scholarly journals Newborn Care Practices at Home among Mothers of Neonates Admitted with Sepsis

2019 ◽  
Vol 17 (2) ◽  
pp. 178-184
Author(s):  
Bima Thapa Chhetri ◽  
Sunita Shah Bhandari ◽  
Basant Kumar Karna ◽  
Ramanand Chaudhary ◽  
Upendra Yadav
Keyword(s):  
Breast Feeding ◽  
Neonatal Sepsis ◽  
Late Onset ◽  
Newborn Care ◽  
Mustard Oil ◽  
Care Practice ◽  
Cord Care ◽  
Thermal Care ◽  
Care Practices ◽  
At Home

Background: Child rearing practices and family environment determine the health of newborn. Harmful newborn care practices are the risk factors for late onset neonatal sepsis. The objective was to identify newborn practices related to breast feeding, cord care, hygiene of newborn and thermal care practice at home of admitted neonates with diagnosis Late Onset Neonatal Sepsis in pediatric unit of B.P. Koirala Institute of Health Sciences tertiary center in eastern Nepal.Methods: Descriptive cross sectional study was carried out from December 2014 to January 2015 using consecutive sampling. Semi structured, pretested questionnaire was used to interview 40 mothers. Data were analyzed using SPSS 20, descriptive and inferential statistics were used.Results: Initiation of breastfeeding within one hour of delivery was practiced by only 40% of mother. Among neonates, 65% were given colostrum, 25% were given pre lacteal feed, and 45% were given formula milk and animal milk. Mustard oil was used to care umbilical cord by 72.5 %. Hand washing was practiced by 62.5 % before touching the baby. Application of kajal (52.5%) in eyes and use of mustard oil (95%) for massaging newborn was common. For thermal care, burning charcoal (75%) was mostly used. The study revealed association between newborn care and mother education, per capita income of family and family type (p =0.012, p= 0.012, p=0.039) respectively. Conclusions: Majority of practices in breast feeding and thermal care were good however in cord care and newborn hygiene practices was poor which stresses the need for the promotion of health education program to mothers by health care facilities. Keywords: LONS; newborn care; practice

scholarly journals Newborn Care Practices in Rural Communities of Nawalparasi District, Nepal

2019 ◽  
Vol 3 (1) ◽  
pp. 35-39 ◽  
Author(s):  
Hari Prasad Kaphle ◽  
Dipendra Kumar Yadav ◽  
Nirmala Neupane ◽  
Bimala Sharma ◽  
Dilip Kumar Yadav ◽  
...  
Keyword(s):  
Breast Feeding ◽  
Newborn Care ◽  
Health Facilities ◽  
Rural Setting ◽  
Delivery Care ◽  
Cord Care ◽  
Factors Associated ◽  
New Born ◽  
Thermal Care ◽  
Care Practices

Most of the new born deaths in the developing countries occur due to lack of access to care, as majority of the deliveries occur at home. Even deliveries conducted in health facilities are prone to suffering from traditional care practice after discharge from health facilities. Most of these deaths could be avoided with changes in antenatal, delivery and newborn care practices. This study was conducted to explore the newborn care practices related to cord care, thermal care and breast feeding in rural setting and to identify socio-demographic, antenatal and delivery care factors associated with these practices. A cross sectional study in rural setting of Nawalparasi district included 296 women who had delivered live baby at home or discharged within 24 hours of delivery from hospital proceeding four months of data collection. Chi squire test was applied to compare sociodemographic, antenatal and delivery care factors associated with cord care, thermal care and breast feeding practices. Of the total 296 mother interviewed, only 65.54% have completed ANC visit at least 4 times and 29.05% have received counselling on newborn care during pregnancy. More than half deliveries (53.38%) were home deliveries and Clean Home Delivery Kit was used only one third (39.91%) of these deliveries. Of the three selected newborn care practices, clean cord keeping practice was found in only one fourth (25.70%) of deliveries. However early initiation of breast feeding and delayed bathing practice was found in about half of the deliveries (51.35% and 58.45% respectively). There is strong need to implement the community-based interventions to improve the new born care practices in community level and to reduce the high-risk newborn care practices like unsafe cord care, delayed breast feeding, early bathing, prelacteal feeding and discarding colostrum need through the community level health workers and volunteers. Key words: Newborn care, Safe cord care, Early breast feeding, Thermal care, Delayed bathing.

