APPENDIX B Bicol University Tabaco Campus Tayhi, Tabaco City Dear Respondents, The undersigned is presently conducting a research

entitled ADHERENCE OF BIRTHING FACILITTIES IN TABACO CITY TO UNANG YAKAP PROTOCOL AND ITS IMPLICATION TO NEWBORNS WELL-BEING in partial fulfillment of the requirement for the Degree of Bachelor in Science in Nursing. In connection with this, may he request your cooperation by accomplishing the attached questionnaire and rest assured that your answers will be used for research purposes only. Thank you very much. Very truly yours,

RHO VINCE C. MALAGUEO Reseacher QUESTIONNAIRE ADHERENCE OF BIRTHING FACILITIES IN TABACO CITY TO UNANG YAKAP PROTOCOL AND ITS IMPLICATION TO NEWBORNS WELL-BEING Part 1. Profile of the Respondents Instruction: Please answer the following by providing the necessary data on the blanks provided. 1. Name:______________________________ Profession:__________________________ Age:____ Highest Educational Attainment:____________________________________ 2. Name of Health Facility:_________________________________ Type of Health Facility: (Please check) Primary Hospital Secondary Hospital Job Position:__________ Number of years in service:________ Tertiary Hospital Lying-in clinic

Trainings attended related to Newborn Care _____________________________________ _____________________________________ _____________________________________ _____________________________________

Year _______ _______ _______ _______

Part II. Instruction: The following are the procedures in providing newborn care. Please answer the following according to your actual practice of newborn care by putting a check on the space provided as the case.

1. IMMEDIATE AND THOROUGH DRYING Put on double gloves just before delivery Use a clean, dry cloth to THOROUGHLY dry the newborn by wiping the eyes, face, head, front and back, arms and legs Remove the wet cloth Do a quick check of newborns breathing while drying Do not put the newborn on a cold or wet surface Do not bathe the newborn earlier than 6 hours of life If the newborn must be separated from his/her mother, put him/her on a warm surface, in a safe place close to the mother 2. EARLY SKIN-TO-SKIN CONTACT Place the newborn prone on the mothers abdomen or chest, skinto-skin Cover the newborns back with a blanket and head with a bonnet Place the identification band on the ankle Do not separate the newborn from the mother, as long as the newborn does not exhibit severe chest in-drawing, gasping or apnea and the mother does not need urgent medical/surgical stabilization e.g. emergency hysterectomy Do not wipe off vernix if present 3. PROPERLY-TIMED CORD CLAMPING Remove the first set of gloves immediately prior to cord clamping Clamp and cut the cord after cord pulsations have stopped (typically

Never

Sometimes Always

at 1 to 3 minutes). Do not milk the cord towards the newborn a. put ties tightly around the cord at 2 cm and 5 cm from the newborns abdomen b. cut between ties with sterile instrument c. observe the oozing blood 4. NON-SEPARATION OF NEWBORN FROM THE

MOTHER FOR EARLY BREASTFEEDING

Leave the newborn on the mothers chest in skin-to-skin contact. Health workers should not touch the newborn unless there is a medical indication Observe the newborn. Advice the mother to start feeding the newborn once the newborn shows feeding cues (e.g. opening of mouth, licking, rooting). Make verbal suggestions to the mother to encourage her newborn to move toward the breast e.g. nudging Counsel on positioning and attachment. When the newborn is ready, advise the mother to position and attach her newborn Advise the mother not to throw away the colostrum If the attachment or suckling is not good, try again and reassess

NON IMMEDIATE INTERVENTIONS

Give Vitamin K prophylaxis Inject Hepatitis B and BCG vaccinations Examine the newborn. Check for birth injuries, malformations or defects Cord care Perform non-Immediate Interventions within 6 hours after birth and should never be made to compete with the time-bound interventions

OTHER PROCEDURES
Routine suctioning Early bathing/washing Footprinting Giving sugar water, formula or other prelacteals and the use of bottles or pacifiers Application of alcohol, medicine and other substances on the cord stump and bandaging the cord stump or abdomen

Part III. 1. What are the problems that hinder you from rendering Essential Newborn Care. . [ ] Lack of trainings/seminars [ ] Lack of facilities [ ]Lack of knowledge [ ]Adherence to present hospital protocol [ ]Insufficient manpower to attend to the newborn [ ]Lack of fund [ ]Lack of cooperation of the mother [ ] Lack of support from the hospital administration/CHU Others: (pls. specify)____________________________________ 2. Solution that can be offered to address the prolems [ ] Participating in trainings and seminar conducted by the DOH or other related agencies. [ ]Support by the government [ ]Improvement of facilities [ ]Provision of health programs through network/linkage with the DOH and other concerned entities. Others, pls specify; ____________________________________