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 Effect of health education on breastfeeding initiation techniques among postnatal mothers admitted in a tertiary care centre of Raipur city, Chhattisgarh

2018 ◽  
Vol 5 (10) ◽  
pp. 4340
Author(s):  
Shubhra Agrawal Gupta ◽  
Mini Sharma ◽  
Abha Ekka ◽  
Nirmal Verma
Keyword(s):  
Health Education ◽  
Breast Feeding ◽  
Medical Literature ◽  
Tertiary Care ◽  
Breastfeeding Initiation ◽  
Single Group ◽  
Tertiary Care Centre ◽  
Feeding Technique ◽  
Postnatal Mothers ◽  
Quasi Experimental

Background: The health benefits of breastfeeding are well documented in public health and medical literature worldwide. It is reported in various studies that early lactation supported by correction of positioning and attachment of breastfeeding improves the rate of effective suckling. However, related to breastfeeding technique, no studies were conducted in Chhattisgarh, Therefore, this study was undertaken to assess the improvement in breastfeeding technique (positioning & attachment) after intervention(health education and support) among mother-early neonate units admitted in postnatal ward immediately after delivery in a tertiary level health institute.Methods: A Quasi-experimental (Single group pre and post design) carried out in hospital settings from August to September 2014. This study involved 414 both preterm and term babies who were born during the study period at Dr. BRAM hospital, Raipur with their mothers.Mothers were observed for breast feeding technique on first day followed by correction and post interventional observation.Results: After intervention statistically significant improvement was seen in overall body positioning status and attachment during breast feeding 43.3%, 42.1% respectively.Conclusions: Present study indicate that educating and supporting the mothers regarding correct breastfeeding technique is important to help them in the stage when they are establishing breastfeeding. This also avoids early and late problems related to breastfeeding.

A Cross Sectional Survey on Knowledge, Attitude and Breast-Feeding Practices among Postnatal Mothers Delivering at Tertiary Care Hospital in North India

2021 ◽  
Vol 6 (2) ◽  
pp. 451-458
Author(s):  
Rajender Singh ◽  
Mangla Sood ◽  
Vipin Roach
Keyword(s):  
Breast Milk ◽  
Breast Feeding ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Feeding Practices ◽  
North India ◽  
Care Hospital ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Postnatal Mothers

Background: Despite benefits of breast feeding for both the infants and mothers, its prevalence has remained low worldwide. The present study was conducted to examine the knowledge and attitude towards breast feeding practices among postnatal mothers. Methodology:A cross sectional study was conducted among non-randomly selected postnatal mothers at a tertiary care hospital in North India. Data was collected through a structured online questionnaire administered on electronic tablet before discharge. Results: Among 430 females enrolled in study, majority (98.65%)of the mothers believed breast milk is best nutrition for infant. 211(95%) multipara were breastfeeders, 64 among them had breastfed for more than 2 years. Only 9 mothers had stopped BF before 6 months. However, only 301(78%) had initiated breast feeding within one hour of birth. Early initiation was higher among vaginal (50.34%) compared to Caesarean (25.7%) births. Only 40% mothers observed correct positioning and attachment of infant on breast. Higher number of antenatal visits and correct skill of latching infant on breast were significantly associated with better exclusive BF rates. 91% mothers preferred to increase suckling on breast by infant to tackle problem of inadequate breast milk output. Conclusion: Our findings showed increase knowledge and positive attitude for BF among post natal mothers delivering in hospitals. We emphasise on the importance of prenatal education to mothers and fathers on breast-feeding. We also recommend strengthening the public health education campaigns to promote breast-feeding. Keywords: Attitudes, Breast feeding, India, Infant feeding practices, Knowledge, Mothers.

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 CLINICAL PROFILE AND PREDICTORS OF MORTALITY OF EXTRAMURAL NEONATES ADMITTED IN NICU OF TERTIARY CARE HOSPITAL IN CENTRAL RAJASTHAN : PROSPECTIVE OBSERVATIONAL STUDY

2021 ◽  
pp. 119-122
Author(s):  
Abhilasha Sharma ◽  
Pukhraj Garg ◽  
Arjun Singh
Keyword(s):  
Birth Weight ◽  
Neonatal Sepsis ◽  
Neonatal Period ◽  
Tertiary Care ◽  
Birth Asphyxia ◽  
Newborn Care ◽  
Clinical Profile ◽  
Care Hospital ◽  
Essential Newborn Care ◽  
Predictors Of Mortality

