scholarly journals Effect of health education on breastfeeding initiation techniques among postnatal mothers admitted in a tertiary care centre of Raipur city, Chhattisgarh

2018 ◽  
Vol 5 (10) ◽  
pp. 4340
Author(s):  
Shubhra Agrawal Gupta ◽  
Mini Sharma ◽  
Abha Ekka ◽  
Nirmal Verma
Keyword(s):  
Health Education ◽  
Breast Feeding ◽  
Medical Literature ◽  
Tertiary Care ◽  
Breastfeeding Initiation ◽  
Single Group ◽  
Tertiary Care Centre ◽  
Feeding Technique ◽  
Postnatal Mothers ◽  
Quasi Experimental

Background: The health benefits of breastfeeding are well documented in public health and medical literature worldwide. It is reported in various studies that early lactation supported by correction of positioning and attachment of breastfeeding improves the rate of effective suckling. However, related to breastfeeding technique, no studies were conducted in Chhattisgarh, Therefore, this study was undertaken to assess the improvement in breastfeeding technique (positioning & attachment) after intervention(health education and support) among mother-early neonate units admitted in postnatal ward immediately after delivery in a tertiary level health institute.Methods: A Quasi-experimental (Single group pre and post design) carried out in hospital settings from August to September 2014. This study involved 414 both preterm and term babies who were born during the study period at Dr. BRAM hospital, Raipur with their mothers.Mothers were observed for breast feeding technique on first day followed by correction and post interventional observation.Results: After intervention statistically significant improvement was seen in overall body positioning status and attachment during breast feeding 43.3%, 42.1% respectively.Conclusions: Present study indicate that educating and supporting the mothers regarding correct breastfeeding technique is important to help them in the stage when they are establishing breastfeeding. This also avoids early and late problems related to breastfeeding.

scholarly journals Identification of factors determining the initiation of breastfeeding in postnatal women in a tertiary care centre: an observational study

2019 ◽  
Vol 8 (6) ◽  
pp. 2245
Author(s):  
Manisha Gupta ◽  
Neelima Agarwal ◽  
Alpana Agrawal
Keyword(s):  
Breast Feeding ◽  
Health Care Providers ◽  
Tertiary Care ◽  
Optimal Growth ◽  
P Value ◽  
Breastfeeding Initiation ◽  
Care Providers ◽  
Tertiary Care Centre ◽  
Postnatal Women ◽  
Initiation Of Breastfeeding

Background: The WHO recommends that mothers worldwide to initiate breastfeeding within an hour of delivery to achieve optimal growth, development and health but the breastfeeding rates remain far below the recommended standards. The aim of this study was to find the prevalence of delay in initiation of breast feeding, to identify various factors which determine the initiation of breastfeeding and to correlate their association with delayed onset of breast feeding.Methods: Hundred and thirty six postnatal women, who delivered in Santosh Medical College and Hospital, Ghaziabad, were recruited in the study. They were interviewed after their informed consent using a pretested structured questionnaire. Socio-demographic and obstetric factors were compared between subjects who initiated breast feeding in less than and more than 1 hours. Frequencies were calculated for different variables. Data was statistically analyzed and p value of <0.05 was taken significant.Results: The prevalence of delay in initiation of breast feeding in our study was found to be 74.2% (n=101).The mean time of initiation of breast feeding was 18.43 hours. Significant association (p <0.05) was found in various sociodemographic, obstetrical and social factors.Conclusions: Identifying mothers at risk of delayed breastfeeding initiation should be the target for breastfeeding promotion during prenatal, antenatal as well as postnatal period. Public health officials and health care providers should consider interventions to promote and support early initiation of breast feeding.

scholarly journals Knowledge and attitude of essential newborn care among postnatal mothers in Bangladesh

2018 ◽  
Vol 32 (6) ◽  
pp. 440-448
Author(s):  
Sharmin Majumder ◽  
Zannatul Najnin ◽  
Shamim Ahmed ◽  
Shafi Ullah Bhuiyan
Keyword(s):  
Health Education ◽  
Breast Feeding ◽  
Tertiary Care ◽  
Newborn Care ◽  
Antenatal Visit ◽  
Care Hospital ◽  
Essential Newborn Care ◽  
Content Type ◽  
Postnatal Mothers ◽  
Knowledge And Attitude

