ASSESSMENT OF SKILLED BIRTH ATTENDANTS REGARDING HELPING BABIES BREATH INTERVENTION TO IMPROVE NEWBORN CARE IN RURAL DISTRICT OF SINDH

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.

2021 ◽  
Vol 15 (10) ◽  
pp. 2629-2630
Author(s):  
Tabassam Zia ◽  
Yasmin Saggu ◽  
Zarnigar . ◽  
Tahira Perveen ◽  
Saima Riaz ◽  
...  

Aim: To assess the practices of SBAs about AMTSL working in labour room at tertiary level of care in-order to minimize the accidence of PPH. Study Design: Cross-sectional descriptive study. Methodology: This study with enrolled SBAs (n=120) was done following ethical review committee’s (ERC) approval at Government tertiary care hospitals of the Lahore-Pakistan. For data collection a WHO standardized check list as a questionnaire was used to assess the practices of SBAs. Results: Results showed that there were gaps in competencies of SBAs about AMTSL working in labour room. Most of the steps that are S1, S3, S4, S8, S12, S13, S14 and S15 were not done by the majority of the SBA working in labour room. Almost 12 (10%) out of 120 SBAs just got 60% and above marks, 100 (83.3%) out of 120 got marks between40 to 59% and only 8 (6.7%) got less than 40% marks. Conclusion: We concluded that SBAs had unsatisfactory knowledge about standardized check list of AMTSL by WHO and their practices were not according to standard. Keywords: Skilled Birth Attendants, Labour Stages, Post-partum Haemorrhage and Practices.


2020 ◽  
Vol 8 (1) ◽  
pp. 65-69
Author(s):  
Sigma Bhattarai ◽  
Chetkant Bhusal ◽  
Saraj Gurung ◽  
Nandini Poudel

INTRODUCTION: Newborn care is important for the proper development and healthy life of the baby and also in prevention of neonatal deaths from danger signs. The aim of the study was to find out the awareness regarding newborn danger signs among mothers in a hospital of Rupandehi. MATERIAL AND METHODS: Institutional based descriptive cross-sectional study was conducted to find out the awareness regarding newborn danger signs among 56 mothers selected through non probability purposive sampling method. Data was collected by using semi-structured interview schedule and was analyzed by using descriptive (frequency, percentage, mean, standard deviation) and inferential statistics (chi square) with Statistical Package for Social Science software (SPSS) version 20.0. The total duration of the study was from September 5, 2018 to September 19, 2018. RESULTS: The findings of the study revealed that half (50%) of the mothers had low level awareness regarding newborn danger signs. There was statistically significant association between mothers’ level of awareness regarding newborn danger signs with education status (p=0.001). CONCLUSION: Based on the study findings, it is concluded that still half of the respondents had low awareness regarding newborn danger signs. If all the mothers were aware regarding danger signs of their newborns. They can seek early management of the problems which help to reduce newborn morbidity and mortality. Thus, it is recommended to concerned authority to conduct awareness program to mothers regarding newborn danger signs.


2020 ◽  
Vol 2020 ◽  
pp. 1-8 ◽  
Author(s):  
Sita Chhetri ◽  
Rajani Shah ◽  
Laxmi Rajbanshi

Background. Postnatal period is six weeks after birth. It is critical but is the most neglected period. A large proportion of maternal and neonatal deaths occur during 48 hours following childbirth. The utilization of the recommended three postnatal checkups within seven days after delivery, which plays a vital role in preventing maternal and neonatal deaths, is low in Nepal. Objective. This study is aimed at identifying the factors associated with the utilization of complete postnatal care (PNC) among mothers. Method. A cross-sectional study was carried out among 318 mothers in wards 1, 2, 3, and 4 of Baglung municipality, Nepal. Data was collected by semi-structured interviews. Descriptive analysis and comparison of characteristics of women/families with complete vs. partial postnatal checkups using multivariable logistic regression were done. Results. Among 314 respondents receiving at least one PNC, 78% had partial and 22% had complete PNC. Relatively advantaged caste/ethnicity- Brahman/Chhetri (aOR=3.18, 95% CI: 1.24-8.12) and Janajati (aOR=2.87, 95% CI: 1.09-7.53) - compared to Dalits, husbands working as a job holder in Nepal (aOR=3.49, 95% CI: 1.50-8.13), and delivery in a private hospital (aOR=11.4, 95% CI: 5.40-24.2) were associated with having complete PNC. Conclusion. Although PNC attendance at least once was high, utilization of complete PNC was low. More focus to mothers from disadvantaged caste/ethnicity, those whose husbands are in foreign employment, and improvement in quality of care in government health facilities may increase the use of complete PNC.


