scholarly journals Determinants of knowledge and practices of postnatal mothers on essential newborn care in a selected area of rural Haryana

2021 ◽  
Vol 8 (4) ◽  
pp. 1674
Author(s):  
Mangi Lal Choudhary ◽  
Poonam Joshi ◽  
L. Levis Murry ◽  
Sumit Malhotra ◽  
M. Jeeva Sankar
Keyword(s):  
Cultural Beliefs ◽  
Newborn Care ◽  
Thermal Control ◽  
Structured Interview ◽  
Multiple Choice Questions ◽  
Eye Care ◽  
Cord Care ◽  
Essential Newborn Care ◽  
Postnatal Mothers ◽  
Knowledge And Practice

Background: Knowledge and practices of postnatal mothers is very crucial in providing care to newborns. Aim was to assess determinants of the knowledge and practices of postnatal mothers on essential newborn care.Methods: A community based cross-sectional study was conducted among 150 postnatal mother - neonate dyads in one of the selected Primary Health Centres (PHC) of rural Haryana. A self-developed, pre-tested and validated structured interview schedule containing socio-demographic, clinical profile information and a knowledge and practice questionnaires (α-0.79, 0.86) having 38 multiple choice questions (MCQs) and 28 items respectively were used for data collection covering various aspects of essential newborn care such as thermal care, breastfeeding, cord care, eye care, handwashing, and danger signs. Results: More than half (52%) of the postnatal mothers had moderate knowledge and 76.7% of postnatal mothers reported of adequate practices. Gaps were identified in terms of knowledge and practices in the domains of thermal control, breastfeeding, cord care and eye care. Overall knowledge and practice scores of postnatal mothers were positively correlated (r =0.71, p<0.001). Significant association was observed between the overall practice scores and socio-demographic variables of postnatal mothers such as religion [AOR] (4.96 95%CI; 1.21-20.2), level of education (47.5 95%CI; 2.8-820.2), socio-economic status (16.9 95%CI; 0.9-288.4).Conclusions: Some gaps were observed in the adopting safe practices in the domains of thermal control, breastfeeding, cord care and eye care among the postnatal mothers; necessitating need for education, reinforcement and dispelling the cultural beliefs.  

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.

scholarly journals Level of Knowledge and Associated Factors of Postnatal Mothers’ towards Essential Newborn Care Practices at Governmental Health Centers in Addis Ababa, Ethiopia

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Demis Berhan ◽  
Hanna Gulema
Keyword(s):  
Associated Factors ◽  
Maternal Education ◽  
Addis Ababa ◽  
Newborn Care ◽  
Health Centers ◽  
Essential Newborn Care ◽  
Poor Knowledge ◽  
Postnatal Mothers ◽  
Level Of Knowledge ◽  
Care Practices

Background. Globally 4 million newborns die every year before they reach the age of one month and approximately 3.4 million newborns die within the first week of life. Of these deaths, 66% occur during the 1st 24 hours. Late death, i.e., after 24 hours, still occurs 34% and may be prevented if mothers have knowledge about newborn care including dangers sign of newborn. Objective. The aim of the study was to assess level of knowledge and associated factors of postnatal mothers towards essential newborn care practices at governmental health centers in Addis Ababa. Methodology. Institutional-based cross-sectional study with internal comparison was conducted using multistage sampling method in AA health centers from December 5 to January 30, 2016. Result. A total of 512 mothers who came for postnatal visit were interviewed using structured pretest questionnaires. Knowledge was assessed using closed and open ended questions. Poor knowledge has strong association with women’s occupation (AOR = 2.10, 95% CI : (1.38,3.20)). Parity of the women was found as one of significant predictors for poor knowledge of essential newborn care. Women who were primiparas are 1.99 times more likely to have poor knowledge of ENC compared to women who were multiparas AOR = 1.99,95% CI: (1.25,3.20). The other significant predictors for poor knowledge of ENC were ANC visit. Women who had less than four antenatal visits were 0.63 times less likely to have poor knowledge than those who visit four times and above. AOR = 0.63, 95% CI:( 0.40,0.99). Conclusion. Maternal education programs should be given emphasis for the components of ENC for mothers’ knowledge gaps. Special emphasis needs to be placed when educating vulnerable groups including those who failed to fully attend antenatal clinic visits.

