Care Baby Research Articles

PENGARUH IKLAN MEDIA SOSIAL INSTAGRAM (INSTAGRAM ADVERTISEMENT) DAN ELECTRONIC WORD OF MOUTH (EWOM)TERHADAP MINAT BELI DI AYRIN MOMS & BABY CARE

This study aims to find out: (1) Instagram advertisement on buying interest at Ayrin Moms & Baby Care, (2) electronic word of mouth on buying interest at Ayrin Moms & Baby Care, (3) Instagram advertisement and electronic word of mouth on buying interest at Ayrin Moms & Baby Care. This research is a research of descriptive analysis using quantitative approach. Data collection using a questionnaire. The sample, in this study numbered 60 people and used probability sampling methods. Test validity using Alpha Cronbach. Data analysis uses multiple linear regressions. The results found that: (1) Instagram advertisement has a positive and significant effect on buying interest obtained Sig value. 0.016 < 0.05 identifies that H0 is rejected and H1 is accepted. (2) Electronic Word of Mouth has a positive and significant effect on buying interest obtained Sig.t value of 0.000 < 0.05 which identifies that H0 is rejected and H1 is accepted. (3) Instagram advertisement and electronic word of mouth jointly give a positive and significant influence on buying interest. The contribution orsimultaneous contribution of Instagram Advertisement variables and Electronic word of mouth to buying interest was 72.1% while 27.9% was determined by other variables that not researched in this study.

Improving Awareness of Safe Sleeping Practices for Babies on a Mother and Baby Psychiatric Unit

IntroductionSIDS is the sudden, unexpected and unexplained death of a baby. Safe sleeping practices can help to reduce a baby’s risk of SIDS. At the Coombe Wood Mother & Baby Unit (MBU), it was found that many patients were opting to co-sleep with their babies which contradicts safe sleeping guidelines.ObjectivesTo improve patient awareness of the condition SIDS and to implement an interactive training session improving awareness of safe sleeping practices for babies. To improve patients’ confidence in implementing safe sleeping practices for their babies; thus reducing the risk of SIDS occurring.MethodsThe Lullaby Trust™ is a charity that raises awareness of SIDS and provides expert advice on safe sleep for babies. An interactive training session for patients was organised by incorporating published materials from The Lullaby Trust™, facilitated by medical and occupational therapy staff on the MBU. The participants filled out a pre-training and post-training questionnaire to test the effectiveness and quality of the training session.ResultsThe participants’ average level of confidence in knowing and applying safe sleeping practices for their babies doubled following the training session (from 2.3→4.8 and 2.6→5 respectively, with 5 meaning “Very Confident.”) The average level of knowledge of SIDS also increased from 1.6→4.4 (with 5 meaning “A Lot” of Knowledge.)ConclusionsWe were surprised at the low level of knowledge and confidence the patients had regarding safe sleeping practices for their babies. This project shows how interactive, ward-based training can be an effective way to engage and stimulate patients into improving the safety of their baby care.DisclosureNo significant relationships.

Trajectory patterns and factors influencing perinatal fatigue among Chinese women from late pregnancy to 6 months after delivery.

BackgroundPerinatal fatigue among women is related to the clinical outcomes of mothers and infants. Perinatal fatigue changes over time, and the trajectory varies according to the predictors and outcomes of the mothers. This, however, has not been documented in any study.ObjectivesThis study aimed to identify and characterize the trajectory patterns of perinatal fatigue among women from late pregnancy to 6 months after delivery.MethodsWe used growth mixture modeling to estimate the trajectory of perinatal fatigue at 28 gestational weeks (T0), 37 gestational weeks (T1), 3 days (T2), 1 week (T3), 6 weeks (T4), and 6 months (T5) after delivery with (n = 1,030). The Mann-Whitney U test and binary logistic regression were used to tie the selected trajectory classes to predictors and outcomes.ResultsThere were two distinct patterns of perinatal fatigue in women: “persistently high” (11.1%, n = 114) and “persistently low” (88.9%, n = 916). Levels of perinatal fatigue among women in the “persistently high” group were higher than those in the “persistently low” group across the six measurements. Complications, fatigue at T0, and employment status in late pregnancy were all significant predictors of trajectories. Additionally, the “persistently high” group had a greater prevalence of difficult baby care and weight retention and a lower prevalence of exclusive breastfeeding.ConclusionsOur study proved the heterogeneity and characteristics of perinatal fatigue among women. Future research should concentrate on developing intervention packages targeted at specific individuals in order to alleviate perinatal fatigue in women.

