Republic of the Philippines

BOHOL ISLAND STATE UNIVERSITY

Calape Campus

HEALTH AND ALLIED SERVICES DEPARTMENT

HANDLE TECHNIQUE

Instruments and Accessories

 Prepared 0.5% chlorine solution placed in a kidney basin for decontamination.

Arranged in linear sequence:

1. 2 sterile gloves 4. Oxytocin 1amp in a 3 cc syringe
2. Dry linens - dry and wet cotton with alcohol
1 sterile leggings 5. Cord clamp
1 buttocks towel 6. 1 Kelly forcep (straight or curve)
1 abdominal towel 7. 2 scissors (bandage and surgical)
1 supporting towel 8. Sterile gauze
3. Bonnet 9. 2 kidney basins

In separate sequence, for after the 1st full breastfeeding

1. Eye ointment
2. Stethoscope
3. 0.1 mL Vitamin K
4. 0.5 mL Hep B Vaccine
- Dry and wet cotton with alcohol

Procedure:
1. Prepared the room with desired temperature eliminating air draft.
2. Positioned patient in a comfortable position (ensuring privacy).
3. Removed jewelry and hand washing technique done WHO 1-2-3-4-5 procedure.
4. Prepared a clear, clean resuscitation area on firm and flat surface ensuring clean, functional
and with easy reach equipments.
5. Prepared and arranged the materials/ supplies/ accessories in a linear sequence.
6. Cleaned the perineum with water and betadine cleanser.
7. Washed hands and put 2 pairs of sterile gloves. (If same worker handles perineum and cord).

At the time of delivery:

8. Encouraged the woman to push as desired.
9. Draped the clean,dry linen over the mother’s abdomen/arms in preparation for drying the baby.
10.Waited for the crowning of the head and did a controlled delivery of the head.
11. Called out the time of birth and sex of baby.
12. Informed the mother of outcome.
13. Excluded a second baby by palpating the abdomen in preparation for giving oxytocin.
14. Waited for strong uterine contractions ( signs of placental separation) and applied controlled
cord traction and counter traction on the uterus, continuing until the delivery of the placenta.
15. Massaged the uterus until it is firm.
16. Inspected for perineal laceration/ tears. Perineal laceration (+/-).
Repair of perineal laceration done supervised with staff midwife/ resident Doctor.(conditional)
17. Examined the placenta for completeness and abnormalities.
18. Cleaned the mother; flushed perineum , checked mother’s comfort and contracted uterus.
19. Transported mother to ward with the baby.
20. In the first hour, checked mother’s vital signs and massaged uterus every 15 minutes.
21. In the second hour, checked mother-baby dyad every 30 minutes to 1 hour.
22. Completed or records and charting done.
 Republic of the Philippines
BOHOL ISLAND STATE UNIVERSITY
Calape Campus

HEALTH AND ALLIED SERVICES DEPARTMENT

ASSIST TECHNIQUE

Procedure:
1. Washed hands and put on sterile pair of gloves.
2. Waited for crowning of the head, supported the perineum with the supporting towel until
newborn was completely delivered.
3. Ensured no second baby, gave 1 amp. Oxytocin, IM within one minute of baby’s birth.
4. Held the basin near the perineum waiting for placental expulsion taking note of the time.
5. Shout out time of placenta expulsion.
6. Examined placenta for completeness and abnormalities
7. Disposed the placenta in a leak- proof container or plastic bag.
8. Took Blood Pressure:______________mmHg
8. Done initial V/S of the patient.
9. Decontaminated (soaked in 0.5% Chlorine solution) instruments before cleaning
(at least 10 minutes decontamination)
10. Transported the mother to ward with the baby.
11. Aftercare done. (Cleaning of instruments and DR room).
 Republic of the Philippines
BOHOL ISLAND STATE UNIVERSITY
Calape Campus

HEALTH AND ALLIED SERVICES DEPARTMENT

CORD DRESSING TECHNIQUE

Instruments and Materials:

4 baby linen 1 pair mittens 1 bandage scissor

1 baby diaper Hep. B vaccine 0.5ml 1 kelly forcep (curve)
1 baby dress Vitamin K 0.1 ml 1 cord clamp
1 pair booties 2 tuberculine syringe 1 pack gauze

Procedure:

First 30 seconds:
1. 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
2. Removed the wet cloth.
3. Placed baby in skin-to-skin contact on the mother’s abdomen or chest.
4. Covered baby with the dry cloth and the baby’s head with a bonnet.
5. Obtained APGAR scoring in the first minutes of life , after 5 minutes, and after 10 minutes.
6. Palpated umbilical cord to check for pulsations.
7. After pulsations stopped, clamped cord using the cord clamp 2 cm from the base.
8. Placed the instrument clamp (Kelly curve) 5 cm from the base or 3 cm from the cord clamp.
9. Cut near above the cord clamp (not midway).
10. Attached wristlet for identification.
11. Advised the mother to maintain skin-to-skin contact. Baby should be prone on the mother’s
chest/ in between the breasts with the head turned to side.

15-90 minutes
12. Advised mother to observe for feeding cues and cited examples of feeding cues.
13. Supported the mother, instructed her on positioning and attachment.
14. Waited for FULL BREASTFEEDING to be completed.
15. After complete breastfeeding, administered eye ointment (first), did thorough physical
examination).
16. Anthropometric measurement done. (HC, CC, AC, Length, and Weight)
then did Vitamin K, Hep. B, and BCG injections (simultaneously explaining the purpose of
each intervention).
14. Advised OPTIONAL/DELAYED bathing of baby (and was able to explain the rationale).
15. Advised breastfeeding per demand.
16. In the first hour; checked baby’s breathing and color; V/S every fifteen minutes.
17. Checked for anal patency if meconium is not yet noted.
18 Transported baby with the mother.
19. After care done.
20. Charting done.