Newborn care practices of mothers in rural areas of Navsari district (original) (raw)
Related papers
2023
Introduction: In the marginalised countries most neglected health issue is Newborn mortality. A study was undertaken to assess the influence of factors and newborn care practices influencing newborn health in the rural area of Bareilly district. Methodology: The Descriptive crosssectional study was organized in the rural areas of Bareilly. Study participants were selected based on the mothers who gave birth to a baby during the last six months. The mothers who delivered in that area within six months were included, and using the semi-structured questionnaire, data was collected. Data analyzed using Microsoft Excel and SPSS 2021 version for windows. Results: Mothers initiating early breastfeeding were more commonly 78 (52.3%) observed in the younger mothers at 24-29 years, followed by 48(32.3%) at 30-35 years, the difference was statistically significant (p<0.05). Delayed bathing was observed in nearly 125 (70.1%) three fourth in the age of 24-29 years, followed by 29 (16.8%) in the age period 30-35 years. It was observed that unsafe cord care practices were observed more among 8(53.4%) nuclear families than 7(46.6%) joint families, and it was found to be statistically insignificant. Conclusion: The practice of essential newborn care still needs to improve in Bareilly; there is a need to create awareness to the mothers and family members on newborn and early neonatal care aspects, such as promoting exclusive and early initiation of breastfeeding and delayed bathing practices.
International Journal Of Community Medicine And Public Health, 2019
Background: Early neonatal period (<1 week) is the crucial period in the life of an infant as the risk of death is greatest during the first 24- 48 hours after birth. In India, around 61.3% of all infant deaths occur during neonatal period (<28 days) and more than half of these deaths occur during early neonatal period. Most of these deaths can be attributed to harmful newborn care practices in relation to bathing, feeding, cord care etc. The aims and objectives of the study were to assess the newborn care practices among women who delivered in Gandhi Hospital; to assess the relationship between maternal education and newborn care practices among study population.Methods: A cross sectional study was carried out among 200 women who delivered in Gandhi Hospital, Hyderabad, Telangana from March to June 2017 and a predesigned, pre tested questionnaire was used to obtain information.Results: The mean age of study population was 21.5±2.3 years. Around 61.9% of mother’s breastfed wit...
Indian Journal of Community Health
Background: Infant feeding practices plays an important role in nutritional status of children. Aims & Objectives: To assess ante-natal care, delivery and infant feeding practices and their association with nutritional status. Material & Methods: A community-based, cross-sectional study was carried out in all the districts using systematic random sampling. Information was collected from the selected household on socio-demographic, delivery and feeding practices and anthropometric measurements were carried out. Nutritional status was assessed using WHO Child Growth Standard. Proportion test, bivariate and multivariate regression analysis was done. Results: The overall prevalence of underweight, stunting and wasting was 26%, 21.5% and 16.5% respectively. Logistic regression analysis showed that the risk of underweight and stunting was 1.4-1.5 times higher among infant whose mother had undergone ?3 ANCs or not availed ANCs, 1.4 times higher among infants delivered at home, having morbi...
Natal and neonatal care practices of recently-delivered woman in rural areas of Lucknow district
International Journal Of Community Medicine And Public Health
Background: The health of women and children are eternally linked and when the health of women and child improves, life improves by every measure. Deaths associated with child birth were so common that societies developed cultural coping strategies or traditional practices. The objective of the study is to assess natal and neonatal care practices in rural areas of Lucknow district.Methods: The present study was carried out in the rural areas of Lucknow district. Study unit was recently delivered women (RDW), who gave birth to live newborn in last 1 year in rural areas of Lucknow for a period of 12 months. It was community based cross sectional study. A total of 368 RDW were interviewed. Multi stage random sampling technique was used to select RDW.Results: Majority cited all the reasons for preferring institutional delivery (58.2%) followed by those citing it cheaper or better services (17.4%) each and incentive (7.4%) respectively. Weight of baby was 2.5 to 3.5 kg in maximum cases (...
International Journal of Medicine and Public Health, 2014
Background: Maternal and infant mortality rates and prevalence of under nutrition are high in the State Madhya Pradesh. Regular antenatal checkups (ANC), delivery by trained health personnel, delivery practices and optimal infant feeding practices are important to reduce maternal and infant mortality. Objectives: The aim was to assess antenatal care, delivery and infant feeding practices of mothers of <1-year-old children in Madhya Pradesh. Materials and Methods: This was community-based cross-sectional study carried out in the rural areas of Madhya Pradesh by adopting systematic random sampling procedure. Data were collected from 5324 mothers having <1-year-old children. Information on household (HH) socioeconomic and demographic particulars was collected from the mothers. Bivariate and multivariate analysis was performed to study the association between dependent and independent variables. Results and Interpretations: About 36% mothers had undergone at least three antenatal checkups and 73% delivered either at government or private hospitals. Only 26% mothers initiated breastfeeding within 1-h of birth and 92% fed colostrum. Step-wise regression analysis showed that antenatal care for <3 times was signifi cantly (P < 0.01) higher among women with high parity (≥5), illiterate women, and among lower socioeconomic group,s while home delivery was higher among women with high parity (≥5) (odds ratio [OR]: 2.3), among Scheduled Caste and Tribe women (OR: 1.5), illiteracy of head of HH (OR: 2), and among lower socioeconomic groups (OR: 1.3). Discarding colostrum was higher among illiterate women (OR: 1.6), belonging to lower socioeconomic groups (OR: 1.4) and delivery conducted by untrained person (OR: 3.9), while initiation of breastfeeding after 1-h of childbirth was higher among ≥30 years women (OR: 1.9), illiterate women (OR: 1.4), and delivery by untrained person (OR: 2.9). Conclusions: It was observed that antenatal care, delivery and infant and young child feeding practices were associated with type of community, literacy status of mother, wealth index and person conducting delivery. Hence improving the literacy mothers, delivery by trained person and increasing awareness about optimal infant feeding practices will help to reduce infant and maternal mortality.