Impact of Obstetric Communication on Decision-to-Delivery Time.

In obstetric emergencies, care coordination is critical in achieving a "decision-to-delivery" time of 30 minutes. Reliable communication is essential to optimize coordinated care of mother and baby. Clinical mobility (CM) platforms have been shown to improve communication during medical emergencies; however, their impact on improving decision-to-delivery times has not been shown. This study aimed to determine the impact of a new CM platform on decision-to-delivery time. A multidisciplinary team designed a CM platform that employs a wall-mounted panel paired with mobile technology to alert all relevant clinical staff. This new platform uses in-room preprogrammed messages that alert predetermined responders matching the emergency. For example, the "STAT section" button summons doctors (obstetrics, anesthesiology, and neonatology), obstetric nurses, and newborn resuscitation staff via smartphones. Impact of this platform was assessed with process and outcome data: cord artery pH, 5-minute Apgar's score; and decision for cesarean section to time of: skin incision, uterine incision, and delivery. This pre- and postimplementation study (October-September 2018 vs. January-December 2019) centered on the opening of our new Obstetric Care Unit. Data were analyzed with Chi-square and Mann-Whitney U-test. Emergent cesarean delivery was performed in 172 women pre- and 124 postimplementation of the new CM platform. In postimplementation, we observed a 7.4-minute reduction in time from decision-to-delivery (26 pre- vs. 18.6 minutes postimplementation, p = 0.001). Delivery within 30 minutes improved by 15.2% (p = 0.018). Times to skin and uterine incision were also significantly reduced. The two groups had similar neonatal outcomes: birth weight, Apgar's score at 5 minutes, and cord artery pH did not differ, but the study was underpowered to compare these outcomes. This new CM platform significantly reduced decision-to-delivery time, in turn improving compliance with the "30-minute rule." All relevant personnel were contacted specifically, while avoiding overhead paging and other unnecessary messages. · Obstetric communication via a clinical mobility platform shortens the delivery to delivery interval. · Obstetric communication systems via an information technology (IT)-system results in a higher frequency of deliveries within 30 minutes.. · Communication systems may be a useful tools to synchronously call multiple services to respond..

