KNOWLEDGE ON BREASTFEEDING AND PRACTICES ON INITIATION OF BREASTFEEDING AMONG POST CAESAREAN MOTHERS ADMITTED IN SELECTED HOSPITALS, GOALPARA, ASSAM WITH A VIEW TO DEVELOP AN INFORMATION BOOKLET: A DESCRIPTIVE STUDY

2021 ◽  
pp. 25-27
Author(s):  
Jasmin Ara Begum ◽  
Rashmi Rekha Borah ◽  
Unmona Borgohain Saikia

Breast feeding has been seen as one of the unique biological and emotional inuence on the health of both mother and infant. It is an important determinant of infant health which prevents malnutrition and infections. Cesarean section is a surgery, it can certainly bring about some challenge for mothers who want to breastfeed. Whether it's planned or unexpected, the surgical delivery of a child can affect breastfeeding. Pain, anesthesia, the emotions of a Cesarean Section can affect breastfeeding. One of important factor increases the chances of a successful continuation of breastfeeding is early initiation of breastfeeding. Breastfeeding is associated with reduced infant and under-5 mortality and morbidity, protects the neonate from infection and promotes ideal nutrition with lower acute and severe malnutrition. The aim of the study was to assess the knowledge on breastfee Aim: ding and practices on initiation of breastfeeding among post caesarean mothers admitted in the selected hospitals, Goalpara, Assam with a view to develop an information booklet. Method and Materials: A descriptive design was used in this study and purposive sampling technique for obtaining adequate sample for the study. Study was undertaken on 100 post caesarean mothers in selected Hospitals of Goalpara, Assam. Study was umdertaken on 100 post caesarean mothers who fulls the inclusion criteria. Structured knowledge questionnaire and observation checklist was used to assess the knowledge and practices respectively. In this study, Nola j Pender's Modied health promotion model was used for Conceptual framework. A total of 100 post caesarean mothers Results: from Civil Hospital, Maternity & Child Health Centre Goalpara, Assam participated in this study. Out of 100 respondents it was found that majority i.e 75% of the respondents have inadequate knowledge, 25% of the respondents have moderate knowledge and none of them have adequate knowledge towards breastfeeding with the mean 6.54 and SD of 2.35. It was also found majority i.e 70% respondents had fair practice, 20% had poor practice and only 10% had good practice towards initiation of breastfeeding with mean of 4.91 and SD of 1.77. The co-relation between knowledge and practice were 0.278 which shows a fair positive correlation between knowledge and practice. There is signicant association of knowledge with no of parity and practices with age, educational level, monthly family income and number of parity on initiation of breast feeding among post caesarean mothers. Thus, this study gives the area to Conclusion: improve knowledge and practice of post caesarean mothers on initiation of breastfeeding. Educational and hands on training can be implemented.

Author(s):  
Rishi Sodawat ◽  
Nayan Kumar

Background: Breastfeeding practices play an important role in reducing child mortality and morbidity. This study describe the breastfeeding practices. Methods: This observational prospective study was conducted on 500 newborns delivered at Department of Rajkiya Mahila Chikitsalaya (RMC), Ajmer and outborn section of Department of Pediatrics, Jawaharlal Nehru Medical College & Hospital. Results: The effect of mother’s education on initiation of breastfeeding was found to be significant. The effect of higher family income on early initiation of breastfeeding was found statically significant. Conclusions: The study emphasizes the need for breastfeeding intervention programs especially for the mothers during antenatal and postnatal check-ups. Keywords: Breastfeeding, Immunization, Infants.


Author(s):  
Haobam Danny Singh ◽  
Avinash Keisam ◽  
Bishwalata Rajkumari

Background: The child rearing practices differ in communities, depending on their social customs, traditional beliefs and prejudices. Understanding these practices is important for the successful delivery of health messages and services. The present study was conducted in a rural setting to determine the child rearing practices as well as to determine its association with relevant socio-demographic factors.Methods: This cross-sectional study was conducted among 369 mothers residing in Kshetrigao area under Kshetrigao Urban Health Centre, Porompat, Imphal East. A pre-tested interview schedule developed by the investigator was used for data collection. Descriptive statistics like mean, percentage and proportion as well as chi-square and t-test were used for data analysis.Results: Majority (79%) of the mothers breast-fed their newborn within 6 hours after birth. Almost half (46%) of the mothers gave pre-lacteal feeds to their newborn. Majority of the mothers (57%) did not practice exclusive breastfeeding. About 90% of the children were completely immunized for age. Mothers who got married before the age of 20 years, being Muslim and who had caesarean section were significantly less likely to practice exclusive breast feeding (p value of 0.025, 0.012 and 0.000 respectively). Children whose mother belongs to Muslim religion, lower educational status, lower family income and who delivered at home were significantly less likely to be completely immunized (p value of 0.001, 0.003, 0.014 and 0.003 respectively).Conclusions: Giving pre-lacteal feed and not practicing exclusive breast-feeding were very common among the studied population.  


