scholarly journals Knowledge Regarding Care of Low Birth Weight Babies among Nurses Working in Pediatric Wards of a University Hospital in Eastern Nepal

2021 ◽  
Vol 4 (1) ◽  
pp. 43-47
Author(s):  
Upendra Yadav ◽  
Basant Kumar Karna

Background: Birth weight is the single most important factor determining a newborn’s survival chance. Recent development in neonatal care demands nurses to have updated knowledge regarding the care of low birth weight (LBW) babies. We aimed to assess the knowledge regarding care of LBW babies among nurses. Methods: In this descriptive cross-sectional study, we enrolled 54 nurses working in pediatric wards of BPKIHS. To assess their knowledge regarding the care of LBW babies, a pre-tested self- response questionnaire was administered with focus on six domains: knowledge about care of LBW babies, the kangaroo mother care, adequacy of breast feeding, vaccination, bathing of LBW babies, and prevention of infection. The chi-square test was used to examine the association between different categorical variables and their knowledge. Results: The majority (83%) had a Proficiency Certificate in nursing education, 11% had a Bachelor of Science in nursing education and only 6% had completed Bachelor in general nursing. More than half (55.6%) of the nurses had a job experience of 1-5 years. The overall knowledge score (mean ± SD) among the nurses on care of LBW babies was 86.5 ± 2.3. Nurses with Bachelor level of education had better knowledge score (85.5 ± 15.4) compared to those with proficiency level of education (75.1 ± 15.9) (p = 0.003). Conclusion: The knowledge regarding the care of LBW babies among the nurses working in pediatric wards of BPKIHS seemed excellent. Knowledge was better in nurses with higher educational level.

2021 ◽  
Vol 3 (2) ◽  
pp. 21-27
Author(s):  
Tuti Asrianti Utami ◽  
Novi Diah ekawati ◽  
Rosa Nora Lina

Abstrak Bayi berat badan lahir rendah merupakan bayi yang perlu mendapatkan perhatian dan perawatan yang optimal. Perawatan bayi di ruang NICU menggunakan inkubator membuat adanya pemisahan antara ibu dengan bayinya. Perawatan metode kanguru menawarkan suatu kedekatan antara ibu dengan bayinya untuk membantu meningkatkan pertumbuhan dan perkembangan bayi dengan berat badan lahir rendah. Perawat NICU harus memiliki pengetahuan dan kepercayaan diri yang baik dalam mendukung kegiatan Perawatan Metode Kanguru. Tujuan penelitian ini untuk menganalisa hubungan antara pengetahuan dengan kepercayaan diri perawat NICU melakukan PMK. Metode penelitian kuantitatif ini, dengan desain studi potong lintang (cross sectional), telah dilakukan di RS X pada bulan Desember 2020 – Maret 2021. Populasi seluruh perawat ruang NICU dengan pengambilan sampel secara total sampling, pengumpulan data menggunakan kuisioner yang dibagikan kepada 40 responden. Hasil penelitian menjelaskan bahwa sebagian besar responden terdiri dari usia 26-35 tahun 30 (75%) responden, berpendidikan D3 keperawatan 24 (60%) responden, lama bekerja selama 1-5 tahun  16 (40%) responden,  belum mengikuti pelatihan PMK 31 (77,5 %) responden, memiliki pengetahuan cukup 22 (55%) responden, memiliki kepercayaan diri  20 (50%) responden  dan tidak percaya diri sebanyak 20 (50 %) responden. Berdasar hasil Analisa (Chi Square)  tidak terdapat hubungan antara pengetahuan dengan kepercayaan diri perawat NICU dalam melakukan Perawatan Metode Kanguru dengan p value 0,438 ( p value > 0.05). Perawat di ruang NICU menjadi lebih baik jika memiliki rasa percaya diri dalam melakukan asuhan keperawatan metode kanguru, sehingga bayi dengan berat badan lahir rendah dapat bertumbuh lebih sehat. Penelitian ini merekomendasikan perawat NICU untuk memiliki pengetahuan yang baik tentang PMK sehingga perawat mempunyai percaya diri dalam pelaksanaan PMK.   Kata kunci : berat badan lahir rendah, kepercayaan diri perawat, perawatan metode kanguru Abstract Low birth weight babies are babies who need optimal attention and care. Baby Care in the NICU using an incubator creates a separation between mother and baby. The kangaroo method of care offers a close relationship between the mother and her baby to help promote the growth and development of babies with low birth weight. NICU nurses must have good knowledge and confidence in supporting Kangaroo Method Care activities. The purpose of this study was to analyze the relationship between knowledge and confidence in NICU nurses doing PMK. This quantitative research method, with a cross-sectional study design, was carried out at X Hospital in December 2020 – March 2021. The population of all NICU room nurses with total sampling, data collection using questionnaires distributed to 40 respondents. The results of the study explain that most of the respondents are aged 26-35 years, 30 (75%) respondents, have D3 nursing education, 24 (60%) respondents, have worked for 1-5 years, 16 (40%) respondents, have not attended PMK training 31 (77.5%) respondents, 22 (55%) respondents had sufficient knowledge, 20 (50%) respondents had self-confidence and 20 (50%) respondents were not confident. Based on the results of the analysis (Chi-Square) there is no relationship between knowledge and confidence of NICU nurses in performing the Kangaroo Treatment Method with a p-value of 0.438 (p-value > 0.05). Nurses in the NICU will be better off if they have confidence in performing kangaroo nursing care, so babies with low birth weight can grow up healthier. This study recommends NICU nurses have good knowledge about PMK so that nurses have confidence in implementing PMK. Keywords: low birth weight, nurse confidence, kangaroo method care


