Evidence-based Practices for

Safe & Quality Care of

Birthing Mothers & Their
Newborn
Essential Intrapartum Care
 Unnecessary Interventions Recommended Intrapartum Care

Enema Continuous Support During

Childbirth
Shaving Mobility During Labor
Restricted Intake of Food & Pain Relief in Labor
Fluids
Partograph Use to Monitor
Routine Intravenous Infusion Progress of Labor
Spontaneous Pushing in Semi-
Fundal Pressure upright Position
Early Amniotomy and Oxytocin Hand Hygiene
Augmentation
Routine Episiotomy AMTSL
Antenatal Steroids in Preterm
Labor
Essential Newborn Care
 Unnecessary Recommended Practices
Interventions
Immediate and Thorough
Routine Suctioning Drying
Footprinting Early Skin-To-Skin Contact

Early Bathing and Washing Properly Timed Cord

Clamping
Non-Separation of the
Routine Separation Mother and Baby for
Initiation of Breastfeeding
Giving Glucose Water or
Artificial Milk Substitutes
 ESSENTIAL INTRAPARTUM AND
NEWBORN CARE
Prior to woman’s transfer to the DR:
•Ensure that mother is in her position of choice
while in labor.
•Ask mother if she wishes to eat/drink or void.
•Communicate with the mother
 ESSENTIAL INTRAPARTUM AND
NEWBORN CARE
In the Delivery Room:
•Check temperature in DR
•Position comfortably in semi-upright position
•Ensure privacy
•Remove jewelry/wash hands thoroughly
•Prepare a clear, clean newborn resuscitation
area
•Arranged materials/ supplies in linear fashion
 ESSENTIAL INTRAPARTUM AND
NEWBORN CARE
In the Delivery Room:
•Clean the perineum with antiseptic solution
•Wash hands and put on 2 pairs of sterile
gloves
 ESSENTIAL INTRAPARTUM AND
NEWBORN CARE
At the time of delivery:
•Encourage woman to push as desired
•Drape the clean, dry linen over the mothers
abdomen
•Apply perineal support, controlled delivery of
the head
•Call out time and sex of baby
•Inform mother of outcome
 ESSENTIAL INTRAPARTUM AND
NEWBORN CARE
First 30 seconds:
•Thoroughly dry baby for at least 30seconds
while performing a quick check of breathing

1-3 minutes:
•Remove wet cloth
•Place baby in skin-to-skin contact on the
mother’s abdomen or chest
 ESSENTIAL INTRAPARTUM AND
NEWBORN CARE
1-3 minutes:
•Cover bay with dry cloth and bonnet in the
head
•Exclude a second baby
•Use wet cloth to wipe the soiled gloves
•Give oxytocin to mother
•Remove 1st gloves
•Palpate umbilical cord, check for pulsations
 ESSENTIAL INTRAPARTUM AND
NEWBORN CARE
1-3 minutes:
•After pulsations stopped, clamp cord
(2cm/5cm)
•Cut cord near plastic clamp
•Perform AMTSL
• Controlled cord traction/ Countertraction
• Uterine Massage
• Inspect perineum and lower vagina
 ESSENTIAL INTRAPARTUM AND
NEWBORN CARE
1-3 minutes:
•Examine placenta
•Clean the mother
•Check baby’s color and breathing; mother if
comfortable/uterus contracted
•Dispose placenta
•Decontaminate instruments
 ESSENTIAL INTRAPARTUM AND
NEWBORN CARE
15-90 minutes:
•Observe feeding cues
•Support/instruct mother on positioning and
attachment
•Wait for FULL breastfeed to be completed
•Administer eye ointment, PE, Vit. K, Hep B,
BCG
•Advise delayed bathing