A Cross Sectional Study on Assessing the Relationship Between Prenatal Complications and Delay in Breast Feeding in New Born Babies

2021 ◽  
Vol 23 (10) ◽  
pp. 281-294
Author(s):  
Shalini S ◽  
◽  
Gopalakrishnan S ◽  
Abiselvi A ◽  
Madhura Vani B ◽  
...  
Keyword(s):  
Breast Feeding ◽  
Health Care Providers ◽  
Mode Of Delivery ◽  
Child Survival ◽  
Age Distribution ◽  
Early Initiation ◽  
World Health ◽  
Baby Friendly Hospital Initiative ◽  
Care Providers ◽  
Cross Sectional

The Baby friendly hospital initiative was launched in the year 1991 -1992, by World Health Organization and UNICEF, in around 156 countries throughout the world with a goal to ensure initiation of breast feeding in all infant before their discharge from the hospital. The hospitals which implemented Ten recommendations for successful breast feeding were designed as Baby Friendly Hospitals. By strengthening of this as initiative in the community, a better child survival can be achieved. A revised and expanded version of baby friendly hospital initiative was implemented by WHO and UNICEF in the year 2009. This study is carried out to estimate the prevalence of early initiation of breast feeding, the reasons for its delay in hospitals in and around Chennai. The age distribution among the study population was ranged between 18 to 40 years. The mean age was 24.6 years. Out of 450 mothers 84.2% of mothers were between 21 – 30 years, 11.1% of mothers were less than 20 years and 4.7% of mothers were more than 30 years. This study shows that there is a significant association between mode of delivery and initiation of breast feeding. The prevalence of early initiation of breast feeding among normal deliveries and caesarean deliveries was 71.3% and 41.5% respectively. This study was supported by the study done by Ashmika Motee et al (2013) which reveals that 42.6% of normally delivered mothers and 23.9% of caesarean delivered mothers had initiated breast feeding within one hour. For caesarean delivered mothers, management of pain along with support of family members and health care providers, helps in early initiation of breast feeding.

scholarly journals Mother-Father Differences in Postnatal Psychological Distress and Its Determinants in Iran

2017 ◽  
Vol 5 (1) ◽  
pp. 91-96 ◽  
Author(s):  
Hassan Mahmoodi ◽  
Farzaneh Golboni ◽  
Haidar Nadrian ◽  
Moradali Zareipour ◽  
Shayesteh Shirzadi ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Health Care Providers ◽  
General Health Questionnaire ◽  
Mode Of Delivery ◽  
Family Health ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Three Dimensions ◽  
Care Providers ◽  
Cross Sectional

AIM: The aim of this study was to investigate the mother-father differences in Postnatal Psychological Distress (PPD) and its determinants among the parents with 8-weeks old children.MATERIALS AND METHODS: In this cross-sectional study, applying simple random sampling, 306 postnatal parents with an 8-weeks old infant in Saqqez County, Iran, were invited to answer the General Health Questionnaire-28 (GHQ-28) items through the telephone interview. Fifty-eight subjects declined to participate in the study (Response Rate = 81.04%). The data were analysed using the SPSS Statistics v. 21.RESULTS: About 16.9% of all the parents had PPD. The difference in the prevalence of PPD in three dimensions between the two groups were statistically significant (p < 0.01): social dysfunction (25.8% for fathers vs. 5.6% for mothers), somatic disorders (21% for fathers vs. 7.3% for mothers), and anxiety (21% for fathers vs. 6.5% for mothers). The mode of delivery of the mothers and the level of education, the number of children, monthly income, and being consent with pregnancy among the fathers were significant predictors for PPD.CONCLUSION: The level of PPD was more prevalent among the new fathers compared to the new mothers. Among the fathers, but not the mothers, socioeconomic characteristics were contributed to PPD. Considering the differences in risk factors for maternal and paternal PPD, our findings may help family health care providers and policymakers in designing gender-specific intervention programs and diagnosis tools aimed at PPD prevention among new parents.

scholarly journals Exclusive breastfeeding knowledge and practices among health care workers in northern Tanzania.

