scholarly journals KNOWLEDGE AND PRACTICES OF POSTNATAL MOTHERS ON NEWBORN CARE IN TERTIARY CARE HOSPITAL OF UDUPI DISTRICT

2014 ◽  
Vol 04 (02) ◽  
pp. 098-101
Author(s):  
Castalino F. ◽  
Nayak B. S. ◽  
D'Souza A.
Keyword(s):  
Tertiary Care ◽  
Newborn Care ◽  
Educational Programme ◽  
Normal Vaginal Delivery ◽  
Care Hospital ◽  
New Born ◽  
Hindu Religion ◽  
Postnatal Mothers ◽  
Structured Knowledge ◽  
Knowledge And Practice

Abstract:A descriptive correlational survey to assess knowledge and practice of postnatal mothers on newborn care was carried out among 30 mothers using valid, reliable, structured knowledge and practice questionnaire. The collected data was analyzed using SPSS version 16. The findings of the study showed that most of the sample 24(80%) were in the age group 21-30 years, most of them 16(53.3%) were primipara, 15(50%) had normal vaginal delivery and 15 (50%) had LSCS. Majority of the sample 25 (83.3%) belonged to Hindu religion, most of them 19 (63.3%) belonged to joint family, most the samples 17 (56.7%) lived in a rural area, majority of the mothers 17 (56.7%) were housewives. Majority of the new- borns, 24 (80%) were above 37 weeks of gestation, most of the new born 21(70%) were below 6 days of age, majority of the new born 19(63.3%) were male, majority of newborn 16(53.3%) were above 3000 grams of birth weight. Majority 23 (76.7%) of mothers had good knowledge on new-born care. Most of 16 (53.33%) of mothers had excellent practice on newborn care. Relationship between knowledge and practice score of the mother was not statistically significant at 0.05 level (r=0.276, p=0.140). The education of the mothers (x2(df) =11.642(3), p=0.009) had significant association with the knowledge of the mother regarding new-born care. Keeping in mind the findings of the study it is recommended that an educational programme regarding newborn care can be organized to the antenatal and postnatal mothers

scholarly journals A study to Assess the Knowledge and Practice of Staff Nurses and Postnatal Mothers on Implementation of Baby Friendly Hospital Initiative in a Tertiary Care Hospital in Chennai

2021 ◽  
pp. 61-68
Author(s):  
Ranadeep Mothukuri ◽  
Santosh Kumar ◽  
R. Sowndarya
Keyword(s):  
Tertiary Care ◽  
Rank Correlation ◽  
Staff Nurses ◽  
Care Hospital ◽  
Baby Friendly Hospital Initiative ◽  
Long Term Effects ◽  
Good Level ◽  
Skin Contact ◽  
Postnatal Mothers ◽  
Knowledge And Practice

Aims: Breastfeeding is considered the ideal nutrition for neonates. It not only provides the essential micronutrients and macronutrients but also helps in building a bond between the baby and the mother apart from its long term effects. For the promotion of breastfeeding several steps have been initiated by the UNICEF and WHO of which BFHI is the most important initiative. This study is to assess Knowledge and Practice regarding breastfeeding of BFHI among Nurses and postnatal mothers. Study Design:  A non experimental descriptive study. Place and Duration of Study: Department of Neonatology and Department of obstetrics, Saveetha Medical College and Hospital, Saveetha University, Chennai, India. Between September 2020 and December 2020. Methodology: A hospital based survey was done among 40 staff nurses and 40 postnatal mothers regarding their knowledge about BFHI and breastfeeding, demonstration of practice of breastfeeding and principles of BFHI and their perceptions on factors that hinder the implementation of BFHI. Data on knowledge of baby-friendly hospital initiative and breastfeeding was collected by using a self-administered structured questionnaire and practice of breastfeeding by observation checklist. Descriptive (frequency, percentage, mean, standard deviation) and inferential (Chi-square, normality test, and Spearman’s rank correlation) statistics were used for data analysis with SPSS version 20. Results: Both the staff nurses and mothers were assed for knowledge using7 questions compared to the postnatal mothers the knowledge about BFHI and Breastfeeding was higher among the staff nurses. Successful practice of breastfeeding and principles of BFHI was studied using demonstration of proper positioning, attachment, expression of breast milk and skin to skin contact which again was higher among the staff nurses compared to the mothers. The findings show that out of 40nurses surveyed, more than (77.1%) of the respondents had a good level of knowledge and more than three-fourth had a good level of practice of breastfeeding. Among the mothers there was significantly lesser knowledge with less than half (45%) had knowledge about BFHI .Regarding the practice of breastfeeding and BFHI (89%) of the staff nurses demonstrated successful breastfeeding and principles of BFHI in comparison (75.5%) of the mothers showed successful breastfeeding. Regarding the hindrances to breastfeeding both the mothers and staff nurses had similar views. Conclusion: There is still lack of complete awareness of some major recommended practices in the hospitals that will promote and sustain breastfeeding. The staff nurses and postnatal mothers need to be educated further on the importance of breastfeeding and principles of BFHI. This can be achieved by promoting antenatal and lactation counseling of the mothers and training of the staff nurses on the principles of BFHI. Policy changes in educating mothers and staff nurses on promoting breastfeeding should be implemented.