PurposeNeonatal mortality rate is 24 deaths per 1,000 live births in Bangladesh and most of them die during early neonatal period. The purpose of this paper is to assess the knowledge and attitude of neonatal care practices among postnatal mothers in a tertiary care hospital in order to provide a basis for the development of strategies to improve further.Design/methodology/approachA cross-sectional study was carried out in the Dhaka Medical College Hospital, Bangladesh using a convenient sampling technique. In total 211 postnatal mothers were interviewed using a structured questionnaire andχ2test was used to analyze the data.FindingsAmong mothers, 37.9 percent were aged between 16–20 years; 16.1 percent had no institutional education; 55 percent were primipara and only 26.5 percent had attended antenatal visit for more than four times. Mothers had apparently good knowledge and attitude about thermoregulation, early initiation of breast-feeding, importance of providing colostrum to the newborn, exclusive breast-feeding (EBF) up to six months of age and immunization at birth. However, this study identified knowledge gap about cord care, eye care, first bathing and hygiene practices. Overall, only a small proportion of respondents had good level of knowledge (37 percent) and attitude (47.4 percent) on newborn care. Highly significant statistical association was found between the knowledge, attitude level and socio-demographic characteristics of respondents. Knowledge and attitude were strongly associated as well.Research limitations/implicationsThere is scope for improvement by providing health education to antenatal and postnatal mothers. Therefore, implementation of the guidelines outlined in the Maternal and Child Handbook (MCH) is highly recommended.Originality/valueThere is scope for improvement by providing health education to antenatal and postnatal mothers. Therefore, implementation of the guidelines outlined in the MCH is highly recommended to enhance the knowledge and attitude on newborn care among postnatal mothers.

scholarly journals Effect of Peppermint Water V/S Lanolin Ointment Application in Management of Cracked Nipple among Lactating Postnatal Women

2021 ◽  
Vol 11 (12) ◽  
pp. 70-78
Author(s):  
Jisha K Jayan ◽  
Santy John ◽  
Reshmi Siby
Keyword(s):  
Breast Feeding ◽  
Rating Scale ◽  
Sample Selection ◽  
Cost Effective ◽  
Demographic Variables ◽  
Assessment Tools ◽  
Effective Interventions ◽  
Postnatal Women ◽  
Postnatal Mothers ◽  
Quasi Experimental

Background of the study: Breast feeding is considered as the ideal method of feeding and nurturing infants. It is a dream for most mothers to have comfort in breast feeding, but sore nipples are still a common problem and pain or cracks frequently occur after breast feeding. The present study evaluated the Effect of peppermint water v/s lanolin ointment application in management of cracked nipple among lactating postnatal women. Objectives: The objectives of the study were to assess the intensity of cracked nipple in lactating post-natal mothers, to compare the effect of Peppermint water and Lanolin in the management of cracked nipple, to find out the association between the pre interventional level of cracked nipples and selected demographic variables. Methodology: The study design used was Quasi experimental two group pretest posttest design. Consecutive sampling was used to select 60 postnatal mothers with cracked nipple who met the sample selection criteria. Informed consent was obtained from the samples who fulfils the inclusion criteria. The tools used in this study were modified visual analogue scale, nipple soreness rating scale, nipple trauma scale. Out of 60 samples 30 were selected for Peppermint water application and 30 were selected for Lanolin ointment application. Results: The data when analyzed using descriptive and inferential statistics revealed a significant reduction in the level of pain, soreness and trauma after the application of Peppermint water compared to lanolin ointment. There was no association between pre interventional level of cracked nipple and selected demographic variables. Conclusion: The study concluded that Peppermint water is better than Lanolin ointment in management of cracked nipple among postnatal mothers. Cracked nipple is a prevalent problem among postnatal mothers and health care personnel should be equipped with good assessment tools and cost-effective interventions. Key words:Peppermint water, Lanolin ointment, Cracked nipple, Lactating postnatal women

scholarly journals Study of knowledge, attitude and practices of contraception in breast-feeding mothers

