scholarly journals Knowledge and Practice on Neonatal Care Among Postnatal Mothers in A Selected Teaching Hospital, Kaski District, Nepal

2021 ◽  
Vol 8 (1) ◽  
pp. 279-284
Author(s):  
Muna Bhattarai ◽  
Rajmi Gurung ◽  
Sunita Gurung ◽  
Sharmila Poudel ◽  
Janaki Mahato ◽  
...  

Newborn care is an essential component of the health care delivery system to maintain the optimal health of the newborn and reduce mortality and morbidity in newborn. Neonatal care refers to the services which are provided by the mother to their neonates such as maintaining thermoregulation, breastfeeding, hygiene, immunization, and care of umbilical cord. The objective of the study was to assess the knowledge and practice of neonatal care among postnatal mothers. A descriptive cross-sectional study design was adopted and 150 postnatal mothers were selected using a non-probability, convenient sampling technique. Data were collected by using semi-structured interviews with a Likert scale and analyzed by using descriptive and inferential statistics. The study result revealed that 60.7 percent of the postnatal mother was aged between more than 25 years. The majority of the postnatal mother (60.7%) of had good knowledge and majority of the respondent (80.7%) of had adequate practice regarding neonatal care. Among multigravida mothers, the majority (61.9%) had good knowledge of neonatal care. Where among primigravida mothers, majority (54.2%) had good knowledge. Among multigravida mothers, the majority (78.6%) had adequate practices on neonatal care.Wheres among primigravida mothers; majority (91.7%) had adequate practices. There is a significant association between the level of knowledge and age (P=0.020), occupational status (P= 0.027), and type of family (p= 0.004). It is concluded that multigravida mothers had good knowledge and adequate practices compared to primigravida mothers. Hence, there is a need for awareness programs by government and non-government organizations, especially among first-time pregnant mothers. Int. J. Soc. Sc. Manage. Vol. 8, Issue-1: 279-284

2020 ◽  
Vol 3 (2) ◽  
pp. 139-151
Author(s):  
Miriam Batamuriza ◽  
Emmerence Uwingabire ◽  
Adejumo Oluyinka

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


Author(s):  
Dipak Kumar Dhar ◽  
Nilratan Majumder ◽  
Debasish Paul

ABSTRACT Aim Zinc is now considered as an important treatment intervention along with low-osmolarity oral rehydration salts in diarrhea. But awareness about the use of zinc remains low. The present study was conducted with an objective of assessing knowledge and practice of mothers of under-5 children about zinc supplementation in diarrhea. Materials and methods A hospital-based cross-sectional study was carried out in the Paediatric Outpatient Department Agartala Government Medical College and GB Pant Hospital, Agartala, Tripura, India, with a sample size of 700 mothers of under-5 children over 2 months. Convenience sampling technique was employed and the data were collected in a structured, interview schedule. Descriptive statistics and tests like chi-square test were used for analysis. Results Only 1.9% of all the respondents (13 out of 700) had heard about zinc therapy in diarrhea. Out of them, 11 mothers had actually used zinc in practice and 7 could tell the duration of therapy. None of them were aware of what benefit is conferred by zinc in an episode of diarrhea. An association between knowledge levels and educational status and occupation of mothers was found to be statistically significant. Conclusion The study reaffirmed the abysmally low level of awareness about zinc supplementation among mothers. Therefore, health education can be used as a tool to promote knowledge and practice of zinc supplementation in diarrhea to reduce mortality and morbidity. How to cite this article Dhar DK, Majumder N, Paul D. Assessment of Knowledge and Practice of Mothers of Children under Five regarding Zinc Therapy in Childhood Diarrhea. Int J Adv Integ Med Sci 2016;1(4):169-172.


