Essential intrapartum and newborn care (EINC)
The EINC initiative of the Philippine Department of Health- Non Communicable Diseases Prevention and Control-Family Health Office (DOH-NCDPC-FHO) and DOH Center for Health Promotions (NCHP), supported by the Joint Programme on Maternal and Neonatal Health (JPMNH), and being funded by AusAID, was piloted in 11 hospitals in the Philippines, and has yielded favorable results.
The recommended EINC practices during the intrapartum period include continuous maternal support by having a companion of choice during labor and delivery, freedom of movement during labor, monitoring progress of labor using the partograph, non-drug pain relief before offering labor anesthesia, position of choice during labor and delivery, spontaneous pushing in a semi-upright position, non-routine episiotomy, and active management of the third stage of labor (AMTSL).
For newborns, four core steps were recommended in a time bound sequence. A social marketing handle, “The First Embrace,” accompanied the initiative for practice change among health workers. Essential Intrapartum and Newborn Care (EINC) Evidence-based Standard Practices The EINC practices are evidenced-based standards for safe and quality care of birthing mothers and their newborns, within the 48 hours of Intrapartum period (labor and delivery) and a week of life for the newborn. Developed and field tested by international and local experts, EINC practices reflect current knowledge. EINC distinguishes the necessary practices in the delivery and care for the newborn and the mother, from the unnecessary. In December 2009, the Secretary of the Department of Health Francisco Duque signed Administrative Order 2009-0025, which mandates implementation of the EINC Protocol in both public and private hospitals. Likewise, the Unang Yakap campaign was launched.
The EINC practices during Intrapartum period
Continuous maternal support, by a companion of her choice, during labor and...
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