Knowledge on postnatal care among postpartum mothers during discharge in maternity hospitals in Asmara: a cross-sectional study

Abstract Background The early postnatal period is a dangerous time for both mother and baby where morbidity and mortality are highly prevalent if proper care is not done. Post natal care (PNC) knowledge has significant role in reducing such complications. In this study, the knowledge of postpartum mothers on PNC and its determinants were determined. Methods A cross-sectional quantitative study was conducted in postpartum mothers (PpM) who attended all maternal delivery services in Asmara. Data was collected by a structured questionnaire. All (n = 250) PpM who gave birth in December, 2017 were included in the study. Independent samples t-test and one way ANOVA were used to compare the scores in knowledge across categories of background characteristics using SPSS. Bonferroni post-hoc test was performed for variables that were found to be significant while using ANOVA tool. P-values less than 0.05 were considered as significant. Results The percentage of PpM who cited vaginal bleeding, as a maternal danger sign, and fever, as a baby danger sign, were 83.2 and 58.8%, respectively. The majority (96%) of PpM responded the correct answer on where to go if they note any danger signs. In addition, more than nine tenth of PpM correctly identified injectable contraceptives (92.7%) and oral contraceptive (91.5%). The percentages of knowledge in recognizing the necessary nutrients ranged from 87.6% for carbohydrates to 46% for minerals. The percentages of correct knowledge regarding first baby bath, frequency of breast feeding, umbilical care, duration of exclusive breast feeding, need and purpose of vaccine were 40.1, 81.9, 77.4, 94.8, and 99.2% respectively. The mean PNC knowledge score was 24.89/60. The score of knowledge on postnatal care was found to significantly differ across the categories of residence (p < 0.001) and ethnicity (p = 0.015). An increasing trend of knowledge score was observed with increase in age group (p < 0.001), educational level (p = 0.021), gravida (p < 0.001) and para (p < 0.001). Conclusion Considerable gaps in knowledge regarding postnatal care among postpartum mothers were evident. Special attention should be laid on rural residents, single/living together, junior/below in educational level, primigravida/para, non-Tigrigna ethnicity, and 17 to 25 years old mothers.

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An assessment of utilization of postnatal care services in urban area Jabalpur district

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20193640 ◽

2019 ◽

Vol 6 (9) ◽

pp. 3660

Author(s):

Dhruvendra Pandey ◽

Priyanka Meshram ◽

Arvind Sharma ◽

Rajesh Tiwari ◽

P. K. Kasar

Keyword(s):

Urban Area ◽

Urban Areas ◽

Postnatal Care ◽

Sampling Method ◽

Mode Of Delivery ◽

Great Majority ◽

Cross Sectional Study ◽

Postnatal Period ◽

Cross Sectional ◽

Early Registration

Background: Postnatal period is a vulnerable time, because most maternal and new born deaths occur during this period, especially immediately after childbirth. Postnatal care in the first hours and days after childbirth could prevent the great majority of these deaths. The objective of study was to assess the utilization of post-natal care and associated factors for low utilization in urban area of Jabalpur district.Methods: A community based cross-sectional study was carried 360 mothers who delivered in last one year in urban area of Jabalpur district. Sampling method was multistage sampling method. A total 36 wards with 10 mothers from each ward was selected. The questionnaire included information related to mode of delivery, post-natal checkups and visits of health care providers.Results: Among 360 mothers, 93.9% mothers received first postnatal check-up within 24 hrs. 1.11% of mothers between 2-3 days and 1.67% of mothers received first postnatal check-up between 4-7 days while 3.33% of mothers didn’t receive any postnatal check-up. Regarding number of post-natal visits, 58.33% mothers received 3 or more postnatal visits, 35% of mother received 2 PNC visits, while 3.3% did not receive a single postnatal visit. The education of mothers, joint type of family, high socioeconomic status, early registration of pregnancy, minimum 4 ANC visits and institutional deliveries were found significantly associated with utilization of postnatal check-up.Conclusions: Utilization of postnatal services is still poor in the urban areas even though the physical accessibility was adequate. In the present study, it was concluded that the role of education, especially of female education, is important contributing factor associated with utilization of postnatal care.

