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    EINC (Essential Intrapartum and Newborn Care)

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    Jmarie Brillantes Popioco
    EINC outlines evidence-based newborn care practices recommended by health organizations to prevent newborn deaths without additional cost. It focuses on the first hour after birth and includes 4 core time-bound steps: immediate drying, skin-to-skin contact, proper cord clamping and cutting after pulsation stops, and delaying newborn separation and encouraging breastfeeding. The guidelines aim to standardize newborn care procedures during birth.

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    EINC (Essential Intrapartum and Newborn Care)

    Uploaded by

    Jmarie Brillantes Popioco
    11K views2 pages
    EINC outlines evidence-based newborn care practices recommended by health organizations to prevent newborn deaths without additional cost. It focuses on the first hour after birth and includes 4 core time-bound steps: immediate drying, skin-to-skin contact, proper cord clamping and cutting after pulsation stops, and delaying newborn separation and encouraging breastfeeding. The guidelines aim to standardize newborn care procedures during birth.

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    EINC(4)

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    EINC outlines evidence-based newborn care practices recommended by health organizations to prevent newborn deaths without additional cost. It focuses on the first hour after birth and includes 4 core time-bound steps: immediate drying, skin-to-skin contact, proper cord clamping and cutting after pulsation stops, and delaying newborn separation and encouraging breastfeeding. The guidelines aim to standardize newborn care procedures during birth.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    11K views2 pages

    EINC (Essential Intrapartum and Newborn Care)

    Uploaded by

    Jmarie Brillantes Popioco
    EINC outlines evidence-based newborn care practices recommended by health organizations to prevent newborn deaths without additional cost. It focuses on the first hour after birth and includes 4 core time-bound steps: immediate drying, skin-to-skin contact, proper cord clamping and cutting after pulsation stops, and delaying newborn separation and encouraging breastfeeding. The guidelines aim to standardize newborn care procedures during birth.

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    EINC (Essential Intrapartum and Newborn Care)

    - A strategy or a package of evidence-based practices recommended by the DOH, WHO


    and PhilHealth, the standard of care in all births by skilled attendants in all government
    and private hospitals.
    - It is a basic component of DOH Maternal, Newborn and Child Health and Nutrition
    (MNCHN) strategy.
    - It constitutes a series of time-bound, chronologically ordered, standard procedures that
    a bay receives at birth.
    - Aims to prevent at least ½ of newborn death without additional cost to both families
    and hospitals.
    - It focuses on the First Hour of life of the Newborn.
    - UNANG YAKAP CAMPAIGN, Launched December 9, 2009.
    Guidelines Categorized Procedures:
    1. Time-bound Procedure – should be routinely performed. This are the 4 core steps of
    EINC.
    2. Non time-bound Intervention – should be done after the First Full Breastfeeding such
    as:
    a. Immunization
    b. Eye care
    c. Vitamin K administration
    d. Weighing
    e. Washing/bathing the baby must be postponed by at least 6 hours.
    3. Unnecessary Procedure
    a. Routine suctioning
    b. Routine separation of newborn for observations
    c. Administration of prelacteals, water or formula milk
    d. Footprinting
    Four (4) time-bound interventions/ 4 core steps of EINC
    1. Immediate Drying – immediate and thorough drying for 30 secs – 1 minute, warms the
    newborn and stimulates breathing.
     Using a clean dry cloth, thoroughly dry the baby, wiping the face, eyes,
    head, front and back, arms and legs.
    2. Skin-to-skin contact – early skin to skin contact between mother and newborn and
    delayed washing for at least 6 hours. This prevents hypothermia, infection, and
    hypoglycemia.
     If the baby is crying and breathing normally, avoid any manipulation, such
    as routine suctioning, that may cause trauma or introduce infection.
     Place the newborn prone on mother’s abdomen or chest skin-to-skin.
    Cover newborn’s back with a blanket and head with a bonnet. Place
    identification band on ankle.
    3. Proper Cord Clamping and Cutting – waiting for the cord pulsation to stop (between 1-3
    minutes). It prevents anemia and protect against brain hemorrhage in premature
    newborns.
     Clamp and cut the cord after pulsation have stopped.
     Put ties tightly around the cord at 2 cm and 5cm from the newborn’s
    abdomen.
     Cut between ties with sterile instrument.
     Observe for oozing blood
     Do not milk the cord towards the newborn.
     After cord clamping, ensure oxytocin 10 IU, IM route to the mother.
    4. Non-separation of baby from mother and breastfeeding initiation.
     Observe the newborn. Only when the newborn shows feeding cues such
    as opening of mouth, tonguing, licking, and rooting. Make verbal
    suggestions to the mother to encourage her newborn to move toward
    the breast.
     Counsel on positioning and attachment.
     When the baby is ready, advise the mother to:
     Make sure the newborn’s neck is neither flexed nor twisted.
     Make sure the newborn is facing the breast, with the newborn’s
    nose opposite her nipple and chin touching the breast.
     Hold the newborn’s body close to mother’s body.
     Support the newborn whole body, not just the neck and shoulder.
     Wait until her newborn’s mouth is opened wide.
     Move her newborn onto her breast, aiming the infant’s lower lip
    well below the nipple.
     Look for signs of good attachment and suckling:
    o Mouth wide open
    o Lower lip turned outward
    o Baby’s chin touching breast
    o Suckling is slow, deep with some pauses
    o If the attachment and suckling is NOT good, try again and
    reassess.
    NOTE:
    - Health workers should not touch the newborn unless there is a medical indication.
    - Do not give sugar, water, formula or other prelacteals (a food given before
    breastfeeding that is most practiced by Hindu & Muslim Families, it like a ritual culture
    of a family, examples are honey, ghutti or herbal paste.

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