2019 ◽  
Vol 6 (1) ◽  
pp. 44-48
Author(s):  
Anjana Khanal

Introductions: Good positioning technique and attachment of breastfeeding is beneficial for both child and mother. The aim of this study was to identify knowledge and practice of positioning technique and attachment of breastfeeding among postnatal mothers. Methods: A cross-sectional study was carried out among postnatal mothers who were admitted in Patan Hospital, Lalitpur, Nepal. Data were collected by structured interview regarding knowledge and practice of positioning technique and attachment of breastfeeding using WHO Observation. A non-probability, purposive sampling technique was used. Data was analyzed by SPSS. Results: Out of 168 respondents, 14 (8.3%) had inadequate knowledge and 78 (46.4%) had poor practice. Nine (5.4%) had poor technique in sitting position and 16 (9.5%) in lying position. There was statistically significant association between parity and knowledge. Practice was associated with parity and age. Overall knowledge correlated with practice. Conclusions: More than half of postnatal mothers had moderate level of knowledge and good practice. Parity was associated with knowledge and practice.


2016 ◽  
Vol 06 (03) ◽  
pp. 03-05
Author(s):  
Binu Thapa ◽  
Sonia R.B. D'Souza ◽  
Pratibha Kamath

Abstract Introduction: Perceived self efficacy is defined as people's beliefs about their capabilities to produce designated levels of performance that exercise influence over events that affect their 2 lives. Self efficacy beliefs determine how people feel, motivate them and behave. A strong sense of efficacy regarding neonatal care enhances the mother's success to take care of newborn baby and promote well being of their baby. Objectives: The objective of the study was to determine the perceived self-efficacy on neonatal care among primigravida and multigravida postnatal mothers. Methods: A descriptive survey was conducted among 166 postnatal mothers in the Kasturba Hospital, Manipal and Dr. T.M.A. Pai Hospital of Udupi District Karnataka, India. Purposive sampling technique was used. The data was collected using structured perceived self-efficacy scale on neonatal care. The data was categorized and analyzed by using SPSS 16.0 version. Result: The study found that 50.6% of the mothers had high perceived self efficacy and 49.4% had low perceived efficacy on neonatal care. Conclusion: This study shows that nearly half of the mothers have low perceived self efficacy on neonatal care which shows that they need further education on how to provide newborn care that may help them to have high aspirations and strong commitment to take care of their baby.


2013 ◽  
Vol 3 (3) ◽  
pp. 14-17 ◽  
Author(s):  
N Ghimire ◽  
N Pandey

Iron deficiency anaemia is one of the main causes of anemia during pregnancy as it is associated with increased maternal and perinatal mortality and morbidity. A descriptive and cross-sectional study was carried out to assess the knowledge and practice of mothers regarding the prevention of anemia during pregnancy among mothers who delivered in Tribhuvan University Teaching Hospital (TUTH). Convenient purposive sampling technique was adopted and mothers were included in the study who delivered in TUTH during four weeks period of data collection. They were interviewed by administering semi structured questionnaire. Chi-square test was applied to assess the association between variables. The test result shows that there was significant association in level of knowledge to the educational status regarding prevention of anemia during pregnancy (p=0.002). Furthermore, the study also revealed that there was significant association between frequencies of antenatal care (ANC) visit to the level of knowledge (p=0.007) as well as level of practice (p=0.043) of mothers about pre­vention of anemia in pregnancy. From the result of the study, it is concluded that the majority of mothers had not adequate knowledge and poor practice regarding prevention of anemia during pregnancy.  DOI: http://dx.doi.org/10.3126/jcmc.v3i3.8631 Journal of Chitwan Medical College 2013; 3(3): 14-15


2018 ◽  
Vol 1 (3) ◽  
pp. 31-34
Author(s):  
Saraswoti Kumari Gautam Bhattarai ◽  
M. Dahal

