scholarly journals Intra-natal care practices of staff nurses with compliance to professional protocols

Author(s):  
Pooja Chand ◽  
Pratiti Haldar ◽  
Manoj Jangir ◽  
Nagendra Prakash ◽  
Ratna Prakash

Background: Intranatal care refers to care given throughout the process of all four stages of labor and is important for both mother and newborn. Safe delivery practice and compliance to intranatal care protocol by trained staff nurses is essential. The objectives were to identify the intra-natal care practices of staff nurses, compare intranatal care practices among the three selected hospitals and explore the barriers to compliance of intranatal care practices by staff nurses.Methods: Cross-sectional observation design was used for the present study. The study was conducted in two phases to fulfil the objectives. Three hospitals were conveniently selected and about 42 delivery events were observed in phase I and 15 staff nurses were interviewed through semi-structured interview schedule to identify the barriers to compliance in phase II.Results: It was found that majority of 8 (57.1%) staff nurses were in the age group of (25-42) years and maximum 13 (86.7%) staff nurses had attended training program related to intranatal care practices. In majority 24 (57.1%) deliveries, sterile technique for vaginal examination was not followed, in 33 (78.6%) deliveries cord pulsation was not assessed and in 39 (92.9%) deliveries baby was not placed on mother’s chest. Lack of required facilities leading to referral and non-cooperation of women during procedures were some identified barriers.Conclusions: The present study findings revealed that the intranatal care practices were inappropriate, they were missing most essential practices that might harm to the mother or baby in future.

2017 ◽  
Vol 3 (1) ◽  
pp. 31-37 ◽  
Author(s):  
Tin Tin Aye ◽  
Datuk Muhammad Yusolf Ibrahim ◽  
Daw Khin Saw Naing ◽  
Than Myint ◽  
Muhammad Hj Jical

Women have been fulfilling their reproductive responsibility of propagating human race, many have died and many more faced death in the process of delivering babies, but this can be prevented by taking appropriated antenatal care, clean and safe delivery and essential obstetric care. Antenatal care is the first phase to be encountered once a woman has conceived. The objective of the study was to assess the antenatal (AN) care practice and pregnancy outcome of ever-married women aged 18 to 49 years old having at least one pregnancy experience, residing in kampongs of Kudat area, Sabah, East Malaysia, Northern Borneo from December 2015 to October 2016. Cross–sectional analytical study, non-probability convenient sampling method was used and 300 eligible participants were interviewed face to face by trained interviewer using pretested questionnaire. 99.3% of all the women received AN care, and 97% of the women received AN care practice (AN visit of 4 times and above). Mean AN visit was 9 times. The study revealed that overall knowledge amongst the women with good knowledge was 47.2% and low knowledge was 52.8%. Additionally, there was significant association between education and knowledge, income and knowledge, AN care practices and knowledge. But there was no significant association between AN practice and complication. Despite these results, outcomes were good and all complications were properly and successfully addressed. This may reflect the effectiveness of current national maternal health programs.Asian J. Med. Biol. Res. March 2017, 3(1): 31-37


2021 ◽  
Vol 42 ◽  
Author(s):  
Cristiane da Silva Gabriel Capeletto ◽  
Rosimere Ferreira Santana ◽  
Lívia Maria da Silva Souza ◽  
Keila Mara Cassiano ◽  
Ana Carolina Siqueira de Carvalho ◽  
...  

ABSTRACT Objective To estimate the prevalence of mechanical restraint and factors associated with its practice in elderly in Home Care. Methods This was a cross-sectional study with 162 elderly randomly assigned to a home care program in Rio de Janeiro, from March 2018 to July 2018. Used as a technique for data collection and direct observation and structured interview of elderly clinical data. Data were analyzed descriptively and inferentially. Results There was a 13% prevalence of mechanical restraint in elderly in home care. The most frequent restraints were the use of bandage, tissues and sheets in the arms/legs and chests of the elderly, and the justification for their use were control of aggressive behavior (28.6%), prevention of falls (19%) and protection (19%). Of the total elderly participants, 42.9% remained contained for more than 24 hours, and in 85.7% of the cases, the individuals were confined to a room. Conclusion It is necessary to expand the training of formal and informal caregivers, recommending the rehabilitation of care practices that preserve the elderly's autonomy, giving them dignity, respecting gerontological and home care principles.


2020 ◽  
pp. 1-3
Author(s):  
B. M. Vashisht ◽  
Dhriti Bapna ◽  
Srishti Singh ◽  
Arup Saha ◽  
Manjeet Rathee ◽  
...  

