scholarly journals Assessing neonatal care practices in rural Nepal

2015 ◽  
Vol 2 (2) ◽  
pp. 23-27
Author(s):  
Tania Rezai ◽  
Kedar Baral ◽  
Samir Koirala ◽  
Sudarshan Paudel ◽  
Saraswati Kache
Keyword(s):  
Umbilical Cord ◽  
Health Indicators ◽  
Household Survey ◽  
Neonatal Care ◽  
Cord Care ◽  
Umbilical Cord Care ◽  
Care Practices ◽  
One Year ◽  
Rural Nepal ◽  
The Village

Introductions: Child health indicators of under-five and infant mortality has improved in Nepal, but neonatal mortality remains high. The aim of this study is to assess neonatal care practices among mothers in rural Nepal.Methods: A household survey was conducted in the village of Daman in Makwanpur district, Nepal. All households that had an infant less than one year of age, and had been residing in Daman for greater than six months were included in the study.Results: There were 117 mothers with neonate assessed. The average age of mothers was 24 years and 39 (33.3%) were illiterate, 53 (45.3%) were home births and 36 (30.8%) births were registered. Ninety seven (82.9%) neonates cried immediately after birth, 95 (81.1%) used a new or boiled blade for umbilical cord, 20 (16.7%) applied oil to the cord stump and 71 (61%) breastfed within first hour of birth. There was a significant relationship between non-exclusive breastfeeding and sickness.Conclusions: In Daman village community awareness for umbilical cord care and breastfeeding after birth was high. For thermal regulation of the infant, more health education is required.Journal of Patan Academy of Health Sciences, Vol. 2, No. 2, 2015. page: 23-27

scholarly journals INFANT HEALTH CARE

2015 ◽  
Vol 22 (08) ◽  
pp. 978-988
Author(s):  
Muhammad Asim ◽  
Babak Mahmood ◽  
Malik Muhammad Sohail
Keyword(s):  
Health Care ◽  
Postnatal Care ◽  
Infant Health ◽  
Health Indicators ◽  
Newborn Health ◽  
Care Utilization ◽  
Cord Care ◽  
Health Care Practices ◽  
Care Practices ◽  
One Year

In Pakistan 1 in every 14 infants die before reaching one year of age. Infant mortalityhighly depends upon the health care practices by the caretakers. Objective: To investigate theinfant risky health care practices and their impact on infants’ health in Pakistan. Study Design:Descriptive systematic literature review. Setting and Period: All the research articles that waspublished in between 2000 to 2015. Methods: Focusing on newborn health care practices withspecial reference to mothers utilization of antennal and postnatal care, pre-lacteal feedings,colostrum, breastfeeding, cord care practices and complementary feeding. A systematic searchof national and international literature especially from developing countries was undertakenfrom peer-reviewed indexed journals and news articles from 2000-2015 to access the infanthealth care practices. Results: sixty five articles were included in this review article. All thestudies focused on the determinants of infant health care practices. It was found that mother’sprenatal and postnatal care utilization service was poor. It was further investigated that colstrumis not preferred first feed of the mothers and family members to their infants. Mostly mothersgave the pre-lacteal feeding to their children irrespective to their education and social statusand it cause the delayed in initiating the breastfeeding to the neonates. Only a small proportionof the mothers initiate the breastfeeding with in the first hour of birth and mothers are unawareabout the importance of breastfeeding. Furthermore, the mothers are also unaware about cordcare and use conventional methods for cord care. Conclusion: It was investigated that infanthealth care practices is highly influenced by the culture and religious belifs of the caretakers.Due to the lack of proper health care of infants, Pakistan is facing high infant mortality rateand substandard infant health indicators. It is suggested that government and policy makersshould arrange the trainings/ workshops for the mothers and adolescents for the purpose todiscourage the risky health care practices.

scholarly journals Skin, thermal and umbilical cord care practices for neonates in southern, rural Zambia: a qualitative study

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Emma Sacks ◽  
William J. Moss ◽  
Peter J. Winch ◽  
Philip Thuma ◽  
Janneke H. van Dijk ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Umbilical Cord ◽  
Cord Care ◽  
Umbilical Cord Care ◽  
Care Practices ◽  
Rural Zambia

scholarly journals Neonatal deaths and umbilical cord care practices in Luweero district, Uganda

2014 ◽  
Vol 19 (6) ◽  
pp. 333-333 ◽  
Author(s):  
Eisha Grant ◽  
Deogratius Munube ◽  
Patrick Lumala ◽  
Ssemata Andrew Sentongo ◽  
Linda Dodds ◽  
...  
Keyword(s):  
Umbilical Cord ◽  
Cord Care ◽  
Neonatal Deaths ◽  
Umbilical Cord Care ◽  
Care Practices

scholarly journals Impact of different antiseptics on umbilical cord colonization and cord separation time

2017 ◽  
Vol 11 (02) ◽  
pp. 152-157 ◽  
Author(s):  
Hulya Ozdemir ◽  
Hulya Bilgen ◽  
Ahmet Topuzoglu ◽  
Senay Coskun ◽  
Guner Soyletir ◽  
...  
Keyword(s):  
Umbilical Cord ◽  
Delivery Room ◽  
Single Application ◽  
Cord Care ◽  
Separation Time ◽  
Care Groups ◽  
Significant Difference ◽  
Umbilical Cord Care ◽  
Care Practices ◽  
Group 1

