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    Immediate Drying: Essential Intrapartum and Newborn Care (Einc)

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    Kaycee Joy
    Essential intrapartum and newborn care (EINC) is a package of evidence-based practices recommended as the standard of care for all births. It includes four time-bound interventions: immediate drying, skin-to-skin contact followed by delayed cord clamping 1-3 minutes after birth, non-separation of baby from mother, and breastfeeding initiation. The EINC practices constitute a series of procedures that a baby receives at birth, including immediate drying, placing the baby skin-to-skin on the mother's chest, clamping and cutting the cord after 1-3 minutes, and encouraging breastfeeding without separation of baby from mother.

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    Immediate Drying: Essential Intrapartum and Newborn Care (Einc)

    Uploaded by

    Kaycee Joy
    84 views1 page
    Essential intrapartum and newborn care (EINC) is a package of evidence-based practices recommended as the standard of care for all births. It includes four time-bound interventions: immediate drying, skin-to-skin contact followed by delayed cord clamping 1-3 minutes after birth, non-separation of baby from mother, and breastfeeding initiation. The EINC practices constitute a series of procedures that a baby receives at birth, including immediate drying, placing the baby skin-to-skin on the mother's chest, clamping and cutting the cord after 1-3 minutes, and encouraging breastfeeding without separation of baby from mother.

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    Essential intrapartum and newborn care (EINC) is a package of evidence-based practices recommended as the standard of care for all births. It includes four time-bound interventions: immediate drying, skin-to-skin contact followed by delayed cord clamping 1-3 minutes after birth, non-separation of baby from mother, and breastfeeding initiation. The EINC practices constitute a series of procedures that a baby receives at birth, including immediate drying, placing the baby skin-to-skin on the mother's chest, clamping and cutting the cord after 1-3 minutes, and encouraging breastfeeding without separation of baby from mother.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    84 views1 page

    Immediate Drying: Essential Intrapartum and Newborn Care (Einc)

    Uploaded by

    Kaycee Joy
    Essential intrapartum and newborn care (EINC) is a package of evidence-based practices recommended as the standard of care for all births. It includes four time-bound interventions: immediate drying, skin-to-skin contact followed by delayed cord clamping 1-3 minutes after birth, non-separation of baby from mother, and breastfeeding initiation. The EINC practices constitute a series of procedures that a baby receives at birth, including immediate drying, placing the baby skin-to-skin on the mother's chest, clamping and cutting the cord after 1-3 minutes, and encouraging breastfeeding without separation of baby from mother.

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    ESSENTIAL INTRAPARTUM and NEWBORN CARE (EINC)

    Essential intrapartum and newborn care (EINC) is a package of evidence-based practices recommended by
    the Department of Health (DOH), Philippine Health Insurance Corporation (PhilHealth), and the Wold Health
    Organization (WHO) as the standard of care in all births by skilled attendants in all government and private
    settings.

    It is a basic component of DOH’s Maternal, Newborn and Child Health and Nutrition (MNCHN) strategy. The
    EINC practices for newborn care constitute a series of time-bound, chronologically-ordered, standard
    procedures that a baby receives at birth. At the heart of the protocol are four time-bound interventions:
    immediate drying; skin-to-skin contact followed by clamping of the cord after 1-3 minutes; non-separation of
    baby form mother; and breastfeeding initiation.

    1. Immediate Drying
    Using clean, dry cloth, thoroughly dry the baby, wiping the face, eyes, head, front and back, arms and
    legs.

    2. Skin-to-skin contact
     If a 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 the 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


     Clamp and cut the cord after cord pulsations have stopped (typically at 1-3 minutes).
     Put ties tightly around the cord at 2 centimeters and 5 centimeters 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 is given to the mother.

    4. Non-separation of baby from mother and breastfeeding initiation


     Observe newborn. Only when the newborn shows feeding cues (e.g., opening of mouth, tonguing,
    licking, rooting), make verbal suggestions to mother to encourage her newborn to move toward the
    breast (e.g., nudging).
     Counsel on positioning and attachment.
     When the baby is ready, advise the mother to:
    a. Make sure the newborn’s neck is neither flexed nor twisted.
    b. Make sure the newborn is facing the breast, with the newborn’s nose opposite her nipple and chin
    touching the breast.
    c. Hold the newborn’s body close to her body.
    d. Support the newborn’s whole body, not just the neck and shoulders.
    e. Wait until her newborn’s mouth is opened wide.
    f. Move her newborn onto her breast, aiming the infant’s lower lip well below the nipple.
    g. Look for signs of good attachment and suckling:
    - Mouth wide open
    - Lower lip turned outward
    - Baby’s chin touching breast
    - suckling is slow, deep with some pauses
    - if the attachment or suckling is not good, try again and reassess.

    NOTES
     Health workers should not touch the newborn unless there is a medical indication.
     Do not give sugar water, formula or other prelacteals.
     Do not give bottles or pacifiers.
     Do not throw away colostrum.

    REFERENCES
     WHO EINC briefer, (2011). Essential Intrapartum and Newborn Care (EINC): Saving mother’s and
    newborn’s lives by translating evidence to practice.
     World Health Organization, (2009). Newborn Care Until the First Week of Life.

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