Isolation is recommended for corona positive patients and their contacts are advised home quarantine. This study was planned to assess the practices followed during home quarantine/ isolation for COVID-19 pandemic among urban population in Rohtak, Haryana. A cross-sectional survey was conducted among 101 persons on home isolation or quarantine in urban field practice areas attached to the Department of Community Medicine of a tertiary care centre of Rohtak. A semi-structured interview schedule was used to obtain information from the participants through house to house visit. Data were analysed using Microsoft Excel version 2010 and Statistical Package for Social Sciences ver.24. 79.2% subjects on home quarantine/ isolation restricted their movement inside house. Face cover was used by 98% and correct hand washing technique was practised by 70.3% participants. Behaviour change communication activities need to be further strengthened to improve practices followed during home quarantine/ isolation.


2020 ◽  
Vol 8 (1) ◽  
pp. 60-64
Author(s):  
Kavita Lamichhane ◽  
Swetha Maharjan ◽  
Anuja Kachapati

INTRODUCTION: Health promotion of infancy is necessary for the optimum growth and development. Mother is significant person for the promotion of health of infant. MATERIAL AND METHODS: Descriptive cross-sectional study was conducted to find out the awareness regarding health promotion of infants among 78 mothers in Bhim Hospital of Siddharthanagar Municipality by using purposive sampling technique. Semi- structured interview schedule was used to collect data and analyzed by using descriptive and inferential statistics with SPSS version 20. RESULTS: The study findings revealed that 51.3% of the respondents have low level of awareness regarding health promotion of an infant. There was statistically significant association between respondents’ level of awareness with occupation and respondents’ husband’s age. CONCLUSION: The study concluded that more than half of the mothers have low level of the awareness regarding health promotion of the infant. Mothers’ occupation and husbands’ age are the influencing factors on mothers' knowledge regarding health promotion of infant.


2020 ◽  
Vol 21 (1) ◽  
pp. 1-13
Author(s):  
Emmanuel M. Musenge ◽  
Sophia Tembo ◽  
Mutinta Hankwebe ◽  
Ndonia Kahinga ◽  
Ovy Mushibwe ◽  
...  

Background: Malnutrition is a severe and persisting cause of morbidity and mortality among under-five children in Zambia. We assessed malnutrition and its determinants among under-five children in Lusaka urban, Zambia.  Methods: This cross-sectional study was conducted at Chawama, Kabwata, Chilenje and Mtendere urban clinics in Lusaka. A simple random sample of 384 under-five children were selected between February and March 2015. A structured interview schedule was used to collect data on demographic characteristics, determinants of malnutrition and anthropometric measurements. Multivariate binary logistic regression analysis was carried out using IBM® SPSS® Statistics for Windows Version 20.0 to identify determinants of malnutrition while adjusting for confounders.  Results: Of the 384 under-five children, most (51.8%) of them were male and the mean (SD) age was 13.83±10.17 months. The zH/A; zW/H; and zW/A was 68.5% and 31.5%; 95.6% and 4.4%; and 86.2% and 13.8% for normal and stunted; normal and wasted; and normal and underweight respectively. Majority (77.1%) of the children had MUAC > 12.5 cm, 16.9% had 11.5 – 12.5 cm and 6.0% had < 11.5 cm. Mother’s good nutritional practices (OR 0.50, 95% CI: 0.27 – 0.95) and MUAC > 12.5 cm (OR 0.10, 95% CI: 0.01 – 0.94; OR 0.01, 0.00 – 0.10; and OR 0.4, 0.01 – 0.19) were statistically significantly associated with stunting, wasting and underweight respectively.  Conclusion: We established varied levels of stunting, wasting and underweight and mother’s nutritional practices and MUAC predicted these levels. More information, education and communication messages to the mothers and caretakers with regard to nutritional practices are needed so that under-nutrition can be improved, to ensure healthy living for mothers, care takers and under-five children.    


2017 ◽  
Vol 2 (2) ◽  
pp. 184-190
Author(s):  
Jamuna Bhattarai ◽  
A Badhu ◽  
T Shah ◽  
SR Niraula

IntroductionEating the meat derived from animals suffering from zoonotic diseases or contaminated with meat borne bacteria cause infection or intoxication and grave danger to both the handler and consumer causing morbidity and mortality.ObjectiveThe study aims to assess the meat hygiene practices among meat sellers in Dharan City of Eastern Nepal.MethodologyA descriptive cross sectional study was carried in all meat shops registered in Dharan from December 2013 to December 2014. A total of 125 meat shops, which were registered in Dharan Municipality, Dharan Mashu Baybasashi Prabadhi Sang and Dharan Mashu Baybasashi Sangh were enrolled. Checklist and semi structured interview schedule were used to assess the hygiene practices of meat shops. Data were analyzed by using descriptive as well as inferential statistics.ResultsThis study revealed that practice of meat inspection, antemortem and post-mortem examination of animals/carcass were not seen and separate slaughterhouse was not made. Only few (19%) of the respondents had practice of washing hands before and a


