Born Care Research Articles

A Study to Assess the Effectiveness of Educational Package in Terms of Knowledge Regarding Essential New Born Care among Mother in the Postnatal Wards of Selected Hospital, Nadiad

BACKGROUND: The neonatal period, covering the first 28 days of life is a vital stage marked by significant physiological changes and the new borns adjustment to the crucial for the baby’s survival and long term health. Proper new born care is essential in decreasing neonatal illness and death promoting healthy growth and development. Worldwide neonatal mortality is a major public issue, especially in low and middle income nations. The World Health Organization (WHO) reports that nearly 2.4 million children die within their first month of life annually, with most of these deaths happening within the first week. Infection are a leading cause of neonatal mortality, responsible for about one-third all neonatal deaths. New born are practically vulnerable to infection due to their underdeveloped immune system. Education on essential new-born care, covering aspects like infection prevention, breastfeeding thermal care, and immunization, plays a critical role in decreasing these fatalities. Postnatal wards offer a special chances to educate mothers about essential new-born care. During this period mothers are typically more open to learning and incorporating new practice that can benefit their infants. Tailored educational programs designed for postnatal mothers of essential new-born care practice and encourage their adoption. AIM This study assess the effectiveness of an educational package design to enhance mothers' knowledge regarding essential new born care in selected hospital in Nadiad. OBJECTIVE: To evaluate the impact of an educational package on mothers' knowledge about essential new born care in post natal wards. METHODS A quasi experimental study design was employed. The study include 40 mothers in post natal wards from selected hospital in Nadiad. Participants were divided into two groups: An experimental group receiving the educational package and a control group receiving standard care. Pre-test and post- test knowledge assessments were conducted using a structured questionnaire. INTERVENTION: The educational package comprised informative flip book interactive session focus on essential new born care such as breast feeding, hygiene, immunization and recognizing dangerous sign.RESULTS: The pre-test knowledge scores of both groups were comparable. Post intervention, the group showed a significant increase on knowledge scores compared to the pre- test. Statistical analysis using paired T test revealed that the educational package effectively improved mother’s knowledge of essential new born care (p< 0.05). The educational package significantly enhanced mother’s knowledge regarding essential new born care in post natal wards. Implementing such educational interventions can improve new born health outcomes by empowering mothers which crucial care. Further studies are recommended to assess long term retention of knowledge and its impact on new born health.

An Investigation into how Primary Care Nurses Practices affect clinical competence in Emergency Maternal Obstetric and Newborn Care skills in Nakuru County

To reduce the risks of maternal morbidity, mortality and newborn death worldwide, the use of high-quality emergency obstetric and new born care (EMONC) was proposed to ensure women and their babies receive high-quality care. The government of Kenya with non-profit health programs have jointly invested resources with the aim of achieving SDG’s goal of zero rating maternal and neonatal death cases in the country. Despite these efforts, maternal and neonatal death cases have not reduced significantly. Most of the contributing factors to the deaths occur in the lower levels of the health care delivery system. Majority of the health care providers at these levels are the primary care nurses. It is on this background that the study sought to investigate how primary care nurses practice affect clinical competency in emergency maternal, obstetric, and new born care skills in Nakuru county. Madeleine Leininger’s Transcultural Theory of Nursing anchored the study. It deployed correlational cross-sectional survey design, targeting midwives and nurses in 184 KEPH level II and III facilities in all the 11 sub counties in Nakuru County. The study used stratified sampling technique to sample 126 health facilities distributed in every Sub County. A sample size of 196 primary health care nurses from the sampled facilities were involved. Key informant interview and questionnaires were used to collect both qualitative and quantitative data. To analyze data, SPSS version 26 was used to generate inferential and descriptive statistics, correlation analysis was carried using multiple regression model to ascertain the relationship between dependent and independent variables. Results found that Maternal and newborn care practice was found to have a significant positive relationship with competence in EmONC skills. (P<0.05). This was achieved through clean and safe delivery, thermal care and cord care which were carried out in KEPH level II and III facilities. It was concluded that maternal and neonatal care practices had positive significant relationship with competent EmONC. The study advised that the practice of fundamental maternal and newborn care has to be improved. The primary care nurses should be culturally competent in engaging the community members. Through community-based health care efforts, mothers need to be sensitized about delayed bathing, umbilical cord care, feeding, and thermal care for newborns. Further, County Government of Nakuru should support programs that enables primary health care nurses pursue maternal and neonatal care courses. County Government of Nakuru should ensure ambulance services are easily accessible to all, equipment availability at all time, consistent supply of all drugs needed and the need to create awareness among women, family and community members on newborn and early neonatal care

Cultural practices and beliefs followed for new born care in Santhal pargana - A cross sectional study.

