A Study proposal Presented to the AFP Medical Service School
In Partial Fulfilment of
The Requirements for the
Nurse Corps Specialty Training Course
(Obstetric Nursing)
By
1LT LYANN G ESCLARES 0-141496 NC
2014
Chapter 1
THE PROBLEM AND ITS BACKGROUND
Introduction Pregnancy is one of the most risky events in a woman’s life. During the ancient times, delivery of the fetus was the very cause of mortality and morbidity among women and infants. Most of the pregnant mothers, during those years have their domiciliary midwifery or delivery at home. Many years have passed before the discovery of medicines, instruments and procedures that could be used. These discoveries contributed a lot to the conservation of life and for the improvement of midwifery practices. Pregnant mothers are required by medical practitioners to deliver in the clinics or hospitals for safety, to avoid complications and for quick responses to emergencies, since adequate facilities and personnel are available. But even though these pregnant mothers opt to deliver in the hospital, there is still a possibility for infection or complication or even neonatal death. Philippines is among 42 nations that account for 90 percent of global deaths of children under five years of age (Cavalli- Sforza, 2011). Over 40, 000 Filipino newborns die every year, with the majority of them dying in the first two days after birth. Newborn deaths account for 37 percent of the 82,000 Filipino children die annually. (site mo kung saan galing tong data nato) The World Health Organization (WHO) Biregional Workshop on Scalling-up Nutrition for its program dubbed “Unang Yakap” (First Embrace), which has significantly curtailed deaths among Filipino infants. “Unang Yakap” is a main component of the Essential Newborn Care (ENC) protocol. The four step- protocol, derived from solid research