scholarly journals FACTORS RELATED TO KNOWLEDGE ON NEWBORN DANGER SIGNS AMONG THE RECENTLY DELIVERED WOMEN IN SUB-DISTRICT HOSPITALS OF BANGLADESH

2017 ◽  
Vol 3 (2) ◽  
pp. 50-60 ◽  
Author(s):  
Sojib Bin Zaman ◽  
Naznin Hossain ◽  
Muhammed Awlad Hussain ◽  
Vidhuna Abimanue ◽  
Nushrat Jahan ◽  
...  

Background: Bangladesh continues to be one of the top ten countries with the highest burden of neonatal mortality. While, most of the neonatal deaths are preventable; health system delays, delayed identification of newborn danger signs, late diagnosis and initiation of treatment are claimed to be the main challenges.Objective: 1) to determine the level of knowledge among the recently delivered women (RDW) about newborn danger signs and 2) to distinguish the factors associated with ability of identifying the danger signs.Methods: A facility based cross-sectional study was conducted in three sub-district hospitals of Bangladesh among 135 RDW between 1 January 2015 and 30 April 2015. Seven key danger signs were identified, and responses were categorized accordingly. Bivariable logistic regression was conducted to determine the likelihood of the association of factors with danger signs identification.Results: About 51% of RDW could identify one key danger sign. Knowledge on “fever’’ was the most commonly known danger sign (65%). Middle age (OR 1.67, 95% CI: 1.09 - 2.18), high education (OR 2.37, 95% CI: 1.46 - 2.77), increased parity (OR 1.91, 95% CI: 1.17 - 2.89), and previous hospital delivery (OR 1.79, 95% CI: 1.14 - 2.68) were found associated with the knowl­edge of the danger signs.Conclusion: The findings indicate the immediate need to enhance health education among the RDW about newborn danger signs before their hospital discharge. Community based health education programs can be a cost effective intervention to increase awareness and early recognition of neonatal danger signs.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saran Tenzin Tamang ◽  
Thinley Dorji ◽  
Sonam Yoezer ◽  
Thinley Phuntsho ◽  
Phurb Dorji

Abstract Background The third Sustainable Development Goal for 2030 development agenda aims to reduce maternal and newborn deaths. Pregnant women’s understanding of danger signs is an important factor in seeking timely care during emergencies. We assessed knowledge of obstetric danger signs using both recall and understanding of appropriate action required during obstetric emergencies. Methods This was a cross-sectional study among pregnant women attending antenatal clinic at Bhutan’s largest hospital in Thimphu. Recall was assessed against seven obstetric danger signs outlined in the Mother and Child Health Handbook (7 points). Understanding of danger signs was tested using 13 multiple choice questions (13 points). Knowledge was scored out of 20 points and reported as ‘good’ (≥80%), ‘satisfactory’ (60–79%) and ‘poor’ (< 60%). Correlation between participant characteristics and knowledge score as well as number of danger signs recalled was tested using Pearson’s correlation coefficient. Association between knowledge score and participant characteristics was tested using t-tests (and Kruskal-Wallis test) for numeric variables. Socio-demographic and clinical characteristics associated with the level of knowledge ('good’ versus ‘satisfactory’ and ‘poor’ combined) were assessed with odds ratios using a log-binomial regression model. All results with p < 0.05 were considered significant. Results Four hundred and twenty-two women responded to the survey (response rate = 96.0%). Mean (±SD) knowledge score was 12 (±2.5). Twenty women (4.7%) had ‘good’ knowledge, 245 (58.1%) had ‘satisfactory’ knowledge and 157 (37.2%) had ‘poor’ knowledge. The median number of danger signs recalled was 2 (IQR 1, 3) while 68 women (20.3%) could not recall any danger signs. Most women were knowledgeable about pre-labour rupture of membranes (96.0%) while very few women were knowledgeable about spotting during pregnancy (19.9%). Both knowledge score and number of danger signs recalled had significant correlation with the period of gestation. Women with previous surgery on the reproductive tract had higher odds of having ‘good’ level of knowledge. Conclusions Most pregnant women had ‘satisfactory’ knowledge score with poor explicit recall of danger signs. However, women recognized obstetric emergencies and identified the appropriate action warranted.


