Repositioning post partum care in Kenya

Mapping Intimacies ◽

10.31899/rh16.1013 ◽

2005 ◽

Author(s):

Keyword(s):

Health Care Providers ◽

Postpartum Period ◽

Service Providers ◽

Post Partum ◽

Cultural Beliefs ◽

Care Providers ◽

Skilled Attendant ◽

Maternal Deaths ◽

Early Postpartum Period ◽

Early Postpartum

In Kenya, although 45 percent of maternal deaths occur within the first 24 hours after childbirth and 65 percent of maternal deaths occur during the first week postpartum, health-care providers continue to advise on a first check-up six weeks after childbirth. The early postpartum period is also critical to newborn survival, with 50–70 percent of life-threatening newborn illnesses occurring in the first week. Yet most strategies to reduce maternal and perinatal morbidity and mortality have focused on pregnancy and birth. In addition to the heavy workload of providers who do not assess the mother post-delivery when she may bring her infant for immunization, lack of knowledge, poverty, cultural beliefs and practices perpetuate the problem. The only register that exists for mothers post-delivery is for family planning, thus perpetuating the lack of emphasis on the early postpartum period with no standardized register to record care given. To address this gap in service delivery, the Population Council defined the minimal services a mother and baby should receive from a skilled attendant after birth. As stated in this brief, the development of a standardized postpartum register is one step toward advocating for providing early postpartum care among health-service providers.

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An assessment of health facility factors influencing male participation in utilization of antenatal care services among spouses in selected manufacturing industries in Nairobi County, Kenya

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20214254 ◽

2021 ◽

Vol 8 (11) ◽

pp. 5228

Author(s):

Kirui N. Jelagat ◽

Keraka M. Nyanchoka ◽

Musili F.

Keyword(s):

Antenatal Care ◽

Health Facility ◽

Health Care Providers ◽

Post Partum ◽

Manufacturing Industries ◽

Care Providers ◽

Skilled Attendant ◽

Male Participation ◽

Care Services ◽

Care Facilities

Background: Male participation in utilization of reproductive health is likely to promote timely and proper antenatal care, encourage women to deliver under the care of a skilled attendant, and also help identify and seek heath care in cases of post-partum complications. However, in most African societies, pregnancy, delivery and postnatal services has been erroneously classified as purely feminine issue by the society.Methods: A cross-sectional descriptive study design was adopted for the study. The target population of the study comprised of males above 18 years working in selected manufacturing industries in the area of Babadogo located in Nairobi County, Kenya. The sample size for the study was 266 respondents. Structured questionnaires were used for data collection. Data collected was quantitatively analysed using Statistical Package for Social Sciences (SPSS).Results: 56.0% (145) of the respondents had accompanied their partner to antenatal care facilities; 34.0% (88) of the respondents had ever participated in ANC services. Chi-square test statistics showed that distance to the nearest health facility (χ2=7.472 df=3, p=0.024), cost of accessing ANC services (χ2=26.253 df=4, p=0.001), attitude of healthcare providers (χ2=31.705 df=3, p=0.001) and friendliness of the waiting bay (χ2=9.718 df=2, p=0.008) significantly influenced male participation in antenatal care services’ utilization among spouses.Conclusions: Despite majority of men accompanying their wives to antenatal care facilities, most of them did not participate in the antenatal care services. Another conclusion is that facility factors such as distance, cost, health care providers’ attitude, and waiting bay friendliness influence male participation in utilization of antenatal care services.

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Early Postpartum Morbidities and the Associated Factors in the Field Practice Area of a Tertiary Care Institution in Andhra Pradesh - A Cross Sectional Study

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2021/245 ◽

2021 ◽

Vol 8 (18) ◽

pp. 1281-1286

Author(s):

Sunita Sreegiri ◽

Phani Madhavi Kajana ◽

Dhanalakshmi Balaga ◽

Kesava Lakshmi Prasad Kandipudi ◽

Devi Madhavi Bhimarasetty

Keyword(s):

Maternal Health ◽

Postpartum Period ◽

Maternal Morbidity ◽

Post Partum ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Early Postpartum Period ◽

Early Postpartum ◽

Field Practice

BACKGROUND The status of maternal health in developing countries is often described in terms of maternal mortality alone. Data on maternal morbidity is inadequate as there is no proper reporting system. Improving maternal health and reducing maternal mortality has been the critical concerns of the international community. So, the present study was undertaken to identify and determine the factors associated with early postpartum morbidity among mothers in the rural field practice area of Rural Health Center (RHC), Simhachalam, Visakhapatnam. METHODS A cross-sectional study was conducted among post-partum mothers in the early postpartum period, registered with Rural Health Centre (RHC), Simhachalam, from March 2019 to November 2019 using a pre-tested semi structured questionnaire. Study was conducted among 335 postnatal mothers. List of antenatal mothers registered in RHC Simhachalam was obtained. Antenatal mothers who had their expected date of delivery (EDD) between April 2019 and Aug 2019 and were available in Simhachalam in the post-partum period were contacted after getting information about their delivery from local Multipurpose Health Worker (MPHW). The mothers were visited and interviewed between day 7 and day 10 at their home and information on morbidity was obtained. RESULTS Most common complaints seen in the early postpartum period among the study participants were easy fatigability [214 (63.7 %)], headache in 140 (41.66 %), pedal oedema [131 (39 %)] and facial oedema [27 (8.0 %)]. Almost 67.85 % of mothers were anaemic. Among the obstetric related complaints, lower abdominal tenderness was the most common [196 (58.3 %)] followed by heavy vaginal bleeding [138 (41.1 %)], episiotomy wound swelling / pain [90 (26.8 %)] and postpartum haemorrhage (PPH) [46 (13.7 %)]. Episiotomy wound infection [24 (7.12 %)] and Caesarean wound infection [12 (3.57 %)] were seen together constituting around 10. 7 % among mothers. CONCLUSIONS The incidence of morbidity in the early postpartum period was high with 82.5 % of the mothers presenting with one or more morbidities. KEYWORDS Maternal Morbidity, Early Postpartum Morbidity, Post-Natal Mothers