OBJECTIVE: This study was undertaken to know the clinical profile and predictors of mortality of outborn neonates admitted in Neonatal Intensive Care Unit (NICU). METHOD:This prospective study was conducted in NICU of department of pediatrics,JLN medical college & hospital, Ajmer from January 2019 to December 2019. RESULTS:Of the 2250 neonates admitted,There was male preponderance (64%),male:female ratio was 1.78:1.Majority of neonates (68.4%) were term while 31.2% were preterm and 0.4% were post term gestation. Majority of neonates (79.8%) were admitted in early neonatal period while 20.1% neonates were admitted in late neonatal period. As per birth weight,44.1% neonates were between 1.5-2.49 kg,42.6% neonates had birth weight more than 2.5 kg while 3.4% neonates were <1 kg.Majority of neonates (88.7%) were delivered vaginally while 11.3% were delivered by caesarean section.Majority of neonates (85.1%) were delivered at govt.hospitals while 11% and 3.9% neonates were delivered at private hospitals and at home respectively. Rural residency (73.7%) was far more as compared to urban residency (26.3%).42.8% mothers had primary education and 47.7% mothers had secondary education while 3.8% mothers were illiterate. Majority of cases (66.1%) belonged to middle socioeconomic class. Major causes of NICU admission were birth asphyxia / HIE of newborn (21.11%),neonatal sepsis (16.36%),neonatal jaundice (12%),RDS of newborn (8.6%), and prematurity (7.7%). Out of 2250 neonates admitted, 70.1% babies were successfully discharged while 29.9% neonates died during treatment.Birth Asphyxia / HIE of Newborn (22.25%),RDS of Newborn (20.47%),Neonatal Sepsis (16.02%), Shock (10.98%), Congenital Malformations (6.82%), and ELBW (6.38%) were found to be major causes of mortality among neonates admitted in NICU. CONCLUSION: The majority of morbidities and subsequently the mortalities can be reduced by improving maternal care and essential newborn care,appropriate primary interventions and timely referral to tertiary care centers for high risk cases,with better transport facilities for sick neonates.

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 Knowledge and attitude towards exclusive breast feeding among postnatal mothers in a tertiary care teaching hospital-an institution based cross sectional study

2021 ◽  
Vol 8 (9) ◽  
pp. 1551
Author(s):  
Revathi V.
Keyword(s):  
Breast Feeding ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
Care Providers ◽  
Exclusive Breast Feeding ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Postnatal Mothers ◽  
Knowledge And Attitude ◽  
Study Participants

Background: Exclusive breast feeding (EBF) is termed as an optimal strategy for feeding newborns and as per WHO   should start within the first one hour of delivery and must continue up to 6 months of infant’s age, as the only source of nutrition and fluids for babies at that age. Unfortunately, a report estimated in 2012 that, only 35% of infants were exclusively breastfed globally. This stresses the need to educate and motivate mothers to exclusively breastfeed their babies for the first six months of life.Methods:  Knowledge and attitude towards EBF, of postnatal mothers admitted to a tertiary care teaching hospital was assessed using a self-administered questionnaire and their responses analysed using statistics software.Results: From our study we found that, based on knowledge score, 88 (69.8%) of the respondents had good knowledge and 38 (30.2%) of the study participants were categorized as having poor knowledge. Based on the attitudinal score, 17 (14%) of the study participants were categorized as having negative attitude towards EBF and 108 (86%) were categorized as having positive attitude towards EBF. Conclusions: Health care providers working in the areas of maternal and child health (MCH), should evaluate mothers’ knowledge and attitude for EBF, every visit by asking questions related to EBF. IEC activities related to EBF should be promoted to disseminate knowledge regarding EBF. Breast feeding support groups should be established to help motivate mothers to exclusively breast feed their babies for the first six months of life. 

scholarly journals Study on Exclusive Breastfeeding practice and related factors among mothers attending in a tertiary care hospital of Bangladesh

2018 ◽  
Vol 10 (1) ◽  
pp. 343-346
Author(s):  
Farzana Rahman Chowdhury ◽  
BH Nazma Yasmeen ◽  
Shabnam Rahman
Keyword(s):  
Breast Milk ◽  
Breast Feeding ◽  
Exclusive Breastfeeding ◽  
Tertiary Care ◽  
Antenatal Visit ◽  
Feeding Practice ◽  
Care Hospital ◽  
Related Factors ◽  
Exclusive Breast Feeding ◽  
Medical College