2020 ◽  
Vol 8 (1) ◽  
pp. 65-69
Author(s):  
Sigma Bhattarai ◽  
Chetkant Bhusal ◽  
Saraj Gurung ◽  
Nandini Poudel

INTRODUCTION: Newborn care is important for the proper development and healthy life of the baby and also in prevention of neonatal deaths from danger signs. The aim of the study was to find out the awareness regarding newborn danger signs among mothers in a hospital of Rupandehi. MATERIAL AND METHODS: Institutional based descriptive cross-sectional study was conducted to find out the awareness regarding newborn danger signs among 56 mothers selected through non probability purposive sampling method. Data was collected by using semi-structured interview schedule and was analyzed by using descriptive (frequency, percentage, mean, standard deviation) and inferential statistics (chi square) with Statistical Package for Social Science software (SPSS) version 20.0. The total duration of the study was from September 5, 2018 to September 19, 2018. RESULTS: The findings of the study revealed that half (50%) of the mothers had low level awareness regarding newborn danger signs. There was statistically significant association between mothers’ level of awareness regarding newborn danger signs with education status (p=0.001). CONCLUSION: Based on the study findings, it is concluded that still half of the respondents had low awareness regarding newborn danger signs. If all the mothers were aware regarding danger signs of their newborns. They can seek early management of the problems which help to reduce newborn morbidity and mortality. Thus, it is recommended to concerned authority to conduct awareness program to mothers regarding newborn danger signs.


2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Afizu Alhassan ◽  
Abdul-Ganiyu Fuseini ◽  
Wahab Osman ◽  
Alhassan Basour Adam

Background. Efforts to reduce under-five mortality across the globe are being hindered by a disproportionately high rate of neonatal deaths. About a quarter of these neonatal deaths are caused by birth asphyxia. Available evidence shows that effective neonatal resuscitation delivered by providers skilled in and knowledgeable about neonatal resuscitation can significantly reduce neonatal mortality rates. Objectives. This cross-sectional study was conducted to determine knowledge and experience in neonatal resuscitation among midwives in Tamale, and the factors associated with their knowledge on neonatal resuscitation. Methods. This was a cross-sectional study involving all midwives practicing in three large hospitals in Tamale. We developed a questionnaire to collect data on demographic characteristics of participants, and their knowledge and experience in neonatal resuscitation. We used the Statistical Package for Social Sciences (SPSS), version 21, to analyse the data. Demographic characteristics of participants were summarized using descriptive statistics. Pearson’s correlation was used to determine associations between knowledge and some selected demographic features, while the one-way ANOVA was conducted to determine differences in level of knowledge based on the demographic features. Results. 98.1% of the participants in this study had insufficient knowledge on neonatal resuscitation. Midwives at the Tamale Central Hospital demonstrated a statistically significantly higher level of knowledge (24.67 ± 2.79, p = .014), compared to those at the Tamale Teaching Hospital (22.92 ± 4.56, p = .028) and Tamale West Hospital (21.50 ± 6.24, p = .021). Those who had a first-degree qualification in midwifery and those with a Post-NAC/NAP midwifery certificate had a statistically significantly higher knowledge than those with a diploma in midwifery. Training in neonatal resuscitation was associated with more knowledge in neonatal resuscitation (r(158) = .195, p = .013). In terms of experience, 55% of the participants in this study were not experienced in performing neonatal resuscitation. There were no differences in their level of experience based on their academic qualification, work place, and years of practice as a midwife. Conclusion. Considering the generally low level of knowledge and experience of midwives in neonatal resuscitation as discovered in this study, there is an urgent need for government to provide more opportunities for all practicing midwives to be trained in this important lifesaving skill.


2019 ◽  
Author(s):  
Teferi Gebru Gebremeskel ◽  
Adino Tesfahun Tsegaye ◽  
Alehegn Bishaw Geremew ◽  
Teklit Grum