scholarly journals Knowledge on essential newborn care among antenatal mothers attending tertiary care hospital

2021 ◽  
Vol 8 (3) ◽  
pp. 1236
Author(s):  
Aravindan J. ◽  
Indira N. C. ◽  
Mithun Kumar A.
Keyword(s):  
Neonatal Period ◽  
Tertiary Care ◽  
Newborn Care ◽  
P Value ◽  
Care Hospital ◽  
Maternal Knowledge ◽  
Cross Sectional ◽  
Essential Newborn Care ◽  
New Born ◽  
Danger Signs

Background: Globally 4 million newborn die every year before they reach the age of one month. To achieve the millennium developmental goals newborn survival is essential. Aim of the study was to assess the level of knowledge of antenatal women on essential new born care and danger signs during neonatal period, to find the association of sociodemographic and obstetric characteristics with maternal knowledge level. Settings and design included descriptive cross-sectional study was conducted in a tertiary care hospital.Methods: The study enrolled 439 antenatal women by convenient sampling technique. A pretested semi structured questionnaire was used to assess the knowledge. Statistical package for the social sciences (SPSS) 21 version was used to analysis the data. Chi square was calculated to find the association. P value of <0.05 was considered statistically significant.Results: The study shows that 16.7% respondents had adequate knowledge about danger signs during neonatal period. The maternal age, parity, socioeconomic status, parity had significantly associated with the maternal knowledge regarding new-born care (p<0.05).Conclusions: Majority of the ante natal mother had poor knowledge on new born care.

scholarly journals The evaluation of effectiveness of separate kangaroo mother care ward on implementation of kangaroo mother care in tertiary care hospital: a before and after study

2019 ◽  
Vol 6 (3) ◽  
pp. 1239
Author(s):  
Bhowmik A. ◽  
Gargi G. ◽  
Nandy M.
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Newborn Care ◽  
Kangaroo Mother Care ◽  
Care Practice ◽  
P Value ◽  
Care Hospital ◽  
New Born ◽  
Before And After ◽  
Care Ward

Background: Kangaroo mother care (KMC) is a standard of care for preterm and low birth weight babies. To implement KMC in institutional care it was often practiced inside intensive care unit and also in separate ward. In present study authors have tried to evaluate effect of separate kangaroo mother care ward on implementation of kangaroo mother care in tertiary care hospital.Methods: Uncontrolled study before and after establishment of separate kangaroo mother care ward comparing kangaroo mother care in sick new-born care unit versus kangaroo mother care in separate ward.Results: In separate ward, as compared to kangaroo mother care practice in sick newborn care unit, mean (SD) duration of kangaroo mother care increased from 5.3 (1.6) to 11.4 (7.4) hours/day (95%CI 5.0-7.1, p value <0.0001). Mean (SD) weight gain increased from 10.7 (7.0) g/day to 13.7 (11.1) g/day (95% CI 1.0-4.8, p value <0.0024). Incidence of sepsis diminished from 14.0% to 28.9% (95% CI 6.4-23, p value <0.0006). Exclusive breast-feeding rate at discharge (42.3% vs. 57.3%) (95% CI 4.8- 24.9, p value <0.0041) and follow up (49.4% vs. 65.0%) (95% CI 1-29.4, p value <0.0378) increased. Mortality also decreased in this group of patients (8.6% vs.2.3%) (95% CI-1.6-11.4, p value <0.0082).Conclusions: Kangaroo mother care ward is better place than sick new born care unit for providing kangaroo mother care in tertiary care hospital.

