scholarly journals A prospective study on awareness of postnatal mothers regarding self and newborn care in a tertiary care centre in Mangalore, Karnataka

2020 ◽  
Vol 10 (1) ◽  
pp. 239
Author(s):  
Pradeep Ganiga ◽  
Sourabha S. Shetty
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Postnatal Care ◽  
Tertiary Care ◽  
Newborn Care ◽  
Maternal Health Care ◽  
Tertiary Care Centre ◽  
Mortality And Morbidity ◽  
Postnatal Women ◽  
Postnatal Mothers

Background: Postnatal care is the important portion of maternal health care as it helps to assess the health status of mother and newborn. It promotes to rectify the defect and to identify the progress of the baby that is essential to solve the health issues.Methods: All 100 postnatal women were assessed regarding awareness of self and newborn care using structured questionnaire.Results: In this study maximum number were in age group of 21-25 years (42%). Majority of respondents were literate (88%). Main source of information regarding postnatal and neonatal care is given by health care personnel (49%). 77% cleaned the perineum after defecation and urination. 39% of postnatal mothers practice postnatal exercise. 54% were aware of spacing between two pregnancies. Majority of mothers agreed that colostrum is first breast milk and are aware on giving it to newborn (68%). 78% are aware of exclusively breast feeding baby for 6 months. 79% of postnatal women were aware vaccines prevent diseases in baby. Postnatal mothers had good awareness about self and newborn care.Conclusions: The first 48 hours after delivery is the time when the mother and baby are most vulnerable to morbidity and mortality associated with childbirth. Postnatal care is one of the most important maternal health care for not only prevention of impairment and disabilities, but also for reduction of maternal and neonatal mortality and morbidity.

scholarly journals Assessment of utilization of maternal health care services in rural field practice areas of VIMS, Ballari

2017 ◽  
Vol 5 (1) ◽  
pp. 170
Author(s):  
Neeta P. N. ◽  
Sameena A. R. B. ◽  
Suresh C. M. ◽  
Gangadhar Goud ◽  
Bharat . ◽  
...  
Keyword(s):  
Higher Education ◽  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Postnatal Care ◽  
Health Care Services ◽  
Maternal Health Care ◽  
Care Services ◽  
Field Practice ◽  
Maternal Health Care Services

Background: Maternal mortality and morbidity remains high even though national programs exist for improving maternal and child health in India. This could be related to several factors, an important one being non-utilization or delay in seeking care of maternal health-care services, especially amongst the rural poor and urban slum population due to either lack of awareness or access to health-care services. Our study was aimed to know the utilization of maternal health care services during antenatal and post natal period and factors affecting them.Methods: A Community based cross sectional study was carried in the rural field practice areas of VIMS, Ballari (three primary health centres (PHC) Kudithini, Koluru, Kurugodu) among all married women in the age group of 15-45 years who were in the post natal period (less than 2 months) at time of interview. A total 152 women were included in the study by door to door survey, among all the 3 PHC’s. The women absent during the survey were excluded.Results: Only 101 (66.44%) of women utilized antenatal care and 18 (11.8%) utilized post natal care (at least three postnatal visits) from the health care facility. Mothers who were of Muslim religion, <20 years of age, higher education of participant as well as husband, higher occupation status, high SES, less parity had higher odds of utilizing antenatal care. Health education by the health worker regarding post natal services to women ranged from 62.5-90.8%. Mothers of Muslim religion, higher education, higher occupation status, normal vaginal delivery and home delivery had higher odds of utilizing postnatal servicesConclusions: The study shows unacceptably low utilization of postnatal care services. It shows the coverage of postnatal care services is inadequate. This is an important message to health service providers and policy makers to strengthening not only antenatal health services and institutional deliveries but also postnatal care services to reduce maternal and neonatal morbidity and mortality. 

scholarly journals The rural-urban divide in Tanzania: Residential context and socioeconomic inequalities in maternal health care utilization

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0241746
Author(s):  
Neema Langa ◽  
Tirth Bhatta
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Utilization ◽  
Urban Areas ◽  
Postnatal Care ◽  
Maternal Health Care ◽  
Care Utilization ◽  
Skilled Delivery ◽  
Maternal Health Care Utilization ◽  
Delivery Assistance

