Essential Intrapartum Newborn Care (UNANG YAKAP) - DOH PROGRAMS

Summary

This video introduces the Essential Intrapartal Newborn Care (EINC) program, also known as 'Unang Yakap', which aims to reduce neonatal mortality in the first 28 days of life. The program emphasizes evidence-based, time-bound interventions such as immediate drying, skin-to-skin contact with the mother, timely cord clamping, and promoting exclusive breastfeeding. By addressing common causes of neonatal death such as asphyxia and infection, EINC promotes healthier newborns while eliminating outdated practices. It highlights legal protocols, the importance of early breastfeeding, and practical tips for caregivers to support the newborn's health and development.

Takeaways

• 😀 EINC (Essential Intrapartal Newborn Care) aims to reduce neonatal mortality, particularly in the first 2-3 days of life.
• 😀 The program focuses on evidence-based interventions during the intrapartum and immediate postpartum period to improve newborn health outcomes.
• 😀 The legal basis for EINC in the Philippines is Administrative Order 2009-0025, which mandates four key time-bound interventions in all healthcare facilities.
• 😀 The major causes of neonatal mortality addressed by EINC include prematurity, asphyxia, infections, congenital anomalies, neonatal tetanus, and diarrhea.
• 😀 One of the core protocols is immediate drying of the newborn to stimulate breathing and prevent hypothermia.
• 😀 Early skin-to-skin contact with the mother promotes bonding, regulates temperature, and aids in the initiation of breastfeeding.
• 😀 Timely cord clamping, typically after 1-3 minutes, helps prevent anemia and bleeding in preterm babies.
• 😀 The newborn should not be separated from the mother, ensuring continuous skin-to-skin contact and monitoring for the first 1-2 hours postpartum.
• 😀 Breastfeeding should be initiated within the first hour of birth and should be exclusive for the first six months, as it is the most effective way to prevent infection-related deaths.
• 😀 Prohibited practices include bathing the newborn within the first 6 hours, administering sugar water or formula, and using pacifiers or bottles.
• 😀 Health professionals are prohibited from accepting promotional materials or gifts from milk companies, according to the Philippine Milk Code.

Q & A

What is the goal of the Essential Intrapartal Newborn Care (EINC) program?

The goal of the EINC program is to reduce neonatal mortality, which occurs within the first 28 days of life, by promoting evidence-based interventions during the first few hours after birth.

What is the significance of the first few days of life in neonatal health?

The first few days are critical because most neonatal deaths occur during this period, often due to issues like prematurity, infections, birth asphyxia, and other complications.

What are the four core steps of the Essential Intrapartal Newborn Care (EINC)?

The four core steps of EINC are: 1) immediate drying of the newborn, 2) early skin-to-skin contact with the mother, 3) properly timed cord clamping, and 4) non-separation of the baby from the mother.

Why is immediate drying of the newborn important?

Immediate drying helps stimulate the infant to breathe and prevents hypothermia, which is a common and dangerous complication for newborns.

What are the benefits of early skin-to-skin contact for the newborn?

Early skin-to-skin contact promotes bonding, supports successful breastfeeding, helps regulate the baby’s body temperature, and boosts the baby's immune system through exposure to the mother’s skin flora.

How does properly timed cord clamping help the newborn?

Properly timed cord clamping, done when the cord stops pulsating (usually 1 to 3 minutes after birth), prevents anemia and reduces the risk of brain bleeding in preterm infants.

Why is it important not to separate the baby from the mother during the first few hours?

Non-separation ensures that the baby can continuously benefit from skin-to-skin contact, early breastfeeding, and close monitoring, which are critical for the baby’s health and well-being.

What role does breastfeeding play in preventing neonatal mortality?

Breastfeeding provides essential nutrients and antibodies that protect the baby from infections and other health issues. Exclusive breastfeeding for the first six months is vital for the baby's survival and health.

What should healthcare providers avoid during newborn care under the EINC program?

Healthcare providers should avoid unnecessary actions such as suctioning the newborn’s mouth or nose unless there is a blockage, and should not give sugar water, infant formula, or pacifiers to the baby.

What is the legal framework for the EINC program in the Philippines?

The EINC program is legally supported by Administrative Order 2009-0025, which mandates evidence-based interventions to be followed by all healthcare facilities in the Philippines to ensure proper newborn care.