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Linda A. Fondjo ◽  
Vivian E. Boamah ◽  
Adelaide Fierti ◽  
Dorcas Gyesi ◽  
Eddie-Williams Owiredu

Abstract Background Pre-eclampsia (PE) is one of the leading causes of maternal morbidity and mortality globally. Adequate knowledge about a disorder contributes greatly to its prevention, control and management. This study assessed the level of knowledge of PE and evaluated the factors associated with knowledge adequacy among pregnant women attending antenatal care at a University Hospital in Kumasi-Ghana. Methods This cross-sectional study was conducted at the University Hospital in Kumasi, Ghana. A validated closed-ended questionnaire was used to collect socio-demographic information and history of PE. Knowledge of PE was assessed based on a series of questions regarding the awareness, signs/symptoms, risk factors and complications of PE. Responses were scored percentage-wise and grouped into low (< 60%), moderate (60–80%) and high (80–100%). Knowledge score was then re-stratified into adequate (% score of ≥60%) and inadequate knowledge of PE (% score of < 60%). Results The prevalence of inadequate and adequate knowledge of PE was 88.6% (mean score = 55.5 ± 4.3%) and 11.4% (mean score = 76.3 ± 5.9%), respectively. For participants with adequate knowledge of PE, 9.1% (mean score = 67.4 ± 6.9%) and 2.3% (mean score = 85.2 ± 5.1%) had moderate and high knowledge, respectively. Using univariate logistic regression models, being older (> 35 years old) [cOR = 3.09, 95%CI (0.88–10.88), p = 0.049] and having a higher level of education (> SHS education) [cOR = 4.45, 95%CI (2.18–9.10), p < 0.0001] were significantly associated with greater odds of having adequate knowledge of PE. After controlling for potential confounders in multivariate logistic regression analysis, we found higher level of education to be independently associated with adequate knowledge of PE [aOR = 2.87, 95%CI (1.31–6.30), p = 0.008]. Conclusion The knowledge of PE among pregnant women in Ghana is low. The prominent factor that facilitates adequacy of knowledge of PE is higher level of education.


Author(s):  
Pradip Kumar Bhue ◽  
Himansu Prasad Acharya ◽  
Subrat Kumar Pradhan ◽  
Pratima Biswal ◽  
Amit Pritam Swain ◽  
...  

