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

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.

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

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.

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

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.

scholarly journals Uptake of complete postnatal care services and its determinants among rural women in Southern Ethiopia: Community-based cross-sectional study based on the current WHO recommendation

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246243
Author(s):  
Aklilu Habte ◽  
Feleke Gebiremeskel ◽  
Misgun Shewangizaw ◽  
Samuel Dessu ◽  
Mustefa Glagn
Keyword(s):  
Postnatal Care ◽  
Care Service ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Care Services ◽  
Post Natal Care ◽  
Model Household

Background Postnatal care services are a constellation of preventive care, practices, and assessments designed to identify and manage maternal and newborn complications during the first six weeks after birth. Recognizing the role of the appropriate PNC at this critical time, the World Health Organization recommended four visits as a complete PNC for all post-partum mothers and newborns to ensure their survival. Although there have been numerous studies on the factors affecting the general PNC service in Ethiopia, there is a shortage of evidence on the use of complete postnatal care services and its determinants. Therefore, the objective of this study was to assess the uptake of full postnatal care service and its determinants among women who recently gave birth in the Ezha district of southern Ethiopia. Methods A community-based cross-sectional study was conducted in Ezha district. A two-stage sampling technique was applied. A total of 568 mothers who stayed for at least 6 weeks after childbirth from selected Kebeles were included in the study using computer-generated random numbers. Data collected through pre-established, structured, and interviewer-administered questionnaires were entered into EpiData3.1 and exported to SPPS version 23 for analysis. The Principal Components Analysis (PCA) was carried out to assess the wealth status of participants. The Multivariable logistic regression model has been fitted to identify the determinants of complete post-natal care service uptake. Results The overall uptake of complete postnatal care services in the study area was 23.9% [95% CI: (19.9, 27.5)]. The factors namely; maternal education of secondary and above [AOR: 4.31, 95%CI: 2.15, 8.05], having four and more antenatal visits [AOR: 4.03, 95%CI: 1.83, 8.85], Caesarean delivery [AOR: 3.75, 95%CI: 1.78, 7.92], having good knowledge on PNC [AOR: 4.31, 95%CI: 2.34, 9.04], and being a model household [AOR: 3.61, 95%CI: 1.97, 6.64] were recognized as determinants complete postnatal care uptake. Conclusion and recommendation Complete post-natal care services uptake in the study area was low. Thus, a due emphasis should be given to behavioral change communication activities to improve maternal knowledge on PNC and enhancing adequate ANC uptake by health workers in the district. Besides, health extension workers in the district need to work on creating a model household through continuing education, support, and follow-up.

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

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ghirmay Ghebreigziabher Beraki ◽  
Eyasu H. Tesfamariam ◽  
Amanuel Gebremichael ◽  
Berhanemeskel Yohannes ◽  
Kessete Haile ◽  
...  
Keyword(s):  
Breast Feeding ◽  
Educational Level ◽  
Postnatal Care ◽  
Knowledge Score ◽  
Cross Sectional Study ◽  
Postnatal Period ◽  
Danger Sign ◽  
Cross Sectional ◽  
Maternity Hospitals ◽  
Postpartum Mothers

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.

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

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.

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

2020 ◽  
Vol 2020 ◽  
pp. 1-8 ◽  
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.

scholarly journals Clinical profile of children aged 2 months to 60 months presenting with wheeze in a tertiary medical centre

2020 ◽  
Vol 7 (5) ◽  
pp. 1117
Author(s):  
Arup Ratan Mondal ◽  
Ch Shyamsunder Singh ◽  
Moirangthem Meenakshi Devi ◽  
Cindy Laishram ◽  
T. Kambiakdik
Keyword(s):  
Cross Sectional Study ◽  
Vital Role ◽  
Clinical Profile ◽  
Medical Sciences ◽  
Term Outcome ◽  
Cross Sectional ◽  
Low Socioeconomic ◽  
Number Of Children ◽  
Care Services ◽  
Study Population

Background: Wheezing is common throughout infancy and childhood except in the neonatal period where it is relatively rare. By 10 years of age, about 19% of children experience wheezing with an average onset at 3 years of age. This study was aimed to identify the diverse factors associated with wheezing in children aged 2 months to 60 months and to study clinical profile along with short term outcome of the same.Methods: It was a hospital based cross-sectional study carried out in the Department of Paediatrics, Regional Institute of Medical Sciences Hospital (RIMS), Imphal, Manipur. The Study population consisted of randomly selected 131 children aged 2 months to 60 months who were admitted in Paediatrics ward with the symptom of wheezing.Results: Authors found that age below 12 months, male sex, low socioeconomic conditions and artificial breastfeeding practices were important risk factors for wheeze.Conclusions: Wheezing is accountable for a high demand of medical consultations and emergency care services with relatively high rates of hospitalization. Along with ARI, it plays an important role in infant mortality. In Manipur, it is being observed that increasing number of children with wheezing are attended by paediatricians in ED, OPD and ward, thereby proving an added burden to the younger age group. Therefore proper health education and counselling of parents, promotion of exclusive breast feeding and improvement of socioeconomic status can play a vital role in preventing occurrence of wheeze among the children.

