Newborn Care Practices in Rural Community of Palpa District, Nepal (original) (raw)

Papers Cross sectional, community based study of care of newborn infants in Nepal

Objective To determine home based newborn care practices in rural Nepal in order to inform strategies to improve neonatal outcome. Design Cross sectional, retrospective study using structured interviews. Setting Makwanpur district, Nepal. Participants 5411 married women aged 15 to 49 years who had given birth to a live baby in the past year. Main outcome measures Attendance at delivery, hygiene, thermal care, and early feeding practices.

Cross sectional, community based study of care of newborn infants in Nepal

BMJ (Clinical research ed.), 2002

To determine home based newborn care practices in rural Nepal in order to inform strategies to improve neonatal outcome. Cross sectional, retrospective study using structured interviews. Makwanpur district, Nepal. 5411 married women aged 15 to 49 years who had given birth to a live baby in the past year. Attendance at delivery, hygiene, thermal care, and early feeding practices. 4893 (90%) women gave birth at home. Attendance at delivery by skilled government health workers was low (334, 6%), as was attendance by traditional birth attendants (267, 5%). Only 461 (8%) women had used a clean home delivery kit, and about half of attendants had washed their hands. Only 3482 (64%) newborn infants had been wrapped within half an hour of birth, and 4992 (92%) had been bathed within the first hour. 99% (5362) of babies were breast fed, 91% (4939) within six hours of birth. Practices with respect to colostrum and prelacteals were not a cause for anxiety. Health promotion interventions most li...

Newborn Care Practices in Rural Communities of Nawalparasi District, Nepal

Online Journal of Health and Allied Sciences, 2013

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 practices. Of the total 296 mother interviewed, only 65.54% have completed ANC visit at least 4 times and 29.05% have received counselling on newborn care during pregnancy. More than half deliveries (53.38%) were home deliveries and Clean Home Delivery Kit was used only one third (39.91%) of these deliveries. Of the three selected newborn care practices, clean cord keeping practice was found in only one fourth (25.70%) of deliveries. However early initiation of breast feeding and delayed bathing practice was found in about half of the deliveries (51.35% and 58.45% respectively). There is strong need to implement the community-based interventions to improve the new born care practices in community level and to reduce the high-risk newborn care practices like unsafe cord care, delayed breast feeding, early bathing, prelacteal feeding and discarding colostrum need through the community level health workers and volunteers.

Home Care Practices for Newborns in Rural Southern Nepal During the First 2 weeks of Life

Journal of Tropical Pediatrics, 2012

The provision of essential newborn care through integrated packages is essential to improving survival. We analyzed data on newborn care practices collected among infants who participated in a community-based trial in rural Nepal. Analysis focused on feeding, hygienic, skin/cord care and thermal care practices. Data were analyzed for 23 356 and 22 766 newborns on Days 1 and 14, respectively. About 56.6% of the babies were breastfed within 24 h and 80.4% received pre-lacteal feeds within the first 2 weeks of life. Only 13.3% of the caretakers always washed their hands before caring for their infant. Massage with mustard oil was near universal, 82.2% of the babies slept in a warmed room and skin-to-skin contact was rare (4.5%). Many of these commonly practiced behaviors are detrimental to the health and survival of newborns. Key areas to be addressed when designing a community-endorsed care package were identified.

Newborn Care Practices in a Jhangad Community of Eastern Nepal

2015

Background: Clean delivery and clean cord care are used for the prevention of newborn infections, especially tetanus and sepsis. Objectives: The objective of this study was to explore neonatal care practices in relation to home delivery in a Jhangad community of Eastern Nepal and to identify a relationship of sociodemographic characteristics of mothers who recently delivered at home with neonatal care practices. Materials and methods: The Lot Quality Assurance Sampling (LQAS) technique was applied. Participants included 162 mothers of the Morang and Sunsari districts of Eastern Nepal who recently delivered newborns. Results: Of the respondents, 69.1% were illiterate, 82% were wage laborers and 53% were living in a joint family. Clean cord care was found in 79.6% of home deliveries. The stump of the umbilical cord was left undressed in 85.2% of deliveries. The majority of newborns, 76.5%, were bathed within 24 hours of their birth. About 11.7% of deliveries were conducted on a plastic sheet, 59.9% on an old mat and 28.4% on open ground. Good thermal care was only found in 1.2% of the newborns. Good breast feeding practice was found in 29.6% of the mothers. Roughly 32.7% of mother's breast fed immediately after childbirth and about 60% practiced pre-lacteal feeding. Conclusion: Delayed wrapping, bathing within one hour, cord application, delayed breastfeeding and pre-lacteal feeding were common high-risk practices in the Jhangad community. Practices concerning home delivery and neonatal care are based on deep-seated traditional beliefs and ignorance.