2020 ◽  
Vol 4 (1) ◽  
pp. 32-38
Author(s):  
Laxmi Shrestha ◽  
Mina Kumari Ranabhat ◽  
Basanta Thapa ◽  
Radha Paudel

Introduction: Cervical cancer is one of the most prevalent cancer affecting women globally. It is the fourth most common cancer in women and the seventh overall. Cervical cancer can be cured and prevented by regular pelviccheck-up, screening test and vaccination against human papilloma virus. The objective of this study was to find out awareness regarding cervical cancer among women aged 18-49 years residing in Bharatpur MetropolitanCity-5, Chitwan. Methods: A community based descriptive cross-sectional research design was used, 186 women were selected using simple random sampling method. Structured interview schedule was used to collect the data within 2weeks. The collected data was entered in Epi data 3.1 and exported into IBM SPSS version 20. Data was analysed in terms of descriptive and inferential statistics. Results: The study revealed that 72.6% of the women were >30 years and 93% of women were literate, among them 35.2% had completed secondary level of education. It was found that only 28.0% of women had good level of awareness and 43.5% of them had poor level of awareness regarding cervical cancer. There was statistically significant relationship between level of awareness with age (p=0.029), ethnicity (p=0.013), marital status (p=0.018) and heard about organism that causes cervical cancer (p=<0.001). Conclusions: Based on the findings of the study, it is concluded that, almost half of the women have poor level of awareness regarding cervical cancer. Hence, there is need for community awareness program on cervical cancer, its screening and preventive measures through the medium of health personnel, friends and mass media.


Author(s):  
Sujata Singh ◽  
Kriti Yadav ◽  
Ranjana Choudhary

Background: Essential newborn care (ENC) provides for an opportunity to assess the infant’s growth and development and counsel mothers regarding proper newborn care. Acquainting the caregivers with knowledge pertaining to dangers signs, hygienic practices, feeding, weaning, health and nutrition including growth and behaviour of children, might affect the rearing of their children. Therefore the present study aims to study the knowledge of caregivers in relation to newborn care.Methods: A descriptive cross sectional study was conducted among the caregivers attending the immunization clinic in a tertiary care centre (King George's Medical University) in Lucknow between January- March, 2016. A pretested and structured interview questionnaire was used to collect data and analysis was done using SPSS ver 16.0.Results: In Majority (75%) of the caregivers the knowledge regarding ENC was found to be average. Only 4% of the caregivers had good knowledge of ENC. Among the variables the association of knowledge of ENC and age of the caregiver< 30 years, general caste, level of education of the caregiver of high School and above, middle socioeconomic status, female sex of the newborn, birth order of 2 or more, >4 ANC visits and new born care not discussed in the VHND being conducted in the area were found to be statistically significantly.Conclusions: On the whole, the results of our study indicated that most of the caregivers were having unsatisfactory knowledge of child care practices. The present scenario can be improved through enhancing information education and counselling activities, training of health workers and mothers focusing on newborn health care practices.


2018 ◽  
Vol 17 (1) ◽  
pp. 127-136
Author(s):  
Shaharior Rahman Razu

Abstract This study investigates the socioeconomic determinants of early marriage among the women living in rural Bangladesh through an empirical cross-sectional research. The data were collected primarily from a sample of 576 ever married women using a semi-structured interview schedule. Results show that more than half of the respondents (58.3%) were early married and the mean age of the first marriage was 16.8. Both in bivariate and multivariate setups, respondents’ age, religion, education level, family type, father’s occupation and household income were found to be significantly associated with marital age (p<0.001).


Author(s):  
Shweta Goswami ◽  
Pardeep Khanna ◽  
Ramesh Verma ◽  
Vinod Chayal ◽  
Varun Arora

Background: Antenatal breastfeeding education and motivation along with postnatal encouragement and lactation support are likely to improve rates of early initiation and exclusive breastfeeding. This study was done to know whether antenatal and postnatal visits were utilized for promotion of optimum breastfeeding in addition to the routine obstetric services.Methods: This descriptive cross-sectional type of community based epidemiological study was conducted in rural and urban field practice area attached to Department of Community Medicine, Pt. B. D. Sharma PGIMS, Rohtak. A total of 500 mothers were studied. A pre-tested semi-structured interview schedule was used for interviewing the study subjects and house to house visits were carried out to collect the information.Results: Health functionaries were the source of information in 49.6% mothers in urban area as compared to only 29.2% in rural areas. Breastfeeding related information was better in the mothers counseled by health functionaries than not counseled group.Conclusions: Health functionaries should be instructed to inform all pregnant women about the benefits and management of breastfeeding during antenatal as well as postnatal visits. Existing breastfeeding education and postnatal support is not adequate in the population studied and needs to be strengthened.


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