Background: World Health Organization has defined low birth weight (LBW) as birth weight less than 2,500 grams. Giving birth to a LBW infant is influenced by several factors. Objective of the study was to measure the proportion of low birth weight babies delivered in V.S.S medical college and hospital, Burla and its association with socio-demographic factors.Methods: Hospital based cross -sectional study comprising of 1030 postnatal women who delivered single live baby in V.S.S Medical College and Hospital, Burla. Selection of study participants was done by systematic random sampling in the study period October 2012 to September 2014. Chi-square test was used to measure association between LBW and socio-demographic factors.Results: The proportion of LBW was found to be 27.76%. The proportion of LBW babies was high and significant in extremes of age i.e. teenage (44.19%) and 30 years and above age group (39.56%) and Muslim mothers (36.36%), illiterate mothers (53.52 %), manual labourer (67.14%), socioeconomic class IV and V (32.98%), consanguinity history (60.58%), smoky fuel (30.02%), consumption of tobacco (49.11%).Conclusions: The proportion of LBW (27.76%) was found to be higher than national average (21.5%).


2018 ◽  
Vol 6 (2) ◽  
pp. 174
Author(s):  
Ndaru Puspita

Background : The incidence of neonatal jaundice on low birth weight babies (BBLR) are mostly lead to mortality. A preliminary survey in the neonatal room of the public hospital (RSUD) Sidoarjo in January to December 2013 showed that there were 391 (12%) babies born with low birth weight from 3,210 natalities with 375 (9%) neonatal jaundice recorded from 3878 babies. Purpose: This study aimed to investigate the influence of low birth weight on the incidence of neonatal jaundice in RSUD Sidoarjo. Methods: The study design was a cross-sectional study with a total of 190 babies included as the study population. However, there were only 129 babies selected as respondents determined from solving formula with randomized sampling method. There were two variables measured in this study, namely low birth weight, and neonatal jaundice incidents. The secondary data were obtained from patients’ medical records and were analyzed through a chi-square test to investigate the correlation between the two variables. Results: Results showed that the percentage of babies born with low birth weight was 21.71% and the neonatal jaundice was 29.46%. The number of babies suffered from neonatal jaundice with low birth weight was 17.80% with p=0.01. Conclusion: By all means, the low birth weight has a contribution in the incidence of neonatal jaundice in RSUD Sidoarjo.


2014 ◽  
Vol 6 (2) ◽  
pp. 71-74
Author(s):  
Bhavna Kumare ◽  
Nikita Vijay

ABSTRACT Objective To determine the prevalence of pica during pregnancy, maternal hemoglobin levels at delivery and the association of pica with low birth weight and preterm birth. Study design A descriptive cross-sectional study. Subjects/setting Two hundred pregnant women aged 18 to 35 years admitted in labor room of Department of Obstetrics and Gynecology, NKPSIMS. Study duration 1 March 2012 to 28 February 2013. Main outcome measures — maternal hemoglobin at delivery, mean birth weight and mean gestational age were compared in pica and no pica group. Statistical analysis Mean, percentage and chi-square test (for paired data). Results Seventeen percent of these pregnant women practiced pica. The most common pica substance that was consumed was chalk (44.1%) and clay (38.2%). Women in pica group had lower hemoglobin levels 8.63 ± 1.12 gm% (mean ± SD) at delivery than women who did not report pica (10.03 ± 0.96 gm%). There was no difference in mean birth weight and gestational age of neonates born to women with pica group and no pica group. Conclusion The findings suggest that pica practices are associated with significantly lower maternal hemoglobin levels at delivery, but are not associated with low birth weight and preterm birth. How to cite this article Kumare B, Somalwar S, Vijay N. Pica in Rural Obstetric Population: An Underestimated Nutritional Mystery. J South Asian Feder Obst Gynae 2014;6(2):71-74.


Author(s):  
Mariana Fanstone Ferraresi ◽  
Fabricia Oliveira Saraiva ◽  
Priscila Valverde de O. Vitorino ◽  
Ellen De Sousa Lelis ◽  
Andréia Gontijo da Silva Souza ◽  
...  