Background Existing studies in Tanzania, based mostly on rural samples, have primarily focused on individual behaviors responsible for the lower utilization of maternal health care. Relatively less attention had been paid to inequalities in structural circumstances that contribute to reduced utilization of maternal health care. More importantly, scholarship concerning the impact of the rural-urban divide on socioeconomic disparities in the utilization of maternal health care is virtually nonexistent in Tanzania. Methods Drawing from the Demographic Health Survey (2015–2016) conducted in Tanzania, our study includes a total of 3,595 women aged between 15–49 years old, who had given birth in five years before the month of the interview and living in both rural and urban Tanzania. The maternal health care utilization was assessed by four variables (i.e., antenatal care, skilled delivery assistance, the before and after discharging postnatal care). The independent variables were wealth, education, residence, parity, occupation, age, and the head of the household’s sex. We used bivariate statistics and logistic regression to examine the rural-urban differences in the influence of education and wealth on maternal health care utilization. Results Significantly lower use of maternal health care in rural than urban areas demonstrated a stark rural-urban divide in Tanzania. We documented socioeconomic inequalities in maternal health care utilization in the form of lower odds of the utilization of such services among women with lower levels of education and household wealth. The educational inequalities in the utilization of skilled delivery assistance (or = 0.37, 95% CI: 0.16, 0.86; p = 0.021) and (before discharge) postnatal care (or = 0.60, 95% CI: 0.38, 0.95; p = 0.030) were significantly wider in rural than urban areas. The differences in the odds of the utilization of skilled delivery assistance between women in poorer wealth quintile and women in richer household wealth quintile were also significantly wider in rural areas than in urban areas. However, the statistically significant rural-urban divides in the impacts of socioeconomic status on antenatal care and (after discharge) postnatal care were not observed. Conclusion This study establishes the need for consideration of the rural-urban context in the formulation of policies to reduce disparities in maternal health care utilization in Tanzania.

scholarly journals Women's Satisfaction with Maternal care in Ghana : The Doctor's Behaviour as a Regulating Factor

2021 ◽  
pp. 332-344
Author(s):  
Fortune Afi Agbi ◽  
Professor Zhou Lvlin ◽  
Eric Owusu Asamoah
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Postnatal Care ◽  
Health Care Services ◽  
Positive Impact ◽  
Care Delivery ◽  
Maternal Health Care ◽  
Delivery Care ◽  
Care Services

<p>The key element of human rights and the road to equity and dignity of women and children is the quality of care received. The provision of maternal health care is based on quality during pregnancy, and distinctly forty-eight hours after delivery, is an important contribution to saving women’s lives and preventing disabilities (Quah, 2016). Thus, the understanding of women's experiences and expectations through the continuum of prenatal care, delivery care and postnatal care is important for assessing the quality of maternal health care and the determination of problem areas requiring improvement. Women's satisfaction reflects women's judgment of various aspects of maternal health care, including organizational and interpersonal aspects. Multiple linear regression was used (IBM SPSS v.25) to test the main hypotheses for the present study. The ordinal regression was used to predict the value of a result variable (dependent variable) based on the value of two or more prediction variables (independent variables). This study identifies the relationship between maternal health services (prenatal & diagnostic care, delivery care and postnatal care) and women's satisfaction with the moderating role of doctor's behavior. The study finally determined the positive impact of health care services on women's satisfaction. The results also show that the doctor's behavior in health care services affect women's satisfaction and so, the alternate hypotheses are accepted. In this study, physicians were encouraged to give pregnant women thorough inspection and examination, treat them with courtesy and respect. The study also showed that, the government should focus on hiring additional employees to overcome workload.</p>

scholarly journals Pattern of Severe Acute Maternal Morbidity in a Tertiary Care Institute

2016 ◽  
Vol 3 (2) ◽  
pp. 45
Author(s):  
Narinder Kaur ◽  
Shreyashi Aryal
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Maternal Mortality ◽  
Maternal Morbidity ◽  
Tertiary Care ◽  
College Teaching ◽  
Maternal Health Care ◽  
Near Miss ◽  
Eligibility Criteria ◽  
Severe Acute Maternal Morbidity

