Key principles have been adapted and are reflected in the newborn nursing care pathway. Lesson 5, special situations in labor and delivery. Warmth and appropriate hygiene in handling newborns, early and exclusive breastfeeding, umbilical cord care, eye care, vitamin k administration, and immunization are all key components of essential newborn care enc. Wongs essentials of pediatric nursing elsevier ebook on. A study from public health perspective mahendra bikram shah on. Each trainer should also be given a copy of this training guide. Under the umbrella of the unang yakap campaign, essential newborn care is an evidenced based strategic intervention aimed at improving newborn care and helping cub neonatal mortality. Newborn care practices and homebased postnatal newborn care programme mewat, haryana, india, 20 original research latika nath sinha, a prabhdeep kaur, a rakesh gupta, b suresh dalpath, c vinod goyal c and manoj murhekar a a national institute of epidemiology, chennai, india. This studyaimsatdetermining essential newborn carepractices amongwomen whodeliverathome. Your baby will go through many changes during the first year of life. Request pdf quality maternal and newborn care to ensure a healthy start for every. Pdf essential newborn care after home delivery in nepal.
Lesson 4, management of obstetric discomfort during labor. Quality maternal and newborn care to ensure a healthy start for. The essential newborn care package is a fourstep newborn care timebound intervention. Timesaving, lowcost solutions for selfpaced learning or instructorled training. Regarding the challenges of reducing underfive mortality and morbidity, specific focus has to be given to reduce infant and neonatal deaths. The usaid 2015 acting on the call progress report emphasized that high impact interventions could save 15 million. In conjunction with women centred care, which places the woman at the center of care, familycentered maternity care, is an attitudephilosophy rather than a policy, and is based on guiding principles2. The newborn is placed strategically on the mothers breast so he will be able to feed immediately when he is hungry. When it comes to caring for children, no other resource better prepares you for practice than wongs essentials of pediatric nursing. The dohwho protocol maria asuncion silvestre, faap consultant, essential newborn care 4 march 2010. A global shortage of nurses is highlighted in a report from the world health organization who, released on world health day, at a time when nursing staff and other health profess. Newborns have many needs, like frequent feedings and diaper changes.
Special care is needed until the umbilical cord area and circumcised penis have healed. On the other days, wash the hands, feet and diaper area with soap and water. A guide for essential practice integrated management of pregnancy and childbirth, 2006 aims to provide evidencebased recommendations to guide health care professionals in giving highquality care during pregnancy, delivery and in the postpartun period, thereby making pregnancy and. The majority of these deaths could be averted through simple and costeffective interventions of essential newborn care darmstadt et al. Additional care for a small baby or twin newborn in preterm 12 months early or weighing 1500 2499 g or visibly small where a scale is not available 2. Doh, launched in 2009 the unang yakap campaign which advocates the essential. Lesson 7, characteristics of the typical newborn infant. Pregnancy, childbirth, postpartum and newborn care. A newborn does not have a mature system to fight infections so it is essential to breastfeed exclusively which provides colostrum combined with warming skinto skin contact and the act of loving care. To present linkages of newborn health and early and exclusive breastfeeding initiation in birth environments. People might be wondering what is this unang yakap program by the doh. How to bathe your newborn baby you will not need to bathe your baby every day. Essential newborn care is a set of comprehensive recommendations designed by world health organization who to improve health of the newborn through intervention before conception, during pregnancy, soon after birth and in postnatal period 1.
Essential newborn care enc a simple, costeffective newborn care intervention that can improve neonatal as well as maternal care. It includes appropriate preventive care, routine care, transition and care of sick. Barriers to the implementation of essential intrapartum and newborn. In the philippines, einc popularly known as unang yakap or the first. If possible, each trainer and each participant should be given a copy of the reference manual for use during the training and to keep afterwards. Knowledge and practice of postnatal mothers on newborn. Chapter 10 emergency care of the child, 55 chapter 11 the ill child in the hospital and other care settings, 65 chapter 12 the child with a chronic condition or terminal illness, 71 chapter principles and procedures for nursing care of children, 77 chapter 14 medication administration and safety for infants and children, 85. Enc implementation the current state of maternal and newborn care needs urgent action evidencebased.
Gaps in newborn care health services were systematically identified using tracer indicators. Unang yakap campaign launched dec 9, 2009 implementation. Garcia memorial research and medical center because of its evidence based standards that reduce maternal and newborn mortality rate. Essential baby care elements such as highquality breast milk and daily oil massage, will ensure that your child will flourish from a solid foundation of health and. Essential newborn care immediate and thorough drying early skintoskin contact. Babies can have health issues that are different from older children and adults, like diaper rash and cradle cap. Essential intrapartum and newborn care unang yakap. Our study demonstrates that essential birthing services and quality.