0187 Brain Connectivity and Parenting: Association between Familial Factors and Sleep EEG Coherence in Infancy

Abstract Introduction Brain connectivity is tied to cognitive development and behavior. Previous work suggests that interactions with the environment tune the maturing patterns of brain connectivity. As the relevant environmental factors remain largely unknown, we examined whether the sleep-related familial context is associated with infant brain functional connectivity measured through sleep EEG coherence. Methods At-home 124-channel sleep EEG was recorded in 31 healthy infants aged 5.5 to 7.4 months (mean age=5.9±0.5mo; 15 females). Coherence was calculated for the first 80 20-second epochs of NREM sleep in delta (0.75–4.25Hz) and sigma (9.75–14.75Hz) bands, frequencies undergoing pronounced maturational dynamics. We averaged coherence within three regions over the frontal lobe (left, central, right) identified as regions with the strongest connectivity through data-driven clustering. For these regions and bands, linear regression models quantified the association between coherence and familial context, i.e., scores from the Brief Infant Sleep Questionnaire (i.e., sleeping arrangement and bedtime routine), Baby Care Questionnaire (i.e., Structure and Attunement subscales reflecting parental principles regarding infant sleep regularity), Maternal Cognitions about Infant’s Sleep (i.e., total score), age and sex. The best-fitting model was selected through backward selection (Akaike information criterion). Results Surprisingly, sex was the most consistent contributor across regions and bands, with girls exhibiting greater coherence than boys (FDR-corrected 0.004≤p≤0.038). Furthermore, older infants showed lower sigma coherence over the right frontal lobe (FDR-corrected 0.002≤p≤0.004). Additionally, infants co-sleeping with parents or siblings demonstrated lower delta and sigma coherence over the right frontal lobe than infants sleeping in their own bed (FDR-corrected 0.001<p≤0.025). Similarly, fewer maternal worries regarding the infant’s sleep were associated with lower sigma coherence in the right frontal region (FDR-corrected p=0.014). Finally, more regular bedtime routines were linked to increased delta coherence over the left frontal lobe (FDR-corrected p=0.014). Conclusion Based on previous observations indicating that in healthy children the right hemisphere develops first with a subsequent shift in asymmetry to the left, we propose that environmental factors such as co-sleeping, fewer parental worries, and more structured sleeping routines in infancy may serve as targets for early interventions to support this process and thereby healthy brain development. Support (If Any) This work was supported by the Swiss National Science Foundation (PCEFP1 181279) and the University of Zurich (Medical Faculty; Forschungskredit FK 18 047; Stiftung für wissenschaftliche Forschung STWF 17 008).

The use of out-of-hours primary care during the first year of the COVID-19 pandemic

BackgroundIn the Netherlands, General Practitioners (GP) are usually the first point of contact with a health professional for most health problems. Out-of-hours (OOH) primary care is provided by regional OOH services. Changes in consultation rates at OOH services may be regarded as a warning system for failures elsewhere in the healthcare system. Therefore in this study, we investigated how the COVID-19 pandemic changed the use of primary care OOH services during the first year of the pandemic.MethodsRoutine electronic health records data were used from 60% of OOH services in the Netherlands, collected by the Nivel Primary Care Database. We compared consultation rates per week (2020) for COVID-19-like symptoms and other health problems (e.g. small traumas, urinary tract infections), for different age groups, the proportion of remote consultations, and different levels of urgency during the pandemic compared to the same period in 2019.ResultsThe number of consultations for COVID-19-like symptoms peaked at the start of the COVID-19 pandemic, while consultations for other health problems decreased. These changes in consultation rates differed between age groups. Remote consultations took place more frequently for all health problems, while the proportion of non-urgent health problems increased.ConclusionThere were significant changes in the number of consultations and the proportion that were remote for COVID-19-like symptoms and other health problems. Especially care for babies and young children decreased, while the number of consultations for older adults remained stable. The continued use of OOH services by older adults suggests there were unmet care needs elsewhere in our healthcare system.

Sustaining prolonged kangaroo mother care in stable low birthweight babies over 2 years in a predominant outborn unit: a quality improvement approach

BackgroundKangaroo mother care (KMC) is a proven intervention for improving intact survival in low birthweight babies. Despite the evidence, its adoption and implementation have been low. Availability of mothers for...

Safe care for premature babies at home: Parenting and stimulating development.

Parental daily care and adequate stimuli are extremely important for development and safety of premature babies at home. This study aimed to analyze safe home care for babies born under 32weeks from parents' perspectives, with a view to a longitudinal promotion of baby development. A qualitative study, based on philosophical hermeneutic approach proposed by Hans-Georg Gadamer, in which dialogue as a principle provides understanding and fusion of experiences and knowledge. Semi-structured interviews were conducted with 18 parents of premature babies under 1year of age. Thematic analysis proposed by Braun and Clarke was applied using an inductive approach. Elements related to safe care were identified: home arrival, safe home care: preserving baby health and development, support for safe home care, and development of parental care to promote baby safety. These elements can provide a basis for safe home care that needs to be reinforced longitudinally to increase particularities of baby protection, avoid accidents and illnesses, and improve appropriate developmental stimuli and positive parenting.

Hemodynamic parameters after Delayed Cord Clamping (DCC) in term neonates: a prospective observational study.