2020 ◽  
Author(s):  
Melina Mgongo ◽  
Bertha Mlay ◽  
Damian Jeremia Damian ◽  
Caroline Amour ◽  
Beatrice John Leyaro ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Exclusive Breastfeeding ◽  
Health Workers ◽  
Child Survival ◽  
Cross Sectional Study ◽  
Health Providers ◽  
Care Providers ◽  
Cross Sectional ◽  
Northern Tanzania

Abstract Background Exclusive breastfeeding (EBF) practice is one of the interventions improving child survival. Health workers have been shown to be vital in influencing EBF practices. Objectives To assess the level of knowledge and supportive practices on EBF among healthcare workers Kilimanjaro region, northern Tanzania. Methods A cross sectional study was conducted between April - June 2011 health care providers working in 36 randomly selected health facilities of Hai and Siha districts. A questionnaire was used to obtain information. Observation of health worker-client interaction was conducted using a check list. Results A total of 250 health workers participated in this study. The majority (80%) had adequate knowledge of EBF. However, 36% of providers believed light porridge should be introduced after 4 months and 43% believed infants will feel thirsty on breast- milk alone. Only 7% of providers answered correctly on skills of support, positioning and attachment. Fifty percent of the facilities with labour/maternity wards gave breastfeeding lessons to post delivery women. The majority (90%) gave theoretical information, without practical demonstration with positioning and/or attachment of the baby to the breast. Conclusion Providers had adequate theoretical knowledge of EBF but lacked important skills to support women in breastfeeding practices. Few labor/maternity facilities used the opportunity to educate women on EBF. Pre- and in-service health providers’ training on breastfeeding should target improved practical skills.

scholarly journals Availability, Accessibility, and Quality of Adolescent Sexual and Reproductive Health (SRH) Services in Urban Health Facilities of Rwanda: A survey among social and healthcare providers

2020 ◽  
Author(s):  
Pacifique Ndayishimiye ◽  
Rosine Uwase ◽  
Isabelle Kubwimana ◽  
Jean de la Croix Niyonzima ◽  
Roseline Dine Dzekem ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Health Facilities ◽  
Urban Setting ◽  
World Health ◽  
Care Providers ◽  
Health Seeking ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Survey Tool

Abstract Background: Adolescents are still getting pregnant and contracting Human Immunodeficiency Virus (HIV) and Sexually Transmitted Infections (STIs) in Rwanda as elsewhere. Quality and comprehensive SRH services and information for adolescents is valuable for adolescents’ wellbeing. This study aimed at understanding SRH services providers’ viewpoints on accessibility, availability, and quality of SRH services provided to adolescents in selected cities of Rwanda. Method: The study was a descriptive cross-sectional survey conducted between May 2018 and May 2019 in six selected cities of Rwanda using a mixed-methods approach. A checklist was used to collect data from 159 conveniently selected SRH services providers. The survey tool was validated. SPSS version 20 was used to describe quantitative data and ATLAS TI version 5.2 was used to code and analyze the qualitative data thematically.Results: Qualitatively, health care providers reported that the availability of adolescent SRHS are satisfactory with access to accurate SRH information, contraceptive methods, prevention and management of STIs and HIV services, and counselling. However, the accessibility of some services remains limited. According to respondents, some products such as female condoms are less in demand and often expire before they can be distributed. One nurse clarified that they render services at a low price if an adolescent has insurance medical coverture. Religious leaders and family members may hinder adolescents from health-seeking behavior by promoting abstinence and discouraging use of protective means. Quantitatively, we found that 94.3% of health facilities provide information to adolescents on SRH services that were available and 51.6% affirmed delivering services at a low cost. Only 57.2% of respondents mentioned that adolescents are involved in designing the feedback mechanisms at their facilities.Conclusion: SRH services in Rwanda are available for the general population and are not specifically designed for adolescents. These SRH services seem to be fairly accessible to adolescents with insufficient quality as adolescents themselves do not get to be fully involved in service provision among other aspects of quality SRH as stated by the World Health Organization (WHO). Therefore, there is a need to improve the present quality of these services to meet adolescents’ needs in an urban setting.

scholarly journals Availability, Accessibility, and Quality of Adolescent Sexual and Reproductive Health (SRH) Services in Urban Health Facilities of Rwanda: A survey among social and healthcare providers

