UNANG YAKAP

FOUR CORE STEPS 

• Immediate and thorough drying
• early skin to skin contact
• properly timed cord clamping
• non separation of the mother and the newborn for the initiation of breast feeding

IMPORTANT THINGS TO REMEMBER

Immediate and thorough drying:

• Dry newborn for 30 seconds
• do a quick check of breathing while drying
• DO NOT SUCTION unless mouth and nose are blocked with secretions
• Do not ventilate unless baby is floppy/limp and not breathing
• NOTES:
• DO NOT REMOVE VERNIX CASEOSA
• DO NOT BATHE INFANT
• NO FOOT PRINTING
• NO SLAPPING
• NO HANGING UPSIDE DOWN
• NO SQUEEZING OF CHEST

IF NEWBORN IS BREATHING OR CRYING:

Early skin to skin contact

• Position the newborn PRONE to the mothers chest or abdomen
• cover back with dry blanket and put bonnet on the head

Properly timed cord clamping

• wait until pulsations stop
• clamp 2 cm from umbilical base
• then clamp again at 5 cm from the base
• cut the cord near the first clamp
• NOTES
• do not MILK!!!
• after first clamp you may strip the cord of blood before applying the second clamp
• do not apply any substances on the cord

Early breastfeeding

• Counsel on positioning
• newborn's neck is not flexed nor twisted
• newborn is facing the breast
• newborn's body is close to the mother
• newborn's whole body is supported
• Counsel on attachment and sucking
• mouth wide open
• lower lip turned outwards
• baby's chin is touching the breast
• sucking is slow deep with some pauses
• NOTES
• do not give sugar water, formula or other prelacteals
• do not give bottles or pacifiers
• do not throw away colostrum
• minimize handling by health workers
• All other newborn care will be done after initial breast feeding is complete
• hepa B
• weighing
• eye care
• examinations
• injections
• postpone washing until at least 6 hours