A STUDY ON ESSENTIAL NEWBORN CARE PRACTICES AMONG POSTNATAL MOTHERS IN URBAN SLUMS OF GUNTUR

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.

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Knowledge of postnatal mothers on essential newborn care practices at the Kenyatta National Hospital: a cross sectional study

Pan African Medical Journal ◽

10.11604/pamj.2017.28.97.13785 ◽

2017 ◽

Vol 28 ◽

Cited By ~ 8

Author(s):

Lucia Amolo ◽

Grace Irimu ◽

Daniel Njai

Keyword(s):

Newborn Care ◽

Cross Sectional Study ◽

Sectional Study ◽

National Hospital ◽

Cross Sectional ◽

Essential Newborn Care ◽

Kenyatta National Hospital ◽

Postnatal Mothers ◽

Care Practices

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Essential newborn care practices and associated factors among home delivered mothers in Damot pulasa Woreda, southern Ethiopia

Reproductive Health ◽

10.1186/s12978-018-0609-1 ◽

2018 ◽

Vol 15 (1) ◽

Cited By ~ 6

Author(s):

Tesfaye Yitna Chichiabellu ◽

Baze Mekonnen ◽

Feleke Hailemichael Astawesegn ◽

Birhanu Wondimeneh Demissie ◽

Antehun Alemayehu Anjulo

Keyword(s):

Associated Factors ◽

Newborn Care ◽

Southern Ethiopia ◽

Essential Newborn Care ◽

Care Practices

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

Rwanda Journal of Medicine and Health Sciences ◽

10.4314/rjmhs.v3i2.5 ◽

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

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Assessment of knowledge and quality of essential newborn care practices in La Dade Kotopon Municipality, Ghana

PLoS ONE ◽

10.1371/journal.pone.0237820 ◽

2020 ◽

Vol 15 (8) ◽

pp. e0237820

Author(s):

John Ayete-Nyampong ◽

Emilia Asuquo Udofia

Keyword(s):

Newborn Care ◽

Essential Newborn Care ◽

Care Practices

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Assessing the changes in childbirth care practices and neonatal outcomes in Western China: pre-comparison and post-comparison study on early essential newborn care interventions

BMJ Open ◽

10.1136/bmjopen-2020-041829 ◽

2020 ◽

Vol 10 (12) ◽

pp. e041829

Author(s):

Wen Qu ◽

Qing Yue ◽

Yan Wang ◽

Jin Liuxing Yang ◽

Xi Jin ◽

...

Keyword(s):

Health Outcomes ◽

Neonatal Mortality ◽

Breast Feeding ◽

Newborn Care ◽

Western China ◽

Comparison Study ◽

Essential Newborn Care ◽

Breastfeeding Rate ◽

Care Practices ◽

Childbirth Care

ObjectiveTo explore the changes in childbirth care practices and health outcomes of newborns after the introduction of early essential newborn care (EENC).DesignA pre-comparison and post-comparison study.SettingThe study was conducted in December 2016 and December 2018 in 18 counties in four western provinces of China.Participants46 hospitals that provide delivery services participated in the study.InterventionsEENC practices were introduced and implemented in the 46 hospitals.Outcome measuresThe changes of hospital indicators such as incidence of birth asphyxia and neonatal mortality were compared in 2016 and 2018. EENC coverage indicators, such as skin-to-skin (STS) contact, and time of first breast feeding were also compared before and after the intervention via interview with 524 randomly selected postpartum mothers (320 in 2016 and 204 in 2018).Results54 335 newborns were delivered in the pre-EENC period (2016) and 58 057 delivered in the post-EENC period (2018). According to hospital records, the proportion of newborns receiving immediate STS contact increased from 32.6% to 51.2% (Risk Ratio (RR)=1.57,95% CI 1.55 to 1.59) and the percentage of newborns receiving prolonged STS contact for more than 90 min increased from 8.1% to 26.8% (RR=3.31, 95% CI 3.21 to 3.41). No statistically significant changes were found in neonatal mortality, although slight decreases in birth asphyxiate and neonatal intensive care unit admission rates were detected. Among the mothers interviewed, the proportion of newborns receiving immediate STS contact increased from 34.6% to 80.0% (RR=2.31, 95% CI 1.69 to 3.17). The exclusive breastfeeding rate increased from 43% to 73.4% (RR=1.71, 95% CI 1.43 to 2.04). The average length of the first breast feeding increased from 15.8 min to 17.1 min.ConclusionsThe introduction of EENC has yielded significant improvements in newborn care services at the pilot hospitals, including enhanced maternal and newborn care practices, improved STS contact quality and early breastfeeding performance. Further studies are needed to evaluate the long-term impact of EENC on newborn health outcomes.

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Community Based Essential New Born Care Practices and Associated Factors among Women in the Rural Community of Awabel District, East Gojjam Zone, Amhara, Ethiopia, 2013

International Journal of Advances in Scientific Research ◽

10.7439/ijasr.v1i1.1637 ◽

2015 ◽

Vol 1 (1) ◽

pp. 17 ◽

Cited By ~ 8

Author(s):

Teshome Kokebie ◽

Mekonen Aychiluhm ◽

Genet Degu Alamneh

Keyword(s):

Rural Women ◽

Associated Factors ◽

Newborn Care ◽

Educational Status ◽

Birth Preparedness ◽

Community Based ◽

Cross Sectional ◽

Essential Newborn Care ◽

New Born ◽

Care Practices

Background; Essential newborn care is important for the proper development and healthy life of a baby. Although 70% of infant deaths occur during the first month of life, the policy-makers and health professionals in developing countries, until recently, gave little attention for the new born care. But, the principles of essential newborn care are simple, requiring no expensive high technology equipment.Objective: the main aim of this study was to assess level of community based essential new born care practices and associated factors among rural women who gave birth in the last 12 months preceding the survey in Awabel District, Amhara, Ethiopia.Method: A community-based cross-sectional study was conducted in September and October 20013. Data were collected from randomly selected 570 women by interview. The collected data were entered into computer using Epi-Data version3.1 and analyzed using SPSS version 16. Logestic regression was fitted to assess possible associations and the strength of association was measured using odds ratio with 95% CI.Results: the study revealed that the level of Essential New born Care practices was 23.1%. Educational status, (OR=7.02, 95%, CI=2.27,21.74), immediate PNC visit, (OR=3.22,95%CI = 1.18,9.48), advise about Essential New born Care practices during monthly pregnant mothers group meeting (OR=4.77,95%CI=1.11, 19.79) advise about birth preparedness during ANC visits (OR=9.05,95% CI =2.76,29.61) and presence of radio in the household (OR=7.91,95%CI=2.64,23.67) were found to have statistically significant association with essential new born care practices.Conclusion: The study identified low comprehensive practices of essential new born care in the study area. Community oriented promotion of essential new born care practices including women empowerment through education, promotion of suitable IEC materials and emphasizing and providing information and education to all pregnant women is recommended.

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