scholarly journals A Survey of Home Delivery and Newborn Care Practices among Women in a Suburban Area of Western Nigeria

2011 ◽  
Vol 2011 ◽  
pp. 1-9 ◽  
Author(s):  
Lamina Mustafa Adelaja
Keyword(s):  
Breast Feeding ◽  
Health Workers ◽  
Newborn Care ◽  
Thermal Control ◽  
Home Delivery ◽  
Cross Sectional Survey ◽  
Community Based Interventions ◽  
Skilled Attendant ◽  
Care Practices ◽  
At Home

Context. Information about reasons for delivering at home and newborn care practices in suburban areas of Western Nigeria is lacking, and such information will be useful for policy makers. Objectives. To describe the home delivery and newborn care practices and to assess the reasons for delivering at home. Study Design, Setting, and Subjects. A cross-sectional survey was carried out in the immunization clinics of Sagamu local government, Western part of Nigeria during January and February 2008. Two trained health workers administered a semistructured questionnaire to the mothers who had delivered at home. Main Outcome Measures. Planned or unplanned home delivery, reasons for delivering at home, the details of events that took place at home from the onset of labour pains till delivery and after birth till initiation of breast-feeding, attendance at delivery, cleanliness and hygiene practices during delivery, thermal control, and infant feeding. Results. A total of 300 mothers were interviewed. Planned home deliveries were 200 (66.7%) and 100 (33.3%) were unplanned. Only 13.4% of deliveries had a skilled birth attendant present, and 47 (15.7%) mothers gave birth alone. Only 51 (16.2%) women had used a clean home delivery surface. Majority (98.2%) of the newborns were given a bath soon after birth. Initiation rates of breast-feeding were 65.3% within one hour and 95.7% within 24 hours. Conclusion. High-risk home delivery and newborn care practices are common in semiurban population also. Community-based interventions are required to improve the number of families coming to health facilities and engaging a skilled attendant and hygiene during delivery.

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 New Born Care Practice of Tharu Mothers

2013 ◽  
Vol 2 ◽  
pp. 38-42
Author(s):  
Om Prasad Baral
Keyword(s):  
Vitamin A ◽  
Breast Feeding ◽  
Newborn Care ◽  
Care Practice ◽  
Cord Care ◽  
New Born ◽  
Newborn Care Practice ◽  
One Year ◽  
Loving Care

At birth every newborn must adopt quickly to life outside the womb. Most newborn breathe and cry at birth with no help. The care need to give immediately after birth is simple but important. Immediate subsequent care of newborn are; sleep, loving care, protection from infection, bathing, cord care ,immunization, breast feeding, vitamin A, safety and security. This paper explores the newborn care practice of the Tharu mothers who have less than one year child in Kolbi VDC of Bara district. The findings of the of the research has indicated that the majority of the respondents were regular antenatal checked up, conscious of cord cutting practice, satisfied immunization, colostrums feedings and oil bath. Academic Voices, Vol. 2, No. 1, 2012, Pages 38-42 DOI: http://dx.doi.org/10.3126/av.v2i1.8284

Assessment of Essential Newborn Care Practices in the Squatter Settlements of Islamabad Capital Territory in Pakistan

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Hassan RH ◽  
◽  
Hamid SH ◽  
Reza TR ◽  
Hanif KH ◽  
...  
Keyword(s):  
Quality Care ◽  
Newborn Care ◽  
Feeding Practice ◽  
Cord Care ◽  
Squatter Settlements ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Essential Newborn Care ◽  
Thermal Care ◽  
Care Practices