2020 ◽  
Author(s):  
Pacifique Ndayishimiye ◽  
Rosine Uwase ◽  
Isabelle Kubwimana ◽  
Jean de la Croix Niyonzima ◽  
Roseline Dine Dzekem ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Health Facilities ◽  
Urban Setting ◽  
World Health ◽  
Care Providers ◽  
Health Seeking ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Survey Tool

Abstract Background: Adolescents are still getting pregnant and contracting Human Immunodeficiency Virus (HIV) and Sexually Transmitted Infections (STIs) in Rwanda as elsewhere. Quality and comprehensive SRH services and information for adolescents is valuable for adolescents’ wellbeing. This study aimed at understanding SRH services providers’ viewpoints on accessibility, availability, and quality of SRH services provided to adolescents in selected cities of Rwanda. Method: The study was a descriptive cross-sectional survey conducted between May 2018 and May 2019 in six selected cities of Rwanda using a mixed-methods approach. A checklist was used to collect data from 159 conveniently selected SRH services providers. The survey tool was validated. SPSS version 20 was used to describe quantitative data and ATLAS TI version 5.2 was used to code and analyze the qualitative data thematically.Results: Qualitatively, health care providers reported that the availability of adolescent SRHS are satisfactory with access to accurate SRH information, contraceptive methods, prevention and management of STIs and HIV services, and counselling. However, the accessibility of some services remains limited. According to respondents, some products such as female condoms are less in demand and often expire before they can be distributed. One nurse clarified that they render services at a low price if an adolescent has insurance medical coverture. Religious leaders and family members may hinder adolescents from health-seeking behavior by promoting abstinence and discouraging use of protective means. Quantitatively, we found that 94.3% of health facilities provide information to adolescents on SRH services that were available and 51.6% affirmed delivering services at a low cost. Only 57.2% of respondents mentioned that adolescents are involved in designing the feedback mechanisms at their facilities.Conclusion: SRH services in Rwanda are available for the general population and are not specifically designed for adolescents. These SRH services seem to be fairly accessible to adolescents with insufficient quality as adolescents themselves do not get to be fully involved in service provision among other aspects of quality SRH as stated by the World Health Organization (WHO). Therefore, there is a need to improve the present quality of these services to meet adolescents’ needs in an urban setting.

Quality of Antenatal Care Services in a Developing Country: A Cross-Sectional Survey

2020 ◽  
Vol 26 (1) ◽  
pp. e25-e34
Author(s):  
Jacoline Sommer Albert ◽  
Ahtisham Younas ◽  
Gideon Victor
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Health Care Providers ◽  
Health Workers ◽  
World Health ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Organization

The global adult lifetime risk of maternal mortality is 1 in 180; in Pakistan, it is 1 in 170; in developed regions, 1 in 4,900 (Alkema et al., 2016; Filippi, Chou, Ronsmans, Graham, & Say, 2016; World Health Organization [WHO], 2015). The differences in maternal mortality between developed and developing countries are mainly due to the quality of antenatal care (ANC) available in the two groups of countries. The purpose of this study was to assess the structural and procedural quality of ANC services provided and to assess satisfaction levels of women receiving ANC services in two large hospitals in Islamabad, Pakistan. A cross-sectional survey was conducted at the hospitals' outpatient maternal and child health clinics, with a random sample of 138 women. The overall quality of ANC was rated as good (61%), average (17.5%), or poor (17.5%). The findings suggest a need to cultivate quality of care at public health facilities, train health workers in communication skills, and build technical capacity by continuing education and supportive supervision to train health-care providers to follow standard protocols for provision of quality ANC services.

scholarly journals Exclusive breastfeeding knowledge and practices among health care workers in Northern Tanzania.

