Republic of the Philippines

Laguna State Polytechnic University

Province of Laguna
COLLEGE OF NURSING & ALLIED HEALTH

Essential Intrapartum Newborn Checklist (EINC)

Name: BILUAN, DANIELLA GEAN L. Date: Nov. 15, 2021
SECTION: BSN 2B GROUP 1
Instructor: Mrs. Sheila Tan Rating:
PROCEDURES RATIONALE
PRIOR TO
WOMAN’STRANSFER TO THE
DR

Ensure that the mother is in her

position of choice while in labor
This provide comfort to the
mother and give her a sense of
control during her labor.

Asked mother if she wishes to Foods and liquids are permitted

eat/drink or void. during this phase to offer energy
to the mother throughout her
delivery. It's also vital to ask the
mother if she wants to void
because a full bladder in labor
might cause the baby to have
problems going down into the
pelvis. It may also make it
difficult for a baby to rotate into a
favourable position for delivery.

Communicated with the mother- Encouragement and raising

informed her of progress of awareness about the situation
labor, gave reassurance and can help minimize physical and
encouragement. emotional pain. Also women
need to be complimented,
supported, and reminded that
everything is going well and that
we are doing everything we can
to ensure their baby's safe birth.
Encouragement and support

WOMAN ALREADY IN THE DR
PREPARING FOR
DELIVERY
Checked temperature in DR area
to be 25-28℃; eliminated air
draft
Asked woman if she is
comfortable in the semi-upright
position (the default position of
the delivery table.)
Ensured the woman’s privacy
Removed all jewelry then washed
hands thoroughly observing the
WHO 1-2-3-4-5 procedure.
make us all feel better. If a
woman is discouraged or told
she's doing anything wrong,
she'll have a harder time
enduring her labor.
It is important to maintain the
ideal temperature of the DR to
reduce incidence of neonatal
hypothermia and also if the
atmosphere is too cold, even full-
term and healthy infants may not
be able to keep their bodies
warm. When the infant becomes
too cold, he or she generates
warmth by using energy and
oxygen which can result in
increase use of oxygen. Close all
the windows and doors to make
sure that there is no air draft.
The semi-upright posture is the
most convenient for the care
provider during the baby's birth
since it improves fetal alignment
and reduces the likelihood of
compressing the mother's aorta,
which means the baby gets more
oxygen.
It will give security to the
mother.
Hands were washed to avoid the
spread of infection. Accessories
enhance the risk of infection
since they are not sterilised
metals and contain too many
 microorganisms on their
surfaces that are not apparent to
the human eye, which is why it is
important to remove jewelry
before the delivery.

Prepared a clear clean newborn

resuscitation area. Checked the
equipment if clean, functional
and within easy reach.
To save time, energy, and to
avoid distraction during the
delivery, it is essential to prepare
the resuscitation area and
equipment ahead of time.

Arranged materials supplies in

Organizing the materials needed
a linear sequence.
in linear sequence will save time
Gloves, dry linen, bonnet,
and energy and this also avoid
oxytocin injection, plastic
distraction during the delivery.
clamp, instrument clamp,
scissors, 2 kidney basins.
In a separate sequence, for
after the first breastfeed:
Eye ointment, (stethoscope to
symbolize PE), vit. K, hepatitis
B and BCG vaccines (plus
cotton balls, etc.)
Cleaned the perineum with It is important to keep the
antiseptic solution. perineum very clean to reduces
the risk of infection.

Washed hands and put on 2 It is important to prevent the

pairs of sterile gloves aseptically. possible spread of infection.
(if same worker handles
perineum and cord)

AT THE TIME OF DELIVERY

Encouraged woman to push as This is important because

desired. Pushing will give the mother a
burst of energy.

Draped the clean, dry linen over For comfort and warmth of the
the mother’s abdomen or same baby.
in preparation for dying the baby.
Applied perineal support and did This aids to reduce the severity
controlled delivery of the head. of tearing.

Called out time of birth and So that it is easily determine

sex of baby. by the people around the
delivery room.

Informed the mother of Knowing the outcome will

outcome. lessen her worries.

FIRST 30 SECONDS

Thoroughly dried baby for at Dry the baby immediately

least 30 seconds starting from after birth. This step is
the face and head, going down important because it
to the trunk and extremities while stimulates Breathing and
performing to a quick check for
prevents hypothermia.
breathing.