BackgroundDelayed cord clamping (DCC) is practiced worldwide, as standard care in both term and preterm babies. Our aim was to determine the hemodynamic effects of DCC on transitional circulation.Material and methodsThis prospective observational study was carried out in a tertiary care hospital, at Pune, India, from May 2018 to October 2019.Term neonates born during the study period were included. The primary outcome variables of the study were right ventricular output (RVO), left ventricular output (LVO), superior vena cava (SVC) flow (ml/kg/min) and heart rate(HR) at 12 ± 6 and 48 ± 6 h of life measured by point of care functional echocardiography. Inter-observer and intra-observer variability was calculated for these parameters.ResultsOut of a total of 2744 deliveries during the study period, 620 babies were included. Mean gestational age of the enrolled babies was 38.96 ± 1.08 weeks and mean birth weight was 2.9 ± 0.39 kg. Mean heart rate of babies recorded at 12 ± 6 h of life was 127 beats per minute (bpm) whereas it was 128 bpm at 48 ± 6 h of life. RVO {mean (SD)} was 209.55(44.89) and 205.85(46.35) ml/kg/min, LVO {mean (SD)} was 133.68(31.15) and 134.78(29.84) ml/kg/min whereas SVC flow {mean (SD)} was 106.85(26.21) and 109.29(25.11) ml/kg/min at 12 ± 6 and 48 ± 6 h of life respectively. There was good intra-observer agreement in all the variables.SGA babies had a significantly higher heart rate at 12 ± 6 h of life as compared to AGA babies, although this difference in heart rate could not be appreciated at 48 ± 6 h of life. However SGA babies had a higher LVO, RVO and SVC flow than AGA babies at both the time points of observation.ConclusionAfter DCC there is less fluctuation in the hemodynamic parameters (heart rate, cardiac output) at the two time points of observation.. As compared to AGA babies, SGA babies had a significantly higher baseline heart rate, LVO, RVO and SVC flow. LVO of SGA babies after delayed cord clamping is found to be significantly lower than LVO seen in other studies, favoring the cardio-stabilizing effect of DCC.Brief rationaleThis is the first study with a large sample size evaluating the hemodynamic effects of DCC in term neonates by functional echocardiography. The normative data of heart rate and cardiac output of term, stable babies with small for gestational age(SGA) as a special subgroup undergoing DCC requires further evaluation.

Supporting the midwifery workforce: An evaluation of an undergraduate midwifery student employment model at a large tertiary maternity service in Victoria, Australia

BackgroundIn 2020, in response to major maternity workforce challenges exacerbated by the COVID-19 pandemic, the Victorian Department of Health implemented a number of workforce maximisation strategies, one of which was employment of undergraduate midwifery students called ‘Registered Undergraduate Student Of Midwifery’ (RUSOM). AimTo evaluate the RUSOM model implemented in a tertiary maternity service in Melbourne, Australia. MethodsA cross-sectional online survey was distributed to all RUSOMs and midwives at the study site in August 2021. FindingsTwenty of 26 RUSOMs (77%) and 110 of 338 permanent midwives (33%) responded. Both groups considered the model to be a positive workforce strategy that contributed to work readiness of students, and increased confidence and competence to practise. RUSOMS and midwives reported positives for the organisation including improving workload for midwives on the postnatal ward, enhancing quality of care and outcomes for women and babies, and the value of RUSOMs as team members. RUSOMs felt well supported, supervised and clinically and theoretically prepared. Both groups considered RUSOMs were underutilised, and that they could undertake additional duties, and both thought that the RUSOM model should continue. ConclusionThe model was highly valued by both RUSOMs and midwives. There was strong agreement that the model should continue and that the list of duties could be expanded. Given these findings, further research should explore the expansion and sustainability of RUSOMs in the maternity workforce.