scholarly journals Assessment of mother's knowledge towards pregnancy, childbirth, postpartum and essential newborn care in district Solan, HP

2018 ◽  
Vol 5 (5) ◽  
pp. 2129 ◽  
Author(s):  
Manisha Behal ◽  
Rajeev Vinayak ◽  
Arjit Kumar
Keyword(s):  
Newborn Care ◽  
Binary Logistic Regression ◽  
Educational Status ◽  
Maternal Knowledge ◽  
Essential Newborn Care ◽  
Pregnancy And Postpartum ◽  
Logistic Regression Method ◽  
Education Status ◽  
Postnatal Mothers ◽  
Socio Demographic Factors

Background: Even though the neonatal, maternal and perinatal mortality is declining in our country, still the morbidity and mortality rate is very high. Further improvement is possible by increasing awareness and appropriate practices of mothers towards pregnancy, childbirth, postpartum and essential newborn care. Objective of the study was to assess the knowledge of postnatal mothers regarding pregnancy, childbirth, postpartum and newborn care. These feeding practices were assessed in postnatal mothers, using a structured questionnaire.Methods: Univariate analyses method [such as frequencies, percent distribution, means, and standard deviations (SD)] and Binary Logistic regression method was used for analysis of data with help of analyse-it and SPSS software.Results: Knowledge regarding pregnancy, childbirth and postpartum care: Mean percentage obtained was 68.128% (SD of 18.15). 100% was obtained by only 7 mothers (2.3% of total). Knowledge regarding essential newborn care: Mean percentage obtained was 59.8% (SD of 19.6). 100% was obtained by only 15 mothers (5% of total). A total of 71 mothers failed, constituting 23.7% of total. Education status and parity status both were significantly associated with maternal knowledge regarding pregnancy and postpartum but they do not predict the outcome very well.Conclusions: Postnatal mothers had inadequate knowledge on pregnancy, childbirth, postpartum and newborn care. Therefore educational intervention at multiple levels is required during the period of antenatal, and postnatal visits. Secondly socio-demographic factors- educational status and parity status of postnatal mothers were not associated with maternal knowledge.

scholarly journals Factors Affecting Newborn Care Practices Among Tharu Mothers in Selected Vilalge Development Committees of Chitwan Distract

2013 ◽  
Vol 3 (1) ◽  
pp. 42-45 ◽  
Author(s):  
J Chaudhary ◽  
GP Dhungana ◽  
Harish Chandra Ghimire
Keyword(s):  
Newborn Care ◽  
Structured Interview ◽  
Contributing Factors ◽  
Cord Care ◽  
Factors Affecting ◽  
Medical College ◽  
The Family ◽  
Awareness Programs ◽  
Care Practices ◽  
Initiation Of Breastfeeding

Although under five and infant mortality has been reducing in Nepal, neonatal mortality remains largely unchanged. New­born care practices in the family and in the community acts as contributing factors which could be improved by adopting simple interventions at community level. The objective of the study was to identify newborn care practices (cord care, breastfeeding, and bathing) and factors affecting it. The study is crosssectional descriptive and analytical conducted at Bachauli and Khairahani VDCs of Chitwan district from July to December 2012. A total 181 Tharu mothers were inter­viewed using semi structured interview schedule. Data processing and analysis was done using SPSS. The study revealed that 99.4% newborns had cord care (cutting, tying and applying nothing or using antiseptic). All newborns were breastfed and given colostrums as first feed but initiation of breastfeeding within one hour of delivery was only 52.5 %. Ninety seven per cent were bathed after 24 hours of delivery. Mothers who knew about newborn care were more likely to practice cord care (OR=0.10, 95% CI=0.02-0.41) in comparison to mothers who do not know about it. Compared to mothers with second­ary and primary education, mothers having higher education were breastfeeding within one hour of delivery (OR= 2.06, 95% CI=1.12-3.81). Delaying in bathing was more practiced in institutional deliveries compared to home deliveries (OR= 12.11, 95% CI=1.65-88.64). Overall newborn care practices were acceptable as per the findings of this study. Awareness programs regarding initiation of breastfeeding within one hour of delivery should be strengthening. Journal of Chitwan Medical College 2013; 3(1): 42-45 DOI: http://dx.doi.org/10.3126/jcmc.v3i1.8465

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