2019 ◽  
Vol 8 (4) ◽  
pp. 1473
Author(s):  
Aiyleen Shiza Shawl ◽  
Vidya Thobbi
Keyword(s):  
Breast Feeding ◽  
Rural Areas ◽  
Urban Areas ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Lower Class ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Knowledge And Attitude ◽  
The Government

Background: In India, as in many other countries, postpartum family planning is usually initiated after 6 weeks postpartum. Early resumption of sexual activity coupled with early and unpredictable ovulation leads to many unwanted pregnancies in the first year postpartum. Increase in hospital deliveries provides an excellent opportunity to sensitize women and provide effective contraception. Hence the present study was done at our tertiary care centre to assess the knowledge, attitude, practice regarding contraception and to find out the relationship between knowledge and attitude regarding contraception among breast feeding mothers.Methods: A hospital based observational study. The patients admitted at our tertiary care centre in the Department of Obstetrics and Gynecology.Results: Majority of the participants (72%) were in the age group of 21-25 years. 21.2% of the study group was educated up to primary level while 33.2% and 18.4% of the participants studied till SSC and HSC respectively. Majority of participants were from middle class (50%) followed by lower class (36.4%) and upper class (13.6%). 69.6% participants resided in rural areas while 30.4% participants were from urban areas. It was observed that age, education and mode of delivery were the significant factors.Conclusions: As the government gives incentives to couples who opt for permanent sterilization, which is an effective drive, it should also give incentives to couples who follow temporary methods and delay pregnancies. Couples who adopt one child norm or 2 children norm should be encouraged by benefits either in the form of children’s education or health insurance.

scholarly journals Psychological morbidity and associated factors among perinatal patients referred for psychiatry assessments at a tertiary care centre in Sri Lanka

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S288-S288
Author(s):  
Saumya Madhri Senanayake ◽  
Iresha Perera ◽  
Janith Galhenage ◽  
Raveen Hanwella
Keyword(s):  
Mental Illness ◽  
Sri Lanka ◽  
Depressive Disorder ◽  
Tertiary Care ◽  
Adjustment Disorder ◽  
Mental Illnesses ◽  
Psychological Morbidity ◽  
Tertiary Care Centre ◽  
Postnatal Mothers ◽  
Associated Risk Factors

AimsOur objective was to study the psychological morbidity and associated risk factors among antenatal and postnatal patients referred for the psychiatric assessment at University Psychiatry Unit of National Hospital of Sri Lanka.MethodAll the Clinic records of perinatal referrals from 1st January 2019 to 31st December 2019 were assessed. Sociodemographic details, delivery details, health of the newborn, past and present psychiatry illness related details were obtained using a questionnaire. Data were analysed using SPSS.ResultTotal of 161 perinatal referrals were studied. Mean age of the mothers were 28.7 years (SD = 6.60). About 18 (11.8%) were not legally married, partner passed away or estranged. Above Ordinary level education was having 34.5% of participants. Majority were postnatal mothers (61.5%). Some mothers (32.3%) have reported the pregnancy was unexpected whilst 20(32.3%) and 49(30.8%) have experienced delivery complications and neonatal illnesses respectively. Past mental illnesses were found among 31(20.7%) of mothers. Out of whole perinatal referrals maternity blues (28.9%) was the commonest current psychiatry diagnosis. Among antenatal mothers, adjustment disorder (28.8%) and depressive disorder (17.3%) were the commonest. Schizophrenia, Schizophreniform disorder and bipolar illness were found among 8(5%), 6(3.7%) and 3(1.9%) mothers respectively. Major psychoactive substance use disorder was found among 4 (2.5%) mothers. Presence of pregnancy related complications were significantly associated with postpartum metal illnesses(p = 0.008).ConclusionCommonest perinatal mental illness was the maternity blues. Depressive disorder was the commonest major mental illness and neonatal complications were associated with psychological morbidity in postnatal mothers.

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.

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