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Client satisfaction with existing postnatal care and associated factors: A study among mothers in Awi Zone, Amhara region, Ethiopia

Women s Health ◽

10.1177/1745506520976017 ◽

2020 ◽

Vol 16 ◽

pp. 174550652097601

Author(s):

Daniel Adane ◽

Biresaw Wassihun

Keyword(s):

Antenatal Care ◽

Health Care Providers ◽

Postnatal Care ◽

Associated Factors ◽

Client Satisfaction ◽

Post Partum ◽

Care Providers ◽

Amhara Region ◽

Awi Zone

Background: The majority of maternal and neonatal adverse events take place during the postnatal period. However, it is the most neglected period for the provision of quality care. Objective: The aim of this study among mothers in the Awi Zone, Amhara region, Ethiopia, was to assess client satisfaction with existing postnatal care and associated factors. Methods: An institution-based cross-sectional study was conducted in Awi Zone hospitals from 1 to 30 April 2018. A total of 422 post-partum mothers were selected by systematic sampling. The data were collected using a pre-tested structured questionnaire via a face-to-face interview. Data entry and analysis were completed using EpiData version 3.1 and SPSS version 22, respectively. The data were summarized with frequency and cross-tabulation. Both binary and multiple logistic regressions were used to identify predictor variables using odds ratios and 95% confidence intervals. Result: The prevalence of postnatal care satisfaction was 63%. Being from urban area (AOR = 2.1, 95% CI = (1.11–3.99)), having a history of antenatal care follow up (AOR = 1.62, 95% CI = (1.23–1.64)), spontaneous vaginal birth (AOR = 3.14, 95% CI = (1.77–3.28)), and those who did not face any complications during birth (AOR = 2.90, 95% CI = (1.47–1.69)) were some of the factors associated with client satisfaction. Conclusion: According to the results of this study, the majority of mothers were satisfied with post-partum care services. The study findings indicate that maternal satisfaction on post-partum care is mainly affected by residency, antenatal care follow up, mode of delivery, and complications during birth. Therefore, health care providers and other concerned bodies should give special attention to those mothers who are from rural areas, who face complications during birth or who have instrumental-assisted or cesarean section birth. Also, every pregnant mother should be supported to have at least four regular antenatal care visits.

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Paracetamol/acetaminophen (single administration) for perineal pain in the early postpartum period

Cochrane Database of Systematic Reviews ◽

10.1002/14651858.cd008407.pub3 ◽

2021 ◽

Author(s):

Edgardo Abalos ◽

Yanina Sguassero ◽

Gillian ML Gyte

Keyword(s):

Postpartum Period ◽

Perineal Pain ◽

Single Administration ◽

Early Postpartum Period ◽

Early Postpartum

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Exclusive Breastfeeding Is Not Associated with Maternal–Infant Bonding in Early Postpartum, Considering Depression, Anxiety, and Parity

Nutrients ◽

10.3390/nu13041184 ◽

2021 ◽

Vol 13 (4) ◽

pp. 1184

Author(s):

Naoki Fukui ◽

Takaharu Motegi ◽

Yuichiro Watanabe ◽

Koyo Hashijiri ◽

Ryusuke Tsuboya ◽

...

Keyword(s):

Mental Health ◽

Path Analysis ◽

Exclusive Breastfeeding ◽

Postpartum Period ◽

Depression Scale ◽

Anxiety And Depression ◽

Women’S Mental Health ◽

Women's Mental Health ◽

Early Postpartum Period ◽

Early Postpartum

It is important to clarify how the breastfeeding method affects women’s mental health, and how women’s mental health affects the breastfeeding method in the early postpartum period when major depression and other psychiatric problems are most likely to occur. This study aimed to examine this bidirectional relationship in the early postpartum period. Participants were 2020 postpartum women who completed the Hospital Anxiety and Depression Scale (HADS) and Mother-to-Infant Bonding Scale (MIBS). We obtained data for participants’ breastfeeding method for four weeks after childbirth. We performed a path analysis with factors including breastfeeding method (exclusive breastfeeding or non-exclusive breastfeeding), parity (primipara or multipara), the two HADS subscales (anxiety and depression), and the two MIBS subscales (lack of affection and anger and rejection). The path analysis showed that breastfeeding method did not significantly affect depression, anxiety, and maternal–infant bonding in the early postpartum period. Women with higher anxiety tended to use both formula-feeding and breastfeeding. Our study suggests that exclusive breastfeeding is not associated with maternal-fetal bonding in early postpartum, considering depression, anxiety, and parity.

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