPARATION OF DRYING THE BABY.
THEN APPLY PERINEAL SUPPORT AND CONTROL IN
DELIVERING THE BABY’S HEAD.
2. ADVISED THE MOTHER TO PUSH. MA’AM IN MY
COUNT 1,2,3 PUSH, 1,2&3 PUSH.
3. ONCE THE BABY OUT THE PERIUM, “CALL OUT THE
TIME OF BIRTH AND SEX OF THE NEWBORN.” BABY GIRL
OUT 5:30 IN THE MORNING.
4. USE THE FIRST LINEN TO DRY TO BABY FOR ATLEAST
30 SECONDS, THIS WILL STIMULATE THE BABY TO
BREATH.
5. DO NOT WIPE OFF THE VERNIX, AS DISCONTINUES TO
PROVIDE THE NATURAL PROTECTIVE COVERS FOR THE
BABY.
6. DO NOT WASH THE BABY WITHIN THE FIRST 6HRS.
WASHING MAY LEAD TO HYPOTHERMIA AND INFECTION.
7. REMOVE THE WET LINEN
8. INITIATE SSC (SKIN TO SKIN CONTACT) BY PLACING THE
BABY INTO PRONE POSITION IN MOTHERS ABDOMEN OR
BETWEEN HER BREAST
9. PLACE THE BONNET TO THE BABY THE USE THE
SECOND LINEN TO COVER THE BACK OF THE BABY.
10. PLACE ID BAND ON THE ANKLE AND DO NOT
SEPARATE THEM UNLESS RESPIRATORY DISTRESS
OCCURS
11. REMOVE THE FIRST GLOVE PRIOR TO HANDLY THE
CORD.
12. DO NOT CUT THE CORD IMMEDIATELY
13. ALLOW THE CORD PULSATION W/IN 1-3MINS TO
STOP W/O MILKING THE CORD.
14. CLAMP THE CORD AT 2CM FROM THE UMBILICAL
BASE.
15. APPLY THE 2ND CLAMP AT 5CM FROM BASE OF
UMBILICUS THEN CUT THE CORD WHEN THE PULSATION
STOP.
16. THE BENEFITS OF PROPER CORD CLAMPING IT TO
PREVENT ANEMIA AND LOWER RATE INTRAVENTICULAR
HEMORRPHAGES.
17. INJECT 10iu OF OXYTOCIN INTO THE MOTHERS ARM
TO PREVENT HEMORRAGE OF EXCESSIVE BLEEDING
AFTER THE VAGINAL BIRTH.
18. WHILE MAINTAING THE SSC, CHECK THE MOTHER’S
CONDITION AND DELIVER THE PLACENTA.
19. CHECK HOW HEAVY BLEEDING IS AND EXAMINE HER
PERINEUM LOWER HER VAGINA AND BULBA FOR TEARS.
20. AFTER THE PLACENTA BEEN DELIVERED, INSPECT IT
FOR COMPLETENESS AND ABNORMALITIES, THE
PLACENTA IS COMPLETE AND NO ABNORMALITIES.
21. CLEAN THE MOTHER AND KEEP HER COMFORTABLE.
22. DISPOSE THE PLACENTA IN A LEEK-PROOF
CONTAINER.
 UNANG YAKAP
23. THE BENEFITS OF SSC ARE TO PROMOTE MOTHER &
CHILD BONDING, BREASTFEEDING SUCCESS, LYMPHOID
TISSUE SYSTEM STIMULATION, EXPOSURE TO
MATERNAL FLORA, PROTECTION FROM
HYPOGLYCEMIA, & THERMOREGULATION.

24. AND ABOUT 30MINS DUE AN HOUR AFTER BIRTH,

THE BABY WILL START LICKING, ROOTING & TUMMY
MOVEMENTS CUES THAT THE BABY IS READY TO
BREASTFEED.

25. ENCOURAGE THE MOTHER TO NUDGE HER BABY

TOWARD HER BREAST TO SEEK OUT THE NIPPLE.

26. Then council on positioning and attached after the

baby complete the first breastfeed and while the baby
is on the breast of the mother.

27. Perform eyecare FOR PROTECTION OF UNKOWN

GONORRHEA INFECTION FROM MOTHER’S BODY and
administer vaccines (WHICH ARE 1CC OF VITAMIN K &
5CC HEPA B) INTRAMUSCULAR VASTUS LATERALIS

28. Keep the child in the mother’s arms until she

recover from giving birth.

29. THE BABY STAYS WITH THE MOTHER’S ARM UNTIL

SHE RECOVER OF GIVING BIRTH.

30. THE BABY MAYBE WASHED AFTER ATLEAST 6HRS

31. EXCLUSIVE BREASTFEEDING STARTS AT BIRTH W/

COLUSTRUM FEEDING AND CONTINUES FOR 6 MONTHS

32. AFTER 6 MONTHS OF EXCLUSIVE OF

BREASTFEEDING THE CHILD CAN CONTINUE TO
BREASTFEEDING IN ADDITION TO OTHER FOOD.

33. REMOVE GLOVES AND PERFORM HANDWASHING.

34. DOCUMENT ALL THE PROCEDURES IN THE CHART

OF THE MOTHER.

IN SUMMARIZATION…
 Drying for atleast 30 seconds with rapid
assessment of breathing and tone
 Early SSC or skin-to-skin contact
 Properly timed for clamping
 Early breastfeeding initiation
 Eye care and immunization procedures after
completion of 1st breastfeed
 Rooming in
 Exclusive breastfeeding for 6months