2020 ◽  
Author(s):  
Melina Mgongo ◽  
Bertha Mlay ◽  
Damian Jeremia Damian ◽  
Caroline Amour ◽  
Beatrice John Leyaro ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Exclusive Breastfeeding ◽  
Health Workers ◽  
Child Survival ◽  
Cross Sectional Study ◽  
Health Providers ◽  
Care Providers ◽  
Cross Sectional ◽  
Northern Tanzania

Abstract Background: Exclusive breastfeeding (EBF) practice is one of the interventions improving child survival. Health workers have been shown to be vital in influencing EBF practices.Objectives: To assess the level of knowledge and supportive practices on EBF among healthcare workers Kilimanjaro region, northern Tanzania.Methods: A cross sectional study was conducted between April - June 2011 health care providers working in 36 randomly selected health facilities of Hai and Siha districts. A questionnaire was used to obtain information. Observation of health worker-client interaction was conducted using a check list.Results: A total of 250 health workers participated in this study. The majority (80 %) had adequate knowledge of EBF. However, 36 % of providers believed light porridge should be introduced after 4 months and 43 % believed infants will feel thirsty on breast- milk alone. Only 7 % of providers answered correctly on skills of support, positioning and attachment. Fifty percent of the facilities with labour/maternity wards gave breastfeeding lessons to post delivery women. The majority (90 %) gave theoretical information, without practical demonstration with positioning and/or attachment of the baby to the breast.Conclusion: Providers had adequate theoretical knowledge of EBF but lacked important skills to support women in breastfeeding practices. Few labor/maternity facilities used the opportunity to educate women on EBF. Pre- and in-service health providers’ training on breastfeeding should target improved practical skills.

scholarly journals Knowledge of hand hygiene among healthcare providers in a tertiary care hospital, Bengaluru

2018 ◽  
Vol 5 (10) ◽  
pp. 4433
Author(s):  
Karavadi Sri Sai Vidusha ◽  
Margaret Menzil
Keyword(s):  
Health Care ◽  
Hand Hygiene ◽  
Health Care Providers ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Healthcare Providers ◽  
World Health ◽  
Care Hospital ◽  
Care Providers ◽  
Cross Sectional

Background: Healthcare providers (HCPs) have been identified as the most common vehicle for transmission of hospital acquired infections (HAIs) from patient to patient and within the healthcare environment. Hand hygiene has been identified as the single most important, simplest and least expensive means of preventing HAIs. This study was conducted to assess the knowledge of hand hygiene among healthcare providers in a tertiary care hospital in Bengaluru.Methods: A cross sectional descriptive study was conducted among all the health care providers who have been working in the hospital for more than one year. Total 122 health care providers were included in the study. A semi-structured, self-administered questionnaire was developed and used to obtain information on respondent’s socio-demographic characteristics, and knowledge of hand hygiene. For collecting data in this study, the World Health Organization (WHO) "Hand Hygiene Knowledge Questionnaire "revised 2009 edition was used. Descriptive statistics was used as necessary.Results: A total of 122 health care providers participated in the study. Among them 78 (63.9%) have received formal training in hand washing. The mean age of the study participants was 29.11±8.6 years. Majority opined that hand rubbing is required before palpation of the abdomen (86.9%) knowledge about hand hygiene was found to be moderate in majority of the study subjects (144 out of 200, 74%).Conclusions: In the present study the knowledge on hand hygiene among health care providers is moderate it highlights the importance of improving the current training programs targeting hand hygiene practices among health care providers.

scholarly journals Early initiation of breast feeding and its associated factors among 0-23 months children in Haldwani, District Nainital

2020 ◽  
Vol 32 (3) ◽  
pp. 527-532
Author(s):  
Thakkar Hemaben Kanubhai ◽  
Mohd Maroof ◽  
Pamei Gaihemlung ◽  
Bhatt Maneesh ◽  
Preeti Kumari
Keyword(s):  
Breast Feeding ◽  
Associated Factors ◽  
Mode Of Delivery ◽  
Simple Random Sampling ◽  
Early Initiation ◽  
P Value ◽  
Delivery Mode ◽  
Cross Sectional ◽  
Early Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Introduction: Breastfeeding benefits both the mother and infant. It contains all the essential nutrients in an adequate amount that fulfils the infant first six month’s needs. Early initiation of breastfeeding is necessary to ensure consumption of colostrum having multiple protective factors. Aim and Objectives: To estimate the prevalence of early initiation of breast feeding and to determine its associated factors among 0- 23 months children. Methodology: A community-based cross- sectional study was carried out among 339 children aged 0-23 months in field practice areas of Rural & Urban Health Training Centres (RHTC & UHTC), Department of Community Medicine, Govt. Medical College, Haldwani, District Nainital for a period of 6 months using simple random sampling. Questions related to Early initiation of breast feeding and its associated factors were asked through Epicollect software. Wald’s statistics, Chi- square test, Fisher’s exact test were applied. P value of less than 0.05 was considered as significant. Results: The prevalence of Early Initiation of Breastfeeding was 45.1% (95% CI= 39.9%-50.5%) which was significantly associated with place of delivery, mode of delivery, mother’s education & ANC care. Conclusion: Early Initiation of Breastfeeding practice was found in almost half of children which were significantly associated with various factors highlighting the importance of addressing these factors to improve Early Initiation of Breastfeeding practices.