scholarly journals Prescribing pattern of drugs in sick newborn care unit in a tertiary care hospital, Haldwani, Uttarakhand, India

2017 ◽  
Vol 6 (4) ◽  
pp. 832
Author(s):  
Pooja Agrawal ◽  
Bhavana Srivastava ◽  
Sanjay Gaur ◽  
Renu Khanchandani ◽  
Bithorai Basumatary
Keyword(s):  
Drug Utilization ◽  
Tertiary Care ◽  
Birth Asphyxia ◽  
Newborn Care ◽  
Case Fatality ◽  
Current Data ◽  
Care Hospital ◽  
Prescribing Pattern ◽  
New Born ◽  
Sick Newborn

Background: Sick Newborn Care Unit (SNCU) is meant to reduce the case fatality among sick newborns. Although it has been shown that patterns of drug utilization in SNCU are changing dynamically, current data on drug utilization patterns in SNCU is limited. This study was done to find out drug utilization pattern in newborn admitted at SNCU.Methods: This prospective observational drug utilization study was carried out in SNCU of Government Medical College and Hospital, Haldwani (Uttrakhand). The pattern of drug use in 206 sick newborn admitted at SNCU was assessed.Results: 75.25% sick newborns were in early neonatal period and 63.11% sick newborns were male. 33.98% sick newborn were preterm and mean±SD of weight of sick newborn was 2.16±0.6kg. Neonatal sepsis was commonest reason for admission followed by birth asphyxia . Three or more drugs (average 2.35drug/ Range 3-9 drug) were given to 52.91% new born and two drugs were given to 40.78% new born. Commonest route of drug administration was intravenous (97.08%), followed by intramuscular (72.82%), followed by orally (13.59%) and 11.65% new born received drug by inhalation. Most frequently used drugs in SNCU were antibiotics (Ampicillin, Gentamicin, Amikacin, Cefotaxime). Only two adverse drug reactions (mild rash by ampicillin and fever) were reported during study period. Out of 206 sick newborn, 18.93% died. Most common causes for death were respiratory distress syndrome (41.03%) followed by sepsis (23.08%) and hypoxic ischemic encephalopathy (17.95%).Conclusions: Antibiotics were of major concern in SNCU. The uncertainty regarding the choice of antibiotic can be minimized by periodic survey of etiological agent and their antibiotic susceptibility pattern.

scholarly journals Knowledge and attitude of essential newborn care among postnatal mothers in Bangladesh

2018 ◽  
Vol 32 (6) ◽  
pp. 440-448
Author(s):  
Sharmin Majumder ◽  
Zannatul Najnin ◽  
Shamim Ahmed ◽  
Shafi Ullah Bhuiyan
Keyword(s):  
Health Education ◽  
Breast Feeding ◽  
Tertiary Care ◽  
Newborn Care ◽  
Antenatal Visit ◽  
Care Hospital ◽  
Essential Newborn Care ◽  
Content Type ◽  
Postnatal Mothers ◽  
Knowledge And Attitude

PurposeNeonatal mortality rate is 24 deaths per 1,000 live births in Bangladesh and most of them die during early neonatal period. The purpose of this paper is to assess the knowledge and attitude of neonatal care practices among postnatal mothers in a tertiary care hospital in order to provide a basis for the development of strategies to improve further.Design/methodology/approachA cross-sectional study was carried out in the Dhaka Medical College Hospital, Bangladesh using a convenient sampling technique. In total 211 postnatal mothers were interviewed using a structured questionnaire andχ2test was used to analyze the data.FindingsAmong mothers, 37.9 percent were aged between 16–20 years; 16.1 percent had no institutional education; 55 percent were primipara and only 26.5 percent had attended antenatal visit for more than four times. Mothers had apparently good knowledge and attitude about thermoregulation, early initiation of breast-feeding, importance of providing colostrum to the newborn, exclusive breast-feeding (EBF) up to six months of age and immunization at birth. However, this study identified knowledge gap about cord care, eye care, first bathing and hygiene practices. Overall, only a small proportion of respondents had good level of knowledge (37 percent) and attitude (47.4 percent) on newborn care. Highly significant statistical association was found between the knowledge, attitude level and socio-demographic characteristics of respondents. Knowledge and attitude were strongly associated as well.Research limitations/implicationsThere is scope for improvement by providing health education to antenatal and postnatal mothers. Therefore, implementation of the guidelines outlined in the Maternal and Child Handbook (MCH) is highly recommended.Originality/valueThere is scope for improvement by providing health education to antenatal and postnatal mothers. Therefore, implementation of the guidelines outlined in the MCH is highly recommended to enhance the knowledge and attitude on newborn care among postnatal mothers.

