PREPARE FOR THE DELIVERY.

1. Assemble all equipment needed.- Rationale:to minimize time and to prevent interference during
the procedure
2. Ensure that delivery area is draft-free and room temperature between 25-28 C.- Rationale:to
maintain and prevent newborn hypothermia that requires an appropriate air temperature in the
delivery area or operating room.
3. Perform hand hygiene. Double glove just before delivery.- Rationale:To prevent the spread of the
microorganisms.
4. Deliver the baby in prone position on the mother’s abdomen, face turned to theside.- Rationale:to
facilitate an appropriate position to the baby and to provide
5. Call out time of birth and sex of the baby.- Rationale:to identify the correct and exact time of
birth and also the sex of the baby.
6. Inform the mother of the outcome.
- Rationale:so that the mother is aware about her baby regarding the important information about
the delivery of the baby

1st 30 SECONDS7. Use a clean, dry cloth to thoroughly dry the baby by wiping the face, eyes,head,
front and back of the trunk, arms and legs.- Rationale: Breathing is also stimulated by drying.
Sustained skin-to-skin contact also aids olfactory learning, effective colostrum intake, and long-
term breastfeeding by colonizing the newborn withmaternal flora (rather than hospital flora).8. Do
a quick check of newborn’s breathing while drying.- Rationale:in order to identify if the baby’s
breathing is normal or it has any presence of abnormalities

1-3 MINUTES9. Remove the wet cloth.- Rationale: This will prevent the microorganims from
remaining in the baby.10. Place the newborn prone on the mother’s abdomen or chest skin-to-
skin.Cover newborn’s back with a blanket and head with a bonnet.

Rationale: to support the babies in getting a better good rest This is due to the fact that sleeping in a
prone position can help to lessen shock responses. Babies will feel more awake as a result of this,
and their fussiness will decrease. And also to provide a comfort for the baby.
11. Place identification band on ankle.- Rationale: to avoid such major errors and injury to the
newborn, as well as the switching of babies in thehealth care institution.
12. Remove the first set of gloves after positioning the baby for cord clamping.- Rationale:to
prevent the transmission of the microorganism from the first set of the gloves before performing
cord clamping of the baby.
13. Palpate the umbilical cord to check for pulsations.- Rationale:in order to start and perform the
clamping of the cord.
14. After pulsations stopped, clamp the cord using the plastic cord or tie 2cm fromthe base.-
Rationale:waiting for the pulsation to stop to allow the placenta's blood to be transmitted to the
infant even after they've been born and also to enhanced transitional circulation, higher red blood
cell volume establishment, fewer blood transfusions required, and a lower incidence of necrotizing
enterocolitis and intraventricular hemorrhage
15. Place the instrument clamp 5cm from the base.
- Rationale:to provide a safe clamping at a safe distance of the clamping of umbilical cord.
16. Cut near plastic clamp.- Rationale:to facilitate a proper way of cutting the cord.
17. Advise mother to maintain skin-to-skin contact. Baby should be prone onmother’s chest/in
between the breasts with head turned to one side.- Rationale:Skin-to-skin contact also helps in the
self-regulation of the baby's body, which helps to regulate the heartbeat and breathing rhythms and
Ensures that the mother recognizes her baby's signals sooner, promoting communication and
maternal confidence while also assistingbabies in developing a sense of trust and security.
15-90 MINUTES

18. Advise mother to observe for feeding cues.- Rationale:it allows to keep track of how well your
baby eats (feeding quality) and the methods that help him or her eat well. The quantity of breast
milk or formula consumed by your infant is essential, but the quality of the feeding is even more so.
19. Instruct mother on positioning and attachment.Rationale:to ensure the success of breastfeeding
When your baby is properly positioned and attached, it will be simpler for them to feed properly,
and it will be more comfortable for you.
20. Let the baby feed for as long as it wants on both breasts.Rationale:Longer feedings help your
baby to get the creamier, higher-fat hindmilk at the end of the feeding, which is more nutritious.
Allowing your baby to breastfeed for longer helps to completely empty the breast and signal your
body to produce more breast milk.
21. Administer eye prophylaxis, applying from inner canthus to outer canthus.Rationale:It help
prevent gonorrhea, chlamydia infections, and the sexually transmitted illness from causing
infection or blindness.
22. Administer Vitamin K intramuscular injection.Rationale:It provides protection against bleeding
that may develop as a result of low levels of this important vitamin.
23. Administer Hepa B and BCG vaccinations.Rationale:Protects the baby from hepatitis B, a
potentially fatal disease, as well as the chance of contracting tuberculosis (TB).
24. Thoroughly examine the baby, checking for birth defects, marks, or injuries.Rationale:It
performs a thorough examination of each body system for health and proper performance. In
addition, the provider checks for indicators of illness or birth abnormalities.
25. Perform anthropometric measurements for weight, length, head circumference,chest
circumference and abdominal circumference.Rationale:This anthropometric measurements are
used to assess the size, shape and composition of the human body.This measurement will use To
compare each measurement to the normal value and to determine if there are any presence of
abnormalities to the baby.
26. Obtain rectal temperature checking for anal patency.Rationale:This technique is accurate and
reliable that provides an immediate reading of the baby's internal temperature.
27. Dress the baby properly.Rationale:This will provide a comfort for the baby and able to move
around in their environment comfortably.
28. Transfer the baby to crib under the droplight for further observation, if babymay not yet be
roomed-in with the mother.Rationale:The baby is placed under these lights in a heated, enclosed
bed to maintain a consistent temperature and to ensure that the baby is thoroughly observed
especially if the baby is not yet with their mother.
29. Perform aftercare.Rationale: To facilitate a safe environment for the baby after doing procedure.
30. Remove gloves and dispose properly. Perform hand hygiene.Rationale:To prevent the spread of
the microorganisms.
31. Document the procedure.Rationale:provides a precise reflection of nursing evaluations, changes
in clinical status, treatment provided, and essential patient information to assist the
multidisciplinary team in providing excellent care