Abstract Background: Danger signs in the neonatal period are non-specific and could be a manifestation of almost any newborn disease. Early recognition of these signs by mothers is a pre-request for increasing neonatal care-seeking behavior. There four this study aimed to assess knowledge of neonatal danger signs and associated factors among mothers who gave birth at home and health institutions in Meicha District, Northwest Ethiopia. Methods: A community based comparative cross-sectional study was conducted among Home and Health institutions delivered mothers two months before the survey. A simple random sampling method was used to select the participants. Data was collected by face to face interviews of mothers. Binary logistic regression analysis was used to identify associated factors. The odds ratio with 95% CI was computed to assess the strength of the associations. Result: A total of 650 (325 health institution delivered and 325 home delivered) mothers were interviewed. Among this, 50.7% (AOR=2.19, 95%, CI (1.594-3.003)) of the mother were knowledge of neonatal danger sign in the district. Mother knowledge of neonatal danger sign was higher among mothers who give birth health institution (60.1%) than home (41.1%). Age of the mother (AOR:3.99, 95% CI:(1.45-11.03)), age of new born (AOR:0.53, 95% CI:(0.36-0.78)), parity (AOR:1.27, 95% CI:(1.37-5.31)), postnatal care attendance (AOR=2.42,95% CI: (1.47, 3.96)), distance of health center (AOR:0.46,95% CI:(0.27,0.78)) were significantly associated with overall mother’s knowledge of neonatal danger sign. Whereas, residence (AOR: 3.09, 95% CI:(1.44, 6.64)) and occupational status of husband (AOR:0.23, 95% CI:(0.201,0.67)) were significantly associated with health institution delivered mother. Age of new born (AOR: 0.50, 95% CI:(0.28,0.896)), parity(AOR: 0.29, 95% CI:(0.113,0.74)), antenatal care (AOR: 12.04, 95% CI: (5.9,24.65)) and postnatal care attendance (AOR:0.27,95% CI:(0.138,0.51)) was significantly associated with home delivered mother. Conclusion: The overall mother’s knowledge of neonatal danger signs was low. However, health institutions delivered mother more knowledge about danger signs than home-delivered mothers. Therefore, it is better if the district Health Office should investigate the implementation of educational programs in the community and strengthen the health extension program.


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Misganu Teshoma Regasa ◽  
Jote Markos ◽  
Ashenafi Habte ◽  
Shivaleela P. Upashe

Background. Maternal mortality remains unacceptably high due to pregnancy complications and remains the major health problems in many developing countries such as Ethiopia. Having poor knowledge of obstetric danger signs contributes to delays in seeking and receiving skilled care which in turn increases maternal mortality. However, in Ethiopia, studies are lacking regarding the knowledge level of mothers about obstetric danger signs during pregnancy, child birth, and postnatal periods. In Ethiopia, the proportion of those who have full knowledge of these obstetric danger signs during pregnancy, child birth, and postnatal period is not known. Despite few studies are conducted at health facility level focusing on danger signs during pregnancy, the issue of health-seeking action after identifying danger signs and attitude of mothers towards obstetric danger sign was not addressed. Objectives. To determine knowledge, attitude, health-seeking action towards obstetric danger signs, and associated factors among postpartum women. Methods.A community-based cross-sectional study was conducted in Nekemte Town from October 1 to November 30, 2017. Multistage sampling technique was employed to select the total sample size of 621. Ethical clearance was obtained from Wollega University research and ethical committee. A pretested structured questionnaire was used to collect data from respondents. Data were entered to EpiData version 3.1 and exported to SPSS version 20 for analysis. To assess the associations between dependent and independent variables, binary and multivariate logistic regressions were employed, and the strength of association was presented using odds ratios with 95% confidence intervals. Result. Only 197 (32.3%) of respondents were able to spontaneously mention at least five key obstetric danger signs during antepartum, intrapartum, and postpartum (in the three phases) with at least one obstetric danger sign in each phase and thus were considered as having good knowledge of key obstetric danger signs. Government employee (AOR = 3.28, 95% CI: 1.98–5.42), able to read and write (AOR = 4.92, 95% CI: 2.14–11.3), primary school (AOR = 4.90, 95% CI: 2.11–11.4), ANC follow-up (AOR = 6.2, 95% CI: 1.82–21.21), and ANC visit (AOR = 4.07, 95% CI: 2.35–7.06) were significantly associated with knowledge of obstetric danger sign. From 150 (24.6%) participants who faced obstetric danger signs during their last pregnancy, the majority of them, 137 (91.3%), had a good practice which is seeking a health facility for care. Conclusion and Recommendation. Despite their low knowledge level and attitude, the practice of mothers in response to obstetric danger signs was encouraging. Occupation, educational status, ANC follow-up, and number of ANC visits were variables significantly associated with knowledge of obstetric danger signs. Health care providers should provide health education and counseling to increase awareness, and appropriate counseling during antenatal care at each visit is of paramount importance.


