CHN 1
TIME BAND: After 30 seconds of drying. If
RLE
ESSENTIAL NEWBORN CARE
UNANG YAKAP
4 Core steps:
1. Immediate and thorough drying
2. Early skin-to-skin contact
3. Properly-timed cord clamping
4. Non- separation of newborn from mother
for early breastfeeding
TIME BAND: At perineal bulging
Intervention: prepare for the delivery
Action:
• Check the temperature of the delivery
room (25-28C), free of air drafts
• Notify appropriate staff
• Arrange needed supplies
▪ Towel
▪ Surgical gloves
▪ Cord care set (Cord Clamp,
Kelly Forcep, Umbilical Cord
Scissor)
▪ Blanket
▪ Bonet
▪ Tape measure
▪ Eye ointment
▪ Vit K, HepaB, & BCG
Vaccine/Syringe
• Wash hands
• Double glove just before delivery
TIME BAND: Within 1st 30 seconds
Interventions: immediate thorough drying
Actions:
• Call out time of birth
• Dry the newborn thoroughly
• Remove the wet cloth
• Check the breathing while drying
NOTE: DO NOT ventilate unless the baby is
floppy/limp and not breathing. DO NOT suction
unless the mouth/nose are blocked with
secretions.
newborn is breathing or crying:
Intervention: Early skin-to-skin contact
Action:
• Position the newborn prone on the
mother’s abdomen or chest
• Cover the newborn’s head with a bonet
• Cover the newborn’s back with a dry
blanket
• Place identification band on ankle
NOTE: Do not separate the newborn from
mother. Do not put the newborn on a cold or wet
surface. Do not wipe off vernix caseosa. Do not
bathe the newborn earlier than 6hrs of life.
TIME BAND: 1-3mins
Interventions: Properly timed cord clamping
Action:
• Remove the first set of gloves prior to
cord clamping
• Clamp the cord using a sterile cord
clamp at 2cm from the umbilical base
• Using the Kelly forcep, clamp again at
5cm from the base
• Cut the cord close to the cord clamp
NOTE: Do not milk the cord towards the baby,
after the first clamp; you may strip the cord
before applying the 2nd clamp. Cutting the cord
close to the cord clamp so that there is no need
for a 2nd trim. Do not apply any substance to the
cord.
TIME BAND: Within 90 minutes
Intervention: non-separation of newborn from
mother for early breastfeeding
Action:
*leave the newborn in skin-to-skin contact
• Observe for feeding cues and point out
these to the mother.
• Encourage her to nudge the newborn
towards the breast
• Counsel on positioning
• Counsel on attachment and sucking
NOTE:
• Minimize handling by health workers
• Do not throw away colostrum
• Do not give milk formula
• Do not give bottles or pacifiers

After the 1st successful breastfeeding is

completed.
Action:
• Weighing
• Anthropometric measurements
• Eye care
• Injections
• Vital signs