scholarly journals Assessment of Healthcare Providers on the Extent of Essential Intrapartum and Newborn Care (EINC) Implementation among Postpartum Mothers in Cavite, Philippines: An Evaluation

2017 ◽  
Vol 28 (1) ◽  
Author(s):  
Mary Grace Prowel
Keyword(s):  
Post Partum ◽  
Healthcare Providers ◽  
Newborn Care ◽  
Considerable Influence ◽  
Maternal Deaths ◽  
Quality Healthcare ◽  
Live Births ◽  
Significant Difference ◽  
The Government ◽  
Postpartum Mothers

Improved medical care and services are some of the strategies that provide quality healthcare to women provided by the government. Such approach in the form of Essential Intrapartum and Neonatal Care (EINC) had reduced infant mortality from 57 every 1,000 live births in 1990 to 14 in 2011. However, maternal deaths have been unacceptably high as it has increased from 162 in 2006 to 211 in 2011 (NCSB, 2011). The study investigated, through a survey, the extent of the implementation of EINC as perceived by the healthcare providers and as assessed by post-partum mothers in Cavite.  It also wanted to know if health vectors such as mother’s education, the number of pregnancies, age, sex, and income influence their assessment of the implementation of EINC. Sixty-five (65) healthcare providers and 72 post-partum mothers participated in the study. Independent sample t-test and analysis of variance (ANOVA) were used to analyze the data. It was revealed that both healthcare providers and post-partum mothers assessed the implementation as well performed (µ=4.52) and highly observed (µ=4.47). There was no significant difference in the evaluation of the two groups. Health vectors had no considerable influence in the assessment of the post-partum mothers on the implementation of the EINC. Findings imply the success of the EINC application and, therefore, it was recommended that the government would continuously monitor and evaluate EINC to maintain its sustainability.  

scholarly journals PENGARUH TERAPI AKUPRESUR TERHADAP PENINGKATAN PRODUKSI ASI PADA IBU POST PARTUM DI PKU MUHAMADIYAH BANTUL

2020 ◽  
Vol 8 (4) ◽  
pp. 416
Author(s):  
Anita Liliana ◽  
Melania Wahyuningsih
Keyword(s):  
Breast Milk ◽  
Milk Production ◽  
Post Partum ◽  
Control Group ◽  
P Value ◽  
Breast Milk Production ◽  
Significant Difference ◽  
Before And After ◽  
Increase Milk Production ◽  
Postpartum Mothers

Abstract Adequacy of milk production in the newborns will affect the success of exclusive breastfeeding. Not all postpartum mothers are able to increase milk production in the postpartum period. Acupressure at the meridian points is one way to increase milk production in postpartum mothers. This study aims to determine the effect of acupressure therapy on increasing breast milk production in postpartum mothers at PKU Muhamadiyah Bantul. This study was a quantitative study  a quasi-experimental research design with pre-test and post-test nonequivalent control group. The number of respondents in each group was 17 people. The treatment given was acupressure at the meridian points for 5 minutes on days 2 and 3of poatpartum. Breastfeeding adequacy was assessed before treatment and on day 4 postpartum. Data were analyzed by Mc Nemar analysis. The results showed that there was a significant difference in breast milk production before and after acupressure with p value of 0.000 (p value <0.05). There was a significant difference in breast milk production in the control group before and after being given the breastfeeding technique leaflet p value 0.001 (p value <0.05). Conclusion: There is no significant difference in breast milk production after being given acupressure and after being given leaflets about breastfeeding techniques at PKU Muhamadiyah Bantul p value 0.100 (p value> 0.05).  Keywords: acupressure, breast milk production, postpartum

scholarly journals Nurses’ Deployment Risk And Resilience In Times Of War Conflicts: Checking The Status, Reporting The Future

