scholarly journals Maternal Experiences of Home-based Kangaroo Mother Care Following Discharge from a Rural-Urban Health Facility, Nsawam Government Hospital, Ghana

2021 ◽  
pp. 77-88
Author(s):  
Patricia Cyriaano ◽  
Ani-Amponsah, Mary ◽  
Richardson Doris ◽  
Acquah Hannah ◽  
Dzigbordi Kpikpitse ◽  
...  
Keyword(s):  
Preterm Birth ◽  
Healthcare Providers ◽  
Preterm Births ◽  
Cost Effective ◽  
Study Data ◽  
Kangaroo Mother Care ◽  
Sub Saharan Africa ◽  
Government Hospital ◽  
Home Based ◽  
At Home

Background: Preterm birth (PTB) is the leading cause of child mortality worldwide and Sub-Saharan Africa is disproportionately affected. Inadequate access to cost-effective interventions in most poor resource areas threatens to increase preterm birth related mortalities. Kangaroo mother care has proven to be a cost-effective intervention and has reduced death as a result of complications of PTB by half. Purpose: This study therefore sought to explore and document the experiences of mothers regarding KMC following discharge from Nsawam Government Hospital. Methods: An exploratory descriptive design was used to collect data from mothers who had preterm births and their experiences of practicing kangaroo mother care at home. Fourteen participants in the Nsawam municipality were purposively selected to participate in the study. Data was analyzed using inductive thematic analyses. Findings: The findings of the study indicated that mothers are encouraged to practice KMC based on the benefits of KMC like provision of warmth, bonding and improvement in growth and development. The study also indicated that support systems available to mothers at home included family, churches, community and healthcare providers. Recommendations: The study recommended that; proper follow-up care should be undertaken by clinicians on mothers practicing KMC especially in their respective home environment to ensure adherence KMC practice experiences in the home.

scholarly journals Magnitude of spontaneous preterm birth and its associated factors among preterm birth in NICU wards in Asella Teaching and Referral Hospital, Asella, Oromia, Ethiopia

2021 ◽  
Vol 49 (8) ◽  
pp. 030006052110346
Author(s):  
Techane Sisay Tuji ◽  
Addisu Dabi Wake ◽  
Gezahegn Badeg Adere ◽  
Aselefu Beka Wedajo ◽  
Batu Dekeba Obole ◽  
...  
Keyword(s):  
Risk Factors ◽  
Preterm Birth ◽  
Healthcare Providers ◽  
Preterm Births ◽  
Cross Sectional Study ◽  
Spontaneous Preterm Birth ◽  
Related Factors ◽  
Cross Sectional ◽  
Bivariate Logistic Regression ◽  
Associated Risk Factors

Objective To assess the prevalence of spontaneous preterm births and to identify the associated risk factors. Methods This single-centre cross-sectional study enrolled women that experienced a preterm birth as registered on the neonatal log-book between 30 December 2019 and 30 December 2020. A pre-tested structured checklist was used to collect data (sociodemographic characteristics; obstetric-related factors; medical history; and pregnancy-related factors). Bivariate logistic regression analyses were applied to identify factors associated with spontaneous preterm birth. A multivariate model identified significant independent risk factors. Results A total of 310 patients participated in the study. The prevalence of spontaneous preterm birth in this population was 67.1% (208 of 310; 95% confidence interval [CI] 61.5, 71.9). Patients without a partner (adjusted odds ratio [AOR] = 1.470, 95% CI 1.23, 4.42), patients residing in a rural area (AOR = 2.51, 95% CI 1.123, 5.513) and those with a history of PIH during their current pregnancy (AOR = 0.104, 95% CI 0.053, 0.014) were significantly more likely to have a spontaneous preterm birth. Conclusion The prevalence of spontaneous preterm birth in in this study was high. Healthcare providers and all stakeholders should focus on screening pregnant women at the risk of spontaneous preterm birth.

Is home-based palliative care cost-effective? An economic evaluation of the Palliative Care Extended Packages at Home (PEACH) pilot

2013 ◽  
Vol 3 (4) ◽  
pp. 431-435 ◽  
Author(s):  
Nikki McCaffrey ◽  
Meera Agar ◽  
Janeane Harlum ◽  
Jonathon Karnon ◽  
David Currow ◽  
...  
Keyword(s):  
Palliative Care ◽  
Economic Evaluation ◽  
Cost Effective ◽  
Home Based ◽  
At Home

scholarly journals Patients’ Perceptions of Health Information Given by Nurses and Clinicians at Discharge at Chiradzulu District Hospital in Malawi, Sub-Saharan Africa

2018 ◽  
Vol 14 (18) ◽  
pp. 65
Author(s):  
Reuben Solomon Mumba
Keyword(s):  
Health Information ◽  
District Hospital ◽  
Self Care ◽  
Study Data ◽  
Sub Saharan Africa ◽  
Care At Home ◽  
Sub Saharan ◽  
Discharge From Hospital ◽  
Information Providers ◽  
At Home