Childbirth practices in rural Rajasthan, India: implications for neonatal health and survival
Journal of Perinatology, 2008
In a rural community of Rajasthan in north India, we explored family, community and provider practices during labor and childbirth, which are likely to influence newborn health outcomes. A range of qualitative datagathering methods was applied in two rural clusters of Udaipur district. This paper reports on the key findings from eight direct observations of labor and childbirth at home and in primary health facilities, as well as 10 focus group discussions, 18 case interviews with recently delivered women and 39 key informant interviews carried out within the community. Although most families preferred home delivery, health-facility deliveries were preferred for first births, especially among adolescents. A team of birth attendants led by a traditional birth attendant or an elder female relative took decisions and performed key functions during home childbirth. Modern providers were commonly invited to administer intramuscular oxytocin injections to hasten home delivery, whereas health staff tended to do the same during facility deliveries. The practice of applying forceful fundal pressure, stemming from overriding concern about the woman's inability to deliver spontaneously, was near universal in both situations. In both facilities and homes, monitoring of labor was largely restricted to repeated unhygienic vaginal examinations with little or no monitoring of fetal or maternal well-being. Babies born at home remained lying on the wet floor till the placenta was delivered. The cord was usually tied using available twine or ceremonial thread and cut using a new blade. In facility settings, drying and wrapping of the baby after birth was delayed and preparedness for resuscitation was minimal. Families believed in delaying breast-feeding till 3 days after birth, when they believed breast milk became available. Even hospital staff discharged the mother and newborn without efforts to initiate breastfeeding. A combination of traditional and modern practices, rooted in the concept of inducing heat to facilitate labor, occurred in both home and facility delivery settings. Programs to improve neonatal survival in such rural settings will need to invest both in strengthening primary health services provided during labor and delivery through training and monitoring, and in community promotion of improved newborn care practices.
Newborn Care Practices in Rural Community of Palpa District, Nepal
2017
Background: Newborn care is of immense importance for the proper development and healthy life of a baby. The first 28 days of life is known as the newborn or neonatal period. It is the most complicated period in the life. Objective: To find out the home based newborn care practices and assess the practices during home delivery. Methods: A community-based cross-sectional study was carried out in Palpa district on a sample of 150 lactating mothers who have delivered within the past 6 months. Results: It was observed that most of the respondents (80.0%) had not any types of health problems during pregnancy. More than three quarter (88.0%) deliveries took place in institution and 12.0 per cent at home. Around half of respondents (56.7%) bathed the baby after 24 hour of birth, followed by around one third (38.0%) within 1-24 hours of birth and 5.3 per cent bathed within 1 hour. Around three quarter of the respondents (75.3%) had introduced breastfeeding within 1 hour. Similarly, majority...
Newborn Care Practices in Rural Communities of Nawalparasi District, Nepal
Journal of Health and Allied Sciences
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 practic...
Although under five and infant mortality has been reducing in Nepal, neonatal mortality remains largely unchanged. Newborn care practices in the family and in the community acts as contributing factors which could be improved by adopting simple interventions at community level. The objective of the study was to identify newborn care practices (cord care, breastfeeding, and bathing) and factors affecting it. The study is crosssectional descriptive and analytical conducted at Bachauli and Khairahani VDCs of Chitwan district from July to December 2012. A total 181 Tharu mothers were interviewed using semi structured interview schedule. Data processing and analysis was done using SPSS. The study revealed that 99.4% newborns had cord care (cutting, tying and applying nothing or using antiseptic). All newborns were breastfed and given colostrums as first feed but initiation of breastfeeding within one hour of delivery was only 52.5 %. Ninety seven per cent were bathed after 24 hours of delivery. Mothers who knew about newborn care were more likely to practice cord care (OR=0.10, 95% CI=0.02-0.41) in comparison to mothers who do not know about it. Compared to mothers with secondary and primary education, mothers having higher education were breastfeeding within one hour of delivery (OR= 2.06, 95% CI=1.12-3.81). Delaying in bathing was more practiced in institutional deliveries compared to home deliveries (OR= 12.11, 95% CI=1.65-88.64). Overall newborn care practices were acceptable as per the findings of this study. Awareness programs regarding initiation of breastfeeding within one hour of delivery should be strengthening.