scholarly journals A cross sectional study on early initiation of breastfeeding among mothers in Chennai city

2020 ◽  
Vol 7 (9) ◽  
pp. 3512
Author(s):  
Anaiappan Jeyakumar ◽  
Kuberan Deivasigamani
Keyword(s):  
Breast Feeding ◽  
Maternal Education ◽  
Cross Sectional Study ◽  
Early Initiation ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional ◽  
Early Initiation Of Breastfeeding ◽  
Chennai City ◽  
Initiation Of Breastfeeding

Background: The practice of breast feeding is the best intervention in promoting child survival. The success depends on early initiation of breast feeding soon after birth. Globally a three fifth of new born wait for more than one hour to begin breast feeding, despite the fact that the practice will extremely reduce neonatal infections and maternal postpartum complications. In this context, the objectives of the study was to estimate the prevalence of early initiation of breastfeeding and barriers in non-initiation of early breast feeding among recently delivered mothers at Chennai.Methods: This cross sectional study was conducted in Zone VI of Chennai. Four hundred and fifty (450) delivered a term, live baby with in past 1 year were selected by using simple random technique. Pre-tested structured interview schedule was used to collect data.Results: Among the study group, 54.4% mothers initiated breast feeding within first one hour after delivery. Delay in handing over the baby to the mother (43.9%), maternal complications (19%), neonatal complications (14.1%), Caesarean section (17.6%), and misconception of insufficiency of milk secretion (5.4%) were barriers in non-initiation of early breast feeding.Conclusions: The study explains the prevalence and importance of early initiation of breast feeding. Avoidance of pre lacteal feeds. Promotions of breast milk substitutes and commercial products should be restricted. Co-ordination between the health care providers and mothers must be strengthened. Maternal education plays a vital role in clarifying the ignorance and misconceptions. Emotional and social support influences mothers to initiate it early.

scholarly journals The first golden hour of breastfeeding: where do we stand?

2018 ◽  
Vol 6 (1) ◽  
pp. 27
Author(s):  
Suneetha Bollipo ◽  
Deepthi Pagali ◽  
Harsha B. Korrapolu ◽  
Mohammed Abdul Rahman
Keyword(s):  
Health Care Providers ◽  
Tertiary Care ◽  
Early Initiation ◽  
National Standards ◽  
World Health ◽  
Periodic Review ◽  
Care Providers ◽  
Skin Contact ◽  
Breast Feed ◽  
Clinical Records

Background: Breastfeeding is the corner stone of child survival, nutrition and development and maternal health. The World Health Organization recommends that all neonates be breastfed within one hour of birth. Early initiation of breast feeding (EIBF) is a sentinel indicator for successful breastfeeding. The aim of this study is to assess the practice of early initiation of breastfeeding among babies delivered in our tertiary care teaching unit and to list out the reasons for delay in implementation.Methods: This study is done on 409 postnatal mothers who delivered in our hospital. All the mother-baby dyads enrolled were interviewed within 12 hours of delivery. Data was collected through clinical records and interview of mothers.Results: EIBF is seen only in 19.8% of babies. Median time of initiation of breast feed is 110 minutes. Primiparous mothers had a delay in initiation of feed (p<0.01). The mothers who received practical support from health care providers had successful EIBF(p< 0.01). The main reasons for delay in feeding were lack of early, uninterrupted skin to skin contact between baby and mother and the separation of mother - baby dyads immediately after delivery.Conclusions: EIBF rate in our centre is extremely low compared to the national standards of 44.6%. Several gaps in EIBF need to be addressed and a strict institutional protocol need to be followed. Periodic review of EIBF rates needs to be done by every institute to achieve a global target of > 90%.

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