Author(s):  
Dibya Sharma ◽  
Durga Gurung ◽  
Ramchandra Kafle ◽  
Sakun Singh

<p class="abstract"><strong>Background:</strong> The incidence of usage of over-the-counter drugs is drastically increasing day by day. Over-the-counter (OTC) drugs are medicines sold directly to consumer without a prescription from health care personnel. In many countries, OTC drugs are selected by a regulatory agency to ensure that they are safe and effective when used without physician’s care. Taking OTC medicines still has risk. Some interact with other medicines, supplements, food and drinks and some causes problem for people with certain medical conditions.</p><p class="abstract"><strong>Methods:</strong> A descriptive cross sectional was conducted from 1st February - 15th August 2016 among 110 among adults of age group 20 and above residing in Chapapani-12, Pokhara. A pre-tested structured questionnaire were used and data were analyzed using Statistical Package for Social Science (SPSS) for windows version 18.0. Frequency, percentage, chi-square and correlation were performed.  </p><p class="abstract"><strong>Results:</strong> Nearly 1/3<sup>rd</sup> of the respondents (33.6%) were of age group 20-29 years and more than half (60.9%) were female. More than half of the respondents (54%) had good knowledge and less than half (47%) had good practice of OTC. There was significant association of knowledge with age, marital status, education and monthly family income. There was significant association of practice with education of respondents. There was weak positive correlation between knowledge and practice (r =0.211).</p><strong>Conclusions:</strong> This showed that the knowledge hadn’t been fully practiced into action by the community people and still they are lacking the concept of over-the-counter drugs and its safe use in daily living.


Author(s):  
Abdulrahman M. Ibrahem ◽  
Salah Q. Mahmood ◽  
Muhammed Babakir-Mina ◽  
Salar Ibrahim Ali ◽  
Bakhtyar Kamal Talabany

Knowledge and practice of public, especially patients about eye diseases are important to reduce magnitude of human blindness. Vision and sight are very essential because they allow us to connect to each other’s. In accordance to the recently published data; the estimation of 253 million people lives with vision impairment, 36 million are blind and 217 million suffer from moderate to severe vision impairment. A descriptive cross-sectional study was conducted at Shahid Dr. Aso Hospital in Sulaimani city-Iraq, from April to August 2017 by face-to-face interview through close ended questionnaire for data collecting. All data were analyzed by Statistical Package for Social Sciences version 22.0 software. P-value of < 0.05 was considered as a statistically significant. A total of 430 patients were randomly chosen to participate in the study. They were 254 (59.1%) males and 176 (40.9%) females. 76.7% of respondents was worrying about vision loss, 0.7% was worrying about hair loss. Of the participants, 32.8% was with a good knowledge level and 40.5% was with a poor knowledge level, as well as 3.1% was in a good practice and 58.8% was in a poor practice level. Female knowledge mean score was 9.53±4.96 and male knowledge mean score was 8.42±5.45, the practice mean score of males was 4.33±1.96 and mean practice score of females was 4.13±1.93. The study data indicate the worrying of participates about vision loss is in the highest proportion and the awareness and practice of patients about eye diseases is unsatisfactory. Health education campaigns are needed to improve personal awareness about vision related problems and for better eye health.


Author(s):  
Mahfouz R. Nath ◽  
C. Kanniammal

Malnutrition remains one of the most common causes of morbidity and mortality among children throughout the world. Malnutrition has been responsible, directly or indirectly for 60% of the 10.9 million deaths annually among children under five. The research study was aimed to assess the knowledge and practice of mothers of preschool children regarding the prevention and management of malnutrition. The design used was descriptive cross sectional survey. The study was conducted in a coastal setting of Trivandrum district with a sample size of 115. Data collection was done by self administered structured questionnaire by conducting mothers meeting at selected Anganwadis. According to the results of the study 19.1% of mothers had good knowledge and 34.8 % of mothers had poor knowledge. Regarding practice only 24.3 % of mothers reported good practice while 36.6 % of mothers reported poor practice. There was a strong association between the knowledge and Practice of mothers and selected socio demographic variables such as educational status of mothers and socio economic class (p less than 0.01)). The study findings can be used for planning targeted nursing interventions in coastal areas for mothers of preschool children.