Background: Hospital discharge information is a critical component of preparation to facilitate patient transition from hospital to home. Numerous studies elsewhere provide evidence that patients and families encounter a variety of problems after discharge from hospital such as difficulties with functional abilities and carrying out personal care. These problems are often attributed to having unmet informational needs at discharge. Objective: The main objective of the study was to assess patients’ perceptions of the health information provided by nurses and clinicians at discharge. Methods: The study was conducted at Chiradzulu District Hospital in Malawi. A qualitative method of data collection (in-depth interviews) was used. Convenience sampling method was used to select patients into the study. Data was analyzed using Nvivo 9 software. Findings: The study found that most patients were given information by nurses and clinicians on how to perform self-care at home on discharge from hospital. The study revealed that most patients perceived the discharge information as relevant in assisting them with home care. In addition, the study found that most patients perceived it as inadequate. The study also found that the factors that facilitated patients understanding of information were clear explanation of information and use of understandable language by information providers. Barriers included lack of encouragement from information providers to make patients speak, incomprehensive information provided to the patients and patients fear of asking information providers’ questions. Conclusion: Nurses and clinicians should make sure that all patients are given some discharge information to help them to manage their self care at home. Those patients who are at high risk for readmission should be given detailed information.

scholarly journals Kangaroo Mother Care –Differences and Quantitative Benefits in Different Subgroups of Low Birth Weight Babies

2020 ◽  
Vol 5 (1) ◽  
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Head Circumference ◽  
Cost Effective ◽  
Kangaroo Mother Care ◽  
Daily Weight Gain ◽  
At Home

Objectives: To determine the effectiveness of Kangaroo Mother Care in subgroups of LBW babies-Preterm AGA, Preterm SGA and Term SGA, To assess any differences in benefits of KMC in relation to duration in the subgroups, To assess weight gain difference in NICU and at home at first follow up visit and up to 40 weeks of follow up to Preterm AGA, Preterm SGA and till gain of 2500g in Term SGA babies. Study design: Prospective observational study. Setting: NICU in a large teaching institute, department of pediatrics, Mahatma Gandhi Memorial Hospital, North Telangana. Subjects and Methods: 240 neonates with birth weight <2500g, hemodynamically stable. Intervention: The subjects are classified into three subgroups-based on gestational age (by new Ballard’s score) and by weight (Lubchenco’ s charts) into Preterm Appropriate for gestational age (PT AGA) (102), Preterm Small for Gestational Age (PT SGA) (88) and Term Small for Gestational age (T SGA) (50). Further categorized into <=32 wks,33-34wks,35- 36wks,>=37wks.KMC was given to all subgroups at hospital and home with mean duration of 9+2hrs at hospital and 5+2hrs at home. Outcome Measures: Growth measured by average daily weight gain, mean weight gain, (weight was measured by electronic weighing scale (seca), head circumference (measured by non-stretchable and non-metallic tape) and total length (measured by infant meter) in follow up to 40 weeks of corrected gestational age in Preterm and up to gain of 2500g in Term SGA were assessed with KMC. Results: Better weight gain was noticed in all the 3 subgroups of LBW neonates with KMC at hospital and home. In spite of lower duration of KMC at home PT AGA (33-34 weeks) subgroup has the highest weight gain (24.5+5.5g/day, p=0.003), highest head circumference gain (0.70+0.5cm/week, p=0.002), highest length gain (0.90+0.6cm/week, p <0.008). The time taken to reach full feeds and the time to reach initiation of direct breastfeeds were comparable in all subgroups but attained much earlier in PT AGA (33-34wks) and PT AGA (35-36wks). Duration of hospital stay is least in PT AGA with mean of 12.68 ± 6.37 days.KMC significantly reduced the incidence of apnea in all subgroups of LBW babies. All babies were on exclusive breastfeeds at the end of the study (98%). Conclusion: We conclude by this present study that KMC improves growth in all sub groups of LBW infants. KMC has significantly reduced the incidence of co mortifies like apnea, hypothermia, hypoglycemia in all the subgroups of LBW babies. KMC is cost effective, easily accessible and acceptable not only to mothers but also by majority of the family members

scholarly journals Smart Incubator for Preterm Neonatal Using Kangaroo Mother Care

2021 ◽  
pp. 150-156
Author(s):  
Mr. J. R. Johnson ◽  
Dr. N. Viswanathan
Keyword(s):  
Preterm Birth ◽  
Pulse Rate ◽  
Cost Effective ◽  
Kangaroo Mother Care ◽  
Manual Control ◽  
Feeding Time ◽  
Common People ◽  
Power Failure ◽  
Preterm Babies ◽  
Effective Design