Newborn care practices and beliefs vary word-wide, country to country and region to region. These care practices play a vital role in morbidity and mortality of newborn. A descriptive cross-sectional study was conducted to assess the newborn care practices and beliefs of newborn care. Data was collected from 429 post-natal mothers, who delivered in selected government hospitals of Santhal parganas, Deoghar, Jharkhand. Convenience sampling technique was used to collect the data from February 2023 to April 2023. Findings of the study are, 86.9% mothers accepted that they massage the baby with oil before bath, 89.3% participants have given breastfeeding within one hour of delivery, 93.7% have given prelacteal feeds to the newborn. Applying Heeng (Asafoetida) over the umbilicus was found a common practice to cure the abdominal pain, 70.8% accepted that they apply ashes or powder or cow dung on the umbilical cord, and 88.3% rub the dough on baby's skin to remove excess hairs, 99.3% mothers had firm belief that hot and cold foods in their diet could harm the baby. In continuation 98.8% believed that tooth eruption is associated with diarrhoea, 95.6% are applying kajal in the eyes of new born. Majority 98.8% believed that baby's skin should be exposed to sunlight in case of jaundice and 94% avoid dressing of new born with yellow clothes. Continuous Health Education programs must be organized in Community to Educate the people about beneficial and harmful newborn care practices, which will help to reduce morbidity and mortality in newborn.

A Study to Assess the Effectiveness of Standard Protocol Guideline regarding New Born Care in Terms of Knowledge among Staff Nurses Working at Selected Hospitals of Bharuch City

A Study to Assess the Effectiveness of Standard Protocol Guideline regarding New Born Care in Terms of Knowledge among Staff Nurses Working at Selected Hospitals of Bharuch City

Newborn care knowledge and practices among care givers of newborns and young infants attending a regional referral hospital in Southwestern Uganda.

A child born in developing countries has a 10 times higher mortality risk compared to one born in developed countries. Uganda still struggles with a high neonatal mortality rate at 27/1000 live births. Majority of these death occur in the community when children are under the sole care of their parents and guardian. Lack of knowledge in new born care, inappropriate new born care practices are some of the contributors to neonatal mortality in Uganda. Little is known about parent/caregivers' knowledge, practices and what influences these practices while caring for the newborns. We systematically studied and documented newborn care knowledge, practices and associated factors among parents and care givers. To assess new born care knowledge, practices and associated factors among parents and care givers attending MRRH. We carried out a quantitative cross section methods study among caregivers of children from birth to six weeks of life attending a regional referral hospital in south western Uganda. Using pretested structured questionnaires, data was collected about care givers' new born care knowledge, practices and the associated factors. Data analysis was done using Stata version 17.0. We interviewed 370 caregivers, majority of whom were the biological mothers at 86%. Mean age was 26 years, 14% were unemployed and 74% had monthly earning below the poverty line. Mothers had a high antenatal care attendance of 97.6% and 96.2% of the deliveries were at a health facility Care givers had variant knowledge of essential newborn care with associated incorrect practices. Majority (84.6%) of the respondents reported obliviousness to putting anything in the babies' eyes at birth, however, breastmilk, water and saliva were reportedly put in the babies' eyes at birth by some caregivers. Hand washing was not practiced at all in 16.2% of the caregivers before handling the newborn. About 7.4% of the new borns received a bath within 24 hours of delivery and 19% reported use of herbs. Caregivers practiced adequate thermal care 87%. Cord care practices were inappropriate in 36.5%. Only 21% of the respondents reported initiation of breast feeding within 1 hour of birth, Prelacteal feeds were given by 37.6% of the care givers, water being the commonest prelacteal feed followed by cow's milk at 40.4 and 18.4% respectively. Majority of the respondents had below average knowledge about danger signs in the newborn where 63% and mean score for knowledge about danger signs was 44%. Caretaker's age and relationship with the newborn were found to have a statistically significant associated to knowledge of danger signs in the newborn baby. There are variable incorrect practices in the essential new born care and low knowledge and awareness of danger signs among caregivers of newborn babies. There is high health center deliveries and antenatal care attendance among the respondents could be used as an opportunity to increase caregiver awareness about the inappropriate practices in essential newborn care and the danger signs in a newborn.