Introduction: Providers skilled in emergency obstetric and newborn care (EmONC) services are essential, particularly in countries like Nepal with a high burden of maternal and newborn mortality. So this study aims to find out the status of comprehensive emergency obstetrical and neonatal care (CEmONC) service. Method: A retrospective cross-sectional study was conducted using secondary data sources at maternity ward of KAHS teaching hospital, Jumla. Total 291 women admitted in maternity ward for childbirth were included in the study of six month period of 2075. Sampling technique was census for the study who were admitted for child birth purpose. Cases were selected from the record of the maternity ward. The data was collected by using structured tool. Ethical approval was taken from the ethical review committee of KAHS for ethical clearance. Data was analyzed by using descriptive statistics. Result: There were 291 women admitted in the maternity ward for the purpose of childbirth during six-month period. Among them 224(76.97%) women delivered baby by spontaneous vaginal delivery; 61(20.96%) delivered with C/S and 6(2.06%) were delivered with instrumental delivery. Regarding the indication of 61 cesarean section (C/S) delivery; 22.95% with fetal distress, 16.39% with cephalopelvic disproportion and 11.47% with meconium stained liquor Conclusions: About one third childbirth was done by cesarean section with indication of fetal distress, cephalo-pelvic disproportion and meconium stained liquor in higher proportion. Although CEONC service is effective, the rate of cesarean section can be reduced by providing good quality antenatal care.


2014 ◽  
Vol 2 (2) ◽  
pp. 84-88
Author(s):  
Santoshi Shrestha

Background: High neonatal mortality is a reflection of very poor neonatal care. Hence a specialist should be able to take up leadership role in neonatal care to prevent high mortality and morbidity rate. The study was carried out to determine the knowledge and practice of the nursing personnel regarding the care of neonates with phototherapy. Objectives: To assess the knowledge and skills/practice of nurses regarding the care of neonates with phototherapy. Methods: Descriptive and exploratory research design was adopted for the study from 15th to 30th April, 2007 for two weeks at Paropakar Shree Panch Indra Rajyalaxmi Devi Prasuti Griha, Thapathali, Kathmandu. A semistructured questionnaire was designed to collect the data from 50 respondents working in different wards and they were selected by using Purposive sampling technique. The data collected were analysed and interpreted based on descriptive and inferential statistics. The level of knowledge score was converted into percentage and overall adequacy of knowledge was graded according to the following criteria:- If score > 75% highly knowledgeable If score 50 % to 75% moderate knowledge If score <50% inadequate knowledge1. Results: The findings revealed that the majority of the respondents 28 (56%) were highly knowledgeable (the knowledge level of the respondents more than 75 %) and 22 (44%) respondents were with average knowledge (more than 50% and less than75%). No respondents were below 50% level (below 50%). Conclusion: The study attempts to determine the knowledge and practice of nursing staffs regarding the care of neonates with phototherapy. According to the data and information of the respondents the nursing personnel should be provided with in-service education training in relation to care of neonates with phototherapy. This study will be helpful for providing information about existing knowledge and practices of nursing personnel regarding phototherapy. It will help to provide knowledge about the strength and weakness of the services provided by the hospital regarding phototherapy for future researcher. DOI: http://dx.doi.org/10.3126/jkmc.v2i2.10631  Journal of Kathmandu Medical College, Vol. 2, No. 2, Issue 4, Apr.-Jun., 2013, page: 84-88


1970 ◽  
Vol 7 (1) ◽  
pp. 48-53
Author(s):  
Sheh Mureed ◽  
Muhammad Hassan Gandro ◽  
Walid Hassan

Background: Globally, 3.1 million newborn deaths occur every year out of these estimated 400,000 neonatal deaths occur in Pakistan. All neonatal deaths 99% take place in poorest region and countries of the world, usually within hours of birth; mostly the cause of neonatal deaths is hypoxia. To access knowledge and practice of SBAs regarding HBB and to access the availability of equipments required for HBB. Methods: Descriptive Cross-Sectional Study on SBAs as trained in HBB. All 46 SBAs trained on HBB working in Labour room eight rural Health centers, four Taluka, One district Head Quarter Health Facilities and thirteen Mlbcs of the district, were included in the sample for study. All 41 SBAs were trained on HBB participated in the study. Results: Mean age of 30 years. Out of total 41 participants 25 were working in B-EmoNC (61%), 3in C-EmoNC (7.3%) and 13 in mid wife laid birth Centre (MLBC) or birth station (31.7%). About 92.7% of participants said that main purpose of HBB training is to decrease the NMR by improving newborn care. Drying of newborn is 82.7%, hand washing is 95.12% and 85.3% of the study participants said that they gave 30-40 breaths per minutes. Cord clamp and pair of ties was accessible to 85% of participants versus 14.3% who reported it's not accessible. Almost one quarter (34.1%) participants have low knowledge and practice. Knowledge and training had significant effect on the overall practices of the skilled birth attendants for skilled birth deliveries and reduce the neonatal deaths (P <0.001). Conclusion: Tools play a vital role for the implication of the knowledge into practices and tools were available almost to every participant. Although few barriers also identified for the less application of the helping hand babies trainings in the community.