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Suicidal behaviour in postnatal mothers in northwestern Ethiopia: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2018-027449 ◽

2019 ◽

Vol 9 (9) ◽

pp. e027449

Author(s):

Habte Belete ◽

Eyaya Misgan

Keyword(s):

Suicidal Ideation ◽

Suicide Attempt ◽

Suicidal Behaviour ◽

Postnatal Care ◽

Unplanned Pregnancy ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

History Of ◽

Postpartum Mothers

AimTo assess the prevalence and associated factors of suicidal behaviour (suicidal ideation, plan or suicide attempt) in postpartum mothers.MethodAn institutional cross-sectional study was employed from March to April 2017.SettingTwo primary health centres and one referral hospital in northwestern Ethiopia.ParticipantsA total of 1065 mothers aged ≥18 years during routine postnatal care were included and 988 of them completed the study. Those who were unable to communicate due to illness were not included.Outcome measureMothers who visit for routine postnatal care were assessed for suicidal behaviour using a suicidal screening tool. Logistic analysis was employed with adjusted OR (AOR) and 95% CI, and with p value less than 0.05 as the level of significance.ResultsThe prevalence of suicidal behaviour (suicidal ideation, plan or suicide attempt) was found at 14.0% (138/988) (95% CI 12.00 to 16.00) in postpartum mothers. Poor wealth of the mother (AOR=2.80, 95% CI 1.18 to 6.84), unplanned pregnancy of the current child (AOR=2.28, 95% CI 1.48 to 3.54), history of rape (AOR=2.26, 95% CI 1.42 to 3.61) and sickness of the new child (AOR=1.68, 95% CI 1.12 to 2.52) were significantly associated with suicidal behaviours.ConclusionSuicidal behaviour was found pretty high among postpartum mothers and was associated with poor wealth, unplanned pregnancy, history of rape and sickness of the new infant. It is recommended to screen mothers for possible suicidal behaviour during routine postnatal care.

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Factors Associated with Utilization of Complete Postnatal Care Service in Baglung Municipality, Nepal

International Journal of Reproductive Medicine ◽

10.1155/2020/2892751 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8 ◽

Cited By ~ 1

Author(s):

Sita Chhetri ◽

Rajani Shah ◽

Laxmi Rajbanshi

Keyword(s):

Postnatal Care ◽

Care Service ◽

Descriptive Analysis ◽

Cross Sectional Study ◽

Vital Role ◽

Postnatal Period ◽

Structured Interviews ◽

Cross Sectional ◽

Neonatal Deaths ◽

Factors Associated

Background. Postnatal period is six weeks after birth. It is critical but is the most neglected period. A large proportion of maternal and neonatal deaths occur during 48 hours following childbirth. The utilization of the recommended three postnatal checkups within seven days after delivery, which plays a vital role in preventing maternal and neonatal deaths, is low in Nepal. Objective. This study is aimed at identifying the factors associated with the utilization of complete postnatal care (PNC) among mothers. Method. A cross-sectional study was carried out among 318 mothers in wards 1, 2, 3, and 4 of Baglung municipality, Nepal. Data was collected by semi-structured interviews. Descriptive analysis and comparison of characteristics of women/families with complete vs. partial postnatal checkups using multivariable logistic regression were done. Results. Among 314 respondents receiving at least one PNC, 78% had partial and 22% had complete PNC. Relatively advantaged caste/ethnicity- Brahman/Chhetri (aOR=3.18, 95% CI: 1.24-8.12) and Janajati (aOR=2.87, 95% CI: 1.09-7.53) - compared to Dalits, husbands working as a job holder in Nepal (aOR=3.49, 95% CI: 1.50-8.13), and delivery in a private hospital (aOR=11.4, 95% CI: 5.40-24.2) were associated with having complete PNC. Conclusion. Although PNC attendance at least once was high, utilization of complete PNC was low. More focus to mothers from disadvantaged caste/ethnicity, those whose husbands are in foreign employment, and improvement in quality of care in government health facilities may increase the use of complete PNC.