2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Melash Belachew Asresie ◽  
Dereje Berhanu Abitew ◽  
Habtamu Wondiye Bekele ◽  
Tadesse Dagget Tesfaye

Background. Birth preparedness and complication readiness strategies aimed to promote the timely utilization of skilled maternal health care. Pregnant mother conference is viewed as one of the needed interventions to reduce delays, by promoting obstetric danger sign awareness, family support, and decision-making power on a choice of place of delivery and the use of maternal health service. Objective. To compare the effect of attending a pregnant mother conference on birth preparedness and complication readiness practice among recently delivered women. Method. A community-based comparative cross-sectional study was conducted from February 15 to March 26, 2017, among mothers who gave birth in the past 12 months. Multistage simple random sampling method was implemented and 896 participants were contacted through a face-to-face interview. Descriptive, binary, and multiple logistic regression analysis was done. Results. Well-preparedness for birth and its complication among women who attended and did not attend the pregnant mother conference were 38.9% and 25.7%, respectively. Among the mothers who did not attend the conference, those who had four or more antenatal care visits (AOR=6.8, 95%CI 1.6, 29.8) and knew two or more danger signs of pregnancy (AOR=4.7, 95%CI:1.4, 15.6) were more likely being well-prepared for birth and its complication readiness, whereas among mothers who attended the conference, those who knew two or more danger signs of pregnancy (AOR=2.1, 95%CI:1.1, 4.3), those who had discussion with partners/families about place of delivery (AOR=11.4, 95%CI:3.1, 42.2), those who had previous delivery at health facility (AOR=2.4, 95%CI:1.2, 4.8), women who lived within one-hour walk to the nearest health facility (AOR=3.6, 95%CI:1.9, 6.9), and age of women within 19-34 years (AOR=6.8, 95%CI:1.7, 26.6) were significantly associated with birth preparedness and its complication readiness. Conclusion. Birth preparedness and complication readiness practice were higher among pregnant mother conference attendant women as compared to nonattendants. The health facility has to ensure encouraging women to participate in pregnant mother conference, promoting the utilization of antenatal care service, and counselling on obstetric danger sign. Moreover, the concerned bodies should promote interventions targeting the predisposing and reinforcing behavioral factors affecting the practice of birth preparedness and its complication readiness.


Author(s):  
Ashok Kumar ◽  
Geeta Yadav ◽  
Vijay Zutshi ◽  
Suman Bodat

Background: According to UNICEF, globally 800 million women die due to preventable causes related to pregnancy and childbirth; 20% of which occur in India. It is therefore imperative to understand the level of knowledge about danger signs among pregnant women to augment timely redressal of preventive obstetric causes of mortality.Methods: A hospital based, cross sectional study was conducted at the ANC Clinic in Safdarjung Hospital, New Delhi from 2nd July to 27th July 2018. Convenient sampling was used to identify and interview 354 pregnant women, using a semi structured questionnaire. Data was entered and analysed with SPSSv21. Results were presented as frequencies and proportions. Chi square was used to test for association between qualitative variables, and p-value less than 0.05 was considered significant.Results: 48.3%, 35.6%, and 40.1% of pregnant women had knowledge about danger signs during pregnancy, labour and postpartum respectively. Majority of the women had knowledge about abdominal pain (58.4%) and severe fatigue (80.7%) as danger signs of pregnancy, while bleeding (82.5%) was the most common response as danger sign of labour. More than half had knowledge about heavy bleeding (59.9%) as danger sign of postpartum. The women lacked awareness about Convulsions (92.9%) as danger signs of pregnancy and labour, as well as smelly vaginal discharge (79.6%) in postpartum.Conclusions: Knowledge of obstetric danger signs among pregnant women is still lower. It needs further awareness as it can help in early diagnosis and referral of patients thus reducing maternal mortality and morbidity.


2019 ◽  
Vol 2 (1) ◽  
pp. 34-42
Author(s):  
Sharmila Shrestha ◽  
S Maharjan ◽  
S Shrestha ◽  
M A Petrini

Background: Worldwide, Neonatal Jaundice is one of the most common disorders and causes of avoidable brain damage and physical and mental impairment, and probable death in newborns. It is an important contributor to the high neonatal morbidity and mortality in Nepal. Objective: To assess among mothers the knowledge about neonatal jaundice. Method: A descriptive cross-sectional study was conducted among 177 mothers in selected village with convenient sampling technique. Results: Findings revealed that around half of the mothers (49.90%) had low level of knowledge (score <50%), 28.60% mothers had moderate level of knowledge (score 50-75%) and only 22%mothers had adequate level of knowledge (score >75%) regarding neonatal jaundice. A large proportion of mothers (84%) believed that danger sign of neonatal jaundice was unable to feed the baby. Few 11% mothers believed that mental retardation and death was the complication of neonatal jaundice. Few mothers (12%) were aware about the cause of neonatal jaundice. Around 74% believed that exposing the baby to the sunlight is the primary management of neonatal jaundice but only 2%heard about the phototherapy. Conclusion: Knowledge about neonatal jaundice was low among Nepalese mothers. Awareness should be created among the expecting mothers about neonatal jaundice and encourage them to take preventive measures to avert neonatal mortality and morbidity.