IJCM_72A: A study on newborn care practices and associated factors influencing their health in urban slums of Kurnool city, Andhra Pradesh.

Background: Neonate is essential time for child to grow. Worldwide, Neonatal mortality are estimated to be about 3 million due to insufficient care. In 2021, 2.3 million neonates have died in first four weeks of life, roughly 6400 neonatal deaths per day. Lack of knowledge in new born care, inappropriate new born care practices are some of the contributors to neonatal mortality. Newborn care practice interventions can prevent neonatal deaths. Understanding the community and traditional newborn care practices is necessary to implement effective programme for promotion of newborns health. Hence present study was done to describe selected newborn care practices in urban slums of Kurnool. Objectives: To assess Newborn-Care Practices and to determine the relationship between Newborn-Care Practices and selected socio-demographic variables. Methodology: A Community-based, Cross-sectional study was done among 220mothers who were residing in urban slums of Kurnool City, Data were collected between October 2023 to November 2023 using Semi-structured questionnaire by Simple Random sampling technique. IEC permission was obtained. Written informed consent was obtained from participants. Data were analyzed using SPSS-Version23. Results: Mothers who were practicing delayed-bathing were observed in the age group 18-24 years 135(61.36%)followed by 25-30 years 60(27.2%),the difference was statistically significant(x2=9.84)(p=0.043),Safe cord care practices were observed more among 18-24 years132(60%),it was found to be statistically significant(x2=23.5)(p=<0.001). Early initiation of breast feeding was more common among age group 18-24 years93(42.2%), it was found to be statistically significant(x2=6.51)(p=0.039). Conclusion: The practice of essential newborn care still needs to improve in Bareilly; There is strong need to implement community-based interventions to improve the newborn care practices & to reduce the high-risk newborn care practices like unsafe cord care, delayed breast feeding, early bathing, Prelacteal feeding & discarding colostrum need through health workers.

Assess the Effect of Educational Intervention Regarding Knowledge of Essential New-born Care among the G.N.M 3rd Year Students

Objectives: To assess the knowledge on essential new-born care among the G.N.M 3rd Year nursing students. To evaluate the effectiveness of planned teaching programme regarding knowledge of Essential New-born Care. To associate the Pre-test- Post-test level of knowledge of students regarding Essential New-born Care. Materials and Methods: The Pre- experimental with one group pre-test post-test design was used on 75 students of class G.N.M 3rd year were included in the study, each student were given structured teaching program on essential new-born care. The socio demographic data was collected. The knowledge level of students of G.N.M 3rd year was assessed by structured questionnaire. Descriptive statics and inferential statistics were used to analyses the data. Results: Findings related to planned teaching program by comparing pre-test and post-test knowledge level of the students of G.N.M 3rd year students. There was no significant association exist in age group of 17-35 years at p value <0.05. According to knowledge level of pre-test among 75 students of age group 17-35 years, the 2.7% students were having inadequate knowledge 88% were having moderately adequate knowledge and 9.3% were having adequate knowledge regarding selected aspects of essential new born care. According to post-test level of knowledge, the 0 %students were having inadequate knowledge. 22.7% students were having moderately adequate knowledge and 77.3% were having adequate knowledge regarding selected aspects of essential new-born care. The data shows that there was significant difference between level of knowledge with age (1.380), education (1.614), previous knowledge (0.353), source of knowledge (2.730), place of residence (0.215). Conclusion: The following conclusions were made on the basis of the finding of the study: there was significant difference in the pre-test and post-test knowledge level regarding selected aspect of essential new-born care.There was no significant association existing in students of age group 17-35 years at p value< 0.05. According to knowledge level of pre-test among 75 students of age group 17-35 years, the 2.7% students were having inadequate knowledge 88% were having moderately adequate knowledge and 9.3% were having adequate knowledge regarding selected aspects of essential new born care. According to post-test level of knowledge, the 0 %students were having inadequate knowledge. 22.7% students were having moderately adequate knowledge and 77.3% were having adequate knowledge regarding selected aspects of essential new born care There was no significant association existing in knowledge level of students of age group 17-35 years at p<0.05.