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Factors influencing women's knowledge at scheduled postnatal visits: a multi-centre study in Kakamega, Kenya

African Journal of Midwifery and Women s Health ◽

10.12968/ajmw.2020.0044 ◽

2021 ◽

Vol 15 (4) ◽

pp. 1-8

Author(s):

Charles Kiragu ◽

Justus SO Osero ◽

Anthony K Wanyoro

Keyword(s):

Postnatal Care ◽

Health Workers ◽

Neonatal Morbidity ◽

Cross Sectional Study ◽

Postnatal Period ◽

Systematic Sampling ◽

Cross Sectional ◽

Multi Centre Study ◽

Factors Influencing ◽

Postnatal Mothers

Background/aims Postnatal care is offered to mothers and their babies from birth and across the postnatal period. Visits are spread over the postnatal period, and a minimum of four visits is recommended. In many studies, postnatal visits in Africa have been reported to be low compared to antenatal visits. As a result of low postnatal visits, mothers are not able to utilise postnatal care services, resulting in delayed detection of and interventions for maternal and neonatal health problems, leading to high rates of maternal and neonatal morbidity and mortality. In Kenya, only 53% of mothers attend postnatal clinics; in Kakamega county, only 34% of mothers attend. This study aimed to establish factors influencing postnatal knowledge among mothers in selected hospitals in Kakamega, Kenya. Methods The study was a descriptive cross-sectional study involving 320 postnatal mothers recruited from four sub-counties. Systematic sampling was used to select eligible study participants. Data were collected using questionnaires that assessed the participants' knowledge of postnatal care in terms of what postnatal care is, recommended postnatal care, when to attend a clinic and the services offered at postnatal care clinics. The data were entered into a database and analysed using the Chi-squared test to assess how sociodemographic and socioeconomic characteristics were associated with knowledge of postnatal care. Results The majority of participants (73.1%) had poor or no knowledge of postnatal care and 89.7% had poor or no knowledge on when postnatal visits should be carried out. Most postnatal mothers (71.9%) received postnatal health information from health workers. Occupation (P<0.000), income (P<0.000), transport (P<0.000) and time taken to travel to hospital (P=0.034) were significantly associated with postnatal knowledge. Conclusions Knowledge on postnatal care is poor among postnatal mothers in Kakamega. The majority of participants obtained postnatal care information from health workers, and so it is recommended that Kakamega establishes other strategies for giving information on postnatal care, such as pamphlets to mothers.

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Utilization of postnatal care services in a rural area of Nalgonda district, Telangana state, India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20203389 ◽

2020 ◽

Vol 7 (8) ◽

pp. 3131

Author(s):

K. Jahnavi ◽

Abhay Subhashrao Nirgude ◽

Kondagunta Nagaraj

Keyword(s):

Postnatal Care ◽

Skilled Birth Attendant ◽

Cross Sectional Study ◽

Postnatal Period ◽

Medical Sciences ◽

Cross Sectional ◽

Care Services ◽

Factors Influencing ◽

Post Natal Care ◽

Geographical Accessibility

Background: Promoting women’s health improves not only individual health but also the health of the family, community and the nation. Less attention was given for postnatal period in developing countries; women and their newborns don’t receive postnatal care services from a skilled birth attendant during the first days after childbirth. The objective was to study utilization of postnatal care services by recently delivered mothers, to study the geographical accessibility factors influencing utilization of postnatal care services and to study healthcare provider factors influencing utilization of post natal care services.Methods: It was a community based cross sectional study conducted in Cherlapally and villages around, which constitute the rural field practice area of Department of SPM, Kamineni Institute of Medical Sciences, Narketpally Telangana from September 2012 to October 2014. A pre-designed and pre-tested questionnaire was used to collect the data. The data was compiled and analyzed using SPSS version 19.Results: Accordingly, 97.9% of the mothers received postnatal care and 2.7% mothers didn’t receive the postnatal care. In the present study post natal advice was received by 67.8%, 82.2% and 55.1% of mothers regarding family planning, breast feeding and baby care respectively. Majority (79.9%) of mothers travelled greater than 5 kms for delivery and only 20.1% of mothers travelled less than 5 kms for delivery.Conclusions: Number of institutional deliveries and deliveries assisted by skilled health personnel were more compared to other studies probably because of awareness created during antenatal visits, maternity benefit scheme and role of ASHA workers.