Introduction: There is still some uncertainty on cord care practices all around the world, especially in developing countries. The aim of our study was to investigate the effects of six different umbilical cord care practices on the rate of colonization and cord separation time. Methodology: A total of 516 newborns were randomly allocated to the following six umbilical cord care groups: group 1 received dry care; groups 2–4 received a single application of 70% alcohol, 4% chlorhexidine, or povidon-iodine in the delivery room, respectively, which were discontinued thereafter; groups 5 and 6 received a single application of 70% alcohol or 4% chlorhexidine, respectively, starting in the delivery room and continuing every six hours until discharge. Umbilical cords were examined on the second and third days and between the fifth and seventh day for signs of omphalitis. Swab cultures were taken on the second or third day from all cases. Results: Cord separation time (median [interquartile range]) was the shortest for group 1 (7 [6–7] days) and the longest for group 3 (10 [7–12] days) and group 6 (10 [8–12] days) (p < 0.001). The cord colonization in the swab cultures was significantly lower in groups 3 and 6 (p < 0.001). Omphalitis was detected in eight (1.5%) patients among the study population, and there was no significant difference between the groups. Conclusions: Our study showed that chlorhexidine application was the most effective agent in decreasing colonization, though it increased cord separation time significantly in both groups.

scholarly journals Assessment of knowledge and cord care practices among pregnant women in selected PHCs in Jos metropolis, Plateau state

2020 ◽  
Vol 7 (4) ◽  
pp. 1215
Author(s):  
Amina Mohammed ◽  
Esther Awazzi Envuladu ◽  
Ize Anuoluwapo Osagie ◽  
Joshua A. Difa
Keyword(s):  
Umbilical Cord ◽  
Tertiary Education ◽  
Newborn Care ◽  
Care Practice ◽  
P Value ◽  
Cord Care ◽  
Essential Newborn Care ◽  
Umbilical Cord Care ◽  
Care Practices ◽  
Chlorhexidine Gel

Background: Umbilical cord care is an essential newborn care practice which determines newborn survival. Knowledge on cord care influences the choice of cord care practices. This study was therefore conducted to determine the umbilical cord care practices among mothers in Jos metropolis.Methods: A cross sectional study involving 119 study respondents who were selected by cluster sampling technique. Data was collected using a self-administered questionnaire and analyzed using SPSS version 23.0. At 95% confidence interval, a p value of <0.05 was considered statistically significant.Results: Thirty-nine (35.1%) of the respondents had poor knowledge of cord care while 48 (43.3%) and 24 (21.6%) had fair and good knowledge respectively. Majority of the respondents used methylated spirit for the last delivery 54 (76.1%), 5 (6.9%) used chlorhexidine gel while 11 (15%) used substances such as salt and vaseline. Respondents with tertiary education were more likely than those with secondary and primary education to use aseptic cord care (OR 0.07; 95%CI 0.008-0.740) and (OR 0.15; 95%CI 0.047-0.507) respectively. The mean cord separation time among respondents who used chlorhexidine gel was 6.6±2.8 days, this was longer than those who used other substances (4.8±1.5 days).Conclusions: More respondents used aseptic cord care practices, however, a good number used a combination of septic and aseptic methods which could still pose a risk of infection to the neonate. There is need for health interventions to increase the awareness of mothers on using single aseptic cord care practices in order to prevent neonatal sepsis and mortality.

scholarly journals Survey of umbilical cord care practices and separation time in healthy new-born in Maiduguri, Nigeria

2018 ◽  
Vol 6 (4) ◽  
pp. 94
Author(s):  
Dathini Hamina ◽  
Robert Teryila Kever ◽  
Markus Njida Uba ◽  
Lola Nelson ◽  
Habu Haruna ◽  
...  
Keyword(s):  
Umbilical Cord ◽  
Health Care Facilities ◽  
Care Practice ◽  
Cow Dung ◽  
Cord Care ◽  
New Born ◽  
Separation Time ◽  
Validated Questionnaire ◽  
Umbilical Cord Care ◽  
Care Practices

This study aimed at assessing the umbilical cord care practices and separation time in healthy new-born in Maiduguri, Borno State, Nigeria. A descriptive survey design was adopted for the study. A total of 365 women attending child welfare clinic were selected through systematic random sampling technique from three health care facilities in Maiduguri Metropolis. A self-developed and validated questionnaire was used to collect information from the women on common cord care practices and knowledge of standard umbilical cord care practices. The questionnaire was pretested in State Specialist Hospital Maiduguri, Borno State and the correlation coefficient of 0.87 determined. The result of the study revealed that common cord care practices among women in Maiduguri include the use of methylated spirit, hot compress, charcoal, Vaseline and table salt. Others were mixture of methylated spirit with traditional concoctions, toothpaste and cow dung were also found to be commonly used by the mothers. The mean umbilical cord separation time of 3.5 days (± 0.397) was observed with the unorthodox treatment of the cord. Although there was a good knowledge among the respondents with regards to standard umbilical cord care practice, there was however no commensurate practice. Therefore, there is an urgent need for cultural re-orientation most especially of women with regard and unhygienic traditional cord care practices on the new born.

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