Clinical features and outcomes of patients with preeclampsia and eclampsia at Gondar University hospital, Amhara, Ethiopia 2021

ObjectiveThe aim of this study was to investigate the clinical features, and treatment outcome of women with preeclampsia and eclampsia at Gondar University Comprehensive Specialized Hospital in Amhara, Northern Ethiopia, in 2021. MethodsAn institutional-based retrospective chart review was conducted at Gondar University Specialized Hospital from March to June 2021. The study participants were chosen using a simple, systematic random sampling method. A pretested check list was used to collect data from medical records. The collected data was coded, entered into Epi-data version 4.6, and exported to SPSS version 26 for descriptive and inferential analysis. A Fisher’s exact test was used to determine statistically significant factors at a p-value of < 0.05. ResultsOf the 311 study participants, more than half (53 %) of mothers have illiterate, nearly half (49.8 %) had preeclampsia with severe features. Eclampsia accounted for 18.6 % of females in the study setting. For various reasons, more than half of the mothers required immediate intervention to terminate the pregnancy via cesarean section. Unfavorable maternal outcomes were present in more than 25 % of cases; the observed unfavorable maternal outcomes were aspiration pneumonia (10.6 %), hemolytic elevated liver function test and low platelet count syndrome (8.7 %), and maternal death (0.6 %). The severity of the disease, mode of delivery, aspartate transaminase, gravidity, gestational age, and antenatal care were all statistically significant predictors of pregnancy outcome. ConclusionThe prevalence of unfavorable maternal and perinatal outcomes of preeclampsia and eclampsia is considerable in the study area. To prevent these perinatal and postnatal effects, maternal outcomes of pregnancy, antenatal care services, emergency obstetrics, and new born care should be expanded and strengthened.

Morbidity profile and outcome of new-born admitted in sick newborn care units of Uttar Pradesh, India

Introduction and aim. Reduction in child morbidity and mortality is result of upgradation of infrastructure and quality of public health care services. India alone accounts for 30% of the global neonatal deaths occur in India that occurs due to preventable cause. So, the aim of this study was to assess the pattern and status of neonatalmortality observed in SNCUs of Uttar Pradesh, India. Material and methods. Descriptive study was conducted based on secondary data obtained from sick new born care units (SNCU) online database from 89 Government-supported SNCUs of Uttar Pradesh, from April 2014 to March 2016. Data obtained included age, weight, sex, diagnosis, and outcome. Results. 22933 neonates admitted in SNCU were included in study with 14269 (62.2%) were males and 8664 (37.8%) females. Majority of the subject (20070; 87%) were in 0-5 days old age group. Most (72.5%) of admitted new-born improved and discharged. Low birth weight was significantly (χ 2 = 1334.2, p&lt;0.001) related with outcome. Birth asphyxia contributed to maximum (36.11%) number of deaths, followed by respiratory distress syndrome (25.21%), sepsis (15.38%), prematurity and extremely low birth weight (5.8%). Conclusion. Improved antenatal care, improved access to health facility, timely referral of high-risk cases, capacity building, intensive interventional management can reduce neonatal mortality and its complications. Study also warrants, in-depth community-based qualitative study to identify gender-specific, equity issues.

Evaluation of etiology and clinical spectrum of respiratory distress in neonates admitted in tertiary care NICU

Background: Neonatal period is defined as up to first 28 days of life and further divided into very early (birth to &lt;24 h), early (birth to &lt;7 days), and late neonatal period (7 days to &lt;28 days). Neonatal period is the most vulnerable period of human life as it accounts for very high morbidities and mortalities and most of these are preventable. India contributes to one-fifth of global live births and more than a quarter of neonatal deaths. Respiratory distress is most common cause of NICU admission Aim of current study was to determine the etiology of respiratory distress in neonates presenting in NICU, clinical spectrum of respiratory problems in neonates having respiratory distress and the management of respiratory distress. Methods: The present study was a prospective, observational, comparative study. This study was conducted from January 2019 to October 2019 at Mata Channan Devi hospital Janakpuri, New Delhi. 80 patients were included in this study. Results: In our study 93.75% cases of respiratory distress was of respiratory origin, while 3.75% was due to cardiac cause and 2.5% was central nervous system due to birth asphyxia and in our study group most common clinical finding of respiratory distress was tachypnea found in 97.5% of patients. Result showed, overall incidence of respiratory distress among in borns was 10.34%. In our study TTNB was most common cause of respiratory distress among new born. Conclusions: There was no significant difference of incidence in male and female babies. The etiology varies with gestational age. In spite of all advances in primary maternal care, delivery and early new born care respiratory distress is still the most common cause of morbidity and NICU admission in newborn babies.