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Comparing breast feeding practices in baby friendly and non-accredited hospitals in Salvador, Bahia

Revista Brasileira de Saúde Materno Infantil ◽

10.1590/s1519-38292011000400007 ◽

2011 ◽

Vol 11 (4) ◽

pp. 405-413 ◽

Cited By ~ 1

Author(s):

Priscilla Nunes Ortiz ◽

Rafaela Borges Rolim ◽

Mateus Freire Lima e Souza ◽

Poliana Louzada Soares ◽

Tatiana de Oliveira Vieira ◽

...

Keyword(s):

Breast Feeding ◽

Cross Sectional Study ◽

Systematic Evaluation ◽

Baby Friendly Hospital Initiative ◽

Continuous Variables ◽

Chi Square ◽

Cross Sectional ◽

Maternity Hospitals ◽

Chi Square Test ◽

Student’S T

OBJECTIVES: to compare compliance with Steps 4 to 10 of "The Steps to Successful Breastfeeding" in two hospitals accredited by the Baby-Friendly Hospital Initiative (BFHI group) with two not yet accredited hospitals in Salvador. METHODS: a cross-sectional study was conducted with 100 women in BFHI-accredited hospitals and 103 women in non-BFHI-accredited hospitals by collecting data on their obstetric history, any breast feeding counseling received during antenatal care, and data on delivery and hospitalization. Data were obtained by applying questionnaires and reviewing patients' medical charts. The chi-square test was used for bivariate variables and Student's t test for continuous variables. RESULTS: statistically significant differences (p<0.05) were found between the BFHI-accredited group and the non-BFHI group with respect to steps 5 (77% vs 35.9%), 6 (81% vs 31%), 8 (77% vs 52.4%), and 9 (100% vs 94.2%). No differences were found between the two groups with respect to steps 4, 7 or 10. Satisfactory compliance with the requirements of the Baby-Friendly Hospital Initiative in BFHIaccredited hospitals was found only with respect to steps 6, 7 and 9. CONCLUSIONS: these results highlight the benefits of BFHI accreditation but emphasize the need for continuous and systematic evaluation in order to promote breastfeeding and provide support in BFHIaccredited maternity hospitals.

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Knowledge about Neonatal Jaundice among Nepalese Mothers

Journal of BP Koirala Institute of Health Sciences ◽

10.3126/jbpkihs.v2i1.24965 ◽

2019 ◽

Vol 2 (1) ◽

pp. 34-42

Author(s):

Sharmila Shrestha ◽

S Maharjan ◽

S Shrestha ◽

M A Petrini

Keyword(s):

Neonatal Jaundice ◽

Sampling Technique ◽

Neonatal Morbidity ◽

Knowledge Score ◽

Cross Sectional Study ◽

Danger Sign ◽

Cross Sectional ◽

Mortality And Morbidity ◽

Level Of Knowledge ◽

Primary Management

Background: Worldwide, Neonatal Jaundice is one of the most common disorders and causes of avoidable brain damage and physical and mental impairment, and probable death in newborns. It is an important contributor to the high neonatal morbidity and mortality in Nepal. Objective: To assess among mothers the knowledge about neonatal jaundice. Method: A descriptive cross-sectional study was conducted among 177 mothers in selected village with convenient sampling technique. Results: Findings revealed that around half of the mothers (49.90%) had low level of knowledge (score <50%), 28.60% mothers had moderate level of knowledge (score 50-75%) and only 22%mothers had adequate level of knowledge (score >75%) regarding neonatal jaundice. A large proportion of mothers (84%) believed that danger sign of neonatal jaundice was unable to feed the baby. Few 11% mothers believed that mental retardation and death was the complication of neonatal jaundice. Few mothers (12%) were aware about the cause of neonatal jaundice. Around 74% believed that exposing the baby to the sunlight is the primary management of neonatal jaundice but only 2%heard about the phototherapy. Conclusion: Knowledge about neonatal jaundice was low among Nepalese mothers. Awareness should be created among the expecting mothers about neonatal jaundice and encourage them to take preventive measures to avert neonatal mortality and morbidity.