2019 ◽  
Author(s):  
Tesfay Tsegay Gebru ◽  
Rajalakshmi Murugan ◽  
Alem Gebremariam Abrha ◽  
Mekonnen Haftom Goyteom

Abstract Objective The objective of this study was to assess knowledge and practice of immediate newborn care among midwives in governmental health facilities of central zone of Tigray regional state, 2016. Results The mean age of the study participants was 34.1 years. Majority of the participants (83%) were diploma midwives. The score of knowledge of participants on immediate newborn care was 17.7% good and 25.2% poor. More than half (52.4%) of midwives practiced immediate newborn care. Midwives working in health center have 82% lower odds of newborn care compared to those working in hospital (p=0.000, OR=0.18 (0.07, 0.43).


2019 ◽  
Author(s):  
Tesfay Tsegay Gebru ◽  
Rajalakshmi Murugan ◽  
Alem Gebremariam Abrha ◽  
Mekonnen Haftom Goyteom

Abstract Objective The objective of this study was to assess knowledge and practice of immediate newborn care among midwives in governmental health facilities of central zone of Tigray regional state, 2016. Results The mean age of the study participants was 34.1 years. Majority of the participants (83%) were diploma midwives. The score of knowledge of participants on immediate newborn care was 17.7% good and 25.2% poor. More than half (52.4%) of midwives practiced immediate newborn care. Midwives working in health center have 82% lower odds of newborn care compared to those working in hospital (p=0.000, OR=0.18 (0.07, 0.43).


2019 ◽  
Author(s):  
Tesfay Tsegay Gebru ◽  
Rajalakshmi Murugan ◽  
Alem Gebremariam Abrha ◽  
Mekonnen Haftom Goyteom

Abstract Objective The objective of this study was to assess knowledge and practice of immediate newborn care among midwives in governmental health facilities of central zone of Tigray regional state, 2016. Results The mean age of the study participants was 34.1 years. Majority of the participants (83%) were diploma midwives. The score of knowledge of participants on immediate newborn care was 17.7% good and 25.2% poor. More than half (52.4%) of midwives practiced immediate newborn care. Midwives working in health center have 82% lower odds of newborn care compared to those working in hospital (p=0.000, OR=0.18 (0.07, 0.43).


2021 ◽  
Vol 14 (4) ◽  
pp. 1680-1686
Author(s):  
Ahmed Haydar Nasser Abu Thiyab

Coronavirus (COVID-19) was identified in the Chinese city of Wuhan in 2019. COVID-19 is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and it is now recognized that SARS COV-2 may infect and spread among humans. During the pandemic situation, nurses and health care workers (HCWs) played a vital role in handling the infected patients and this study was carried out in Jazan city of Saudi Arabia among the nurses. The purpose of this study was to document nurses’ knowledge, skills, challenges, and information on the COVID-19. In this questionnaire-based study, we have enrolled 296 nurses based on inclusion and exclusion criteria. The 296 nurses involved in this study has shared their knowledge, experience, skills and challenges in handling the infected patients with COVID-19. Initially, 34.1% of nurses was expecting COVID-19 virus will be controlled by vaccine. The majority of nurses, 54.7%, were convinced that antibiotics could control the illness. In this study results, 97% of nurses were aware of COVID-19 symptoms such as fever, cough, sore throat, and shortness of breath. Around 96.3% of the nurses were aware of the risk of chronic diseases in the elderly population, which may be at risk of COVID-19 infection. The 78.7% nurses believed that mask can protect from the infecting from COVID-19 and ~94% of the nurses believed that avoiding of gatherings at public places is the best method to control the virus. The majority of the 97% of nurses believed that isolation is the best method to control the COVID-19 virus in an infected person. Nurses played a critical role in the treatment of COVID 19 infected patients in Saudi Arabia, as nurses and HCWs were at risk of becoming asymptomatic carriers due to their role in disease transmission. This study recommends the nurses, HCWs and all the residents of Saudi Arabia to take the vaccine to prevent the spread of COVID-19 as new strains are developing in the global population


