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    Essential Newborn Care

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    Sheene Ainasthazia Diego Ang
    The ENC Protocol was developed by a technical working group through reviewing medical literature. It outlines four time-bound interventions for newborns: immediate drying, skin-to-skin contact, delayed cord clamping, and early breastfeeding. The protocol aims to prevent hypothermia, hypoglycemia, sepsis and improve breastfeeding. The government has instituted policies to implement the protocol nationwide to reduce newborn mortality and meet UN health goals.

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    Essential Newborn Care

    Uploaded by

    Sheene Ainasthazia Diego Ang
    112 views3 pages
    The ENC Protocol was developed by a technical working group through reviewing medical literature. It outlines four time-bound interventions for newborns: immediate drying, skin-to-skin contact, delayed cord clamping, and early breastfeeding. The protocol aims to prevent hypothermia, hypoglycemia, sepsis and improve breastfeeding. The government has instituted policies to implement the protocol nationwide to reduce newborn mortality and meet UN health goals.

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    The ENC Protocol was developed by a technical working group through reviewing medical literature. It outlines four time-bound interventions for newborns: immediate drying, skin-to-skin contact, delayed cord clamping, and early breastfeeding. The protocol aims to prevent hypothermia, hypoglycemia, sepsis and improve breastfeeding. The government has instituted policies to implement the protocol nationwide to reduce newborn mortality and meet UN health goals.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    112 views3 pages

    Essential Newborn Care

    Uploaded by

    Sheene Ainasthazia Diego Ang
    The ENC Protocol was developed by a technical working group through reviewing medical literature. It outlines four time-bound interventions for newborns: immediate drying, skin-to-skin contact, delayed cord clamping, and early breastfeeding. The protocol aims to prevent hypothermia, hypoglycemia, sepsis and improve breastfeeding. The government has instituted policies to implement the protocol nationwide to reduce newborn mortality and meet UN health goals.

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    © All Rights Reserved
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    Essential Newborn Care (ENC)How was the ENC Protocol developed?

    How was the ENC Protocol developed?

    The ENC Protocol was developed the Newborn Care Technical Working Group (TWG) that conducted a
    systematic search and critical appraisal of foreign and local medical and allied health literature on
    practices in the immediate newborn period. An evidence-based draft was then developed and reviewed
    by the Department of Health (DOH), United Nations Children’s Fund (UNICEF), United Nations
    Population Fund (UNFPA), the Philippine Obstetrical and Gynecological Society (POGS), the Philippine
    Society of Newborn Medicine (PSNbM, a subspecialty society of the Philippine Pediatric Society, PPS),
    other health professional organizations/associations, Save the Children, the academe and other
    stakeholders.

    What are the four (4) time-bound interventions involved in ENC?


    Name of Office: NCDPC-At the heart of the protocol are four (4) time-bound interventions:
    1) immediate and thorough drying,
    2) early skin-to-skin contact followed by,
    3) properly-timed clamping and cutting of the cord after 1 to 3 minutes, and
    4) non-separation of the newborn from the mother for early breastfeeding initiation and rooming-in.

    What do these four (4) time-bound interventions do to the newborn?


    Name of Office: NCDPC
    1. Immediate and thorough drying of the newborn prevents hypothermia which is extremely important
    to newborn survival
    2. Keeping the mother and baby in uninterrupted skin-to-skin contact prevents hypothermia,
    hypoglycemia and sepsis, increases colonization with protective bacterial flora and improved
    breastfeeding initiation and exclusivity
    3. Properly timed cord clamping and cutting until the umbilical cord pulsation stops decreases anemia in
    one out of every seven term babies and one out of every three preterm babies. It also prevents brain
    (intraventricular) hemorrhage in one of two preterm babies.
    4. Breastfeeding initiation within the first hour of life prevents an estimated 19.1% of all neonatal
    deaths.