2015 ◽  
Vol 6 (1) ◽  
pp. 75-82
Author(s):  
Minerva Cobus
Keyword(s):  
Healthcare Providers ◽  
Working Environment ◽  
Current Status ◽  
Risk Level ◽  
Perceived Threat ◽  
Risk And Resilience ◽  
Foreign National ◽  
War Zone ◽  
Significant Difference ◽  
The Government

To date, year August, 2014, as Benghazi, Libya is in a time of conflict depicting a war zone environment, the researcher conducted a study to capture the moment and experiences of foreign national nurses currently deployed in the country performing their duties as healthcare providers. Despite the raised Alert level 4 warning given by the government, meaning "full evacuation mode" from Libya, most nurses refused to be repatriated and stayed to continue serving in Libya. A selected group of sixty-three (63) nurses of different nationalities, working in three (3) different hospitals at the heart of Benghazi, described their present deployment risk level and resilience. Deployment risk level is measured by the Deployment Risk and Resilience Inventory (DRRI) utilizing two of its subscales (C and G) - Difficult Living and Working Environment Scale (Deployment Environment) and the Perceived Threat Scale (Deployment Concern). On the other hand, resilience is measured by the Connor-Davidson Scale. Findings revealed lower risk at exposure to events or circumstances representing repeated or day-to-day irritations and pressures related to life, revealed more perceived threat, but highly resilient during deployment at the war zone. Furthermore, no correlation was found between deployment risk (deployment concern) and resilience, negative low correlation between deployment risk (deployment environment) and resilience, and no significant difference in resilience was observed between genders. Checking the nurses’ current status of deployment risk and resilience in Libya, gave light to future implications on nursing profession. 

Maternal Death Audit: Experience from a Periurban Hospital

1970 ◽  
Vol 24 (1) ◽  
pp. 5-9
Author(s):  
S Tasnim ◽  
N Kabir ◽  
A Rahman ◽  
A Ahmed ◽  
S Chowdhury
Keyword(s):  
Developing Countries ◽  
Professional Practice ◽  
Maternal Death ◽  
Post Partum ◽  
Obstetric Care ◽  
Maternal Deaths ◽  
Live Births ◽  
Factors Associated ◽  
Cause Of Deaths ◽  
Maternal Death Audit

Maternal death audit is becoming a routine process in the practice of obstetric care in both developed and developing countries. Review of case records of maternal deaths between September 1999 and December 2004 was done to find out the profile of the patients and factors associated with the deaths in a periurban hospital in Dhaka. A total 40 maternal deaths occured among 14,137 live births amounting MMR 282 per 100,000 live births. Mean age of deceased mothers was 24.85± 5.6 years, 25% were primipara and vaginal delivery occurred in 42.46% cases. Thirty percent deaths occured within six hours of admission to hospital and 73% deaths occurred during post-partum period. The primary obstetric cause of deaths were severe pre-eclampsia and eclampsia (42.5%), haemorrhage (17.5%), obstructed labour (12.5%) and sepsis (7.5%) respectively. Facility based audit into maternal deaths provide an opportunity to understand the inciting factors and is recommended to be implemented for improvement of professional practice and management. (J Bangladesh Coll Phys Surg 2006; 24: 5-9)

scholarly journals Efektifitas pijat oksitosin dengan penyuluhan teknik menyusui menggunakan leaflet terhadap produksi ASI pada ibu post partum primipara

2021 ◽  
Vol 2 (2) ◽  
pp. 136
Author(s):  
Yushida Yushida ◽  
Evi Zahara
Keyword(s):  
Breast Milk ◽  
Milk Production ◽  
Post Partum ◽  
Sample Selection ◽  
Control Group ◽  
P Value ◽  
Breast Milk Production ◽  
Significant Difference ◽  
Before And After ◽  
Postpartum Mothers

