Additional Indicators Core ENAP Indicators Additional Indicators Impact 1. Maternal Mortality Ratio 2. Stillbirth Rate Intrapartum Stillbirth Rate 3. Neonatal Mortality Rate Low birth weight rate Preterm birth rate Small for gestational age   Neonatal morbidity rates , eg infection Rates of disability after neonatal conditions Coverage: Care for all mothers and newborns 4. Skilled attendant at birth Early initiation of exclusive breastfeeding 5. Early postnatal care for mothers and babies 6. Exclusive breast feeding to 6 months Complications and extra care 7. Antenatal corticosteroid use Caesarean section rate 8. Newborn resuscitation 9. Kangaroo mother care, feeding support 10. Treatment of neonatal sepsis Counting Birth registration Death registration including cause of death ENAP service delivery packages Every Mother Every Newborn Quality Initiative Care of small and sick newborn Shaded = not currently routinely tracked. Bold = indicator requiring additional evaluation for consistent measurement Teal = input package requiring norms and standards to be defined All indicators to be tracked so that they can be broken down to assess equity, e.g. urban/rural, regional, wealth quintile We need to advance definitions and measurement for 10 core Every Newborn indicators, so countries and partners can track programmatic action

www.nursingcenter.com/cearticle?an=00005721-201311000-00007#TT1

Less than 2 hours of age Between 2 - 24 hours of age Between 24 - 72 hours of age Between 4 - 7 days of life 36% 29% 24% 9%

http://patientsafetyauthority.org/EducationalTools/PatientSafetyTools/newborninjuries/Documents/photo.pdf

CLICK HERE or visit https://www.youtube.com/watch?v=edgsMw_0jEw <iframe width="560" height="315" src="https://www.youtube.com/embed/edgs Mw_0jEw" frameborder= CLICK HERE or visit https://www.youtube.com/watch?v=edgsMw_0jEw TO WATCH VIDEO (enable audio)

Safely Kangaroo in your Mother/Baby Unit

The practice of Skin-to-Skin is so valuable to mom + baby The practice of Skin-to-Skin is so valuable to mom + baby....THAT IT’S WIDELY RECOMMENDED BY LEADING HEALTH ORGANIZATIONS, such as:

HOSPITAL IMPLEMENTATION STEPS

HOSPITAL TOOLKIT http://www.nuroobaby.com/hospital

$39.95 $37.95 $35.95 $32.95 $29.95 Order Quantity Hospital Price 0 - 49 $39.95 50 - 249 $37.95 250 - 499 $35.95 500 - 749 $32.95 750+ $29.95 Retail Price of the Pocket is $60.

REFERENCES + LINKS Hospitals work to prevent tragedy of dropped babies http://articles.philly.com/2015-01-17/news/58153780_1_nurse-manager-newborns-hospital-reports Infant Assessment and Reduction of Sudden Unexpected Postnatal Collapse Risk During Skin to Skin Contact. Susan M. Ludington Hoe, PhD, RN, CNM, CKC, FAAN, Kathy Morgan, BSN, RN, CKC, NNPBC http://www.nainr.com/article/S1527-3369(13)00138-4/fulltext The Surgeon General’s Call to Action to Support Breastfeeding http://www.cdc.gov/breastfeeding/pdf/actionguides/health_care_leaders_in_action.pdf Balancing Family Bonding with Newborn Safety Pa Patient Saf Advis 2014 Sep;11(3):102-8.   http://patientsafetyauthority.org/ADVISORIES/AdvisoryLibra   ry/2014/Sep;11(3)/Pages/102.aspx Skin-to-skin (Kangaroo Care) with newborns cuts down procedural pain http://www.cochrane.org/CD008435/NEONATAL_skin-to-skin-kangaroo-care-with-newborns-cuts-down-procedural-pain Skin-to-skin care for procedural pain in neonates. Johnston C1, Campbell-Yeo M, Fernandes A, Inglis D, Streiner D, Zee R. http://www.ncbi.nlm.nih.gov/pubmed/24459000 Deaths and near deaths of healthy newborn infants while bed sharing on maternity wards http://www.firstcandle.org/~candle/cms/wp-content/uploads/2014/05/Thatch-Deaths-and-Near-Deaths-Bed-Sharing-on-Matermity-Wards.pdf Maternity Practices in Infant Nutrition & Care (mPINC) Survey http://www.cdc.gov/breastfeeding/data/mpinc/maternity-care-practices.htm