Introduction: Maternal mortality traditionally has been the indicator of maternal health all over the world. More recently review of the cases of severe acute maternal morbidity (SAMM), also termed as "near miss obstetrics events", has been found to be a useful supplementary indicator to investigate maternal health care. Cases of near miss are those in which women present with potentially fatal complication during pregnancy, delivery, or the puerperium and survive merely by chance or by good hospital care. This study was done with the objective to analyze cases of SAMM at Lumbini Medical College Teaching Hospital (LMCTH), Nepal.   Methods:   A retrospective study of all cases meeting the WHO criteria for SAMM,  during May 2015, was done. Cases meeting the WHO eligibility criteria for near miss cases were included in the study. Medical record of such cases in past one year was reviewed. Their socio-demographic variables, parity, gestational age, associated organ dysfunction, ICU and hospital stay, management, and fetal and maternal outcome were noted.   Results: During the study period, there were total of 28 cases of SAMM and two maternal mortality out of 2735 live births. Thus rate of SAMM was 1.02%, and maternal mortality rate was 0.07%. Majority of patients were unbooked (n=18, 64.28%) and 10 (35.71%) were illiterate. Commonest causes for admission to ICU was hemorrhage (n=10, 35.71%) followed by hypertensive disorders (n=9, 32.06%), sepsis (n=2, 7.14%), and obstructed labour (n=2, 7.14%). Laparotomy was performed in six (21.42%) women, obstetric hysterectomy in four (14.28%), and pelvic devascularization in two (10.71%).   Conclusion: SAMM is a useful adjunct to maternal mortality to assess maternal health care. Improving facility based care and prompt referral, education of primary health care (PHC) staff can be a short term measure to quickly reduce the number of maternal deaths. Facility based monitoring and reporting of SAMM outcome is an important step for scaling up such efforts.

scholarly journals Traditional beliefs and practices in newborn care among mothers in a tertiary care centre in Dehradun, Uttarakhand, India

2019 ◽  
Vol 6 (6) ◽  
pp. 2600
Author(s):  
Akhil Bangari ◽  
Sunil Kumar Thapliyal ◽  
Ruchi Ruchi ◽  
Bindu Aggarwal ◽  
Utkarsh Sharma
Keyword(s):  
Cultural Beliefs ◽  
Tertiary Care ◽  
Newborn Care ◽  
Cross Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Beliefs And Practices ◽  
Postnatal Mothers ◽  
Dietary Regime ◽  
Care Practices

Background: Neonatal care practices are different in different communities. Before any intervention planned to reduce mortality and mortality in community, understanding of local belief and practices is necessary. Some of the harmful practices need to be abandoned and good or harmless practices need to be appreciated. This study was conducted to understand the cultural beliefs and practices in newborn care among residents of Uttarakhand.Methods: This was descriptive, cross-sectional study carried out among 300 postnatal mothers admitted to the hospital. The data was collected using self-administered questionnaires. Statistical analyses of the data was done using SSPS version 22.0.Results: 4% of the mothers believed colostrum to be unsuitable for the newborn. 71% mothers were practicing daily baby massage. 71.3% believed that hot and cold foods can harm their baby’s health. 57.3% practiced application of Kajal on baby’s face. 74.7% of mothers would keep Knife under pillow and 16.7% match box under baby’s cloth. 5.3% mother believed in practice of branding. 81% of mothers accept to practice of pouring oil in baby’s ear. 22.3% mothers believed in isolating mother baby together for 30-40 days.Conclusions: Certain practices are still prevalent like Branding, discarding colostrum, Kajal application, pouring oil in baby’s ear and very restricted dietary regime of mothers. These practices need to be stopped by educating mothers and relatives in postnatal wards.

scholarly journals Determinants and Utilization of Maternal Health Care Services in Urban Slums of an Industrialized City, in Western India

2020 ◽  
Author(s):  
Sandeep Sharma ◽  
Partha Sarathi Mohanty ◽  
Ruchi Omar ◽  
Ankit P Viramgami ◽  
Namita Sharma
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Services ◽  
Maternal Health Care ◽  
Urban Slums ◽  
Western India ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Care Services ◽  
Maternal Health Care Services

Objective: To assess the status of utilization of Maternal Health Care (MHC) services in slums of an industrialized city and elucidating the various determinants influencing the utilization. Materials and methods: A Cross-sectional study using multi stage sampling methodology was conducted in slums of an industrialized city. The study participants were the women who had given a live birth in the last one year before 4 weeks of the study starts. Total one hundred eighty families were interviewed & analysed. Results: The utilization of MHC services was poor as compared to national averages in urban slums. There was no association between age of mother, birth order, educational and occupational status of head of family with utilization of services while education and employment of mother, category and type of family, distance and time to reach health facility, were significantly associated. Conclusion: The reduction of maternal mortality and morbidity mostly depends on the utilization of MHC services. The findings of this study have important implications for improving utilization of maternal health care services.