An Exploratory Study to Assess the Knowledge and Attitude regarding New Born Care among the Fathers of Neonates in Selected Hospitals in Ahmedabad with a View to Develop a Health Education Module

From conception babies form a lifelong bond with their fathers, however forming a bond with the father takes effort and involvement with an infant on the father's part. Sharing in the care of the infant with the father is a proven way to build a special father-child bond. The descriptive study attempts to assess the knowledge and attitude regarding newborn care among fathers of neonates who are residing at selected hospitals in Ahmedabad with a view to develop a health education module. The study involved single group test without a control, using non-experimental descriptive design, with non-probability convenient sampling. 60 fathers were involved in data collection by using structured questionnaire. The study came to an end by implementation of health education on newborn care and the results were described using descriptive and inferential statistics.

Case Studies on Maternal &amp; Newborn Care among Recently Delivered Women of Scheduled Caste Community through the Role of ASHA in Banda District of Uttar Pradesh, India

Case Studies on Maternal &amp; Newborn Care among Recently Delivered Women of Scheduled Caste Community through the Role of ASHA in Banda District of Uttar Pradesh, India

Comprehensive emergency management of obstetric and newborn care program implementation at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2021: an evaluation study

BackgroundMaternal healthcare service is the care given for the woman during her gestation, delivery and postpartum period. The Maternal Mortality Ratio (MMR) was remains high and a public health problem in Ethiopia. Sub-Saharan African (SSA) countries account two-thirds of the global total maternal deaths. To curb such high burden related with child births, comprehensive emergency obstetric care is designed as one of the strategies for maternal healthcare services. However, its implementation status was not well investigated. This study aims to evaluate the implementation of comprehensive emergency obstetric and new born care program in terms of Availability, compliance and acceptability dimensions at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia.MethodsA single case study design was employed from 01 to 30 April 2021. A total of 265 mothers who gave birth at University of Gondar Comprehensive Specialized Hospital (UoGCSH) during the data collection period for acceptability, 13 key informant interviews (KIIs), 49 non-participatory observations (25 observations during C/S performance and 24 assisted spontaneous vaginal deliver) and 320 retrospective document review were conducted. Availability, compliance and acceptability dimensions were evaluated using 32 indicators. Binary logistic regression model was fitted to identify factors associated with acceptability of the services. Adjusted Odds Ratio (AOR) with 95% confidence interval (CI) and p-value < 0.05 were also used to identify associated variables with acceptability. The qualitative data were recorded using tape recorder, transcribed in Amharic and translated to English language. Thematic analysis was done to supplement the quantitative findings.ResultsThe overall implementation of comprehensive emergency obstetric and newborn care (CEmONC) was 81.6%. Moreover, acceptability, availability and care provider’s compliance with the guideline accounted 81, 88.9 and 74.8%, respectively. There were stocked-out of some essential drugs, such as methyldopa, nifidipine, gentamycin and vitamin K injection. CEmONC training gaps, inadequate number of autoclaves, shortage of water supply and long-distance delivery ward to laboratory unit were also the barriers for the CEmONC service. Short waiting time of clients (AOR = 2.40; 95%CI: 1.16, 4.90) and maternal educational level (AOR = 5.50, 95%CI: 1.95, 15.60) were positively associated with acceptability of CEmONC services.ConclusionThe implementation status of CEmONC program was good as per our judgment parameter. Compliance of healthcare providers with the guideline was fair and needed improvement. Essential emergency drugs, equipment and supplies were stocked-out. The University of Gondar Comprehensive Specialized Hospital was therefore had better to give great emphasis to expand maternity rooms/ units. The hospital had better to avail the resources and provide continuous capacity building for healthcare providers to enhance the program implementation.

