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Instant Mommy
Suddenly, I find myself waking, eating and breathing - literally living for another person.
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About Instant Mommy

Tintin How
Manila, Philippines
Formerly known as BabyTintin, I'm now Instant Mommy, an expectant mother of a
lovely baby girl called Junior. I'm a Statistician and financial adviser aspiring to become
a writer.
View my complete profile

Archive
• ▼ 2010 (35)
○ ► May (6)
 Conflicts with my mom on parenting...
 Good morning!
 Golden Meadows North Subdivision Lots for Sale! (S...
 Gapanese Girl at 36 Weeks
 Happiness is...
 Bagumbayan Various Artists Music Video
○ ▼ April (14)
 Shopping for Junior Pie: All About Diapers
  1 Million Visitors Free
 The Love Dare - Day 13
 The DOH Unang Yakap Campaign
 The Love Dare - Day 12
 4438
 The Love Dare - Day 11
 Jovel's Art Work (Iraq 2004-2005)
 Vision 2010
 The Love Dare - Day 10
 Do Not Be Afraid
 The Love Dare - Day 9
 Wrong Side
 The Love Dare - Day 8
○ ► March (13)
 The Love Dare - Day 7
 Junior Pie's ticker
 The Love Dare - Day 6
 My Low Lying Placenta
 Sun Life on Why “It’s Time” for Parents to Invest ...
 The Love Dare - Day 5
 Pre-Need Problem (part 1) | Randell Tiongson
 The Love Dare - Day 4
 The Love Dare - Day 3
 The Love Dare - Day 2
 The Love Dare - Day 1
 Getting your baby into position for birth
 My Mom, the Real Estate Agent
○ ► February (2)
 BUNTIN = BUNtis na TINtin
 Instant Mommy

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Thursday, April 8, 2010

The DOH Unang Yakap Campaign
Posted by InstantMommy at 3:14 AM

On December 7, 2009, the Department of Health launched the Unang Yakap Campaign. With
this campaign, the DOH aims to cut down infant mortality in the Philippines by at least half. The
campaign employs Essential Newborn Care (ENC) Protocol as a strategy to improve the health
of the newborn through interventions before conception, during pregnancy, at and soon after
birth, and in the postnatal period. The ENC Protocol provides an evidence-based, low cost, low
technology package of interventions that will save thousands of lives.

Based on health statistics, the Philippines is one of the 42 countries that account for 90% of
under-five mortality worldwide. 82,000 Filipino children under five years old die every year.
37% of them are newborn. Majority of them (3/4) die within the first two days of life. Mostly
due to stressful events or conditions during labor, delivery and immediate postpartum period.
The current practice of handling newborns, like clamping and cutting the umbilical cord and
washing the baby right after birth, have been known to actually contribute to the high incidence
of neonatal deaths and illnesses in the country. Thus the need for a paradigm shift from the
prevailing standard procedures into the new protocol.

Health Secretary Duque explained that the ENC Protocol involves focusing on the first hours
of life of the newborn with the manual guiding health workers in providing evidence-based
essential newborn care.

The guidelines categorize procedures into time-bound, non time-bound and unnecessary
procedures:
 • Time bound procedures should be routinely performed first - immediate drying, skin-to-
skin contact followed by clamping of the cord after one to three minutes, non-separation
of the newborn from the mother and breastfeeding initiation.
• Non time-bound intervention should only be done after the first full breastfeed. These
are immunizations, eye care, Vitamin K administration and weighing. Washing must be
postponed by at least 6 hours.
• The so-called unnecessary procedures include routine suctioning, routine separation of
newborns for observations, administration of prelacteals like glucose, water formula and
footprinting.
Here's a screen capture of the ENC time-bound intervention flowchart as presented by Dr.
Maria Asuncion Silvestre F.A.A.P.

In celebration of the International Women's Month, the U.P. Manila School of Health Sciences
held a symposium with the theme "Unang Yakap: Yakap ng Ina. Yakap ng Buhay" to tackle the
New DOH-WHO ENC Protocol. Sadly, some participants from the medical and academe sectors
commented that the new protocol is contrary with the common practices of most local hospitals
today. The ENC is currently being practiced by three hospitals in Metro Manila: Quirino
Memorial Medical Center in Quezon City, and Fabella Memorial Medical Center and Philippine
General Hospital in Manila.

♥♥♥
 Now, one of my concerns as an expectant mom is to ensure that the new protocol would be
observed when I give birth to Junior Pie in Gapan. Will probably discuss this with the pedia
beforehand and attach a copy of Dra. Silvestre's presentation, the Administrative Order and ENC
Guidebook to my birth plan.

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Labels: childbirth, department of health, DOH, ENC, Essential Newborn Care, junior pie,
maternity, parenthood, parenting, pediatrics, pregnancy, Unang Yakap, WHO, World Health
Organization
2 comments:
H. Nizam said...
Hello friend,
Thank you for following my blog on Google Friend Connect. I have also followed you.
Let's keep in touch.

multibrand.blogspot.com

April 8, 2010 9:05 AM

InstantMommy said...
H. Nizam, thanks for dropping by. see u around. :D

April 9, 2010 4:46 AM

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