Knowledge, Attitude and Practice on Maternal Sepsis Among Mothers in Kuantan, Pahang, Malaysia

Maternal sepsis is one of the main contributors to maternal mortality worldwide. Malaysia has the least number of cases associated with maternal sepsis in 2015. However, the number of cases has increase by eight cases in 2017 as stated by the Family Health Development Division Ministry of Health Malaysia. Hence, this study aimed to investigate the knowledge, attitude and practice on maternal sepsis and its associated factors among mothers in Kuantan,Pahang. A cross sectional study design with convenience sampling were applied to 100 respondents among mothers based on specific criteria. From the findings, the majority of the mothers in Kuantan has good level of knowledge (52%), whereas the level of attitude was moderate (85%). In addition, the finding shows that the level of practice among mothers in Kuantan was excellent (76%). Maternal knowledge significantly associated with the age of the mother with p = 0.007. There was a significant correlation between knowledge and attitude (r = 0.433, p = less than 0.001) and knowledge with practice (r = 0.236, p = 0.018). While attitude and practice (r = 0.194, p = 0.053) showed no significant correlation. This study shows that the mothers in Kuantan, Pahang had good level of knowledge, moderate attitude towards maternal sepsis and excellent practice in preventing maternal sepsis. Continues education on maternal sepsis and other risk factors of maternal mortality should be done especially to young mothers in order to control and reduce the the rates of maternal mortality. Furthermore, this can be a benchmark initiative to achieve the targets in reducing maternal mortality rate in Malaysia as outlined under sustainable development goals 3 (SDG3).

FAKTOR-FAKTOR YANG MEMENGARUHI KECEMASAN IBU PRE OPERASI SECTIO CAESAREA (SC) DI RUMAH SAKIT UMUM DAERAH SIDIKALANG KABUPATEN DAIRI

Sectio caesarea is needed as an effort to deliver to save the mother and the fetus, althought at this time the trend of childbirth with sectio caesarea is increasing from year to year, however, every mother who is going to undergo labor with surgery always feels anxiety when facing sectio caesarea surgery.This type of research is a descriptive survey to describe the factor,s that influence the anxiety of pre caesarean section mothers.The population is pregnant women who will give birth by sectio caesarean surgery at the Hospital General Sidikalang Dairi Regency. Sampling with accidental sampling tehnique with a total sample of 55 preoperative caesarean section patiens was based on certain considerations made by the reseachers themselves, based on the average number of caesarean sectins in one year, as many as 1572 people, so that the average monthly number is 131 peple. The data collection tehnique was done through interviews using a questinnaire. The data obtained were analyzed by univariate, bivarriate with chi square p-value 95% ( ? = 0,05).The results of this study indicate that age (p-value = 0,003), education (p-value = 0,000),parity (p-value = 0,002),support (p-value = 0,000),trauma (p-value = 0,003),knowledge (p-value = 0,000),affect anxiety pre operative mother for section caesarea.Sugegestins for families to be given information about the secti caesarean action to be able to provide tigter support to increase confidence in preoperative mothers to increase maternal knowledge, to health workers, to be able to provide information and support to preoperative mothers to make mothers feel comfortable

HUBUNGAN TINGKAT PENGETAHUAN IBU TENTANG IMUNISASI DPT PADA BAYI DENGAN PERILAKU PENCEGAHAN PENYAKIT DIFTERI PERTUSIS DAN TETANUS DI PUSKESMAS KORPRI BANDAR LAMPUNG TAHUN 2020