Low birth weight is appointed as a strong indicator of the health conditions of the population. Objective: evaluate the prevalence of low birth weight and identify factors associated to the low birth weight in a public maternity of a university hospital of Goiânia, Goiás Methods: This is a cross-sectional study conducted from January to July 2011. The association between variables and birth weight was performed by using the Mantel-Haenszel test and factors associated with low birth weight were estimated using logistic regression or fisher test whether appropriated. Results: The results showed a prevalence of children with low birth weight of 34.0%. After multivariate analysis, preterm birth (OR = 18.6, p = 0.000) remained significantly associated to low birth weight. Conclusions: Investment in the quality of maternal and child health is recommended, since these risk factors can be avoided or minimized through a quality attention. Prevalência e fatores associados ao baixo nascer em uma maternidade PÚBLICA O baixo peso ao nascer é apontado como forte indicador das condições de saúde da população. Objetivo: avaliar a prevalência de baixo peso ao nascer e identificar os fatores associados ao baixo peso ao nascer em uma maternidade pública de referência no município de Goiânia-Goiás. Métodos: Trata-se de um estudo de corte transversal, realizado no período de janeiro a julho de 2011. Associação entre as variáveis e o peso ao nascer foi realizada através do teste de Mantel Haenszel e os fatores associados ao baixo peso foram estimados utilizando regressão logística. Resultados: prevalência de crianças com baixo peso de nascimento de 34,0%. Após análise multivariada, o nascimento pré-termo (OR= 18,6; p=0,000) manteve-se significativamente associado ao baixo peso ao nascer. Conclusões: recomenda-se o investimento na qualificação da assistência materno-infantil, visto que muitos destes fatores de risco podem ser evitados ou minimizados por meio de uma atenção de qualidade.


2019 ◽  
Author(s):  
Linda Ahenkorah Fondjo ◽  
Vivian E. Boamah ◽  
Adelaide Fierti ◽  
Dorcas Gyesi ◽  
Eddie-Williams Owiredu

Abstract Background: Pre-eclampsia (PE) is one of the leading causes of maternal morbidity and mortality globally. Adequate knowledge about a disorder contributes greatly to its prevention, control and management. This study assessed the level of knowledge of PE and evaluated the factors associated with knowledge adequacy among pregnant women attending antenatal care at a University Hospital in Kumasi-Ghana. Methods: This cross-sectional study was conducted at the at a University Hospital in Kumasi, Ghana. A closed-ended validated well-structured questionnaire was used to collect socio-demographic information and history of PE. Knowledge of PE was assessed based on a series of questions regarding the awareness, signs/symptoms, risk factors and complications of PE. Responses were scored percentage-wise and grouped into low (<60%), moderate (60-80%) and high (80-100%). Knowledge score was then re-stratified into adequate (% score of ≥ 60%) and inadequate knowledge of PE (% score of < 60%). Results: The prevalence of inadequate and adequate knowledge of PE was 88.6% (mean score = 55.5 ± 4.3%) and 11.4% (mean score = 76.3 ± 5.9%), respectively. For participants with adequate knowledge of PE, 9.1% (mean score = 67.4 ± 6.9%) and 2.3% (mean score = 85.2 ± 5.1%) had moderate and high knowledge, respectively. Using univariate logistic regression models, being older (>35 years old) [cOR=3.09, 95%CI (0.88-10.88), p=0.049] and having a higher level of education (> SHS education) [cOR=4.45, 95%CI (2.18-9.10), p<0.0001] were significantly associated with greater odds of having adequate knowledge of PE. After controlling for potential confounders in multivariate logistic regression analysis, we found higher level of education to be independently associated with adequate knowledge of PE [aOR=2.87, 95%CI (1.31-6.30), p=0.008]. Conclusion: The knowledge of PE among pregnant women in Ghana is low. The prominent factor that facilitates adequacy of knowledge of PE is higher level of education.


2020 ◽  
Vol 28 (2) ◽  
pp. 67
Author(s):  
Nur Lailatul Fadhilah ◽  
Rizky Pranadyan

Objective: The aim of this study to analyze correlation of neonatal outcome in adolescent pregnancy in Soetomo Hospital within 2014-2017.Materials and Methods: This study was analytic observational cross-sectional study using medical record period 2014-2017 in Obstetric and Gynecology Department, Faculty of Medicine of Airlangga University by using total sampling.Results: The number of total sample among all adolescent pregnancy during 4 years was 184 patient (3,2%) of 5770 patient. The neonatal outcome among all of them were low birth weight, 184 cases (7,8%) of 2350 cases were LBW. 19 cases (5,7%) of 329 cases in percentile <10. This data was analyzed by chi-square SPSS with p value 0,218 (p>0,05), means there were no significant correlation.Conclusion: Adolescent pregnancy had no correlation with low birth weight in neonatal outcome.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Bingsi Gao ◽  
Yu-Ligh Liou ◽  
Yang Yu ◽  
Lingxiao Zou ◽  
Waixing Li ◽  
...  

