Answer the following questions and provide a detailed explanations:

1. What are the component of EINC?

2. What is/are the reasons for EINC protocol?

3. What are the importance of EINC?

4. What is the sequence of routine newborn care?

5. What will if the baby is not breathing or is gasping after 30 seconds of drying?"

1. EINC stands for Examination, Innsbruck, Elements, Initial, Newborn, Care, where EINC Care means drying the newborn, stimulation, clearing the airways, warmth, cord care, initiation of breathing, skin-to-skin contact, and breastfeeding.

2. It is for these reasons that standard newborn care protocols have been established while standard newborn care interventions aim at making every newborn receive adequate quality and equally good care within the first hours of birth. Protocol are put in place to reduce morbidity and mortality.

3. Importance consists of the promotion of the transition of the baby after birth, stabilization of temperature, appropriate timing of cord clamping, and prevention of infection, promotion of touch and skin-to-skin contact, and proper initiation and establishment of breast feeding.

4. A common sequence is: Dry the infant well, handling in terms of touch, observing for proper breathing, syringing the airways, if necessary, after 1-3 minutes clamping of the cord, skin to skin and breastfeeding. Check the Apgar scores after five and fifteen minutes.

5. If the baby is not breathing or is making only occasional gasping following the initial steps, other interventions are required according to the neonatal resuscitation protocol. This may include PPV, supplementation of oxygen, CPR drugs/ chest compressions in the event that the rate remains at zero. If the situation is like this, then the most appropriate thing is to seek medical attention as soon as possible.