yourstudentnurse:

UNANG YAKAP protocols of DOH

Objective 1: Dry and provide warmth and prevent hypothermia.

• Double gloves before delivery.
• USe clean, dry cloth to thoroughly dry the baby.
• Do a quick check on breathing while drying.
• Do not put the baby on cold or wet surface.
• Do not bathe earlier than 6 hours after delivery. 
• Put in a warm safe place close to the mother. (if the baby is to be separted from the mother)

Objective 2: Facilitate bonding between the mother and baby through skin-to-skin contact to reduce likelihood of infection and hypoglycemia.

• Place the baby prone on the mother’s abdomen or chest.
• Cover the baby’s back with blanket; head with bonnet.
• Put an ID band on baby’s ankle.
• If possible, do not separate the baby to the mother.

Objective 3: Reduce incidence of anemia in term newborns and intraventricular hemorrhage in preterm newborns by delaying cord clamping.

• Remove first set of gloves immediately prior to cord clamping.
• Clamp the cord after pulsation have stopped (1-3 minutes). Do not milk toward the newborn.
• Clamp 2cm and 5 cm from the newborn’s abdomen and cut the cord between the 2 clamps.
• Administer 10 iu of oxytocin to the mother.

Objective 4.1:  Facilitate initiation of breastfeeding.

• Observe newborn for feeding cues: opening of mouth, tonguing, licking and rooting. 
• Encourage newborn to move towards the breast.

Objective 4.2: Proper eyecare and immunization procedures.

(Source: imtheregisterednurse)