Case Studies on Maternal &amp; Newborn Care among Recently Delivered Women of Scheduled Caste Community through the Role of ASHA in Saharanpur District of Uttar Pradesh, India

Case Studies on Maternal &amp; Newborn Care among Recently Delivered Women of Scheduled Caste Community through the Role of ASHA in Saharanpur District of Uttar Pradesh, India

Case Studies on State and District Level Stakeholders Perspective on Home Based Newborn Care Program in Uttar Pradesh, India

Case Studies on State and District Level Stakeholders Perspective on Home Based Newborn Care Program in Uttar Pradesh, India

Case Studies on Maternal &amp; Newborn Care among Recently Delivered Women of Scheduled Caste Community through the Role of ASHA in Gonda District of Uttar Pradesh, India

When ASHAs were introduced in NRHM in 2005, their primary aim was to visit homes of newborns as the first program in UP operated through the ASHAs was the Comprehensive Child Survival Program in 2008. Since then, tracking of all deliveries and all the newborns are an integral part of the work of ASHAs in all the primary health care programs operated by the NHM in UP. Evaluation studies on the performance of ASHAs was done since 2011 as by then ASHAs had actually worked in the field for a minimum period of 5 years. It is to be noted that National Rural Health Mission was rolled out in April 2005 but it took about one to two years for the states to hire ASHAs and put things in place right from the state to the village level. In this article, a comprehensive feedback is elicited from the mothers of Scheduled Caste (SC) community from the last visit of ASHAs to their homes to visits during pregnancy &amp; newborn care in Gonda district of UP. The current study explores some of the crucial variables through five case studies on the performance of ASHAs through their message delivery &amp; visits during natal, newborn care of mothers of Scheduled Caste (SC) community. The article also includes the feedback of the SC community mothers on the work &amp; approach of ASHAs. That’s how the perception of the Recently Delivered Women of SC community in the state of UP is included in this article. The mothers of SC community responded about the performance based upon their experience in visits &amp; messaging by ASHAs on Janani Surakhya Yojana (JSY), New Born Care (NBC) &amp; Routine Immunization (RI) as these were the frontline programs for the states. The responses of these mothers or Recently Delivered Women (RDW) (as named for the current study) had a 3 to 6 months old child during the time of survey. They were selected as respondents as they were from SC community &amp; were in a position to recollect the health care events of their children. The relevance of the study assumes significance as .....

Utilization of Antenatal Services among Postnatal Mothers.

Antenatal care is medical supervision and care given to pregnant women to ensure, support and maintain maternal and fetal well-being throughout the pregnancy. Therefore, this study was done to find out the utilization of antenatal services among postnatal mothers. The descriptive cross sectional study design was used to identify the utilization of antenatal services among postnatal mothers who came in Maternal and Child Health Clinic for the immunization of baby. Total 367 postnatal mothers within one year of childbirth were recruited by simple random sampling technique, and data was collected with face-to-face interview by using semi structured interview schedule. Analysis was done by using descriptive and inferential statistics. All postnatal mothers consumed iron and folic acid during pregnancy, 96.2% consumed until the childbirth, 94.0% got freely, 97.0% taken anti helminths drug, 98.1% did urine test, 98.1% did blood test, 97.8% got ultrasound service, and 96.5% received Td vaccine. Likewise, higher proportion had checked weight 98.6% and lower proportion had checked height 86.9%. Similarly, majority 90.2% received counselling on danger signs and only 26.2% received the counselling on preparation of items safe delivery and care of newborns. There is significant association of antenatal care service utilization with postnatal mothers' educational level and her husband's occupation (P<0.05 level). Although most of the postnatal mothers utilized antenatal care services, some aspect of antenatal education and counselling need to be improved such as preparation of item for delivery and new born care, finance, and blood donors.

