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    Delivery of Baby (Actual, Assist, and Cord Care)

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    Jasmin Adora
    The document outlines the roles and responsibilities of the actual and assistant during delivery and postpartum care, including preparing necessary equipment and medications, assisting with the delivery, administering postpartum care of mother and newborn, and documenting vital signs and other required information. Proper cord clamping and cutting, newborn measurements and vaccinations, and initiating breastfeeding are also described.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Delivery of Baby (Actual, Assist, and Cord Care)

    Uploaded by

    Jasmin Adora
    145 views3 pages
    The document outlines the roles and responsibilities of the actual and assistant during delivery and postpartum care, including preparing necessary equipment and medications, assisting with the delivery, administering postpartum care of mother and newborn, and documenting vital signs and other required information. Proper cord clamping and cutting, newborn measurements and vaccinations, and initiating breastfeeding are also described.

    Original Title

    DELIVERY OF BABY (ACTUAL, ASSIST, AND CORD CARE)

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    The document outlines the roles and responsibilities of the actual and assistant during delivery and postpartum care, including preparing necessary equipment and medications, assisting with the delivery, administering postpartum care of mother and newborn, and documenting vital signs and other required information. Proper cord clamping and cutting, newborn measurements and vaccinations, and initiating breastfeeding are also described.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    145 views3 pages

    Delivery of Baby (Actual, Assist, and Cord Care)

    Uploaded by

    Jasmin Adora
    The document outlines the roles and responsibilities of the actual and assistant during delivery and postpartum care, including preparing necessary equipment and medications, assisting with the delivery, administering postpartum care of mother and newborn, and documenting vital signs and other required information. Proper cord clamping and cutting, newborn measurements and vaccinations, and initiating breastfeeding are also described.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    ACTUAL

    I. Preparation
    ● Prepare the Mayo Tray
    ○ Multipara
    ■ Cord clamp
    ■ Kelly clamp
    ■ Straight scissor (cord cutting)
    ■ Sanitex

    ○ Primipara
    ■ Cord clamp
    ■ Kelly clamp
    ■ Bandage scissor
    ■ Straight scissor
    ■ Sanitex
    ■ Lidocaine 5 cc syringe
    ■ Chromic 2.0
    ■ Needle holder
    ● Prepare before wearing sterile gloves
    ● When placing in mayo tray, the sharp end should be placed downward
    ● Use for episiorrhaphy

    ● Wear sterile gloves.

    II. Delivery
    ● Stay nearby with the patient and assist the doctor in delivery.
    ○ Either lidocaine or bandage scissor first handed to the doctor.
    ● Place cord clamp 2 cm away from the baby’s abdomen.
    ○ Wait for pulsations to stop before clamping (1-3 minutes)
    ○ Use thumb and pointer finger
    ● Milk, place kelly clamp 5 cm away then, cut in between.
    ○ Use thumb and pointer finger
    ○ Sagad after cord clamp
    ● Roll the cord with the kelly clamp.
    ○ Secure the two ends of the kelly clamp
    ● Do Brandt Andrews’ Maneuver.
    ○ Secure the two ends of the kelly clamp
    ○ 20-30 minutes
    ○ Put sanitex on the mother’s uterus and apply opposing pressure.
    ● Inspect for the 3 signs and symptoms of placental separation.
    > Signs of placental separation:
    1. A sudden gush of blood from the vagina
    2. Lengthening of the umbilical cord
    3. The uterus becomes firmer and rounder
    in shape and rises high at the level of the
    umbilicus. (CALKIN’S SIGN)
    4. Placenta is visible at the vaginal opening

    III. Post-delivery
    ● Change gown and linens with the assist.
    ● Clean all the instruments.
    ASSIST

    I. Preparation
    ● Place the patient on the table.
    ● Put/place a Kelly pad.(Weigh kelly pad/know the weight of the kelly pad before and
    after deliver to monitor blood loss)
    ● Perform perineal care.
    ○ 1-7-7 or 7-1-7
    ● Check the vital signs prior delivery, especially blood pressure.
    ● Prepare 1 ampule oxytocin.
    ● Prepare a plate near the patient.
    ○ For the placenta to catch.
    ● Assist wearing clean gloves.

    II. Delivery
    ● After delivery, give oxytocin.
    ● Catch placenta using a plate prepared.
    ○ Inspect for the presence of cotyledon. (16-30 for multi/primi, or max of 50 usually
    for primi)
    ● Check the cord (AVA).
    ● Throw the placenta into the basin.
    ● Assist if the actual need a sanitex.

    III. Post-delivery
    ● Perineal care.
    ● Putting on an adult diaper.
    ● Change the gown and clothes.
    ● Clean kelly pad.
    ● Mop the floor.

    CORD CARE

    I. Preparation
    ● Will secure the baby’s clothes.
    ○ Prepare 3 lampin.
    ■ 1st - put a lampin on the mother's abdomen.
    ■ 2nd - pat dry the baby.
    ■ 3rd - wrap the baby using clean and dry cloth.
    ○ 1 blanket
    ○ 1 headcap

    ● Prepare medications.
    ○ Vitamin K: 0.1 cc
    ○ Hepa B Vaccine: 0.5 cc
    ○ Terramycin Ointment

    ● Prepare for anthropometric measurement.


    ○ Measuring tape
    ○ Weighing scale

    ● Wear clean gloves.


    II. Delivery
    ● Place the baby in the mother's chest.
    ● Pat dry baby.
    ○ Dito i-cucut ng actual yung cord *
    ● Change wet lampin to dry lampin.
    ● Get anthropometric measurements.
    ● Initiate skin-to-skin contact for 90 minutes.
    ○ Di aalis sa tabi ng mother.

    III. After 90 minutes


    ● Administer medications.
    ○ Vitamin K : (L) Vastus Lateralis
    ○ Hepa B : (R) Vastus Lateralis
    ○ Terramycin Ointment
    ■ Inner to outer canthus

    ● Put on baby’s clothes.


    ○ Head bonnet
    ■ Wrong side out (Outside yung may tahi)
    ○ Blanket

    ● Place the baby on the mother's chest INITIATE BREASTFEEDING.


    ● HR and RR assessment.
    ● Health teaching regarding breastfeeding.
    ● Monitor patient’s fundus, bleeding
    ● Temperature and Heart rate = baby’s VS.
    ● BP = mother’s VS.
    ● Document.

    ADDITIONAL NOTES:
    ● McRoberts Maneuver : push feet towards chest to widen pelvic area
    ● REMEMBER TO FILL UP THE JBL FORMS (Baby book, Neonatal record, EINC
    monitoring sheet, FDAR,)
    ● Breastfeeding Consent form must be filled up by the mother.

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