Caring for your newborn 7 eyes youll likely spend a lot of time looking into your newborns eyes. Essential newborn care is the care required by all neonates first 28 days of life whether they are born healthy, small or unwell. Eyes at birth are usually grayishblue in caucasian infants and grayishbrown in. A total of 170 mothers accompanying their infants attending the paediatric out patient department were. A crosssectional study was conducted at a tertiary care hospital in karachi, pakistan. Lesson 7, characteristics of the typical newborn infant. Newborn care practices and homebased postnatal newborn. Developed by a distinguished editorial board, the perinatal continuing education program pcep is a comprehensive, selfpaced education program in four volumes. Knowledge and practice of postnatal mothers on newborn. Essential newborn care, unang yakap campaign the world.
Babies can have health issues that are different from older children and adults, like diaper rash and cradle cap. Early essential newborn care is associated with reduced adverse neonatal. 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. The greatest gift you can give your newborn besides life itself, is excellent baby care. 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 many initiatives, globally and locally, help save lives of pregnant women and children. All health practitioners involved in maternal and newborn 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. Unang yakap campaign launched dec 9, 2009 implementation monitoring. Essential newborn care would reduce 70% of neonataldeaths. 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. How to bathe your newborn baby you will not need to bathe your baby every day. Lesson 4, management of obstetric discomfort during labor. 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. Unang yakap campaign launched dec 9, 2009 implementation. Our study demonstrates that essential birthing services and quality. 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.
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. Essential newborn care after home delivery in nepal article pdf available in scandinavian journal of public health 452. Garcia memorial research and medical center because of its evidence based standards that reduce maternal and newborn mortality rate. When it comes to caring for children, no other resource better prepares you for practice than wongs essentials of pediatric nursing.
On the other days, wash the hands, feet and diaper area with soap and water. 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. It was also reported that only 30% of health care providers. This care of the newborn training guide is based on the care of the newborn reference manual referred to as the reference manual. Pdf essential newborn care after home delivery in nepal. Special care is needed until the umbilical cord area and circumcised penis have healed. Newborn care knowledge and practices among mothers. Request pdf quality maternal and newborn care to ensure a healthy start for every. The newborn is placed strategically on the mothers breast so he will be able to feed immediately when he is hungry. It includes appropriate preventive care, routine care, transition and care of sick. 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. Quality maternal and newborn care to ensure a healthy start for. This studyaimsatdetermining essential newborn carepractices amongwomen whodeliverathome. 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.
Lesson 5, special situations in labor and delivery. A bath of the whole body can be given 3 to 4 times a week. The unang yakap is a special program being implemented in the delivery or operating room during child birth. 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. Factors associated with maternal knowledge of newborn care. 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. Einc is a series of timebound and evidencebased interventions in caring for newborn babies and their mothers. Doh, launched in 2009 the unang yakap campaign which advocates the essential. The care and nourishment received in infancy will serve them throughout their entire lives. The usaid 2015 acting on the call progress report emphasized that high impact interventions could save 15 million. The department of health embarked on essential newborn care, a new program to address neonatal deaths in the country. People might be wondering what is this unang yakap program by the doh. Newborn neonate baby from birth to one month or from birth to 28 days of age. Essential newborn care immediate and thorough drying early skintoskin contact.
Enc implementation the current state of maternal and newborn care needs urgent action evidencebased. To assess newborn care knowledge and practices among mothers. 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. Knowledge and practices on essential newborn care among. 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.
This study was designed to understand the patterns and determinants of three essential newborn care practices. Newborns have many needs, like frequent feedings and diaper changes. 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. Erana, rn students, master in nursing misamis university. 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. Essential newborn care maternal child survival program. Your baby will go through many changes during the first year of life. 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. Enc is a simple costeffective newborn care intervention that can improve neonatal as well as maternal care. Pregnancy, childbirth, postpartum and newborn care. Unang yakap training essential newborn care training. 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. Intrapartum newborn care einc, a concept fully supported by who.
A study from public health perspective mahendra bikram shah on. Unang yakap nina darling at kevin sa buena familia. Barriers to the implementation of essential intrapartum and newborn. Teach the mother how to keep the small newborn warm in skintoskin contact via kangaroo mother care. Essential newborn care free download as powerpoint presentation. Essential newborn care enc a simple, costeffective newborn care intervention that can improve neonatal as well as maternal care. Original article mothers knowledge and practice on. 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. Essential newborn care enc it refers to the essential care provided to the baby by care giver or by the. Regarding the challenges of reducing underfive mortality and morbidity, specific focus has to be given to reduce infant and neonatal deaths. Going home with a new baby is exciting, but it can be scary, too. Scope of application whole hierarchy of the doh and its attached agencies. The unang yakap or essential intrapartum newborn care was really conceptualized in order to have early initiation of breastfeeding.
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. Turning disaster into an opportunity for quality improvement in. To present linkages of newborn health and early and exclusive breastfeeding initiation in birth environments. An abundance of fullcolor illustrations helps you visualize key. For a visibly small newborn or a newborn born 1 month early. Key principles have been adapted and are reflected in the newborn nursing care pathway. Each trainer should also be given a copy of this training guide. In the philippines, einc popularly known as unang yakap or the first. Wongs essentials of pediatric nursing elsevier ebook on. In addition, according to specific biological and psychological characteristics of neonates, they need higher.
Timesaving, lowcost solutions for selfpaced learning or instructorled training. While the term essential newborn care can be used in a variety of ways, the healthy newborn network uses the term to refer to key routine practices in the care of the newborn, particularly at the time of birth and over the first hours of life, whether in the health facility or at home. The essential newborn care package is a fourstep newborn care timebound intervention. 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. Gaps in newborn care health services were systematically identified using tracer indicators. 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.
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