1) Clean birth practices: |
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a. Place of birth (facility or home) b. Hand washing (birth attendant before birth, with soap) c. Clean perineum (washed prior to birth) d. Clean birth surface (new/ clean plastic sheet or mat) e. Cutting of the umbilical cord using a clean implement (new or boiled blade, or clean scissors) f. Clean cord tying (using a new, clean thread to tie cord or cord clamp) |
2) Hygienic cord and skin care (mainly postnatal): |
a. Combined chlorhexidine cleansing of the birth canal prior to birth and/or full body newborn cleansing immediately after birth b. Chlorhexidine to the cord c. Other antimicrobial applications to the cord d. Avoidance of harmful cord applications e. Skin applications and emollients |
3) Other clean postnatal newborn care practices: |
a. Hand washing (maternal during the postnatal period, with soap) |
b. Exclusive breast feeding (considered in a separate review) |