Essential Intrapartum and Newborn Care: Checklist and Procedures

What is the recommended mixture for a decontamination solution?

Mix 1 part 5% chlorine bleach to 9 parts water to make a 0.5% chlorine solution.

When should the chlorine solution be changed?

At the beginning of each day or whenever the solution is very contaminated or cloudy.

What should be ensured regarding the mother's position during labor?

The mother should be in her position of choice.

What should be communicated to the mother during labor?

Inform her of the progress of labor, providing reassurance and encouragement.

What is the ideal temperature range for the delivery room?

The temperature should be between 25-28 degrees Celsius.

What should be done to ensure the woman's comfort in the delivery room?

Ask if she is comfortable in the semi-upright position and ensure her privacy.

What hygiene step should be taken before delivery?

Remove all jewelry and wash hands thoroughly following the WHO 1-2-3-4-5 procedure.

What should be prepared in the newborn resuscitation area?

Ensure it is clean, functional, and within easy reach.

What materials should be arranged in a linear sequence for delivery?

Gloves, dry linen, bonnet, oxytocin injection, plastic clamp, scissors, and 2 kidney basins.

What should be done after the first breastfeeding?

Prepare eye ointment, stethoscope, Vitamin K, Hepatitis B, and BCG vaccines.

What is the first action to take after the baby is born?

Thoroughly dry the baby for at least 30 seconds, starting from the face and head.

What should be done within the first 1-3 minutes after birth?

Place the baby in skin-to-skin contact on the mother's abdomen or chest and cover with a dry cloth.

What is the procedure for checking the umbilical cord after birth?

Palpate the umbilical cord to check for pulsations.

What should be done after the umbilical cord pulsation stops?

Clamp the cord using a plastic clamp 2 cm from the base and cut near the plastic clamp.

What is AMTSL and when is it performed?

AMTSL (Active Management of the Third Stage of Labor) is performed after the baby is delivered to manage the placenta.

What should be inspected after the delivery of the placenta?

Inspect the lower vagina and perineum for lacerations/tears and examine the placenta for completeness and abnormalities.

What should be done with the placenta after delivery?

Dispose of it in a leak-proof container or plastic bag.

What is the purpose of eye prophylaxis in newborn care?

It is a mandatory precaution against ophthalmia neonatorum, an inflammation of the eyes due to infections during birth.

What are the common ophthalmic ointments used for eye prophylaxis?

Erythromycin and Tetracycline.

What is the purpose of Vitamin K administration in newborns?

Vitamin K is necessary for blood clotting and is routinely administered intramuscularly.

What is BCG and its purpose?

BCG (Bacille-Calmette-Guerin) is used to prevent childhood tuberculosis in areas with high prevalence.

What should be advised regarding the baby's bathing?

Delayed bathing of the baby is recommended.

What is the APGAR scoring system used for?

It assesses the newborn's condition at 1 minute and 5 minutes after delivery.

What does an APGAR score of 7-10 indicate?

It is considered normal.

What does an APGAR score of 4-6 indicate?

It is guarded and needs further airway clearing.

What does an APGAR score below 4 indicate?

It requires resuscitation.