Back ground : Exclusive breastfeeding (EBF) means that the infant receives only breast milk for the first six months of life after birth. In Bangladesh, 55% of children less than 6 months of age are exclusively breastfed according to BDHS 2014. Objectives : To assess the exclusive breast feeding practice and associated factors among children in an urban area ofBangladesh. Method : This cross-sectional study was conducted in Popular Medical College, Dhanmondi, Dhaka, among 80 mothers having infants aged 7-12 months, attending the outpatient department were selected purposively for the study during the period of 1st August 2017 to 31st December 2017. Sample were selected purpasively for the study and predesigned questionnaire were used for data collection. Data analysis was done by using SPSS software version 22. Result : It was found that only 30(37.5%) mother went for regular antenatal checkup and remaining 50 (62.5%) had irregular antenatal check up. But none of them got breastfeeding advice during antenatal visit. Breastfeeding was initiated with in 1 hour of birth in 36(40%) cases and 44 (60%) cases after 1hour of birth. Exclusive breastfeeding (EBF)was found in 40 (50%) children. Among them 30 (75%) were children of housewife mothers. Mixed feeding (breast milk plus formula/ cow’s milk) was given to 30 children among them18 (60%) were the children of housewife mothers.Only formula milk was given to 10 children of them 8(80%) were the children of housewife mothers.Exclusive breast milk was not given by 18(45%) mothers due to job or other occupation whereas 22 (55%) mother did not give EBF due to insufficient breast milk. Conclusion : In the study rate of exclusive breast feeding was 50%. This study also showed that frequency of exclusive breast feeding practice was lower in working mothers than housewife mothers. This study also showed that the speculation of not getting sufficient milk was one of the main reasons for not giving exclusive breastfeeding. Northern International Medical College Journal Vol.10(1) Jul 2018: 343-346

scholarly journals Molecular and Epidemiological Characterization of IMP-Type Metallo-β-Lactamase-Producing Enterobacter cloacae in a Large Tertiary Care Hospital in Japan

2014 ◽  
Vol 58 (6) ◽  
pp. 3441-3450 ◽  
Author(s):  
Kayoko Hayakawa ◽  
Tohru Miyoshi-Akiyama ◽  
Teruo Kirikae ◽  
Maki Nagamatsu ◽  
Kayo Shimada ◽  
...  
Keyword(s):  
Hospital Mortality ◽  
Tertiary Care ◽  
Enterobacter Cloacae ◽  
Control Measures ◽  
Care Hospital ◽  
Invasive Procedures ◽  
Content Type ◽  
Infection Control Measures ◽  
Large Tertiary Care ◽  
Close Relationship

ABSTRACTIMP-type metallo-β-lactamase enzymes have been reported in different geographical areas and in various Gram-negative bacteria. However, the risk factors and epidemiology pertaining to IMP-type metallo-β-lactamase-producingEnterobacter cloacae(IMP-producingE. cloacae) have not been systematically evaluated. We conducted a retrospective, matched case-control study of patients from whom IMP-producingE. cloacaeisolates were obtained, in addition to performing thorough molecular analyses of the clinically obtained IMP-producingE. cloacaeisolates. Unique cases with IMP-producingE. cloacaeisolation were included. Patients with IMP-producingE. cloacaewere matched to uninfected controls at a ratio of 1 to 3. Fifteen IMP-producingE. cloacaecases were identified, with five of the isolates being obtained from blood, and they were matched to 45 uninfected controls. All (100%) patients from whom IMP-producingE. cloacaeisolates were obtained had indwelling devices at the time of isolation, compared with one (2.2%) uninfected control. Independent predictors for isolation of IMP-producingE. cloacaewere identified as cephalosporin exposure and invasive procedures within 3 months. Although in-hospital mortality rates were similar between cases and controls (14.3% versus 13.3%), the in-hospital mortality of patients with IMP-producingE. cloacae-caused bacteremia was significantly higher (40%) than the rate in controls. IMP-producingE. cloacaeisolates were frequently positive for other resistance determinants. The MICs of meropenem and imipenem were not elevated; 10 (67%) and 12 (80%) of the 15 IMP-producingE. cloacaeisolates had a MIC of ≤1 μg/ml. A phylogenetic tree showed a close relationship among the IMP-producingE. cloacaesamples. Indwelling devices, exposure to cephalosporin, and a history of invasive procedures were associated with isolation of IMP-producingE. cloacae. Screening for carbapenemase production is important in order to apply appropriate clinical management and infection control measures.

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