AbstractThis cross-sectional study investigated the characteristics of cervical HPV infection in Changsha area and explored the influence of Candida vaginitis on this infection. From 11 August 2017 to 11 September 2018, 12,628 outpatient participants ranged from 19 to 84 years old were enrolled and analyzed. HPV DNA was amplified and tested by HPV GenoArray Test Kit. The vaginal ecology was detected by microscopic and biochemistry examinations. The diagnosis of Candida vaginitis was based on microscopic examination (spores, and/or hypha) and biochemical testing (galactosidase) for vaginal discharge by experts. Statistical analyses were performed using SAS 9.4. Continuous and categorical variables were analyzed by t-tests and by Chi-square tests, respectively. HPV infection risk factors were analyzed using multivariate logistic regression. Of the total number of participants, 1753 were infected with HPV (13.88%). Females aged ≥ 40 to < 50 years constituted the largest population of HPV-infected females (31.26%). The top 5 HPV subtypes affecting this population of 1753 infected females were the following: HPV-52 (28.01%), HPV-58 (14.83%), CP8304 (11.47%), HPV-53 (10.84%), and HPV-39 (9.64%). Age (OR 1.01; 95% CI 1–1.01; P < 0.05) and alcohol consumption (OR 1.30; 95% CI 1.09–1.56; P < 0.01) were found to be risk factors for HPV infection. However, the presence of Candida in the vaginal flora was found to be a protective factor against HPV infection (OR 0.62; 95% CI 0.48–0.8; P < 0.001). Comparing with our previous study of 2016, we conclude that the subtype distribution of HPV infection is relatively constant in Changsha. Our data suggest a negative correlation between vaginal Candida and HPV, however, more radical HPV management is required in this area for perimenopausal women and those who regularly consume alcohol.


2021 ◽  
Vol 8 ◽  
pp. 2333794X2110196
Author(s):  
Sitotaw Molla Mekonnen ◽  
Daniel Mengistu Bekele ◽  
Fikrtemariam Abebe Fenta ◽  
Addisu Dabi Wake

Necrotizing enterocolitis (NEC) remains to be the most critical and frequent gastrointestinal disorder understood in neonatal intensive care units (NICU). The presented study was intended to assess the prevalence of NEC and associated factors among enteral Fed preterm and low birth weight neonates. Institution based retrospective cross-sectional study was conducted on 350 enteral Fed preterm and low birth weight neonates who were admitted at selected public hospitals of Addis Ababa from March 25/2020 to May 10/2020. The data were collected through neonates’ medical record chart review. A total of 350 participants were enrolled in to the study with the response rate of 99.43%. One hundred eighty-four (52.6%) of them were male. The majority 123 (35.1%) of them were (32 + 1 to 34) weeks gestational age. The prevalence of NEC was (25.4%) (n = 89, [95% CI; 21.1, 30.0]). Being ≤28 weeks gestational age (AOR = 3.94, 95% CI [2.67, 9.97]), being (28 + 1 to 32 weeks) gestational age (AOR = 3.65, 95% CI [2.21, 8.31]), birth weight of 1000 to 1499 g (AOR = 2.29, 95% CI [1.22, 4.33]), APGAR score ≤3 (AOR = 2.34, 95% CI [1.32, 4.16]), prolonged labor (AOR = 2.21, 95% CI [1.35, 6.38]), maternal chronic disease particularly hypertension (AOR = 3.2, 95% CI [1.70, 5.90]), chorioamnionitis (AOR = 4.8, 95% CI [3.9, 13]), failure to breath/resuscitated (AOR = 2.1, 95% CI [1.7, 4.4]), CPAP ventilation (AOR = 3.7, 95% CI [1.50, 12.70]), mixed milk (AOR = 3.58, 95% CI [2.16, 9.32]) were factors significantly associated with NEC. Finally, the prevalence of NEC in the study area was high. So that, initiating the programs that could minimize this problem is required to avoid the substantial morbidity and mortality associated with NEC.


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