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Prelacteal feeding among infants within the first week of birth in eastern Uganda: evidence from a health facility-based cross-sectional study

International Breastfeeding Journal ◽

10.1186/s13006-021-00425-w ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Racheal Akello ◽

Derrick Kimuli ◽

Stephen Okoboi ◽

Alimah Komuhangi ◽

Jonathan Izudi

Keyword(s):

Health Facility ◽

Postnatal Care ◽

Feeding Practices ◽

Cross Sectional Study ◽

Infant Feeding Practices ◽

Sectional Study ◽

Prelacteal Feeding ◽

Cross Sectional ◽

Postpartum Mothers ◽

Eastern Uganda

Abstract Background Prelacteal feeding hinders early initiation of breastfeeding and exclusive breastfeeding but is understudied in Uganda. We examined the prevalence and factors associated with prelacteal feeding among postpartum mothers in Kamuli district in rural eastern Uganda. Methods We conducted a cross-sectional study between December 2020 and January 2021 at four large healthcare facilities and randomly sampled mother-baby pairs attending postnatal care and immunization clinics. Prelacteal feeding was defined as giving anything to eat or drink to a newborn other than breast milk within the first 0–3 days of life. Data were collected using a researcher-administered questionnaire and summarized using frequencies and percentages. The Chi-squared, Fisher’s exact, and Student’s t-tests were used for comparison while the factors independently associated with prelacteal feeding were determined using modified Poisson regression analysis, reported as an adjusted prevalence risk ratio (aPRR) with corresponding 95% confidence intervals (CI). Results Of 875 participants enrolled, 319 (36.5%) practiced prelacteal feeding. The likelihood of prelacteal feeding was lower among participants who were unemployed (aPRR 0.70; 95% CI 0.5, 0.91), married (aPRR 0.71; 95% CI 0.58, 0.87), had received health education on infant feeding practices (aPRR 0.72; 95% CI 0.60, 0.86), had a spontaneous vaginal delivery (aPRR 0.76; 95% CI 0.61, 0.95), had delivered in a health facility (aPRR 0.73; 95% CI 0.60, 0.89), and who knew that prelacteal feeding could lead to difficulties in breathing (aPRR 0.70; 95% CI 0.57, 0.86). Conversely, prelacteal feeding was more likely among participants who had attended antenatal care at a public health facility during the most recent pregnancy (aPRR 2.41; 95% CI 1.71, 3.39) and those who had travelled more than 5 km to a health facility for postnatal care services (aPRR 1.46; 95% CI 1.23, 1.72). Conclusions The prevalence of prelacteal feeding among postpartum mothers in rural eastern Uganda is slightly higher than the national average. Accordingly, there is a need to continuously educate mothers and staff on infant feeding practices to tackle the factors influencing prelacteal feeding and promote appropriate infant and young child feeding practices as emphasized in the baby-friendly health facility initiative policy.

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Factors Associated with the Utilisation of Postnatal Care Services in a Rural Community in Abia State

Pakistan Journal of Public Health ◽

10.32413/pjph.v11i1.705 ◽

2021 ◽

Vol 11 (1) ◽

pp. 40-46

Author(s):

Ijeoma Nduka

Keyword(s):

