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A prospective cross-sectional analysis on the adherence to the four time-bound interventions of the essential intrapartum and newborn care program (EINC) in a private tertiary hospital in Metro Manila

Ana Karina S. Ramirez, MD and Maria Regina P. Manahan, MD, FPOGS
Department of Obstetrics and Gynecology, Makati Medical Center

The fourth Millennium Development Goal set out by the United Nations in 2000 aims to reduce under-five mortality globally, of which the major contributor is neonatal mortality. Aside from the direct causes of neonatal deaths, newborns may die due to lack of access to the basic care. The World Health Organization started Essential Intrapartum and Newborn Care (EINC), an evidenced-based program that adapts safe and quality care for newborns and mothers. In response to this call, the Philippine Department of Health under Administrative Order 2009-0025, instituted Unang Yakap, a protocol comprised of four time-bound interventions. These are immediate drying, uninterrupted skin-to-skin contact, delayed cord clamping and early initiation of breastfeeding. This should be performed immediately and sequentially upon birth up to the 1st hour of life.