scholarly journals Effectiveness of structured teaching programme on knowledge about postnatal care among mothers

2017 ◽  
Vol 5 (11) ◽  
pp. 4993
Author(s):  
Neha Joshi ◽  
Gomathi B. ◽  
Kanchan Bala ◽  
Mahalingam V.
Keyword(s):  
Postnatal Care ◽  
Tertiary Care ◽  
Knowledge Score ◽  
Postnatal Period ◽  
Demographic Variables ◽  
Care Hospital ◽  
Post Test ◽  
Postnatal Mothers ◽  
Life Threatening ◽  
Structured Knowledge

Background: Mothers and new-borns are vulnerable to illness and deaths during the postnatal period. Care during postnatal period is the important part of maternal health care as the serious and life-threatening complications can occur in postnatal period.Methods: A Quantitative approach with pre- experimental design was used to study the effectiveness of STP on postnatal care. Sixty postnatal mothers were selected from tertiary care hospital. The Purposive sampling techniques was used to select the study subjects. Data was collected by using Structured Knowledge questionnaire.Results: The results show that the overall mean pre-test knowledge score of postnatal mothers was 19.8±2.98 and mean post-test knowledge score of postnatal mothers was 26.28±1.89 and the mean difference was 6.48. This revealed that the STP was an effective method in improving mother’s knowledge on postnatal care. There was no significant association found between pre-test knowledge score with their demographic variables except occupation.Conclusions: The findings of the study revealed that STP was effective in enhancing the knowledge of postnatal mothers on postnatal care.

scholarly journals A profile on the spectrum of neonatal mortality and morbidity pattern of extramural neonates in the Specialised Neonatal Care Unit (SNCU) in a tertiary care hospital

2018 ◽  
Vol 5 (2) ◽  
pp. 427 ◽  
Author(s):  
Anuradha D. ◽  
Rajesh Kumar S. ◽  
Aravind M. A. ◽  
Jayakumar M. ◽  
J. Ganesh J.
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Respiratory Distress ◽  
Neonatal Mortality ◽  
Low Birthweight ◽  
Tertiary Care ◽  
Birth Asphyxia ◽  
Newborn Care ◽  
Care Hospital ◽  
Neonatal Deaths

Background: Every year, nearly four million newborn babies die in the first month of life. India carries the single largest share (around 25-30%) of neonatal deaths in the world. Neonatal deaths constitute two thirds of infant deaths in India. 45% of the deaths occur within the first two days of life. It has been estimated that about 70% of neonatal deaths could be prevented if proven interventions are implemented effectively at the appropriate time. It was further estimated that health facility-based interventions can reduce neonatal mortality by 23-50% in different settings. Facility-based newborn care, thus, has a significant potential for improving the survival of newborns in India. This research has been planned with an aim to study the profile of pattern of admissions in a SNCU and their outcomes following admission and management in the unit.Methods: All babies referred for neonatal problems (less than 28 days) and admitted in NICU will be included. Both term and preterm babies will be considered. The criteria for admission includes various causes like low birth weight, preterm, birth asphyxia, respiratory distress, hyperbilirubinemia, congenital anomalies, risk factors (maternal, neonatal, prenatal), infections and outcome will be analysed.Results: Among the 2927 admissions term babies and boys outnumbered. The common causes for admission were birth asphyxia, respiratory distress, low birthweight and preterm. Most babies had an uncomplicated stay. The mortality in the extramural neonates was due to neonatal sepsis, extreme preterm and congenital malformations.Conclusions: Intensive and interventional management, along with good neonatal monitoring and care can reduce the mortality and improve the survival of low birth weight babies and other treatable problems. Thus, a combined effort of management by pediatricians, nursing care, neonatal intensive care unit can improve the survival rates of neonates.

