ESSENTIAL INTRAPARTUM NEWBORN CARE PROTOCOL CHECKLIST

(Adopted from the Harmonized Modules on Basic Emergency Obstetric and Newborn Care
Training for Midwives)
Instruction:
• Read the EINC Skills Checklist.
• Set-up your room as a make-shift delivery room / birthing home facility.
• Record yourself performing all the skills necessary to assist the mother to proper delivery
of her newborn.
• Record yourself performing the skills.
• Edit your videos and remove the “dead-air” to make it more aesthetically pleasing.
• Upload your video on your Google Classroom using the filename: SURNAME, GIVEN
NAME – EINC SKILLS PERFORMANCE

Done
Not
SKILLS CHECKLIST Done
PROCEDURES FROM DELIVERY TO TIME SIX HOURS POSTPARTUM
Upon arrival at facility Done Not
Done
• Identified the mother in preterm labor or the mother who might
give birth to a preterm newborn at point of entry
• Obtained Proper OB and Medical History
• Performed Physical exam, took patient’s vital signs
• Obtained the patient’s birth plan and pertinent record
• Determined companion of choice
During labor Done Not
Done
• Allowed the patient to be in her position of choice
• Used partograph to monitor labor
• Allowed the mother to have oral fluids and light snacks
• IV fluid and NPO only when indicated
Prior to delivery Done Not
Done
• Checked room temperature and air drafts
• Arranged all instruments in a linear sequence
• Discussed care in the first hours
• Checked resuscitation area and equipment
Perineal bulging Done Not
Done
• Proper handwashing
• Put on two pairs of sterile gloves (if solitary birth attendant)
• No routine episiotomy or fundal pressure done
PROCEDURES FROM DELIVERY TO TIME SIX HOURS POSTPARTUM
 Delivery Done Not
Done
• Supported the perineum of the mother with controlled delivery of
the head
• Called out time of birth and sex of the baby
First 30 seconds Done Not
Done
• Dried thoroughly and checked breathing of the baby
• Assisted in skin to skin contact
One minute to three minutes Done Not
Done
• the mother oxytocin IM after excluding a 2nd baby
• Did controlled traction of cord of the mother with counter-traction
• Massaged uterus of the mother gently
• Examined the birth canal for lacerations, bleeding
• Examined the placenta and membranes
• Removed soiled pair of gloves (if double gloving done)
• Felt for cord pulsations, clamped, cut cord
• Returned baby to prone position
15 to 90 minutes Done Not
Done
• Supported first full breastfeed
• Monitored as a DYAD every 15 minutes
• Continued uterine massage of the mother
• Monitored the mother every 15 minutes
• Eye care done
• Did thorough physical exam of baby including weight,
anthropometric measurements
• Injected vitamin K IM
• Injected hepatitis B vaccine IM
• Injected BCG vaccine ID
• Transported the mother and her baby to room together
>Six hours Done Not
Done
• Breastfeeding support on positioning and breastfeeding schedule
adequately provided
• Bathing done (optional)

Evaluator:

Dr. Jeff Leigh T Reburon

NCM 107 Instructor