Background: Breast milk is the main source of nutrition for babies from birth until they are able to digest other nutritional sources after 6 months of age. Failure in the breastfeeding process is often caused by maternal factors, namely breastfeeding. Actions to facilitate milk production include the oxytocin massage method.Objective: The aim of the study was to analyze the effect of oxytocin massage compared to counseling on breastfeeding techniques using leaflets on the milk production of primiparous postpartum mothers.Methods: The study used a quasi-experimental study with a pretest-posttest design. The sample selection was accidental sampling with inclusion and exclusion criteria, which consisted of 30 postpartum mothers who were divided into 2 groups, 15 respondents were given oxytocin massage and 15 respondents were given leaflets. The data analysis method was univariate and bivariate using Paired T-test and Independent T-test.Results: The results showed that the oxytocin massage treatment had a p-value= 0.000 (p < 0.05) meaning that there was a difference between before and after treatment. The control group had a p-value= 0.432 (p > 0.05) meaning that there was no difference between before and after treatment. There was a significant difference between the treatment group compared to the control group.Conclusion: Oxytocin massage has a significant effect in increasing milk production in primiparous postpartum mothers. Oxytocin massage is more effective than counseling using leaflet media to increase breast milk production.

scholarly journals Efektivitas Makanan Berbasis Lokal Tawas Ut (Ampelocissus Rubuginosa L) Terhadap Status Kesehatan Ibu Post-Partum Di Kota Palangka Raya

2020 ◽  
Vol 6 (1) ◽  
pp. 143-156
Author(s):  
Christine Aden ◽  
Marselinus Heriteluna
Keyword(s):  
Health Status ◽  
Post Partum ◽  
Food Product ◽  
Reproductive Organs ◽  
T Test ◽  
P Value ◽  
Significant Difference ◽  
The Mean ◽  
Postpartum Mothers ◽  
Paired T Test

Postpartum recovery of the reproductive organs, especially the uterus, should occur immediately. The uterus should return to its pre-pregnancy size. Treatment to restore maternal health during the postpartum period was carried out by the Dayak community by using the herbal concoction of Tawas Ut (Ampelocissus Rubuginosa L). This study aims to determine the health status of post-partum mothers by administering the Tawas Ut herb as a food product. paired t-test). It was found that there was a significant difference in the mean fundal height between the intervention and control groups (p-value 0.012) with a difference of 2.91, or there was a difference of 61.1%. The results of the Paired t-test showed that there was a significant difference in the mean uterine fundal height between before and after the intervention period (p-value 0.0005) with a difference in uterine fundal height of 10.45 cm or a change of 84%. This shows that the local-based food of Tawas Ut has effects on the health status of postpartum mothers, which can reduce leukocytes by 32% and reduce uterine fundal height by 84% to normal sizes as before pregnancy. The use of this product is recommended to be used as a companion to standard service programs for postpartum mothers to support government programs to reduce maternal morbidity and mortality due to postpartum problems.

scholarly journals PENGARUH PARITAS DAN MEDIA KONSELING MASA NIFAS TERHADAP KEMAMPUAN PERAWATAN MANDIRI IBU POST PARTUM DI BPM VIVI SURABAYA

2018 ◽  
Vol 11 (1) ◽  
Author(s):  
Yunik Windarti ◽  
Uke Maharani Dewi
Keyword(s):  
Postnatal Care ◽  
Health Workers ◽  
Post Partum ◽  
Self Care ◽  
The Media ◽  
Analytical Research ◽  
Independent Variable ◽  
The Government ◽  
Postpartum Mothers ◽  
Better Than

In Indonesia Maternal Mortality Rate (MMR) is still high. Various attempts were made by the government to reduce AKI one of them with the implementation of adequate postnatal care. The success of postnatal care is determined by the mother's ability to care for him, especially since birth experience (parity) and the delivery of health information (media counseling) is good. The aim of research to determine the effect of parity and media postnatal counseling on self-care ability of others. postpartum Analytical research design. The population postpartum mothers day 1-10 for 30 people in BPM Vivi in April-June 2017, the sample size of 30 people were taken to the technique of "total sampling". The independent variable parity and media counseling, self-care dependent mothers. postpartum Analysis by Chi squaretest.the results showed that primiparous majority (63.3%) are less able to perform self-care, multipara almost entirely (78.9%), both in performing self-care with p = 0.047. leaflet media health education with the majority ( 60.0%) less than in performing self-care, media counselor almost entirely (86.7%) either do self-treatment with p = 0.023. this study concluded that the higher the better parity self-care during childbirth and direct counseling method (counselor) better than the media leaflets in self-care during childbirth. Therefore for health workers in providing services to clients KIE further improve the media direct counseling.