Demographic correlates of paternal postpartum depression in Pakistani males

ABSTRACT Introduction Postpartum depression is a quite prevalent phenomenon in Pakistani males with an estimated prevalence rate of 28% as documented by a recent study conducted with males living in Karachi city. As more males are now engaging in the care of infant babies, therefore, the study of paternal postpartum depression is warranted. However, only one study was conducted with Pakistani males to find out the prevalence of paternal postpartum depression. Objective The present study was conducted to find out the demographic correlates of paternal postpartum depression in Pakistani males. Methods A total of 400 males were recruited from the major cities of Pakistan by using purposive, and snowball sampling from December 2020 to April 2021. The study used cross sectional survey research design. The males of 18-45 years age and having the recent birth of a baby in the past 1month to 1 year were included in the study. The age range of participating males was 18-45 years (M=28.50, SD=5.94) whereas the age range of their spouses was 16-43 years (M=24.98, SD=5.08). The informed consent, demographic information form, and Edinburgh Postnatal Depression Scale (EPDS) Urdu translated version were appended together using Google Form based questionnaire to collect the data. The EPDS Urdu translated version had good Cronbach Alpha reliability of .71. All the participants signed the informed consent before their participation in the survey. The Statistical Package for the Social Sciences (v25) was used to analyze the data by computing descriptive statistics, and analysis of variance (ANOVA). The value of p<.05 was considered as significant. Results The impact of participants age, age of the spouse, marital duration, birth order of recently born child, time spent at home, sleep duration, educational level, and employment type of participants were analyzed by using descriptive statistics, and analysis of variance. The ANOVA analysis revealed that age, age of spouse, time spent at home, and employment type had a significant impact on postpartum depression in participating males respectively (F(2,397)=6.65, p=.001, ηp2 =.03); (F(2,393)=5.97, p=.003, ηp2 =.02); (F(2,397)=6.23, p=.002, ηp2 =.03); (F(2,395)=9.69, p=.000, ηp2 =.04). On the other hand, marital duration, birth order of the recently born child, sleep duration and educational level of the participating males had no significant impact on the postpartum depression. The post hoc analysis revealed that younger age (18-27 years), younger age of spouse (16-25 years), time spent at home (<12 hours per day), and having a private job or personal business were found to be associated with greater postpartum depression in participating males as compared to middle age (28-45 years), middle age of spouse (26-43 years), time spent at home (≥12 Hours per day), and having a government job. Conclusions There are certain demographic variables which can impact the experience of paternal postpartum depression in Pakistani males. The further studies need to be carried out by including other variables too like social support. Disclosure Work supported by industry: no, by N/A.

Analysis Of Factors Related To Behavior Of Primary Mothers In Care Of Newborn Babies