A comparative study of knowledge of accredited social health activist (ASHA) workers regarding child health services working in rural and urban areas of a block of Haryana

National Rural Health Mission (NRHM) has created a cadre of trained female community health activists called Accredited Social Health Activist (ASHA) to strengthen the health care system and to mobilize community towards increased utilization of existing health services. The contribution of the Accredited Social Health ActivistASHA) to the achievement of the country’s targets for new-born &amp; child health services is critical. The present study was planned with objective to assess &amp; compare the level of knowledge of ASHA workers regarding child health services working in rural and urban areas of a block of Haryana. The present cross-sectional, community-based study was conducted in block Barwala, district Hisar of Haryana. The assessment of knowledge of ASHA workers was done on the basis of scoring. Appropriate statistical tests like percentages and chi-square (χ2) test were applied. Regarding child health services majority of ASHA workers had good knowledge, assessed by score gained by them and none of them was having poor knowledge about child health services. However, in rural area score gained was better than urban area &amp; the observed difference was found to be statistically significant. Majority of ASHA workers either working in rural or urban areas, were having inadequate knowledge about identification of danger signs during diarrhoea &amp; acute respiratory infection in a child and danger signs of new born. They had adequate knowledge regarding cord stump care; breast Feeding practices; routine Immunization; Vitamin A supplement and home based post natal care (HBPNC) visits. Inadequate knowledge of ASHA workers regarding new born care should be taken into consideration. Supportive supervision should be done in their working area.

New Born Care with Ayurveda: A Review

New born babies or neonates truly constitute the foundation of human life. They have unique health issues and problems due to structural and functional immaturity of various body organs depending upon their gestational age and birth weight. Neonatal death occurs in approximately 1 in 250 births. Africa and Southeast Asia represent approximately two thirds of neonatal deaths, with the largest number of new born deaths in South Asia and the highest rates of neonatal mortality in Sub-Saharan Africa, similar to child deaths. India contributes 25% of the world’s neonatal deaths. Three causes of neonatal death are responsible for approximately 75% of neonatal deaths: prematurity 28%, sepsis and pneumonia 26%, and asphyxia 23%. Care of the new born is described by both Ayurvedic and modern texts in detail. In ancient texts, Acharyas gave their opinions on every aspect of the care of new born (Navjat Shishu Parichariya) which starts from birth till new born attends full stability. The procedures involved in the Care of new born are Ulva parimarjana, Pranapratyagamana, Snana, Mukha vishodhan, Pichudharan, Garbhodaka vamana, Nala chedana, Jatakarma, Raksha karma, Suwarna prasana. With advancement of researches, all these techniques are getting scientific validation. Like Udaka Kumbha sthapana mentioned in Jatakarma can be understood with recently evolved “head cooling technique” for new born. Hence these or ancient wisdom regarding resuscitation, prevention of hypothermia, aspiration and infections and promotion of rooming in and early initiation of breast feeding will be dealt along with scientific evidences in this study.

Maternal satisfaction with basic emergency obstetric and new born care services and associated factors among mothers visiting public health facilities in Gedeo zone, Southern Ethiopia, 2020: A cross sectional study

IntroductionMeasuring clients’ satisfaction is important for improving healthcare services, and providing feedback on the quality, availability, and responsiveness of healthcare services. ObjectiveTo determine the level of maternal satisfaction with BEmONC services and associated factors among mothers visiting public health facilities in Gedeo zone, Southern, Ethiopia 2020. MethodsInstitution-based cross-sectional study was conducted among 413 mothers selected via a systematic random sampling technique. The data was collected through interviews using a structured questionnaire. Data were coded, entered, and cleaned using Epi- Info version 3.1 and analyzed using SPSS version 20. Binary logistic regression was used to identify the association between the dependent variable and independent variables. Variables that had P ≤ 0.25 on the bivariate binary logistic analysis were considered as candidates for multivariable binary logistic analysis. Variables, p-value < 0.05 with 95 % CI in multivariable binary logistic analysis, were considered statistically significant. ResultOverall mothers' satisfaction with BEmONC service in this study was 44.8 % at 95 %CI (39.7 %-49.4 %). Age ≥ 35 years and above [AOR = 3.44, 95 %CI (1.32, 9.97, presence of birth companion [AOR = 1.66, 95 %CI (1.02, 2.72)] were significantly associated with client satisfaction with BEmONC service. ConclusionThe overall satisfaction of mothers with BEmONC service in this study was sub-optimal. Maternal age and the presence of birth companions were factors that were significantly associated with mothers’ satisfaction with BEmONC service. The government has to emphasize working to improve the quality of basic emergency maternal obstetric and newborn care to improve maternal satisfaction and utilization.