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UNANG YAKAP or THE FIRST EMBRACE is the tagline for Health Policies for Essential Intrapartum and Newborn

Essential Intrapartum and Newborn Care of EINC Care

The DOH has issued directives to ensure the highest quality


of care for mothers and their newborns, DOH policies
MISSION
describe methods for providing standard maternal and
- Evidenced based and time bound protocol newborn care to the general population and demand that
monitoring and evaluation systems be put in place for these
DESCRIPTION strategies.
- EINC is a package of evidenced based practices that
is recommended by the DOH, PhilHealth and the
WHO as the standard of care in all births by skilled DOH Policies
attendants in all government
A. Revitalization of the Mother-Baby friendly Hospital
- Basic component of Dept of Health’s Maternal,
Initiative in Health Facilities with Maternity and
MNCHN started as an expression of the national
Newborn Care Services
commitment to achieve United Nations Millennium
- A policy to protect, promote and support rooming –
Development Goals (MDG) 4 and 5 by the year 2015
in
MDG 4 – reduce child mortality by 2/3 bet 1990 and 2015
under five mortality rate B. Implementing Health Reforms for the Rapid
Reduction of Maternal and Neonatal Mortality
MDG 5 – improve maternal health - Administrative order no. 2008-0029
- Target 5A: reduce by the 3 quarters, bet 190 and - Issued on Sept 9,2008
2015 the maternal mortality ratio - End GOAL is to rapidly reduce maternal and
- Target 5B: achieve, by 2015, universal access to neonatal death
reproductive health - 3 Majors Pillars in reducing MNM:
o Emergency obstetric care
o Skilled birth attendants
 3.4 M pregnancies occur every year o Family planning
 11 mothers die of pregnancy – related causes
C. Adopting New Policies and Protocol on Essential
everyday
Newborn Care
 Leading cause of maternal deaths:
- Administrative Order No. 2009-0025
1. PPH
- DOH Secretary – Fancisco T. Duque
a. NSD – 500 ml blood loss
- Issued on Dec 7, 2009
b. CS – 1000 ml blood loss
- Outlines specific policies and principles to follow for
2. HPN
all health care providers involved in newborn health
3. Abortion related cases
care
4. Obstructed labor
- 4 steps to save newborn lives
National Policies For Maternal and Newborn Care o Immediate and thorough drying of the
newborn
The Phil govt, along with the international community, has
o Early skin to skin contact between mother
made legislative efforts to ensure that care of a certain
and newborn – for thermoregulation
standard is accessible to all mothers and babies
o Properly timed cord clamping and cutting
o Non separation of newborn and mother for - Sustainable Goals
early breastfeeding o Adopted in Sept 2015 at a historic UN
D. The Aquino Health Agenda: Achieving Universal Summit
Health Care for All Filipinos o Build on the success of MDG, aiming to go
- Administrative Order no. 2010-0036 further by ending all forms of poverty,
- MDG – 8 International development goals that all fighting inequalities and tackling climate
193 United Nation Member have agreed to achieve change
by the year 2015 o Apply to low, middle and high income
countries alike
o Governments are expected to take
WHO Guidelines ownership and establish national
frameworks for achieving the goals
A. Baby Friendly Hospital Initiative: Revised, Updated o The clock already started on January 1,
and Expanded for Integrated Care 2016
- Section 4: Hospital Self-Appraisal and Monitoring,
Jan 2006 What is Sustainable Development?
- Launched by WHO and UNICEF in 1991
- Meets the needs of the present without
- Promotes practices that protect, promote and
compromising the ability of future generations to
support breastfeeding
meet their own needs
- Call for concerted efforts toward building an
inclusive sustainable and resilient future for people
B. Pregnancy, Childbirth. Postpartum and Newborn and planet
Care: A guide for Essential Practice - Relies on three interconnected elements that are
- Integrated Management of Pregnancy and crucial to the well being of individuals and societies,
Childbirth, 2006 economic growth, social inclusion and
- Aims to provide evidence-based recommendations environmental protection
to guide health care professionals in giving high - Requires eradicating poverty in all its forms and
quality care during pregnancy, delivery and in the dimensions
postpartum period, thereby making pregnancy and
childbirth SAFER.
Health and Nutrition in the UN

C. WHO Recommendations for the Prevention of 1. No poverty


Postpartum Hemorrhage, 2006 2. Reduce hunger
1. Active management of the 3rd stage of labor 3. Good health
should be offered by skilled attendants 4. Quality education
2. Use of oxytocin for prevention of PPH 5. Gender equality
3. Cord should not be clamped earlier than is 6. Clean water sanitation
necessary 7. Affordable and clean energy
4. Delivery of placenta by controlled traction 8. Decent work and economic growth
9. Industry, innovation and infrastructure
10. Equality in social class
D. Newborn Care until the First Week of Clinical 11. Sustainable cities and communities
Practice Pocket Guide, 2009 12. Responsible consumption and production
13. Climate change
14. Life below water
15. Life on land
16. Peace and prosperity
17. To achieve global partnership

MDG SDG
Mainly for developing Universal – for all countries
countries
8 solid goals for 17 goals, 169 targets.
development Integrating 3 dimension of
SD
From UN secretariat Negotiated by member
states with stronger
country ownership
Means of implementation, Mol inter-governmentally
monitoring and follow up negotiated, global
not defined and follow up architecture and
not defined in advance monitoring system being
shaped.

1000 days

- Pregnancy/prenatal – 270 days


- First 6 months of life of an infant – 180 das
- From 6 months up to 2 years 550 days
- Total of 1000 days

SDGs Public Health Nursing and MCH Nursing

- Global Goals #1, 2, and 3 are the three of the 17


sustainable development goals related to health

Recommended Practice During Labor Based on EINC

- Less need for pain relief


- Duration of labor shorter
- Upright position or position of choice during first
stage of laborer
- Routine use of partograph