Latar Belakang: Masa Neonatal adalah 28 hari pertama kehidupan manusia. Pada masa ini merupakan masa yang perlu mendapat perhatian karena terdapat angka kematian tertinggi. Perawatan bayi baru lahir seperti perawatan tali pusat, mengganti dan memakai popok, memandikan bayi, menggendong dan memposisikan bayi, menyusui, dan membedong bayi. Jika asuhan yang diberikan tidak baik dapat berdampak buruk pada bayi, ibu primipara kurang memahami cara merawat bayi baru lahir, karena rendahnya pengetahuan dan pengalaman ibu. Hal ini membuat ibu merasa takut, cemas, dan bingung dengan perasaan dan keyakinannya dalam merawat bayinya Tujuan : Penelitian ini untuk menganalisis faktor-faktor yang berhubungan dengan perilaku ibu primipara dalam merawat bayi baru lahir di Puskesmas Kalodran Kota Serang Provinsi Banten tahun 2021. Metode: Penelitian ini merupakan penelitian survei analitik dengan pendekatan cross sectional. Populasinya adalah 102 ibu primipara di Wilayah Kerja Puskesmas Kalodran tahun 2021 untuk periode Januari-April. Teknik pengambilan sampel yang digunakan adalah total sampling. Instrumen penelitian adalah angket dan data dianalisis menggunakan uji chi square. Hasil: Ada hubungan pendidikan, umur dan dukungan suami dengan perilaku ibu primipara dalam merawat bayi baru lahir dengan P Value : 0,000 < 0,05. Dan tidak ada hubungan antara pengetahuan dan perilaku ibu primipara dalam merawat bayi baru lahir dengan P Value 0,065 > 0,05. Kesimpulan: bahwa usia, pendidikan dan dukungan suami memiliki hubungan dengan perilaku ibu primipara dalam merawat bayi baru lahir. Pengetahuan yang baik tidak menjamin ibu dapat merawat bayinya dengan baik, hal ini juga dipengaruhi oleh faktor usia, pendidikan dan dukungan suami. Saran : Ibu primipara diharapkan dapat meningkatkan pengetahuannya dalam merawat bayi baru lahir sejak dalam kandungan, salah satunya dengan mengikuti kelas ibu hamil. Kata kunci: Perilaku, Ibu Primipara, Bayi Baru Lahir ABSTRACT Background:The Neonatal period is the first 28 days of human life. At this time is a period that needs attention because there is the highest mortality. Newborn care such as umbilical cord care, changing and wearing diapers, bathing the baby, holding and positioning the baby, breastfeeding, and swaddling the baby. If the care provided is not good, it can have a bad impact on the baby,primiparous mothers do not understand how to care for newborns, because of the mother's low knowledge and experience. This makes mothers feel afraid, anxious, and confused about their feelings and beliefs in caring for their babies Purpose :This study was to analyze the factors related to the behavior of primiparous mothers in caring for newborns at Kalodran Health Center, Serang City, Banten Province in 2021 Methods: This research is an analytical survey with a cross sectional approach. The population is 102 primiparous mothers in the Kalodran Health Center Work Area in 2021 for the January-April period. The sampling technique used was total sampling. The research instrument was a questionnaire and the data were analyzed using the chi square test. Results: There is a relationship between education, age and husband's support with the behavior of primiparous mothers in caring for newborns with P Value: 0.000 <0.05. And there is no relationship between knowledge and behavior of primiparous mothers in caring for newborns with P Value 0.065 > 0.05. Conclusion: that age, education and husband's support have a relationship with the behavior of primiparous mothers in caring for newborns. While good knowledge does not guarantee that mothers can take care of their babies well, this is also influenced by factors of age, education and husband's support. Suggestion: primiparous mothers are expected to increase their knowledge in caring for newborns from the time of pregnancy, one of which is to take classes for pregnant women Keywords: Behavior, Primiparous Mother, Newborn

Poor power quality is a major barrier to providing optimal care in special neonatal care units (SNCU) in Central India.

Background:Approximately 25% of all neonatal deaths worldwide occur in India. The Indian Government has established Special Neonatal Care Units (SNCUs) in district and sub-district level hospitals to reduce neonatal mortality, but mortality rates have stagnated. Reasons include lack of personnel and training and sub-optimal quality of care. The role of medical equipment is critical for the care of babies, but its role in improving neonatal outcomes has not been well studied. Methods:In a qualitative study, we conducted seven focus group discussions with SNCU nurses and pediatric residents and thirty-five key informant interviews and with pediatricians, residents, nurses, annual equipment maintenance contractors, equipment manufacturers, and Ministry of Health personnel in Maharashtra between December 2019 and November 2020. The goal of the study was to understand challenges to SNCU care. In this paper, we focus on current gaps and future needs for SNCU equipment, quality of the power supply, and use of SNCU equipment. Results:Respondents described a range of issues but highlighted poor power quality as an important cause of equipment malfunction. Other concerns were lack of timely repair that resulted in needed equipment being unavailable for neonatal care. Participants recommended procuring uninterrupted power supply (UPS) to protect equipment, improving quality/durability of equipment to withstand constant use, ensuring regular proactive maintenance for SNCU equipment, and conducting local power audits to discern and address the causes of power fluctuations. Conclusions:Poor power quality and its negative impact on equipment function are major unaddressed concerns of those responsible for the care and safety of babies in SNCUs in Central India. Further research on the power supply and protection of neonatal equipment is needed to determine a cost-effective way to improve access to supportive care in SNCUs and desired improvements in neonatal mortality rates.