Kangaroo mother care is an apparatus that provides closed and controlled environmental for the preterm babies. A Preterm birth is commonly defined as any birth base 37 weeks completed weeks of gestation period. This paper deals with cost effective design of incubator that monitors parameters like pulse rate, temperature, humidity, child security and the readings will be continuously displayed In the LED screen and also monitoring the details to the corresponding doctor, nurse and parents by using GSM. The power failure problem is also eliminated by using solar panel. We also intimate the parents about feeding time, dressing time, ear check, eye check. But many of the existing system does not mentioned about above problem and have adopted only with humidity and temperature and also by manual control. So the main objective of this research is to overcome drawbacks and provide eco friendly service to all common people.

scholarly journals Association between maternal country of birth and preterm birth: A population-based register study of 910,752 deliveries

2021 ◽  
pp. 140349482199289
Author(s):  
Tiril Tingleff ◽  
Sari Räisänen ◽  
Åse Vikanes ◽  
Leiv Sandvik ◽  
Katariina Laine
Keyword(s):  
Preterm Birth ◽  
Preterm Births ◽  
Population Based ◽  
Sub Saharan Africa ◽  
Country Of Birth ◽  
Very Preterm ◽  
Extremely Preterm ◽  
Study Population ◽  
Sub Saharan ◽  
Extremely Preterm Birth

Aims: The aim of this study was to analyse associations between maternal country of birth and preterm birth among women giving birth in Norway. Methods: A population-based register study was conducted employing official national databases in Norway. All singleton births, with neonates without major anomalies, between 1999 and 2014 were included ( N=910,752). We estimated odds ratios (ORs) for extremely preterm birth (<28 weeks gestation), very preterm birth (28–33 weeks gestation) and late preterm birth (34–36 weeks gestation) by maternal country of birth. We conducted multivariable regression analyses, adjusting for maternal, obstetric and socio-economic confounders. Results: For extremely preterm births (0.4% of the study population), women with an unknown country of birth (adjusted OR (aOR)=3.09; 95% confidence interval (CI) 2.26–4.22) and women born in sub-Saharan Africa (aOR=1.66; CI 1.40–1.96) had the highest ORs compared to Norwegian-born women. For very preterm births (1.2% of the study population), women with an unknown country of birth (aOR=1.72; CI 1.36–2.18) and women born in South Asia (aOR=1.48; CI 1.31–1.66) had the highest ORs. For late preterm births (3.8% of the study population), women born in East Asia Pacific/Oceania (aOR=1.33; CI 1.25–1.41) and South Asia (aOR=1.30; CI 1.21–1.39) had the highest ORs. Conclusions: After adjusting for maternal, obstetric and socio-economic risk factors, maternal country of birth remained significantly associated with preterm birth. Women with an unknown country of birth and women born in sub-Saharan Africa were found to be at increased risk of extremely preterm birth.

scholarly journals Methodological Considerations for Preterm Birth Research

2022 ◽  
Vol 2 ◽  
Author(s):  
Thokozile R. Malaba ◽  
Marie-Louise Newell ◽  
Landon Myer ◽  
Vundli Ramokolo
Keyword(s):  
Preterm Birth ◽  
Preterm Births ◽  
Population Data ◽  
Population Level ◽  
Sub Saharan Africa ◽  
Middle Income ◽  
Civil Registration ◽  
Increased Risk ◽  
Methodological Considerations

Complications from preterm birth are a leading cause of infant mortality, with long-term implications for morbidity and quality of life of preterm infants. There are many important risk factors for preterm births however in this article, we focus on the maternal infection etiological pathway, given its significance in low-to-middle income countries. In high preterm birth settings such as sub-Saharan Africa, maternal HIV infection and antiretroviral therapy (ART) use have been associated with an increased risk of preterm births. Consequently, we highlight methodological considerations related to selection and measurement bias in preterm birth research. We further illustrate the potential impact of these biases in studies investigating the relationship between HIV/ART and preterm births. We also briefly discuss issues related to population-level estimations based on routinely collected clinical or civil registration data. We conclude by emphasizing the importance of strengthening of antenatal care services to improve quality of population data as well as optimizing current and future study designs, by taking into account the important methodological considerations described in this article.

scholarly journals Kangaroo mother care in COVID-19 pandemic, accepting the new normal

2021 ◽  
Vol 8 (6) ◽  
pp. 1085
Author(s):  
Sidharth Nayyar ◽  
Sandeep Kadam ◽  
Rakesh Kumawat ◽  
R. Anusha
Keyword(s):  
Low Cost ◽  
Good Practice ◽  
Healthcare Providers ◽  
Study Data ◽  
Kangaroo Mother Care ◽  
P Value ◽  
Evidence Based ◽  
Inclusion Criteria ◽  
Observational Cohort ◽  
Retrospective Observational Cohort Study

