Essential Intrapartum and Newborn Care (EINC) Evidence-based Standard Practices

EINC are practices that are all based on the standards for safe care of mothers and their
newborns, these practices are mostly held within 48 hours of the Intrapartum period

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.

EINC practices was signed in December 2009 by the Department of Health Francisco Duque
(Order 2009-0025), and it was implemented in public and private hospitals. These practices
and protocol is also now known as the "Unang Yakap Campaign" (The First Embrace)

The EINC practices during Intrapartum period

Continuous maternal support, by a companion of her choice, during labor and delivery
Mobility during labor the mother is still mobile, within reason, during this stage
Position of choice during labor and delivery
Non-drug pain relief, before offering labor anesthesia
Spontaneous pushing in a semi-upright position
Episiotomy will not be done, unless necessary
Active management of third stage of labor (AMTSL)
Monitoring the progress of labor with the use of pantograph
Recommended EINC practices for newborn care are time-bound interventions at the
time of birth
Immediate and thorough drying of the newborn
Early skin-to-skin contact between mother and the newborn
Properly-timed cord clamping and cutting
Unang Yakap (First Embrace) of the mother and her newborn for early breastfeeding
initiation
Unnecessary interventions eliminated
The unnecessary interventions during labor and delivery, which do not improve the health of
mother and child, are eliminated. These are enemas and shavings, fluid and food intake
restriction, and routine insertion of intravenous fluids. Fundal pressure to facilitate second
stage of labor is no longer practiced, because it resulted to maternal and newborn injuries and
death.
Likewise, the unnecessary interventions in newborn care which include routine suctioning,
early bathing, routine separation from the mother, foot printing, application of various
substances to the cord, and giving pre-lacteals or artificial infant milk formula or other breast-
milk substitutes.

Cites

<http://www.wpro.who.int/philippines/areas/maternal_child_nutrition/newborn_mother_care/ein
c_protocols/en/>(World Health Organization)