Newborn care practices of mothers in rural areas of Navsari district

International Journal of Medical Science and Public Health, 2014

Background: Newborn mortality is one of the world's most neglected health problems. It is estimated that globally four million newborns die before they reach 1 month of age and another four million are stillborn every year. Aims & Objectives: (1) To study the maternal care in terms of Antenatal, Intranatal and Postnatal care practices; (2) To assess newborn care practices in rural areas. Materials and Methods: A cross-sectional study in rural areas of Navsari district, Gujarat, included 243 women who had one child aged 12 to 23 months preceding data collection. Data were analyzed using statistical software Epi Info 6. Results: All the mothers under study had adequate ANC checkups. All the mothers had received Iron supplements during ANC but 72.8% of them completed it for 3 months. Majority (99.2%) had institutional delivery. Regarding thermal care practices, half of the women reported that the baby was dried and wrapped within 15 minutes of birth. More than one third (37.8%) of babies were bathed in less than 24 hours of birth. Most of the mothers (93.4%) had put substances on the umbilical cord. About 32% of the infants had received pre-lacteals feeds. The colostrum was fed by 90.9% of mothers. Only 56.4% mothers initiated breast-feeding within 1 hour of birth. Conclusion: In majority of cases, correct practices regarding newborn care were observed among mothers and this should be promoted through improved coverage with existing health services.

Neonatal Home Care Practices and Care Seeking Behaviour in Rural Makwanpur of Nepal

Nepal Journal of Obstetrics and Gynaecology

Aims: This study assesses the state of newborn home-care practices and care-seeking behaviors among the recently delivered mothers to better inform the behavior change communication efforts for effective implementation of the program.Methods: A descriptive study was conducted in two village development committees of Makwanpur district from June to July 2011. A total of 214 women, residing for six months or more in study areas and delivered within past one year, were interviewed using questionnaires designed to collect quantitative and qualitative data.Results: Eighty eight percent of the respondents practiced exclusive breastfeeding, 44% dried and wrapped their newborn within the first five minutes following delivery and 84% used a clean instrument to cut the umbilicus. Ninety-five percent of mother accessed antenatal care from a skilled health provider, 77% of mothers completed four antenatal care visits and only 13% of mothers accessed postnatal care. The first place the mothers w...

Assessing neonatal care practices in rural Nepal

Journal of Patan Academy of Health Sciences

Introductions: Child health indicators of under-five and infant mortality has improved in Nepal, but neonatal mortality remains high. The aim of this study is to assess neonatal care practices among mothers in rural Nepal.Methods: A household survey was conducted in the village of Daman in Makwanpur district, Nepal. All households that had an infant less than one year of age, and had been residing in Daman for greater than six months were included in the study.Results: There were 117 mothers with neonate assessed. The average age of mothers was 24 years and 39 (33.3%) were illiterate, 53 (45.3%) were home births and 36 (30.8%) births were registered. Ninety seven (82.9%) neonates cried immediately after birth, 95 (81.1%) used a new or boiled blade for umbilical cord, 20 (16.7%) applied oil to the cord stump and 71 (61%) breastfed within first hour of birth. There was a significant relationship between non-exclusive breastfeeding and sickness.Conclusions: In Daman village community a...

Factors Associated with Maternal and Neonatal Health Care Practices: A Study from Nepal

https://www.ijhsr.org/IJHSR\_Vol.10\_Issue.2\_Feb2020/IJHSR\_Abstract.029.html, 2020

Background: Maternal and neonatal health problem is a major public health burden. Most of the newborn deaths in the developing countries occur due to lack of access to care. The main objective of the study was to assess and identify the factors associated with maternal and neonatal health care practices in Chitwan, Nepal. Methods: An analytical & descriptive cross-sectional study was conducted among 157 mothers having a child below one year. Results: The study showed that the mean age of the mothers and mean age during the marriage was 24 years. Almost all the mothers had used safe delivery kit (97.5%). Almost all of the mothers applied the substance on the umbilical cord with the application of Chlorhexidine on the umbilical cord found to be 98.4%. Bathing time after 24 hrs., breastfeeding within 1 hour, colostrum feeding was found to be 94.3%, 69.4% & 96.2% respectively. Place of the delivery, education status, maternal age, and delivery types are the associated factors with neonatal health care practices whereas bathing time was not found significant. Conclusion: Neonatal health care practices are still not satisfying and poor. In rural areas, there is a more prevalent of poor and unsafe neonatal health care practices. Health programs focusing on mothers and more research works should be conducted to promote safe neonatal health care practices in low income developing countries.