Background: Kangaroo mother care is an evidence-based, low cost and high impact approach that has shown significant reduction in preterm mortality. Practising KMC in COVID 19 era, is a challenge for mothers and the NICU’s. Aim of the study was to assess the effect of this pandemic on the practice of KMC in our NICU and opine about the possible barriers.Methods: It was a retrospective observational cohort study. Data was collected from the NICU records. Neonates fulfilling the inclusion criteria were classified as pre COVID-19 epoch (January 2020 to March 2020) and post COVID-19 epoch (April 2020 to June 2020). KMC hours provided were compared between the two groups.Results: Forty-six neonates were included in epoch 1 and Forty-two in epoch 2. Outcomes were analysed between the groups for primary measures, cumulative KMC hours reduced significantly in after COVID-19 period compared to the other group (median of 2 hours v/s 17 hours respectively), p value<0.001. Similarly, time to introduce first feeds increased from 6 hours in epoch 1 to 12 hours in epoch 2, p value=0.004.Conclusions: COVID-19 pandemic has affected the duration of KMC inside the NICU. Lack of clear guidelines/training about continuing KMC in COVID times has further lead to decrease in KMC duration as reported in the present study. Training and awareness regarding the benefits of KMC which outweigh its possible risks and proper sanitization and hand hygiene for both healthcare providers and KMC providers need to be enforced to continue this good practice in the NICU’s and the community.

scholarly journals Development of a Home-based Wrist Rehabilitation System

2017 ◽  
Vol 7 (6) ◽  
pp. 3153 ◽  
Author(s):  
Radzi Ambar ◽  
Muhammad Faiz Zakaria ◽  
Muhammad Shukri Ahmad ◽  
Siti Zarina Muji ◽  
Muhammad Mahadi Abd Jamil
Keyword(s):  
Healthcare Providers ◽  
Computer Game ◽  
3D Printer ◽  
Wrist Injuries ◽  
Main Structure ◽  
Mouse Cursor ◽  
Home Based ◽  
Rehabilitation System ◽  
At Home

<span>There are several factors that may result to wrist injuries such as athlete injuries and stroke. Most of the patients are unable to undergo rehabilitation at healthcare providers due to cost and logistic constraint. To solve this problem, this project proposes a home-based wrist rehabilitation system. The goal is to create a wrist rehabilitation device that incorporates an interactive computer game so that patients can use it at home without assistance. The main structure of the device is developed using 3D printer. The device is connected to a computer, where the device provides exercises for the wrist, as the user completes a computer game which requires moving a ball to four target positions. Data from an InvenSense MPU-6050 accelerometer is used to measure wrist movements. The accelerometer values are read and used to control a mouse cursor for the computer game. The pattern of wrist movements can be recorded periodically and displayed back as sample run for analysis purposes. In this paper, the usefulness of the proposed system is demonstrated through preliminary experiment of a subject using the device to complete a wrist exercise task based on the developed computer game. The result shows the usefulness of the proposed system.</span>

scholarly journals Reluctance to Accept Palliative Care and Recommendations for Improvement: Findings From Semi-Structured Interviews With Patients and Caregivers

2021 ◽  
pp. 104990912110126
Author(s):  
Valeria Cardenas ◽  
Anna Rahman ◽  
Yujun Zhu ◽  
Susan Enguidanos
Keyword(s):  
Palliative Care ◽  
Controlled Trial ◽  
Insurance Coverage ◽  
Healthcare Providers ◽  
Health Condition ◽  
Insurance Companies ◽  
Structured Interviews ◽  
Care Services ◽  
Home Based ◽  
Palliative Care Services

Background: Despite some insurance plans now paying for home-based palliative care, recent reports have suggested that insurance coverage for palliative care may be insufficient in expanding patient access to home-based palliative care. Aim: To identify patients’ and caregivers’ perceived barriers to home-based palliative care and their recommendations for overcoming these barriers. Design: We conducted a qualitative study using semi-structured individual interviews. Our interview protocol elicited participants’ perspectives on home-based palliative care services; positive and negative aspects of the palliative program explanation; and suggestions for improving messaging around home-based palliative care. Setting/Participants: Twenty-five participants (patients, proxies, and their caregivers) who were eligible for a randomized controlled trial of home-based palliative care were interviewed by telephone. Results: Themes related to home-based palliative care referral barriers included reluctance to have home visits, enrollment timing, lack of palliative care knowledge, misconceptions about palliative care, and patients’ self-perceived health condition. Themes related to recommendations for overcoming these obstacles included ensuring that palliative care referrals come from healthcare providers or insurance companies and presenting palliative care services more clearly. Conclusion: Findings reinforce the need for additional palliative care education among patients with serious illness (and their caregivers) and the importance of delivering palliative care information and referrals from trusted sources.

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