Essential Intrapartum And

Newborn Care Practice

Session Checklist
CARMEL COCHING RM BSM
• In advance, prepare
decontamination by mixing
1 part 5% chlorine bleach
to 9 parts water to make
0.5% chlorine solution.
• Change chlorine solution at
the beginning of each day
or whenever solution is
very contaminated or
cloudy.
PRIOR TO WOMAN'S TRANSFER TO
THE DR
• Ensured that mother is in
her position of choice while
in labor.
• Asked mother if she wishes
to eat or drink or void.
• Communicate with the
mother - informed her the
progress of labor, gave
reassurance an
encouragement
WOMAN ALREADY IN THE DR
• Checked temperature in DR
area to be 25 - 28 Celsius;
eliminated air draft
• Asked woman if she is
comfortable in the semi-
upright position (the
default position of delivery
table)
• Ensured the woman's
privacy.
• Removed all jewelry then
washed hands thoroughly
observing the WHO 1-2-3-
4-5 procedure
• Prepare a clear, clean newborn resuscitation area
on firm and flat surface. Checked the equipment if
clean, functional and within easy reach.
• Arranged materials/supplies in a linen sequence:
▫ Gloves, dry linen, bonnet, oxytocin injection, plastic
clamp, instrument clamp, scissors, 2 kidney basins

• In a separate sequence, for after the 1st breastfeed:

▫ Eye ointment, (stethoscope to symbolize PE), vit. K,
hepatitis B and BCG vaccines (plus cotton balls, etc)
• Cleaned the perineum with antiseptic solution.
• Washed hands and put on 2 pairs of sterile gloves
aseptically. (If same worker handles perineum
and cord).
 AT THE TIME OF DELIVERY
• Encouraged woman to push as
desired.
• Draped the clean, dry linen over
the mother's abdomen or arms in
preparation for drying the baby.
• Applied perineal support and did
controlled delivery of the head.
• Called out time of birth and sex of
baby.
• Called out time of birth and sex of
baby.
• Informed the mother of outcome.
FIRST 30 SECONDS
• Thoroughly dried
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.
1-3 MINUTES
• Removed the wet cloth.
• Placed baby in skin-to-skin-contact on the
mother's abdomen or chest.
• Covered baby with the dry cloth and the baby's
head with a bonet.
• Exclude a 2nd baby by palpating the abdomen
in preparation for giving oxytocin.
• Gave IM oxytocin within one minute of baby's
birth after wiping the soiled gloves with the wet
cloth. Disposed of wet cloth properly.
• Palpate umbilical cord to
check for pulsations.
• After pulsations stopped,
clamped cord using the
plastic clamp or cord tie
2cm from the base.
• Placed the instrument
clamp 5cm from the base.
• Cut near plastic clamp (not
midway)
• Performed the remaining
steps of the AMTSL;
• Waited for strong uterine
contractions then applied
controlled cord traction and
counter traction on the uterus,
continuing until placenta was
delivered.
• Massaged the uterus until it is
firm.
• Inspected the lower vagina and
perineum for lacerations/tears
and repaired lacerations/tears,
as necessary.
• Examined the placenta for
completeness and abnormalities.
• Cleaned the mother: flushed perinuem and applied
perineal pad/napkin/cloth.
• Checked baby's color and breathing; checked that mother
was comfortable, uterus contracted.
• Disposed of the placenta in a leak-proof container or
plastic bag.
• Decontaminated (soaked in 0.5% chlorine solution)
instruments before cleaning, decontaminated 2nd pair of
gloves before disposal, stating that decontamination lasts
for at least 10 mins.
• Advised 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.
15-90 MINUTES

• Advised mother to observe for feeding cues and

cited examples of feeding cues.
• Supported mother, instructed her on positioning
and attachment.
• Waited for FULL BREASTFEED to be
completed.
• After a complete breastfeed, administered eye
ointment (first), did thorough physical
examination, then did vit. K, hepatitis B and
BCG injections (simultaneously explained
purpose of each intervention).
• Advised OPTIONAL/DELAYED bathing of baby
(and was able to explain the rationale).
• Advised breastfeeding per demand.
• In the first hour: checked baby's breathing and
color and checked mother's vital signs ad
massaged uterus every 15 minutes.
• In the second hour: checked mother-baby every
30 minutes to 1 hour.
• Completed all RECORDS.
-End