Rule out the presence of a second baby

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Rule out the presence of a second baby
4-6
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Palpate the next contraction
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Deliver the placenta with a turning and
up-and-down motion
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Teach the woman how to massage her own uterus
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Integrating maternal and newborn care at birth
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1) Keep all required items for mother and baby
handy and close by 2) Inform mother ahead of time
what is being planned at her level of
understanding
Receive and dry the baby, discard wet linen
Baby cries well
Place baby on mothers abdomen. Cover with dry
cloth. Inform mother about baby
Administer uterotonic after ruling out a second
twin.
Clamp and cut cord when pulsations cease / 2-3
min. after the birth
Apply controlled cord traction with
countertraction to the uterus. Massage the uterus
after delivery of the placenta.
Eye prophylaxis tie the cord warmth
(skin-to-skin) Initiate breastfeeding
Monitoring rest of routine care for the woman
baby
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1) Keep all required items for mother and baby
handy and close by 2) Inform mother ahead of time
what is being planned at her level of
understanding
Receive and dry the baby, discard wet linen
Cry not heard
Call for help! Stimulate baby while continuing to
dry the baby. Assess breathing. Keep the baby
warm.
Not breathing / gasping / breathing very slowly
Cut cord. Begin newborn resuscitation.
Give uterotonic (oxytocin / misoprostol) after
ruling out a second twin. Deliver placenta with
or without CCT. Massage uterus.
Eye prophylaxis tie the cord warmth
(skin-to-skin) Initiate breastfeeding
Monitoring rest of routine care for the woman
baby
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1) Keep all required items for mother and baby
handy and close by 2) Inform mother ahead of time
what is being planned at her level of
understanding
Receive and dry the baby, discard wet linen
Cry not heard
Call for help! Stimulate baby while continuing to
dry the baby. Assess breathing. Keep the baby
warm.
Breathing well
Give uterotonic (oxytocin / misoprostol) after
ruling out a second twin. Deliver placenta with
CCT. Massage uterus.
Get help to observe baby
Eye prophylaxis tie the cord warmth
(skin-to-skin) Initiate breastfeeding
Monitoring rest of routine care for the woman
baby
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1) Keep all required items for mother and baby
handy and close by 2) Inform mother ahead of time
what is being planned at her level of
understanding
Receive and dry the baby, discard wet linen
Cry not heard
Baby cries well
Call for help! Stimulate baby while continuing to
dry the baby. Assess breathing. Keep the baby
warm.
Place baby on mothers abdomen. Cover with dry
cloth. Inform mother about baby
Breathing well
Not breathing / gasping / breathing very slowly
Administer uterotonic after ruling out a second
twin.
Give uterotonic after ruling out a second twin.
Deliver placenta with CCT. Massage uterus.
Cut cord. Begin newborn resuscitation.
Clamp and cut cord when pulsations cease / 2-3
min. after the birth
Give uterotonic (oxytocin / misoprostol) after
ruling out a second twin. Deliver placenta with
or without CCT. Massage uterus.
Apply controlled cord traction with
countertraction to the uterus. Massage the uterus
after delivery of the placenta.
Get help to observe baby
Eye prophylaxis tie the cord warmth
(skin-to-skin) Initiate breastfeeding
Monitoring rest of routine care for the woman
baby
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