DPT immunization is the basic immunization used to prevent diphtheria pertussis and tetanus. According to data from the Bandar Lampung City Health Office from 30 health centers in Bandar Lampung, the Korpri Puskesmas in Sukarame District is the health center with the lowest complete basic immunization coverage, which is 60.8% in 2015. The low immunization coverage rate is inseparable from health behavior and parental knowledge about DPT immunization. Purpose of this study to determine the relationship between the level of mother's knowledge about DPT immunization in infants with the prevention behavior of diphtheria pertussis and tetanus at the Korpri Puskesmas Bandar Lampung in 2020. This study used an observational and analytic type of study with a cross sectional approach and a questionnaire interview method. The sample used in this study were mothers who had babies in the work area of the Korpri Bandar Lampung Community Health Center in 2020. Data analysis used Chi-Square. The result It is known that 7 mothers (77.8%) have bad knowledge about DPT immunization and bad behavior towards DPT disease prevention, as many as 2 mothers (22.2%) have bad knowledge about DPT immunization and good behavior towards DPT disease prevention. A total of 28 mothers (33.3%) had good knowledge about DPT immunization and bad behavior towards DPT disease prevention, as many as 56 mothers (66.7%) had good knowledge about DPT immunization and good behavior towards DPT disease prevention. Chi-square test results obtained p-value = 0.024 (p ≤ 0.05), which means that there is a relationship between the level of maternal knowledge and the prevention behavior of diphtheria, pertussis and tetanus. There is a significant relationship between the level of maternal knowledge about DPT immunization in infants with the prevention behavior of diphtheria pertussis and tetanus at the Korpri Puskesmas Bandar Lampung in 2020 with a p-value = 0.024 (p ≤ 0.05).

Infant and young child feeding practices and its associated factors among mothers of under two years children in a western hilly region of Nepal

Infant and young child feeding is a key area to improve child survival and promote healthy growth and development. Nepal government has developed and implemented different programs to improve infant and young child feeding practice. However, the practice remains poor and is a major cause of malnutrition in Nepal. This study aims to identify infant and young child feeding practices and its associated factors among mothers of children aged less than two years in western hilly region of Nepal. A descriptive cross-sectional study was carried out among 360 mothers of under two years’ children in Syangja district. A semi structural questionnaire was used. Data was entered in EpiData and analyzed using IBM SPSS version 21. Descriptive statistics were used to report the feeding practices and other independent variables. Bivariate and multivariate logistic regression model was used to establish the factors associated with infant and young child feeding practices. The prevalence of breastfeeding, timely initiation of breastfeeding, exclusive breastfeeding, timely initiation of complementary feeding, minimum dietary diversity, minimum meal frequency and minimum acceptable diet (MAD) were 95.6%, 69.2%, 47.6%, 53.3%, 61.5%, 67.3% and 49.9% respectively. Normal delivery (AOR 6.1, 95% CI 1.2–31.3) and higher maternal autonomy (AOR 5.2, 95% CI 1.8–14.6) were significantly associated with exclusive breastfeeding. Similarly, crop production and food security (AOR 3.8, 95% CI 1.9–7.7), maternal knowledge on MAD (AOR 2.5, 95% CI 1.0–6.2) and maternal autonomy (AOR 4.2, 95% CI 2.1–8.4) were significantly associated with minimum acceptable diet. Factors such as maternal education, maternal health services utilization, maternal knowledge, and maternal autonomy were associated with infant and young child feeding practices, which warrants further attention to these factors to reduce malnutrition.

Maternal Knowledge, Attitude and Practices toward Free Sugar and the Associations with Free Sugar Intake in Children

Research addressing factors related to free sugar (FS) consumption among children in Saudi Arabia is lacking. We aimed to evaluate maternal knowledge, attitude, and practices toward FS and the associations with children’s intake of FS. This cross-sectional study included 424 Saudi children aged 6–12 years and their mothers. Data related to maternal knowledge, attitude, and practices were collected using an online survey. Data concerning children’s habitual intake of FS were collected through phone interviews using a validated food frequency questionnaire. Limited knowledge on FS was observed among mothers of children [median 7.00 [interquartile range 6.00–8.00] out of 11.0. Maternal knowledge was not correlated with maternal attitude or practices toward FS. Maternal knowledge towards FS did not predict children’s intake of FS, whereas maternal attitude and practices toward limiting the consumption of FS predicted lower intake of FS among Saudi children, particularly the FS consumed from solid food sources (B: −5.73 [95% confidence interval (CI): −9.79 to −1.66]) and (B: −6.85 [95% CI: −11.9 to −1.80]), respectively. Despite the limited knowledge pertaining to FS among mothers in Saudi Arabia, they were making efforts to limit their children’s consumption of FS.