    What has the government done to ensure implementation of the Essential Newborn Care Protocol?
    -The signing of the Administrative Order 2009-0025 last Dec. 1, 2009 institutionalizes policies and
    guidelines for government and private health facilities to adopt the essential newborn care protocol.
    Advocacy and dissemination for a have been done since its launch. Scale-up implementation in all health
    facilities and social marketing are both in the pipeline to ensure that the policy is implemented all over
    the country.

    What is the relationship of the ENC Protocol with regard to the Maternal, Newborn and Child Health
    Nutrition (MNCHN) Strategy?
    -The Maternal, Newborn, Child Health and Nutrition (MNCHN) Strategy is in line with the DOH
    Administrative Order 2008-0029 that seeks to rapidly reduce maternal and newborn morbidity and
    mortality. Foremost to this is the provision of Basic and Comprehensive Emergency Obstetric and
    Newborn Care (BEmONC and CEmONC) capability of health facilities to meet the UN MDGs 4 and 5.
    Newborn care has been incorporated in the provision of these service capabilities. The Administrative
    Order 2009-0025 formalized the adoption of policies and guidelines on essential newborn care.
    What is the relationship of the ENC Protocol with regard to the Mother-Baby Friendly Hospital Initiative
    (MBFHI), Infant and Young Child Feeding Strategy, and the Republic Act 10028?
    Name of Office: NCDPC

    The ENC Protocol seeks to provide a firm foundation for an environment that complies with the “Ten
    (10) Steps to Successful Breastfeeding” of the Mother-Baby Friendly Hospital Initiative (MBFHI),
    breastfeeding initiation crucial to the IYCF WHO global strategy and in the implementation of the R.A.
    10028.

    What newborn care practices in the delivery room should no longer be continued?
    Name of Office: NCDPC

    The following practices should never be done anymore to the newborn:


     Manipulation such as routine suctioning of secretions if the baby is crying and breathing
    normally. Doing so may cause trauma or introduce infection.
     Putting the newborn on a cold or wet surface.
     Wiping or removal of vernix caseosa if present
     Foot printing
     Bathing earlier than 6 hours of life
     Unnecessary separation of the newborn primarily for weighing, anthropometric measurements,
    intramuscular administration of vitamin K, Hepatitis B vaccine and BCG vaccine
     Transferring of the newborn to the nursery or neonatal intensive care unit without any
    indication

    Who are involved in Essential Newborn Care Protocol?

    Healthcare professionals, either in government or in private facilities, involved in maternal and newborn
    care not limited to obstetrician-gynecologists, pediatricians/neonatologists, nurses, midwives, but also
    the hospital administration officials, anesthesiologists, hospital infection control officers, hospital
    PhilHealth/Quality officers, clinical nutritionists, clinical pharmacists, nursing attendants, health
    promotion and information officers.

    At the community level, the local government up to the barangay officials, together with their health
    workers, nutrition scholars, community health teams and volunteers, mothers’ groups are likewise
    enjoined to ensure proper information is disseminated to pregnant women and women of the
    reproductive age group.
    Why is there a need for Essential Newborn Care Protocol?

    The wide variations in newborn care practices in health facilities, both government and private, and also
    the proper sequence or order of newborn care services need to be standardized based on current
    evidences that show reduction in neonatal mortality and morbidity. This is to achieve the United Nations
    Millennium Development Goal 4 of Reducing Under 5 Child Mortality (through reduction of neonatal
    deaths).
    The Department of Health (DOH) implemented changes in the care of newborn ,the adoption of
    innovation including the recognition of the need to change were implemented to avoid and minimize
    the maternal and childhood mortality rate. Numerous newborn died because of many factors that is
    happening while the mother is giving birth to the child, DOH make adjustments on how medical inclined
    persons handle the newborn, to implement changes we must abandon the old ways and beliefs that we
    learn because it`s not relevant anymore and other old beliefs were contradicting on what we must do to
    avoid the death of both mother and newborn. These changes were implemented for us to do what is
    right to minimize the unnecessary disease that the newborn can adopt.

    Implementing innovation, including the abandoning of ineffective or obsolete practices, is crucial to


    improve the effectiveness and safety of health care. However, Putting the newborn on a cold or wet
    surface.

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