scholarly journals Essential Newborn Care Among Postnatal Mothers at Selected Health Centers in Eastern Province, Rwanda

2020 ◽  
Vol 3 (2) ◽  
pp. 139-151
Author(s):  
Miriam Batamuriza ◽  
Emmerence Uwingabire ◽  
Adejumo Oluyinka
Keyword(s):  
Newborn Care ◽  
Binary Logistic Regression ◽  
World Health ◽  
Cord Care ◽  
Cross Sectional ◽  
Essential Newborn Care ◽  
Live Births ◽  
Postnatal Mothers ◽  
Knowledge And Practice ◽  
Evidenced Based

Background Rwanda's neonatal mortality rate is 20/1000 live births, and the country aims to meet the Sustainable Development Goal of 12 deaths per 1000 live births, or less, by 2030. Countries have decreased newborn deaths, infections, and intensive care unit admissions using the evidenced-based 'Essential Newborn Care' (ENC) guidelines established by the World Health Organization. Objective To assess postnatal mothers’ knowledge and practice of Essential Newborn Care in Kayonza District, Rwanda. Method A descriptive cross-sectional design was used to assess 192 postnatal mothers at the six-week vaccination services at two health facilities. Data collection using a valid questionnaire occurred from February 28 to March 2, 2019. Data analysis included descriptive and binary logistic regression. Results The majority (65.1%) had good ENC knowledge and practice, whereas a third (34.9%) had poor knowledge and practice. Significant gaps in ENC included timing of breastfeeding 33(17.2%), cord care 32(16.7%), and thermoregulation of small birth weight newborns 6(3.1%). Significant associations with ENC included maternal age (p=0.003), and ENC education postpartum (p=0.020). Conclusion The overall knowledge and practice of ENC are encouraging in this population, particularly with ENC education given postpartum, and older mothers. However, major gaps included evidenced-based cord care, thermoregulation, and breastfeeding, particularly among younger mothers. Rwanda J Med Health Sci 2020;3(2):139-151

scholarly journals Knowledge and Practice of Postnatal Mother in Newborn Care

2013 ◽  
Vol 52 (190) ◽  
Author(s):  
Tumla Shrestha ◽  
Saraswoti Gautam Bhattarai ◽  
Kalpana Silwal
Keyword(s):  
Infant Mortality ◽  
Breast Feeding ◽  
Newborn Care ◽  
Structured Interview ◽  
Care Practice ◽  
Exclusive Breast Feeding ◽  
Danger Signs ◽  
Newborn Care Practice ◽  
Postnatal Mothers ◽  
Knowledge And Practice

Introduction: Neonatal mortality has continued to increase as a percentage (>60%) of overall infant mortality. Any further reduction in infant mortality is dependent on saving more newborn lives. It is possible if their mothers are knowledgeable and provide proper newborn care. Therefore, the objective of the study was to find out knowledge and practice of the postnatal mothers about newborn care.Methods: A descriptive study was done among 100 purposively selected post natal mothers admitted in Teaching Hospital. Newborn care practice was observed among 20 mothers and comparison was done between knowledge and practice. Semi-structured interview questionnaire and observation checklist was used to collect the data. The descriptive statistics was used.Results: Respondents’ mean knowledge was on keeping newborn warm 44.2, on newborn care 47.2, on immunization 67.33, on danger signs 35.63. All (100%) respondents had have knowledge and practice to feed colostrums and exclusive breast feeding, 70 (70%) knew about early initiation of breastfeeding. Mean knowledge and practice of respondents was on measures to keep warm 8.5 and 17. Although 60 (60%) had knowledge to wash hands before breastfeeding, and after diaper care, only 10 (10%) followed it in practice. Mean practice of successful breast feeding was 37.5, 12 (60%) applied nothing kept cord dry. Conclusion: Postnatal mothers have adequate knowledge on areas like early, exclusive breast feeding, colostrums feeding, they have not much satisfactory knowledge in areas like hand washing, danger signs etc. While comparing knowledge with practice regarding newborn care, practice looks better in many areas._______________________________________________________________________________________Keywords: knowledge; newborn care; practice; postnatal mother.

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