Increased Risk for Maternal Anxiety during the COVID-19 Outbreak in Brazil among Pregnant Women without Comorbidities

Objective To study maternal anxiety in pregnant women without comorbidities in the context of the COVID-19 outbreak in Brazil and to study maternal knowledge and concerns about the pandemic. Methods This is a secondary analysis from a national multicenter cross-sectional study performed in 10 cities, from June to August, 2020, in Brazil. Interviewed postpartum women, without medical or obstetrical comorbidities, were included in the present subanalysis. A structured questionnaire and the Beck Anxiety Inventory (BAI) were applied. Results Out of the 1,662 women, 763 (45.9%) met the criteria for the current analysis and 16.1% presented with moderate and 11.5% with severe maternal anxiety. Moderate or severe maternal anxiety was associated with high school education (odds ratio [OR]:1.58; 95% confidence interval [CI]:1.04–2.40). The protective factor was cohabiting with a partner (OR: 0.46; 95%CI: 0.29–0.73). There was a positive correlation between the total BAI score and receiving information about care in the pandemic (rpartial 0.15; p < 0.001); concern about vertical transmission of COVID-19 (rpartial 0.10; p = 0.01); receiving information about breastfeeding (rpartial 0.08; p = 0.03); concerns about prenatal care (rpartial 0.10; p = 0.01), and concerns about the baby contracting COVID-19 (rpartial 0.11; p = 0.004). The correlation was negative in the following aspects: self-confidence in protecting from COVID-19 (rpartial 0.08; p = 0.04), having learned (rpartial 0.09; p = 0.01) and self-confidence in breastfeeding (rpartial 0.22; p < 0.001) in the context of the pandemic. Conclusion The anxiety of pregnant women without medical or obstetrical comorbidities was associated to high school educational level and not living with a partner during the COVID-19 pandemic. Self-confidence in protecting against COVID-19 and knowledge about breastfeeding care during the pandemic reduced maternal anxiety.

Edukasi Buku KIA dan Peningkatan Koping Ibu Menghadapi Masa Kehamilan Pada Masa Pandemi Covid-19

ABSTRAK Ibu hamil dan bayi dikategorikan sebagai kelompok yang rentan dalam pandemi virus corona yang mewabah di sekitar 230 negara seluruh dunia, sehingga dalam proses kehamilan ibu juga merasakan kehawatiran yang berlebih karena kurang paham tentang kehamilan dan takut akan kondisi bayi yang ada di kandugannya. Tujuan dari kegiatan ini untuk meningkatkan pengetahuan ibu tentang buku KIA dan meningkatkan koping ibu dalam menghadapi masa kehamilan pada masa pandemic covid-. Kegiatan ini dilakukan di Klinik Asyifa Kabupaten Pasuruan. Kegiatan ini diawali dengan memberikan pertanyaan seputar pengetahuan ibu dalam menghadapi masa kehamilan dan mengenai langkah ibu dalam mengahdapi permasalahn kehamilan yang dihadapi. Dilanjutkan dengan memberikan materi menggunakan leaflet dan BUKU KIA. Semua ibu antusias dalam mengikuti kegiatan ini terlihat dari banyaknya pertanyaan yang mereka ajukan. Kegiatan ini efektif dilakukan dalam peningkatan pengetahuan ibu dan peningkatan koping ibu dimana terlihat adanya peningkatan pengetahuan dan koping ibu sebelum dan sesudah mendapatkan penyuluhan yang terlihat dari koesioner pre dan post test. Kegiatan ini merupakan langkah awal untuk meningkatkan pemahaman ibu mengenai masa kehamilan serta peningkatan koping ibu. Kata Kunci: Edukasi, Buku KIA, Koping, Ibu Hamil ABSTRACT Pregnant women and babies are categorized as a vulnerable group in the corona virus pandemic which is endemic in around 230 countries around the world, so that in the process of pregnancy, mothers also feel excessive anxiety due to lack of understanding about pregnancy and fear of the condition of the baby in their womb. The purpose of this activity is to increase mother's knowledge through education on MCH books in dealing with pregnancy and improve maternal coping in dealing with pregnancy during the COVID-19 pandemic. This activity was carried out at the Asyifa Clinic. This activity begins by asking questions about the mother's knowledge in dealing with pregnancy and about the mother's steps in dealing with pregnancy problems. Followed by providing materials using leaflets and MCH BOOK. All mothers were enthusiastic in participating in this activity as seen from the many questions they asked. This activity was effectively carried out in increasing maternal knowledge and increasing maternal coping where it was seen that there was an increase in maternal knowledge before and after receiving counseling as seen from the pre and post test questionnaires and increased maternal coping.. Keywords: Knowledge, MCH Handbook, Coping, Pregnant Women