scholarly journals Determinan Keteraturan Kunjungan Masa Nifas di Puskesmas Topore Kabupaten Mamuju

2020 ◽  
Vol 1 (2) ◽  
pp. 62
Author(s):  
Agus Erwin Ashari ◽  
Nurdiana Nurdiana
Keyword(s):  
Mortality Rate ◽  
Postpartum Period ◽  
Random Sampling ◽  
Simple Random Sampling ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
Live Births ◽  
Work Area ◽  
Analytic Design ◽  
Postpartum Mothers

The Maternal Mortality Rate in Indonesia according to SUPAS in 2015 is 305 per 100,000 live births. The number of maternal deaths in Mamuju District in 2015 was 12 people or 218 per 100,000 live births. The coverage of postpartum visits (KF3) in West Sulawesi Province tended to decline from 2012 to 2017. Post-natal visits in Mamuju District were 78.02% and in 2016 84.5%. The research objective was to determine the determinants that affect the regularity of postpartum visits. This study used a descriptive analytic design with a cross sectional approach. The sample in this study were postpartum mothers whose postpartum period had been completed and had a KIA book in the work area of ​​Puskesmas Topore from March to October 2018, namely 45 postpartum mothers who were selected by simple random sampling. The results showed that statistically there was no relationship between education and regular postpartum visits (p = 0.613). There was no relationship between work and regularity of postpartum visits (p = 0.063), there was no relationship between parity and regularity of postpartum visits (p = 0.481).

scholarly journals Lay and healthcare providers’ experiences to inform future of respectful maternal and newborn care in Tanzania and Malawi: an Appreciative Inquiry

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e046248
Author(s):  
Paschal Mdoe ◽  
Tracey A Mills ◽  
Robert Chasweka ◽  
Livuka Nsemwa ◽  
Chisomo Petross ◽  
...  
Keyword(s):  
Healthcare Provider ◽  
Appreciative Inquiry ◽  
Healthcare Providers ◽  
Newborn Care ◽  
Skilled Birth Attendance ◽  
Birth Attendance ◽  
The Government ◽  
Maternal And Newborn Care ◽  
Respectful Care ◽  
Maternal And Newborn

ObjectivesDisrespectful care, which remains prevalent in low and middle-income countries (LMICs), acts as a barrier to women accessing skilled birth attendance, compromising care when services are available. Building on what was positive in facilities, we aimed to explore lay and healthcare providers’ experience of respectful care to inform future interventions.SettingFive maternity facilities in Mwanza Tanzania and Lilongwe Malawi.Participants94 participants in Malawi (N=46) and Tanzania (N=48) including 24 women birthing live baby within the previous 12 months; 22 family members and 48 healthcare providers who regularly provided maternity care in the included facilitiesDesignThe study was guided by Appreciative Inquiry (AI). Semistructured, one-to-one interviews were conducted between January and December 2019. Interviews were audio-recorded, translated where necessary, transcribed verbatim, and analysed using the framework approach.ResultsFour main themes describing participants positive experience and their vision of respectful care were identified: (1) empathic healthcare provider–woman interactions including friendly welcome and courteous language, well-timed appropriate care and information sharing, (2) an enabling environment, characterised by improvement of physical environment, the use of screens, curtains and wall partitions for privacy, availability of equipment and provision of incentives to staff, (3) supportive leadership demonstrated by the commitment of the government and facility leaders to provision of respectful care, ensuring availability of guidelines and policies, supportive supervision, reflective discussion and paying staff salaries timely, (4) providers’ attitudes and behaviours characterised by professional values through readiness, compassionate communication and commitment.ConclusionThe positive experiences of service users, families and healthcare providers provided insight into key drivers of respectful care in facilities in Tanzania and Malawi. Interventions targeting improved environment and privacy, healthcare provider communication and developing positive leadership structures in facilities could provide the basis for sustained improvement in respectful and dignified maternal and newborn care in LMICs.