Author(s):  
Mame D. Ndiaye ◽  
Mamour Gueye ◽  
Ndèye Aissatou Diop ◽  
Simon B. Ndour ◽  
Ndama Niang ◽  
...  

Background: The birth of twins is a singular event in most societies, and even more when it comes to multiple births. The objective of this study was to investigate maternal and perinatal outcomes in multiple versus singleton pregnancies.Methods: Cross-sectional study carried out at Philippe Maguilen Senghor health center in Dakar, Senegal from January 1, 2011 to June 30, 2019. Data were extracted from this E-perinatal electronic database and then analyzed in statistical package for social science software (SPSS 24, Mac version).Results: A total 42,870 mothers delivered 44,149 newborns including 1250 twins (2.8%) and 29 triplets. The mean maternal age was 27 years. Mothers with multiple pregnancies had 3 times the odds of poor maternal outcome compared to mothers with single pregnancies (OR 2.42, 95% CI; 1.98-2.94, p <0.001, for high blood pressure; OR, 2.66; 95% CI, 2.11-3.32, p= <0.001, for severe pre-eclampsia; and OR, 3.04; 95% CI, 1.64-5.66, p <0.001, for postpartum hemorrhage). Likewise, women with multiple gestations had significantly higher rates of preterm birth (OR 5.62; 95% CI: 4.91-6.41, p <0.001), breech presentations (OR = 11.02; CI = 9.68-12.53, p <0.001) and neonatal deaths (OR = 2.94; CI = 9.6852-12.5328 p= 0.004) as compared to women with singleton gestations. Furthermore, women with multifetal gestations had increased risk for caesarean section (OR 2.14; 95% CI: 1.91-2.41, p <0.001) compared with their singleton counterparts. The risks for episiotomy and perineal injuries were higher for women with singleton gestations as compared to multiple gestation mothers.Conclusions: This study results are in line with previous findings and contradict others. Particular attention should always be paid to multiple pregnancies’ management. However, the pattern of certain complications traditionally correlated with multiple pregnancies is to be confirmed.


Author(s):  
Bishnu Choulagai ◽  
Sharad Onta ◽  
Narayan Subedi ◽  
Suresh Mehata ◽  
Gajananda P Bhandari ◽  
...  

2020 ◽  
Vol 9 (2) ◽  
pp. 96-102
Author(s):  
Zerrin Gamsizkan ◽  
Mehmet Ali Sungur ◽  
Yasemin Çayır

Aim: The aim of the study is to determine the factors that may affect the demands of patients who come with the request to have a blood test without any chronic disease or a planned examination check. Methods: The data of this descriptive, cross-sectional study, were collected with a questionnaire that was prepared to examine the opinions of the patients who claim to have a blood test by coming to the family health center without any complaints. Patients over 18 years of age, who did not have any chronic disease and had no scheduled examination appointments were included in the study. Results: A total of 278 patients who wanted to have a blood test within the 6-months period were included in the study. Female patients who wanted to have a blood test were significantly more than male patients. When we look at the causes of patients who wanted to have a blood test; 61.2% (n=170) patients stated that they are concerned about their health and 6.1% (n=17) stated that they were affected by media warnings. There was no significant relationship between the frequency of blood test requests of patients and their age, gender, education, and general health status. Conclusion: Patients with high expectations and anxiety may be more willing to perform blood tests at inappropriate intervals. Family physicians, whose primary role is preventive medicine, have consultancy and information duties in order to protect their patients from the risk of over-examination and diagnosis. Keywords: blood tests, patient, screening, routine diagnostic tests


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