Hubungan Pengetahuan Ibu, Sikap Ibu, dan Dukungan Petugas Kesehatan Terhadap Pemberian ASI Eksklusif di Kota Malang Tahun 2019

Exclusive breast-feeding is recommended for at least six months in order to suppress the mortality and morbidity rates of children. Among the factors that influenced exclusive breast-feeding were maternal knowledge, maternal attitude, and the support of health-care workers. According to data in Malang city of 2018, Cisadea Public Health Centre had the lowest rate of exclusive breast-feeding. Hence, the study was conducted to know the relationship between maternal knowledge, maternal attitude, and the support of health care workers to exclusive breast-feeding. Research was conducted by correlational analytic methods and used cross sectional approach with purposive sampling technique. The mother of six to twelve months-old children through July 2020 and recorded in Cisadea Public Health Centre were the subject of this study. After taking the data by disseminating the questionnaire using a Google form on 30 samples, a bivariate analysis was conducted with the Chi square test. The results showed that there was a correlation between maternal knowledge and exclusive breast-feeding (p equal 0.046) and between maternal attitude and exclusive breast-feeding (p equal 0.041). While a bivariate analysis between health care workers’ support and exclusive breast feeding was obtained p equal 1,000 so that there was no meaningful relationship was found. Abstrak: Pemberian Air Susu Ibu (ASI) eksklusif direkomendasikan selama paling sedikit enam bulan dengan tujuan untuk menekan angka mortalitas dan morbiditas anak. Beberapa faktor yang mempengaruhi pemberian ASI eksklusif antara lain adalah pengetahuan ibu, sikap ibu, dan dukungan petugas kesehatan. Berdasarkan data di Kota Malang tahun 2018, Puskesmas Cisadea adalah puskesmas yang paling rendah pemberian ASI eksklusif. Oleh karena itu, penelitian ini dilakukan dengan tujuan mengetahui hubungan antara pengetahuan ibu, sikap ibu, dan dukungan petugas kesehatan terhadap pemberian ASI eksklusif. Penelitian dilakukan dengan metode analitik korelasional dan pendekatan cross sectional ini dengan teknik sampling purposive. Ibu dengan balita umur 6-12 bulan sampai bulan Juli 2020 dan tercatat di Puskesmas Cisadea merupakan subjek penelitian ini. Setelah pengambilan data dengan menyebar kuesioner menggunakan google form kepada 30 sampel, dilakukan analisis bivariat dengan uji Chi square. Hasil penelitian didapatkan ada hubungan yang bermakna antara pengetahuan ibu dan pemberian ASI eksklusif (p sama dengan 0,046) dan antara sikap ibu dengan pemberian ASI eksklusif (p sama dengan 0,041). Sedangkan analisis bivariat antara dukungan petugas kesehatan dan pemberian ASI eksklusif didapatkan hasil p sama dengan 1,000 sehingga tidak ditemukan adanya hubungan yang bermakna.