Background: While Pakistan has shown progress in reducing child mortality, significant challenges exist in reducing neonatal mortality rate. WHO recommends a package of “essential newborn care” practices based on effective coverage to improve newborn survival. Aim: To assess the coverage of Essential Newborn Care (ENC) as defined by WHO guidelines, in the squatter settlements of Islamabad Capital Territory (ICT). Methods: This cross-sectional survey gathered community-based data on newborn care practices from 416 eligible mothers within randomly selected squatter settlements of ICT. Three composite outcomes (safe cord care, optimal thermal care and good neonatal feeding) were generated by combining individual practices from a list of WHO recommended ENC practices. ENC was considered when all practices within each domain of safe cord care, ideal thermal care and good neonatal feeding were fulfilled. Results: Only 2.9% of newborns received all components of WHO recommended ENC. Seventeen percent newborns received safe cord care, 40.4% received optimal thermal care and 28.8% followed WHO recommended neonatal feeding practice. Various cultural and societal misconceptions were reported which translate into harmful practices for newborn care. Conclusion: The study highlighted an extremely low coverage level of effective essential newborn care. Pakistan needs to address issues of quality care for newborns through policy and programs which focus on Maternal, Newborn, and Child Health (MNCH) continuum of care. It needs a concerted effort at the grass root level, especially training front line workers to educate mothers on various cultural and societal misconceptions that translate into harmful practices for newborns.

scholarly journals Patterns and Determinants of Essential Newborn Care Practices in Rural Areas of Northern Ghana

2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Mahama Saaka ◽  
Mariam Iddrisu
Keyword(s):  
Rural Areas ◽  
Newborn Care ◽  
Northern Ghana ◽  
Maternal Knowledge ◽  
Cord Care ◽  
Cross Sectional ◽  
Essential Newborn Care ◽  
Thermal Care ◽  
Danger Signs ◽  
Care Practices

Background. This study was designed to understand the patterns and determinants of three essential newborn care practices: safe cord care, optimal thermal care, and neonatal feeding practices. Methods. A community-based cross-sectional study was carried out on a sample of 404 lactating mothers who have delivered a live baby at home within the past one year prior to the study. Results. Overall, the prevalence of essential newborn practices on safe cord care and optimal thermal care was exceptionally low. Of the 404 newborns, only 0.2% (1) had safe cord care, 5.2% (21) optimal thermal care, and 50.2% (203) were considered to have had adequate neonatal feeding. In logistic regression analysis, the main predictors of good neonatal feeding were maternal age, timing of the first antenatal care (ANC), and maternal knowledge of newborn danger signs. Women who could mention at least 4 danger signs of the neonate were 4 times more likely to give good neonatal feeding to their babies (AOR = 4.7, Cl: 2.43–9.28), P<0.001. Conclusion. Evidence from this study strongly suggests that the expected essential newborn care practices are not available to a substantial number of the newborns. Efforts should therefore be made by the Ghana Health Service (GHS) to expand essential newborn care interventions beyond institutional level into the communities.

Measuring coverage of WHO recommended Essential Newborn Care practices in the squatter settlements of Islamabad Capital Territory in Pakistan.

2020 ◽  
Author(s):  
Rameeza Hassan ◽  
Saima Hamid ◽  
Tahira Ezra Raza ◽  
Kauser Hanif ◽  
James Blanchard ◽  
...  
Keyword(s):  
Newborn Care ◽  
Care Staff ◽  
Who Guidelines ◽  
Cord Care ◽  
Squatter Settlements ◽  
Essential Newborn Care ◽  
Effective Coverage ◽  
Thermal Care ◽  
Skin Contact ◽  
Care Practices