scholarly journals Assessment of WHO ten steps towards successful breastfeeding among postpartum mothers in Karaikal: A hospital based cross-sectional study

2018 ◽  
Vol 9 (3) ◽  
pp. 1-5
Author(s):  
Dr Farhan ◽  
Sarthak Das ◽  
Archana Malik
Keyword(s):  
Post Partum ◽  
Cross Sectional Study ◽  
Feeding Practice ◽  
Breastfeeding Initiation ◽  
Sectional Study ◽  
Prelacteal Feeding ◽  
Cross Sectional ◽  
Breastfeeding Rate ◽  
Significant Difference ◽  
Postpartum Mothers

Background: Breastfeeding is the most essential, dynamic and profitable method of giving infants the perfect start in life. The Recent Rapid Survey on Children in India shows that 44.6% infants are now being breastfed within an hour of birth and 64.9 % of 0-6months old infants were exclusively breastfed.Aims and Objectives: To estimate the proportion of mothers who successfully breastfeed their children according to the WHO ten steps towards successful breastfeeding.Materials and Methods: A Cross-sectional study was conducted in Postpartum ward of JIPMER, Karaikal from 1st August to 31st September. Mothers aged 18- 49 years; given birth to healthy, singleton baby and stayed in hospital for minimum 24 hours after delivery were included in the study. The questions about breastfeeding practices based on “WHO ten steps of successful breastfeeding” were asked. Mothers knew seven steps or more(score ≥ 7) were considered as having successful breastfeeding.Results: Out of 205 only 32 (15.60%) mothers breastfeed their child successfully.There is significant difference between multiparous and primiparous mothers in Breastfeeding initiation within one hour of delivery(p=0.04) and Prelacteal feeding Practice (p = 0.003). The successful breastfeeding rate was higher among multiparous compared to primiparous mothers which is statistically significant (p=0.032).Conclusion: There is existence offaulty practice in breastfeeding process among post-partum mothers.The role of health professionals in encouraging optimal breastfeeding are remarkably low. Compulsory Implementation of BFHI in every hospitalby a Breastfeeding Committee, can be planned to increasing the breastfeeding rate.Asian Journal of Medical Sciences Vol.9(3) 2018 1-5

Sustainable Development Goal 3 and Maternal Health in Nigeria

2019 ◽  
pp. 247-271
Author(s):  
Idongesit Eshiet
Keyword(s):  
Sustainable Development ◽  
Maternal Health ◽  
Postnatal Care ◽  
Maternal Mortality Ratio ◽  
Sustainable Development Goal ◽  
Maternal Deaths ◽  
Development Goal ◽  
Live Births ◽  
Mortality Ratio ◽  
The Government

This chapter addresses the feasibility of Nigeria achieving Target 3.1 of Sustainable Development Goal 3, which aims at reducing maternal deaths to less than 70 per 100,000 live births by 2030. Maternal deaths occur due to lack of access to maternal healthcare, which encompasses the healthcare dimensions of family planning, preconception, prenatal, and postnatal care for women. Nigeria is presently the second largest contributor to maternal deaths globally, having a maternal mortality ratio of 814 per 100,000 live births. Will Nigeria achieve this goal by 2030? This chapter assesses the maternal health landscape of Nigeria and the measures taken by the government to address maternal health from the perspective of the feasibility of achieving SDG 3, Target 3.1 by 2030.

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