scholarly journals Career Development in Nursing: Identifying the Career Anchors of Nurses at Shiraz University of Medical Sciences

2021 ◽  
Author(s):  
Narjes Alsadat Nasabi ◽  
Peivand Bastani ◽  
Ali Reza Yusefi ◽  
Najmeh Bordbar
Keyword(s):  
Health Care ◽  
Career Development ◽  
Career Path ◽  
Cross Sectional Study ◽  
Average Score ◽  
Medical Sciences ◽  
Career Anchors ◽  
Cross Sectional ◽  
Clinical Nurses ◽  
Care Services

Background: Nurses are the largest providers of care services in the health care system who play an important role in the community health by providing health care. Therefore, maintaining and developing them is an integral part of human resource management in the health system. Considering that one of the tools for career development is determining job anchors, this study was conducted in 2020 to identify the career anchors of nurses from Shiraz University of Medical Sciences in order to develop their career path. Methods: This cross-sectional study was performed on 268 nurses working in hospitals and educational centers of Shiraz University of Medical Sciences who were selected by convenience sampling. Data were collected using the standard Schein questionnaire and analyzed by independent t-test and ANOVA in SPSS 23 software. Results: Among career anchors, service and dedication (24.74 ± 1.72) had the highest, and managerial competence (16.35 ± 2.32) had the lowest mean score. Furthermore, the average entrepreneurial creativity in women was significantly higher than men (p = 0.04). And in men, the average of pure challenges was significantly higher than women (p = 0.04). In addition, people with undergraduate degree showed a greater tendency to technical/functional competence (p = 0.02). Clinical nurses were more likely to become managers (p = 0.04), and corporate nurses were more inclined to have a lifestyle anchor (p = 0.04). Conclusion: Regarding service and dedication anchor, which had the highest average score among the interviewed nurses, individuals are motivated by pursuing valuable goals and meeting the needs of others. Whilest managerial competencies were not the priority of the studied nurses. Therefore, the opportunity for promotion in nurses is not just focused on reaching a managerial position. Therefore, it is suggested that the management of human resources in university define the career path of people based on their anchors and specific interests to people in terms of mental and mental health for creating a favorable atmosphere and better performance.  

scholarly journals Utilization of Postnatal among Mothers having under Two years Child in Mahalaxmi Municipality, Lalitpur, Nepal

2018 ◽  
Vol 4 (2) ◽  
pp. 92-98
Author(s):  
Radha Kumari Paudel ◽  
Mamata Maharjan ◽  
Sabina Shrestha
Keyword(s):  
Postnatal Care ◽  
Maternal Education ◽  
Well Being ◽  
Cross Sectional Study ◽  
Care Utilization ◽  
Cross Sectional ◽  
Care Services ◽  
Educational Package ◽  
Postnatal Women ◽  
Education Status

Postnatal care is a critical phase in the lives of mothers and newborn babies as major changes occur during this period which determines the well-being of mothers and newborns. Adequate utilization of postnatal care can help reduce maternal as well as infant morbidity and mortality. Thus, this study generates the information regarding postnatal care utilization in Lubhu of Mahalaxmi Municipality. This was a descriptive cross-sectional study carried out in a Lubhu of Lalitpur district. The study sample comprised of 130 mothers having unser2 year’s children in year 2017. A pre-tested structured questionnaire was used for data collection. The findings showed that majority of mothers fall under age group 20-29, maximum were from Hindu and Newar ethnicity. This study highlighted more than half (67.7%) mothers utilize the postnatal services. One of the important reasons for not utilizing postnatal services is absence of disease condition in child followed by less knowledge about postnatal services. There was a significant (p=0.018) association between mothers’ education status with utilization of postnatal services. This study concludes that maternal education status affects the maternal utilization of postnatal care services. In order to achieve 100% postnatal care utilization, awareness programs, educational package and other various Postnatal women focused program must be conducted to make them aware about the importance of the utilization of Postnatal services and availability of Postnatal services in different level of health facility.

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