Abstract Background: Pakistan has shown significant progress in reducing child mortality, however, significant challenges exist in reducing neonatal mortality rate. WHO recommends a package of “essential newborn care” practices based on effective coverage to improve newborn survival. This study assessed the level of effective coverage of newborn care in the squatter settlements of Islamabad Capital Territory (ICT) and also determined if the care received is within the parameters of essential newborn care as defined by WHO guidelines.Methods: A cross-sectional survey was conducted to gather community-based data on newborn care practices from 416 mothers who delivered a live baby in the past twelve months within a randomly selected squatter population of ICT. Three composite outcomes (safe cord care, optimal thermal care and good neonatal feeding) were generated by combining individual practices from a list of essential newborn care practices recommended by WHO. All International ethical standards were followed including informed consent and confidentiality of respondents. Ethical clearance was obtained from the ethical review board of Health Services Academy (HSA).Results: Despite a very high number of institutional deliveries, the study showed that only 2.9% of newborns received all components of WHO recommended essential newborn care. Only 17.1% of the newborns received essential elements of safe cord care, 40.4% received recommended optimal thermal care and 28.8% followed WHO guidelines of good neonatal feeding practice. This low uptake of essential practices was due to the application of various substances on the cord, delayed skin to skin contact and feeding of pre-lacteals to the newborn.Conclusion: The study highlighted that the current level of effective essential newborn care is extremely low in the country. We found multiple cultural and societal misconceptions, that translate into harmful practices for newborns. Interventions such as educating mothers through front line workers, updating health care staff on WHO recommended guidelines for newborn care and declaring widespread harmful traditional practices hazardous for the health of newborn, can help improve essential newborn care in Pakistan.

scholarly journals Community Based Essential Newborn Care Practices and Associated Factors among Women Who Gave Birth at Home in Last Twelve Months in Amaro Woreda, Southern Ethiopia, 2019

2019 ◽  
Author(s):  
Mamush Agonafir ◽  
Mulugeta Shegaze Shimbre ◽  
Sultan Hussen ◽  
Gebremaryam Temesgen ◽  
Goytom Girmay ◽  
...  
Keyword(s):  
Newborn Care ◽  
Educational Status ◽  
Southern Ethiopia ◽  
Care Practice ◽  
Birth Preparedness ◽  
Community Based ◽  
Essential Newborn Care ◽  
Complication Readiness ◽  
Care Practices ◽  
At Home

Abstract Introduction:- Significant numbers of women are giving birth at home; in this case community based newborn care is a means of bringing life-saving care to mothers and newborns at the community level. However, practice is challenging within the Ethiopian health system. Objective:- The aim of this study was to assess prevalence of community based newborn care practices and its associated factors among women who gave birth at home in Amaro Woreda, southern Ethiopia, 2019. Methods:- Across-sectional study was conducted on 490 women in the reproductive age groups of 15-49 in Amaro district and by using simple random sampling technique individual was recruited. Data collected through face-to-face interview at household level. EpiData version 3.1 statistical software was used for entry and SPSS version 20 for was used for data cleaning, management and analysis. Bi-variate and multivariate logistic regression analysis employed for analysis of factors associated with Community based newborn care practices. Results:- A total 490 of study participants were included in the analysis and only 29% practiced community based essential newborn care. Educational status of father [AOR=2.28; 95%CI:1.07-4.84] & mother [AOR=0.35; 95%CI: 0.16-0.75], last delivery assisted by relative/friends [AOR=3.58; 95%CI: 1.66-7.73], having awareness about Community based newborn care [AOR=3.49; 95%CI: 2.11-5.77], awareness about newborn danger sign [AOR=2.18; 95%CI: 1.29-3.68] and having birth preparedness and complication readiness plan [AOR=3.52; 95%CI: 1.97-6.29] were an identified independent factors associated with Community based newborn care Practice. Conclusion and recommendation:- Around three-fourth (71%) of mothers were not practicing Community based newborn care. Educational status of family, awareness about community based newborn care and newborn danger sign, last delivery assisted by relative or friends at home, and having birth preparedness and complication readiness plan were identified as independent factors for community based newborn care practice. Promotion of information at community level, women empowerment and health extension program strengthening are recommending.

