New Born Care

Topics: Infant mortality, Infant, Childbirth Pages: 35 (13489 words) Published: July 28, 2013
ASSESSING THE COMPETENCY OF DELIVERY ROOM AND NEONATAL INTENSIVE CARE UNIT STAFF NURSES IN THE IMPLEMENTATION OF UNANG YAKAP PROGRAM OF DOH-PHILIPPINES IN TERMS OF KNOWLEDGE, SKILLS, AND ATTITUDE IN SELECTED TERIARY HOSPITALS IN METRO MANILA

A Research Paper

Presented to
The Faculty of the Manila Doctors College of Nursing
MANILA TYTANA COLLEGES
Pasay City

In Partial Fulfillment
Of the Requirements for the Degree
BACHELOR OF SCIENCE IN NURSING

LYN CABERO
JESSIE C. CAIN
SARAH JANE J. FERNANDO
NEIL GREGOR U. OBAÑA
JOSEPH ERWIN N. SALUNDAY
PHILIPPE Y. SORIANO
AARON LAWRENCE B. TORRES
KATRINA GELLICA C. VELUZ
MICHELLE B. VERGARA

PROF. GUILLER AUGUSTIN C. CARPIO, RN, MAN
Adviser

Group 4

October 2012

CHAPTER 1
The Problem and Its Background
Introduction
Every child is endowed with the dignity and worth of a human being from the moment of his conception, as generally accepted in medical parlance, and has, therefore, the right to be born well. The following are the words in Article 3 of Presidential Decree No. 603, otherwise known as The Child and Youth Welfare Code. Unfortunately, this right to be born well has continuously been violated and has not been thoroughly been being delivered according to the law. First, More than 40 000 Filipino newborns die every year, with the majority of deaths occurring in the first two days after birth. (Nyunt-U, 2012) This involves a lot of factors and that including most of them are due to improper newborn care. Second, 82 000 of the 2.4 million live births die before reaching their fifth birthday annually, making the Philippines one of 42 countries accounting for 90% of all global under-five deaths. (Sylvestre, et. al, 2011) This could be attributed to the poor healthcare system and the unavailability of resources to the lack of education not just among the population but as well as the healthcare providers. Third, According to Philippine Administrative Order No. 2009-0025 by the Department of Health (DOH) that in a study that was conducted in 51 hospitals in 9 regions in the country in 2008, hospital practices prevented the newborn from benefitting from the mother’s natural protection from the few hours of life. Furthermore, the performance and timing of evidence-based interventions in immediate newborn care are below the World Health Organizations (WHO) essential new born care standards. Several factors leading to this according to the order are that only 3% of newborns were dried prior to or with cord cutting and only 1 of 26 with difficulty of breathing was dried first. Almost no newborn benefited from the natural transfusion through non-immediate cord clamping. Also, Only 61.3 of newborns was initiated to breast feeding within the first hour that had lead to poor nutrition of the newborns. In the previous practice, such as washing of the newborn, more than 80% was exposed to hypothermia during washing. Included in the disadvantages of the previous practice is that virtually all healthy newborns were suctioned unnecessarily, 80% of them were suctioned more than once which have negative effects to the newborn. In order to solve this problem, DOH in collaboration with World Health Organization conducted a study to determine the state of implementation that would address in preventing the common causes of newborn mortality in the Philippines with the said collaboration; they have developed programs which lead to “Unang Yakap” Essential Newborn Care. Unang Yakap is one of the programs of Department of Health to reduce the maternal and child mortality. According to an article released by Department of Health on January to February 2010, the Philippines made it to the top 42 countries which had highest percentage of infant mortality rate, therefore the goal of our government was to lessen the number of maternal infant death since, about 50 percent of all neonatal and post neonatal deaths occur during the first two days of life, mainly caused by birth...
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