Delivery Room Rating Sheet
Delivery Room Rating Sheet
Delivery Room Rating Sheet
MIDWIFERY DEPARTMENT
Tabaco City
Legend: 5 Excellent -Carries out the procedure efficiently, systematically and independently. 4 Very Satisfactory - Carries out the procedure efficiently and systematically but requires minimal guidance and supervision. 3 Satisfactory - Carries out the procedure efficiently, systematically but requires moderate guidance and supervision. 2 Fair - Carries out the procedure efficiently, systematically but requires close guidance and supervision. 1 Needs Improvement - Carries out the procedure inefficiently, unsystematically and requires close guidance and supervision. ESSENTIAL INTRAPARTUM AND NEWBORN CARE 5 In advance, prepare decontamination solution by mixing 1 part 5 chlorine bleach to 9 parts water to make 0.5% chlorine solution. Change chlorine solution at the beginning of each day or whenever solution is very contaminated or cloudy. PRIOR TO WOMAN TRANSFER TO THE DELIVERY ROOM (DR) Ensure that the mother is in her position of choice while in labor. Asked the mother if she wishes to drink. Communicate with the mother informed her of the progress of labor, gave reassurance and encouragement. WOMAN ALREADY IN THE DELIVERY ROOM (DR) PREPARE FOR DELIVERY Temperature in the DR area to be 25-28 OC; eliminated air draft. Ask woman if she is comfortable in semi-upright position (the default position of delivery table) Ensures the womans privacy Removed all jewelry then washed hands thoroughly observing the WHO 1-2-3-4-5 procedure. Prepare a clear clean new born resuscitation area. Checked the Equipment if clean, functional and within easy reach. Arrange materials or supplies in a linear sequence: Gloves, dry linen, bonnet, oxytocin injection, plastic, clamp, instrument clamp, scissors, 2 kidney basins in a separate sequence, for after 1st breast feed: Eye ointment, (Stethoscope to symbolize PE), vit k, Hepatitis B and BCG vaccines, tape measure, 2 syringe 1cc,cotton balls) Clean the perineum with antiseptic solution. Washed hands and put on 2 pairs of sterile gloves aseptically (if same worker handles perineum and cord) AT THE TIME OF DELIVERY Encouraged woman to push as desired. Draped the clean, dry linen over the mothers abdomen or arms in preparation for drying the baby. Applied perineal support and did controlled the delivery of the head. Called out time of birth. 4 3 2 1 CIs Remarks
FIRST 30 SECONDS Thoroughly dried baby for at least 30 seconds, starting from the face and head, going down to the trunk and extremities while performing a quick check for breathing. 1 -3 MINUTES Remove the wet cloth. Placed baby skin-to-skin contact on the mothers abdomen or chest. Covered baby with the dry cloth and babys head with bonnet. Excluded a 2nd baby by palpating the abdomen in preparation for giving oxytocin. Used wet cloth to wipe the soiled gloves. Gave IM oxytocin with one minute of the babys birth. Disposed of wet cloth. Removed first set of gloves and decontaminate them properly (in 0.5% chlorine solution for at least 10 mins.) Palpate umbilical cord to check for pulsation. After pulsation stop for 1-3 minutes, clamped cord using plastic clamp or cord tie 2 cm from the base. Cut near plastic clamp (midway) Performed the remaining steps of the AMTSL Waited for strong uterine contractions then applied controlled cord traction and counter traction on the uterus, continue until placenta was delivered. Massaged the uterus until it is firmed. Inspect the lower vagina and perineum for lacerations / tears, as necessary. Examine the placenta for completeness and abnormalities. Cleaned the mother, flushed perineum and applied perineal pad / napkin / cloth. Checked babies color and breathing; checked that mother was comfortable, uterus contracted. Disposed of placenta in a leak-proof container or plastic bag. Decontaminated (soaked in 0.5% chlorine solution) instruments before cleaning; decontaminate 2nd pair of gloves before disposal, stating that decontamination last for at least 10 mins. Advised mother to maintain skin-to-skin contact. Baby should be prone on mothers chest / in between the breasts with head turn on to one side. 15-90 MINUTES Advised mother to observe for feeding cues and cited examples of feeding cues. Supported mother, instruct her on positioning and attachment. Waited for FULL BREASTFEEDING to be competed.