2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Nevein Gerges Fahmy ◽  
Fahmy Saad Latif Eskandar ◽  
Walid Albasuony Mohammed Ahmed Khalil ◽  
Mohammed Ibrahim Ibrahim Sobhy ◽  
Amin Mohammed Al Ansary Amin

Abstract Background Postpartum hemorrhage (PPH) is one of the leading causes of maternal mortality and morbidity worldwide. It is believed that hemostatic imbalance secondary to release of tissue plasminogen activator (tPA) and subsequent hyperfibrinolysis plays a major role in PPH pathogenesis. Antifibrinolytic drugs such as tranexamic acid (TXA) are widely used in hemorrhagic conditions associated with hyperfibrinolysis. TXA reduced maternal death due to PPH and its use as a part of PPH treatment is recommended, and in recent years, a number of trials have investigated the efficacy of prophylactic use of TXA in reducing the incidence and the severity of PPH. The study is aiming to assess the efficacy of tranexamic acid in reducing blood loss throughout and after the lower segment cesarean section and reducing the risk of postpartum hemorrhage. Results The amount of blood loss was significantly lower in the study group than the control group (416.12±89.95 and 688.68±134.77 respectively). Also the 24-h postoperative hemoglobin was significantly higher in the study group (11.66±0.79 mg/dl) compared to the control group (10.53±1.07mg/dl), and the 24-h postoperative hematocrit value was significantly higher in the study group (34.99±2.40) compared to control (31.62±3.22). Conclusion Prophylactic administration of tranexamic acid reduces intraoperative and postoperative bleeding in cesarean section and the incidence of postpartum hemorrhage.


2020 ◽  
Vol 13 (1) ◽  
pp. 1-8
Author(s):  
Roza Shiferaw ◽  
Sisay Eshete Tadesse ◽  
Tefera Chane Mekonnen ◽  
Aregash Abebayehu Zerga

Objective: To assess the magnitude and associated factors of timely initiation of breastfeeding among cesarean section delivered mothers. Methods: A health facility-based cross-sectional study was employed among 421 systematically selected mothers from February to June, 2017. Data were collected by a structured questionnaire. Data entry and analysis was done using Epi Data and SPSS version 24. Binary logistic regression was computed to identify factors. Adjusted odds ratio with a 95% confidence interval was used to declare statistical significance. Result: The magnitude of timely initiation of breast feeding (among mothers who gave birth by cesarean section was 57%. Counseling during antenatal care (AOR = 3.32; 95% CI: 1.80, 6.13), facility where cesarean section (CS) was performed (AOR = 2.55; 95% CI: 1.57, 4.14), and post-CS counseling (AOR = 6.93; 95% CI: 3.99, 12.02) were factors that contributed for the practice of timely initiation among cesarean section delivered mothers. Conclusions: The magnitude of TIBF was good. Counseling during ANC, the facility where CS was performed and post-natal advice were factors associated with TIBF. Implementation of baby-friendly hospital initiatives should be strengthened in order to promote timely initiation of breast feeding.


QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Hazem F El-Shahawy ◽  
Sherif F El-Mekkawi ◽  
. Haitham F Mohmmed ◽  
Hend M Afifi

Abstract Background Cesarean section delivery is becoming more frequent. Childbirth is an emotion-filled event and the mother needs to bond with her newborn baby as early as possible. Any intervention that leads to improvement in pain relief is worthy of investigation Aim of the Work to assess the efficacy and safety adding ef Epinephrine to lidocaine 2% in dose-related manner 1:200.000 in prolongation of anesthetic effect of lidocaine as a local anesthetic to reduce post; caesarean section pain after general anesthesia. Patients and Methods A total number of 200 women planned for elective caesarean section at Shams University Maternity Hospital Was recruited, 2 groups were randomized with a study group included 100 women received lidocaine 2% and epinephrine in dose-related manner and a control group included 100 women received lidocaine 2% only. Results women who received lidocaine and epinephrine were more satisfied and hadsignificant more time after caesarean section free of pain in comparison to women who received lidocaine only by 120 minutes. Also. adding Of epinephrine helped in decrease in amount of analgesic consumption after caesarean section. Women who received lidocaine and epinephrine started breast feeding and mobilization earlier than women who received lidocaine only. Epinephrine prolonged the action of lidocaine as a local anesthetic, this prolongation of action of local anesthetic had a significant effect in early mobilization and breast feeding and decrease in cost of analgesics. Nobody in our candidate had a post-operative infection, past operative pyrexia, Allergic reactions tar general anesthesia or complications with local anesthesia. Conclusion Adding of epinephrine to local anesthetics (such as lidocaine 2% in dose-related manner 1:200.0000) prolonged anesthetic effect by more than double of its original anesthetic time, This prolongation on anesthetic effect of local anesthesia by epinephrine helps in eariy mobilization; early breast feeding and less hospital duration stays. No complications (local nor systemic) developed with local infiltration of post-caesarean section incision with lidocaine 2% even aficr adding epinephrine in dose-related manner 1:200.000


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