ESSENTIAL INTRAPARTUM AND NEWBORN CARE (EINC)

Question 1

Philippine’s
Initiative for Mothers and Babies and the Essential
Intra-Partum and Newborn Care (EINC)

Answer 1

UnangYakap, A Hug to Remember

Question 2

In _____,___ began a hospital-based initiative to
change practices for safe and quality care of mothers
and newborns. Supported by the World Health
Organization and the Joint Programme on Maternal
and Neonatal Health (JPMNH), it is fondly referred
to as UnangYakap 4 & 5

Answer 2

2009, DOH

Question 3

UnangYakap (First Embrace), a campaign of the
Philippines’ Department of Health (DOH), in
cooperation with the ____, to adopt the Essential Intrapartum
Newborn Care (EINC) in the Philippines.

Answer 3

World Health Organization
(WHO)

Question 4

s a series of time-bound and evidence-based interventions for
newborn babies and their mothers that ensure the best care for them.

Answer 4

EINC

Question 5

represents the highest standard for safe and quality care for birthing
mothers and healthy newborns in the 48 hours of the intrapartum period
and up to a week of life of the newborns. Its adoption helps reduce maternal
and newborn morbidity and deaths. It supports the national commitment to
the United Nations Millennium Development (MDG) Goal 4 and 5 by the
year 2015.

Answer 5

EINC

Question 6

 Using a clean, dry cloth, thoroughly dry the baby,
wiping the face, eyes, head, front and back, arms, and
legs

Answer 6

1. Immediate and thorough drying

Question 7

 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.

Answer 7

2. Early Skin-to-skin contact

Question 8

 Revised Cord Clamping and Cutting
 Clamp and cut the cord after cord pulsations have stopped
(typically at 1 – 3 minutes).
 Clamp cord using a sterile plastic clamp or tie at 2 cm from
the umbilical base
Clamp again at 5 cm from the base of the umbilicus.

Answer 8

3. Properly-Timed Cord Clamping

Question 9

 Dry Cord Care is recommended
 Do not apply any substance onto the cord
 Faster sloughing
 Equivalent to cord care with alcohol
 Do not use binder or “bigkis”
 Observe for the oozing of blood.

Answer 9

Dry Cord Care

Question 10

 Help the mother and baby into a comfortable
position
Observe the newborn for feeding cues.
 Once with feeding cues, ask the mother to
encourage her newborn to move toward the breast

Answer 10

4. Non-separation of Newborn from Mother for Early
   Breastfeeding

Question 11

1. Supported the perineum of the
   mother with controlled delivery
   of the head
2. Called out time of birth and sex
   of the baby

Answer 11

Delivery

Question 12

1. Dried thoroughly and checked breathing of
   the baby
2. Performance of the Four Core Steps of the
   EINC Protocol
   a. Immediate thorough drying at delivery
   b. Skin-to-skin contact of mother and baby

Answer 12

First 30
seconds

Question 13

1. Gave the mother oxytocin IM
2. Did controlled traction of cord of the mother with
   counter-traction
3. Massaged uterus of the mother gently
4. Examined the birth canal for laceration, bleeding
5. Examined the placenta and membranes
6. Remove spoiled pair of gloves (if double gloving done)
7. Felt for cord pulsations
8. Performance of the Four Core Steps of the EINC
   Protocol
   a. Properly timed cord clamping within 1 – 3 minutes of
   birth or when cord pulsations stop. No additional
   “cord care” with trimming and application of alcohol
   or povidone iodine
   b. Non-separation of mother and baby to encourage
   early breastfeeding initiation

Answer 13

One (1)
minute
to three
(3)
minutes

Question 14

1. Support first full breastfeed.
2. Monitor as a DYAD every 15 minutes.
3. Continue uterine massage of the mother.
4. Monitor the mother every 15 minutes.
5. Eye care on the baby.
6. Through physical exam of the baby including weight,
   anthropometric measurements.
7. Inject vitamin K IM.
8. Inject hepatitis B vaccine IM.
9. Inject BCG vaccine ID.
10. Transport the mother and her baby to room together.

Answer 14

FIRST 15 TO 90 MINUTES

Question 15

1. Breastfeeding support on positioning
2. Bathing (Optional)

Answer 15

 ˃ Six (6) hours

Question 16

true or false weighing, bathing, eye care, examinations,
injections should be done after the first full breastfeed is
completed

Answer 16

true

Question 17

s were thought to decrease the risk of
infections, shorten the duration of labor and make
delivery cleaner for the attending personnel.
However, ____ can also cause discomfort for
women and may increase pain.

Answer 17

enemas

Scientific research evidence does not support the
routine use of enemas during the first stage of labor.
Enemas should not be done routinely unless the
patient specifically requests for one.

Question 18

of women in labor was done
routinely before birth as a perceived hygienic
practice to minimize infection risk if there is a
spontaneous perineal tear, and to facilitate easier
repair of these tears.

Answer 18

Shaving the pubic hair

Research has found that routine perineal shaving may
protect against bacterial colonization, but there is
evidence for “no effect” on perineal wound infection.

Question 19

is restricted during active
labor because of the possible risk of aspirating gastric
contents with the administration of anesthesia.

Answer 19

Oral food and fluid intake

Question 20

has been used routinely
to hydrate women who were restricted from eating and
drinking and to provide quick access in case of an
emergency.

Answer 20

Intravenous fluid (IVF therapy)