scholarly journals Community Based Essential Newborn Care Practices and Associated Factors among Women Who Gave Birth at Home in Last 12 Months in Amaro Woreda, Southern Ethiopia, 2019

2021 ◽  
Vol 8 ◽  
pp. 2333794X2110161
Author(s):  
Mamush Agonafir ◽  
Mulugeta Shegaze Shimbre ◽  
Sultan Hussen ◽  
Gebremaryam Temesgen ◽  
Belay Boday ◽  
...  
Keyword(s):  
Associated Factors ◽  
Newborn Care ◽  
Community Level ◽  
Southern Ethiopia ◽  
Care Practice ◽  
Community Based ◽  
Essential Newborn Care ◽  
Newborn Care Practice ◽  
Care Practices ◽  
At Home

Community based newborn care is a means of bringing life-saving care to mothers and newborns at the community level. However, the practice is challenging within the Ethiopian health system. The aim of this study was to assess prevalence of community based newborn care practices and associated factors among women who gave birth at home in Amaro Woreda, southern Ethiopia, 2019. Across-sectional study design and simple random sampling technique was employed to select study participants. Data was collected through face-to-face interview; EpiData version 3.1 and SPSS version 20 software were used for analysis. Bi-variable and multivariable logistic regression was employed to analyze the associated factors. In this study 29% practiced community based essential newborn care. Educational status of father (AOR = 2.28; 95% CI: 1.07-4.84), last delivery assisted by relative (AOR = 3.58; 95% CI: 1.66-7.73), having awareness about community based newborn care (AOR = 3.49; 95% CI: 2.11-5.77), awareness about newborn danger sign (AOR = 2.18; 95% CI: 1.29-3.68) were some of identified factors associated with community based newborn care practice. In conclusion, community based newborn care practice was low. Therefore, promotion of information at community level, women empowerment, and strengthening health extension program were recommending.

scholarly journals Knowledge and Practice of Postnatal Mother in Newborn Care

2013 ◽  
Vol 52 (190) ◽  
Author(s):  
Tumla Shrestha ◽  
Saraswoti Gautam Bhattarai ◽  
Kalpana Silwal
Keyword(s):  
Infant Mortality ◽  
Breast Feeding ◽  
Newborn Care ◽  
Structured Interview ◽  
Care Practice ◽  
Exclusive Breast Feeding ◽  
Danger Signs ◽  
Newborn Care Practice ◽  
Postnatal Mothers ◽  
Knowledge And Practice

Introduction: Neonatal mortality has continued to increase as a percentage (>60%) of overall infant mortality. Any further reduction in infant mortality is dependent on saving more newborn lives. It is possible if their mothers are knowledgeable and provide proper newborn care. Therefore, the objective of the study was to find out knowledge and practice of the postnatal mothers about newborn care.Methods: A descriptive study was done among 100 purposively selected post natal mothers admitted in Teaching Hospital. Newborn care practice was observed among 20 mothers and comparison was done between knowledge and practice. Semi-structured interview questionnaire and observation checklist was used to collect the data. The descriptive statistics was used.Results: Respondents’ mean knowledge was on keeping newborn warm 44.2, on newborn care 47.2, on immunization 67.33, on danger signs 35.63. All (100%) respondents had have knowledge and practice to feed colostrums and exclusive breast feeding, 70 (70%) knew about early initiation of breastfeeding. Mean knowledge and practice of respondents was on measures to keep warm 8.5 and 17. Although 60 (60%) had knowledge to wash hands before breastfeeding, and after diaper care, only 10 (10%) followed it in practice. Mean practice of successful breast feeding was 37.5, 12 (60%) applied nothing kept cord dry. Conclusion: Postnatal mothers have adequate knowledge on areas like early, exclusive breast feeding, colostrums feeding, they have not much satisfactory knowledge in areas like hand washing, danger signs etc. While comparing knowledge with practice regarding newborn care, practice looks better in many areas._______________________________________________________________________________________Keywords: knowledge; newborn care; practice; postnatal mother.

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