Rural Community ◽

Postnatal Care ◽

Health Workers ◽

Educational Status ◽

Cross Sectional Study ◽

Postnatal Period ◽

Reproductive Age ◽

Cross Sectional ◽

Factors Associated ◽

Care Services

Background: Postnatal period is as important as pregnancy and childbirth. Half of all postnatal deaths occur during the first week after birth. During postnatal period, the mother’s body undergoes major changes from pregnancy. Therefore, there is need for continuity of care after birth to prevent and manage complications that may arise during postnatal. This study was carried out to determine factors associated with the utilisation of postnatal care services in a rural community in Abia state. Methods: This was a descriptive cross-sectional study conducted from March 2019 to May 2019 among women living in Amuvi community in Arochukwu Local Government Area (LGA)of Abia state. The study participants were women of reproductive age group (15-49 years) who had at least been pregnant once, carried pregnancy to full maturity and delivered at term. Data was collected using pre-tested semi-structured interviewer-administered questionnaire. Results: Four hundred and sixty-seven (467) women participated in the study. Four hundred and forty-three (95.1%) women attended postnatal visits while 23 (4.7%) did not. Reasons given for attending postnatal care by respondents were; routine check-ups, counselling on family planning, appointment with health workers 54 (11.7%), same day appointment as child’s immunisation, child was sick. Respondents who were married were 2 times (AOR=2.587, 95% CI:-0.878-0.120) more likely to use postnatal care services than single mothers. Mothers who had an occupation were 2 times (AOR=2.897, 95% CI: 0.051-0.267) more likely to use postnatal care services than those who did not. Husband’s occupation was statistically significant with utilisation of postnatal services. Conclusion: Utilisation of postpartum care services was high among women in Amuvi community of Abia state. PNC services utilisation were associated with marital status, mother’s occupation and husband’s educational status.

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Knowledge and understanding of obstetric danger signs among pregnant women attending the antenatal clinic at the National Referral Hospital in Thimphu, Bhutan: a cross-sectional study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03580-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Saran Tenzin Tamang ◽

Thinley Dorji ◽

Sonam Yoezer ◽

Thinley Phuntsho ◽

Phurb Dorji

Keyword(s):

Pregnant Women ◽

Knowledge Score ◽

Antenatal Clinic ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Obstetric Danger Signs ◽

Danger Signs ◽

Obstetric Emergencies ◽

Level Of Knowledge

Abstract Background The third Sustainable Development Goal for 2030 development agenda aims to reduce maternal and newborn deaths. Pregnant women’s understanding of danger signs is an important factor in seeking timely care during emergencies. We assessed knowledge of obstetric danger signs using both recall and understanding of appropriate action required during obstetric emergencies. Methods This was a cross-sectional study among pregnant women attending antenatal clinic at Bhutan’s largest hospital in Thimphu. Recall was assessed against seven obstetric danger signs outlined in the Mother and Child Health Handbook (7 points). Understanding of danger signs was tested using 13 multiple choice questions (13 points). Knowledge was scored out of 20 points and reported as ‘good’ (≥80%), ‘satisfactory’ (60–79%) and ‘poor’ (< 60%). Correlation between participant characteristics and knowledge score as well as number of danger signs recalled was tested using Pearson’s correlation coefficient. Association between knowledge score and participant characteristics was tested using t-tests (and Kruskal-Wallis test) for numeric variables. Socio-demographic and clinical characteristics associated with the level of knowledge ('good’ versus ‘satisfactory’ and ‘poor’ combined) were assessed with odds ratios using a log-binomial regression model. All results with p < 0.05 were considered significant. Results Four hundred and twenty-two women responded to the survey (response rate = 96.0%). Mean (±SD) knowledge score was 12 (±2.5). Twenty women (4.7%) had ‘good’ knowledge, 245 (58.1%) had ‘satisfactory’ knowledge and 157 (37.2%) had ‘poor’ knowledge. The median number of danger signs recalled was 2 (IQR 1, 3) while 68 women (20.3%) could not recall any danger signs. Most women were knowledgeable about pre-labour rupture of membranes (96.0%) while very few women were knowledgeable about spotting during pregnancy (19.9%). Both knowledge score and number of danger signs recalled had significant correlation with the period of gestation. Women with previous surgery on the reproductive tract had higher odds of having ‘good’ level of knowledge. Conclusions Most pregnant women had ‘satisfactory’ knowledge score with poor explicit recall of danger signs. However, women recognized obstetric emergencies and identified the appropriate action warranted.

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