2021 ◽  
Author(s):  
Saran Tenzin Tamang ◽  
Thinley Dorji ◽  
Sonam Yoezer ◽  
Thinley Phuntsho ◽  
Phurb Dorji

Abstract Background: The third Sustainable Development Goal for 2030 development agenda aims to reduce maternal and newborn deaths. Pregnant women’s understanding of danger signs is an important factor in seeking timely care during emergencies. We assessed knowledge of obstetric danger signs using both recall and understanding of appropriate action required during obstetric emergencies. Methods: This was a cross-sectional study among pregnant women attending antenatal clinic at Bhutan’s largest hospital in Thimphu. Recall was assessed against seven obstetric danger signs outlined in the Mother and Child Health Handbook (7 points). Understanding of danger signs was tested using 13 multiple choice questions (13 points). Knowledge was scored out of 20 points and reported as “good” (≥80%), “satisfactory” (60 – 79%) and “poor” (<60%). Correlation between participant characteristics and knowledge score as well as number of danger signs recalled was tested using Pearson’s correlation coefficient. Association between knowledge score and participant characteristics were tested using t-tests (and Kruskal-Wallis test) for numeric variables. Socio-demographic and clinical characteristics associated with the level of knowledge (“good” versus “satisfactory and poor” combined) were assessed with odds ratios (OR) using a log-binomial regression model. All results with p < 0.05 were considered significant.Results: Four hundred and twenty-two women responded to the survey (response rate = 96.0%). Mean (±SD) knowledge score was 12 (±2.5). Twenty women (4.7%) had “good knowledge”, 245 (58.1%) had “satisfactory knowledge” and 157 (37.2%) had “poor knowledge”. The median number of danger signs recalled was 2 (IQR 1, 3) while 68 (20.3%) women could not recall any danger signs. Most women were knowledgeable about pre-labour rupture of membranes (96.0%) while very few women were knowledgeable about spotting during pregnancy (19.9%). Both knowledge score and number of danger signs recalled had significant correlation with the period of gestation. Women with previous surgery on the reproductive tract had higher odds of having good level of knowledge. Conclusions: Most pregnant women had satisfactory knowledge score with poor explicit recall of danger signs. However, women recognized obstetric emergencies and identified the appropriate action warranted.


2020 ◽  
Author(s):  
Awot Fitwi ◽  
Gerezgiher Buruh ◽  
Mohammedseid Rejeu ◽  
Mikias Amare ◽  
Addisu Getie ◽  
...  

Abstract Background The Ethiopian demographic and health survey indicate that maternal mortality in Ethiopia is one of the highest in the world. The national reproductive strategy of Ethiopia has given emphasis to maternal and newborn health so as to reduce the high maternal and neonatal mortality. One of the targets in the strategies is to ensure that 80% of all families recognize at least three danger signs. However, a few researches have been focused on husband’s awareness towards obstetric danger signs. Objective This study was aimed to assess awareness and perception of husbands towards obstetric danger sign and associated factors in northern Ethiopia, 2018 Methods Community based cross sectional study was done from February 2018 to March 2018, in Mekelle city, Tigray region, Ethiopia. Multi stage sampling was used to reach 620 husbands. Data were entered, cleaned using Epi info version 7 and analyzed by SPSS version 22.0. Results are presented by frequencies, percentages, mean and standard deviation. Binary and multivariable logistic analyses were employed to identify variable associated with awareness and perception of obstetrics danger signs. In multivariable logistic analyses variables with P-value < 0.05 were declare statistically significance. Result About 49.7% and 33.4% of husbands had good awareness and high perception on obstetric danger signs respectively. Husbands with daily labor occupation had 80% (AOR=0.2:95%CI; 0.13-0.44) less likely to have good awareness than governmental employee. Husbands with monthly income of 501-1000 birr had 5.8 times (AOR= 5.8, 95% CI: 1.22-27.89) high perception compared to those with monthly income of less than 500 birr. Conclusion one in two and one in three husbands was having good awareness and high perception about obstetric danger sign respectively. Source of information, occupation of husband, income, occupation of mother and education of husband were significantly associated with husband’s awareness on obstetric danger sign. Moreover variables like monthly income, occupation of mother and number of children were significantly associated with of husband’s perception on obstetric danger signs of their wives. Interventions are needed in creating awareness and perception of husbands’ in obstetric danger signs to recognize its complications.


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