Unang yakap training essential newborn care training. Essential newborn care, unang yakap campaign the world. Essential newborn care would reduce 70% of neonataldeaths. Essential newborn care enc it refers to the essential care provided to the baby by care giver or by the. The care and nourishment received in infancy will serve them throughout their entire lives. An abundance of fullcolor illustrations helps you visualize key.
To assess newborn care knowledge and practices among mothers. A communitybased crosssectional study was carried out on a sample of 404 lactating mothers who have delivered a live baby at home within the past one year prior to the study. Scope of application whole hierarchy of the doh and its attached agencies. Factors associated with maternal knowledge of newborn care.
Unang yakap nina darling at kevin sa buena familia. Authored by marilyn hockenberry and david wilson, two of the most wellknown and respected names in the field, wongs features the most readable, uptodate, and accurate content available. Enc is a simple costeffective newborn care intervention that can improve neonatal as well as maternal care. Turning disaster into an opportunity for quality improvement in. This care of the newborn training guide is based on the care of the newborn reference manual referred to as the reference manual. It refers to the essential intrapartum newborn care sequential procedures that needs to be carried out for the optimal welfare of the newly born baby. Unang yakap campaign launched dec 9, 2009 implementation monitoring. The unang yakap is a special program being implemented in the delivery or operating room during child birth. The unang yakap or essential intrapartum newborn care was really conceptualized in order to have early initiation of breastfeeding. Patterns and determinants of essential newborn care. Teach the mother how to keep the small newborn warm in skintoskin contact via kangaroo mother care. Caring for your newborn 7 eyes youll likely spend a lot of time looking into your newborns eyes. Eyes at birth are usually grayishblue in caucasian infants and grayishbrown in. All health practitioners involved in maternal and newborn care.
A bath of the whole body can be given 3 to 4 times a week. Essential newborn care free download as powerpoint presentation. In addition, according to specific biological and psychological characteristics of neonates, they need higher. A crosssectional study was conducted at a tertiary care hospital in karachi, pakistan. Early essential newborn care eenc module 1 is the first in a series of five modules which support planning, implementation, improvement and monitoring and evaluation of eenc. Vol 142 june 20 2 care providers had no training in world health organization essential newborn care who enc that is a corner stone of newborn survival 4. Early essential newborn care is associated with reduced adverse neonatal. Essential newborn care maternal child survival program. Einc is a series of timebound and evidencebased interventions in caring for newborn babies and their mothers. Newborn care guide to newborn baby care for new moms and newborn baby care. Erana, rn students, master in nursing misamis university. Original article mothers knowledge and practice on. Essential intrapartum and newborn care einc essential intrapartum and newborn care einc is a package of evidencebased practices recommended by the department of health doh, philippine health insurance corporation philhealth, and the world health organization who as the standard of care in all births by skilled attendants in all. Newborn care knowledge and practices among mothers.
Essential newborn care, as part of the global ending preventable child and maternal deaths epcmd initiative, usaid will support work in 25 high priority countries that account for 70% of the worlds maternal and child deaths and half of the unmet need for family planning. The department of health embarked on essential newborn care, a new program to address neonatal deaths in the country. This study was designed to understand the patterns and determinants of three essential newborn care practices. Every woman and newborn receives evidencebased routine care and management of complications during labour, childbirth and the early postnatal period, according to world health organization who guidelines. The greatest gift you can give your newborn besides life itself, is excellent baby care. Clean cord care is one of the essential newborn care practices recommended by the world health organization to reduce morbidity and mortality amongst the worlds newborns. Essential newborn care is the care required by all neonates first 28 days of life whether they are born healthy, small or unwell. Essential newborn care enc many initiatives, globally and locally, help save lives of pregnant women and children. Newborn care practices and homebased postnatal newborn. The essential intrapartum and newborn care einc are set of practices that upon recommendations of the department of health, philhealth, and the world health organization are adopted by dr. Newborn neonate baby from birth to one month or from birth to 28 days of age. Intrapartum newborn care einc, a concept fully supported by who. Going home with a new baby is exciting, but it can be scary, too. Unang yakap is the campaign of the department of health doh, in cooperation with the world health organization who, launched in 2009, to adopt the essential intrapartum newborn care einc in the philippines.
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