1-3 MINUTES
Removed the wet cloth.
Placed the baby in skin-to-skin
contact on the mother’s
abdomen or chest.
Covered the baby with the dry
cloth and the baby’s head with
the bonnet.
Excluded a second baby by
palpating the abdomen in
preparation for giving oxytocin .
Used wet cloth to wipe the
soiled gloves. Gave IV
oxytocin within one minute of
baby’s birth. Disposed of wet
cloth properly.
To ready the baby in
positioning removed the wet
cloth, this also prevents
heatloss to the newborn.
Immediate skin-to-skin
contact, enhance
breastfeeding and promote
bond to the mother and infant.
It is vital to cover the baby with
dry cloth and a bonnet to the
head of the baby because
babies cool themselves down
by releasing heat from their
heads and faces. This is also
done to prevent hypothermia
and promote warmth to the
baby.
This is important to increase
uterine activity of the mother
This is important to prevent
postpartum bleeding by
helping the uterus to contract.
Removed one set of gloves This is to prevent the possible
and decontaminated them spread of infection.
properly. (In 0.5% chlorine
solution for at least 10
minutes.)

Palpated umbilical cord to This is to keep an eye on the

check for pulsations. baby's pulse and let the
placenta to provide more
oxygenated blood.

After pulsations stopped.

Clamped cord tie 2 cm from the
base. This is important to prevent
anemia and intraventricular
hemorrhages.

Placed the instrument clamp 5 To prevent anemia and

cm from the base. intraventricular hemorrhages.

Performed the remaining steps Placental check for

of the AMTS (Active completeness and genital
Management of Third Stage) inspection for lacerations,
current bleeding require and
aftercare to the baby such as eye
care and immunization and last
but not the least, mother and
baby bonding are all
components of Active
Management of Third Stage that
must be perform to improved the
health and relationship of the
 mother and infant.

Waited for strong uterine Check the mother condition,

contractions then applied how heavy her bleeding is and
controlled cord traction and examine the placenta for
counter traction on the uterus,
completeness.
continuing until placenta was
delivered.

Massaged the uterus until it is Uterine massage after

firm. placental delivery relaxes the
muscle.

Inspected the lower vagina It is important to inspect the

and perineum for lower vagina and perineum for
lacerations/tears and repaired lacerations to avoid excessive
lacerations/tears as bleeding.
necessary.

Examined the placenta for Make sure the entire placenta

completeness and was expelled into the mother’s
abnormalities. uterus.

Cleaned the mother, flushed To prevent infection.

perineum and applied perineal
pad/napkin/cloth.
Checked baby’s color and Immediately ask for
breathing; checked that the assistance if there are any
mother was comfortable, abnormalities.
uterus, contracted.

Disposed of the placenta in a To prevent infection

leak-proof container or plastic
bag.

Decontaminated (soaked in To prevent infection.

0.5% chlorine solution,
instruments before cleaning;
decontaminated 2nd pair of
gloves before disposal stating
that decontamination lasts for
at least 10 minutes.)

Advised mother to maintain To effectively build a strong

skin-to-skin contact. Baby bond of relationship.
should be prone on mothers
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 attachment.
Wait for FULL BREASTFEED
to be completed.
After a complete breastfeed,
administered eye ointment
(first did thorough physical
examination, then did Vit K,
and BCG injections
simultaneously explained
purpose of each intervention.)
To see whether the baby is
ready to breastfeed.
Instruct her to nudge the baby
toward her breast and suck
the nipple.
Stand by their side to assist
them. Initiation of
breastfeeding within the first
hour of birth increases the
chances that newborns
receives the first milk
“colostrum”, that is rich in
antibodies and nutrients, vital
in protecting the newborn
against infections
After thorough Physical
Examination such as getting
the weight, anthropometric
measurement, and checking
the patency of the anus of the
baby. Carry out the eye care
procedure to protect the
baby from getting bacterial
eye infections that can occur
during birth.Administer
Vitamin K to prevent

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 and massaged uterus
every 15 minutes.
In the second hour; checked
mother-baby dyad every 30
minutes to 1 hour.
hemorrhagic disease and
BCG to immunized the baby.
Delaying the bathing pevents
the baby of developing
hypothermia and infection.
A newborn must be fed at
least eight times in the first 24
hours.Moreover,
breastfeeding are required as
it not only promote bond but
also because breast milk
supply all the necessary
nutrients.
Monitoring the baby and the
mother is important to prevent
future complication to the
health of the mother and
baby.
Massaging the uterus every
15 minutes help to reduce risk
of postpartum hemorrhage
and assist the uterus in
shrinking back to its pre-
pregnancy size.
By this time both of them
experience a special unique
attachment.