2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Kirubel Minsamo Mishore ◽  
Abebaw Demissie Woldemariam ◽  
Solomon Assefa Huluka

Introduction. Ethiopia has a high incidence of unwanted pregnancies and incomplete and unsafe abortions, particularly among adolescents. This can be avoided by using different contraceptive methods including emergency contraceptives (EC). This study aimed to assess the knowledge and practice of EC among female college graduating students in Harar, Eastern Ethiopia. Methods. Institution based cross-sectional study was conducted on 214 female students selected from two randomly selected colleges. Data was collected using a self-administered questionnaire and analyzed using SPSS for Windows version 20.1. Level of significance was taken at P <0.05. Results. The mean (±SD) age of the participants was 21.06 (±2.14) years. Of the 200 (93.5%) study participants who had ever heard of ECs, 140 (70.0%) had good knowledge. Among the 214 graduating female students, 66 (33.0%) had ever used EC. Being above the age of 20 years old, father’s and mother’s literacy were found to be determinants of knowledge of EC. Moreover, knowledge was the only determinant factor of practice of EC. Conclusion. Most of the respondents had relatively good knowledge of EC. The study revealed that female students of older age and higher educational status of parents had higher knowledge and practice of EC.


2018 ◽  
Vol 9 (1) ◽  
pp. 57-62
Author(s):  
Muhammad Sazzad Hossain ◽  
Md Sirajul Islam ◽  
Sharmin Abbasi

Background: Pregnancy and childbirth related complications are the leading causes of maternal mortality and morbidity in Bangladesh. An estimate shows that about 28,000 mothers die in each year in Bangladesh due to obstetric complications. The aim of this study was to find out the birth practice among rural women in Bangladesh.Material and Methods: This descriptive cross sectional study was carried out among 1220 respondents by purposive sampling technique from July 2016 to June 2017 in different Private Hospital, Dhaka. Data were collected by a structured questionnaire duly pretested through face to face interview. Data were analyzed manually and by using computer.Results: Then study revealed that majority of the respondents 80% were Muslims by religion and about 26% respondents were found within the age 25-29 years with mean age 31±7.59 years. Most of them 86% were literate and only 14% were found illiterate. Among the respondents 75% were Housewives and 11%, 9%, 1% and 4% were involved in Service, Business, Agriculture and others occupation respectively. Moreover, 78% respondents monthly income were less than TK 3000. About 43% & 16% respondents were found to have 2 & 3 children respectively. In this study, about 73% received antenatal visit and among them 57% received 1 to 3 antenatal visits and 74% received TT immunizations. It was found that 69%, 54% and 59% received antenatal advices on healthy diet, personal hygiene, drug use respectively. Home delivery and Hospital delivery practice were found among 44% & 56% respondents respectively. The reasons for home delivery like Feeling comfortable, Family decision and Financial problem were found in 60%, 26% & 42% respondents respectively. The most common complications during last delivery were obstructed labor, found among 39% respondents.Conclusion: Still now women prefer home delivery. Major reasons for home delivery were Feeling comfortable, Family decisions and Financial problems. Delivery conduction by qualified doctors were found only among 47% women. Efforts needed to increase maternal health related knowledge and awareness towards birth practice to facilitate decision in minimizing complications and mortality.Anwer Khan Modern Medical College Journal Vol. 9, No. 1: Jan 2018, P 57-62


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