scholarly journals Impact of mode of transport on the outcome of extramural newborns in a tertiary care centre

2017 ◽  
Vol 4 (5) ◽  
pp. 1817
Author(s):  
M. Thenmozhi ◽  
J. Sathya
Keyword(s):  
Transport System ◽  
Tertiary Care ◽  
Newborn Care ◽  
Tertiary Care Centre ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Neonatal Transport ◽  
Neonatal Physiology ◽  
Mode Of Transport ◽  
Time Of Admission

Background: Neonatal transport system in our country is a major gap in holistic newborn care and acute neonatal physiology deranged during neonatal transport which adversely affects the mortality and morbidity of sick newborns. To determine the effect of mode of transport on outcome of extramural newborns. To determine the effect of mode of transport on extramural newborns outcome at the level of tertiary care center.Methods: This is a prospective cohort study carried out in chengalpattu medical college and hospital, NICU over a period of 6 months. Inclusion criteria were all admitted extramural babies, readmitted intramural babies and those babies died while transport. Exclusion criteria were those babies born in the institution of study. A predesigned and tested proforma was used to record the required information for the study at the time of admission. Data was analysed and tabulated, for analysis of data software STATISTIX was used.Results: Out of 490 newborns 11% were died, 84% were discharged and 2.45% were gone against medical advice. About the mode of transport was 60% by Ambulances, 10.6% by Auto, 22% by Bus and 6.8% by Car.Conclusions: The study concludes that even though the mode of transport accompanied by a health personnel no difference in the outcome of babies. So, we suggest well trained and equipped transport system to improve the outcome. 

scholarly journals Bypassing primary healthcare facilities for maternal healthcare in North West Ghana: socio-economic correlates and financial implications

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Valeria Avoayea Amoro ◽  
Gilbert Abotisem Abiiro ◽  
Kennedy A. Alatinga
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Postnatal Care ◽  
Tertiary Education ◽  
Maternal Health Care ◽  
Bivariate Analysis ◽  
Future Research ◽  
Maternal Healthcare ◽  
Cross Sectional

Abstract Background Bypassing primary health care (PHC) facilities for maternal health care is an increasing phenomenon. In Ghana, however, there is a dearth of systematic evidence on bypassing PHC facilities for maternal healthcare. This study investigated the prevalence of bypassing PHC facilities for maternal healthcare, and the socio-economic factors and financial costs associated with bypassing PHC facilities within two municipalities in Northwestern Ghana. Methods A quantitative cross-sectional design was implemented between December 2019 and March 2020. Multistage stratified sampling was used to select 385 mothers receiving postnatal care in health facilities for a survey. Using STATA 12 software, bivariate analysis with chi-square test and binary logistic regression models were run to determine the socio-economic and demographic factors associated with bypassing PHC facilities. The two-sample independent group t-test was used to estimate the mean differences in healthcare costs of those who bypassed their PHC facilities and those who did not. Results The results revealed the prevalence of bypassing PHC facilities as 19.35 % for antenatal care, 33.33 % for delivery, and 38.44 % for postnatal care. The municipality of residence, ethnicity, tertiary education, pregnancy complications, means of transport, nature of the residential location, days after childbirth, age, and income were statistically significantly (p < 0.05) associated with bypassing PHC facilities for various maternal care services. Compared to the non-bypassers, the bypassers incurred a statistically significantly (P < 0.001) higher mean extra financial cost of GH₵112.09 (US$19.73) for delivery, GH₵44.61 (US$7.85) for postnatal care and ₵43.34 (US$7.65) for antenatal care. This average extra expenditure was incurred on transportation, feeding, accommodation, medicine, and other non-receipted expenses. Conclusions The study found evidence of bypassing PHC facilities for maternal healthcare. Addressing this phenomenon of bypassing and its associated cost, will require effective policy reforms aimed at strengthening the service delivery capacities of PHC facilities. We recommend that the Ministry of Health and Ghana Health Service should embark on stakeholder engagement and sensitization campaigns on the financial consequences of bypassing PHC facilities for maternal health care. Future research, outside healthcare facility settings, is also required to understand the specific supply-side factors influencing bypassing of PHC facilities for maternal healthcare within the study area.

Sign in / Sign up

Export Citation Format

Share Document