The Relationship of Psychological Stress With Breast Milk Production to Breastfeeding Mothers Post Delivery in the Clinic Wulandari Medan in 2021

Postpartum mothers are mothers in the postnatal period, postpartum mothers often experience psychological stress which usually occurs in the first week to the sixth week after delivery. Mother's psychological stress usually occurs due to hormonal factors, family support, new roles, busy taking care of babies and lack of knowledge. Breast milk is a very important source of nutrition to meet the needs of babies, one of the factors that affect breast milk production is psychological stress. The purpose of this study was to identify the relationship between psychological stress and breast milk production in postpartum breastfeeding mothers at the Wulandari Clinic, Medan. This type of research is quantitative research with a correlation research design with a cross-sectional approach. The sampling technique in this study was total sampling with 38 respondents. The measuring instrument in this study used a questionnaire sheet. Data analysis was performed using the chi-square test. The result of this study is that the p-value of 0.000 is smaller than a significant value of 0.05, so there is a relationship between psychological stress and milk production in breastfeeding mothers after childbirth at the Wulandari Clinic, Medan in 2021.

Is care of stillborn babies and their parents respectful? Results from an international online survey.

To quantify parents' experiences of respectful care around stillbirth globally. Multi-country, online, cross-sectional survey. Self-identified bereaved parents (n=3769) of stillborn babies from 44 high- and middle-income countries. Parents' perspectives of seven aspects of care quality, factors associated with respectful care and seven bereavement care practices were compared across geographical regions using descriptive statistics. Respectful care was compared between country-income groups using multivariable logistic regression. Self-reported experience of care around the time of stillbirth. A quarter (25.4%) of 3769 respondents reported disrespectful care after stillbirth and 23.5% reported disrespectful care of their baby. Gestation less than 30weeks and primiparity were associated with disrespect. Reported respectful care was lower in middle-income countries than in high-income countries (adjusted odds ratio 0.35, 95% CI 0.29-0.42, p<0.01). In many countries, aspects of care quality need improvement, such as ensuring families have enough time with providers. Participating respondents from Latin America and southern Europe reported lower satisfaction across all aspects of care quality compared with northern Europe. Unmet need for memory-making activities in middle-income countries was high. Many parents experience disrespectful care around stillbirth. Provider training and system-level support to address practical barriers are urgently needed. However, some practices (which are important to parents) can be readily implemented such as memory-making activities and referring to the baby by name. One in four experience disrespectful care after stillbirth. Parents want more time with providers and their babies, to talk and memory-make.

Implementation of an Intelligent Neonatal Monitoring System Using Raspberry Pi

An incubator is a biomedical apparatus used to keep neonates if they are ill and in need of further investigations. This is also useful for observation and care of newborn babies who were premature or of low birth weight. There will be loss of lives of neonates if the incubator is not appropriately monitored and this may even lead to accidents. In view of these, it has been proposed to implement an Intelligent Monitoring System for Neonatal Intensive Care Unit (NICU). For monitoring the premature infants continuously it requires sensors. It has been learnt that the temperature, breathing rate, body movements, loudness, or cry are some of the features to be monitored in incubator. Hence, in this paper, a wireless communication and body area network based system that constantly examine the vital physiological parameters of the baby kept in the NICU has been discussed. The analog signals from the sensors are processed using a Raspberry Pi. The system has been developed with Raspberry Pi B+ module as the controller. Sensors are used to monitor the physiological parameters and Pi camera is used to detect the baby movements. Global System for Mobile Communications (GSM) module is incorporated in the proposed system to transmit the parameters via a short message service (SMS). Hence, this system offers a suitable method for parents and nurses to monitor premature infants.

The mediator role of brand trust in the effect of influencer’s source credibility on the intent to purchase (Research on baby care products for mothers)

The mediator role of brand trust in the effect of influencer’s source credibility on the intent to purchase (Research on baby care products for mothers)

Impact of Covid-19 Pandemic era on Prevalence of Pregnant Women Sero-Positivity for Syphilis, Among Women Attending Antenatal Care in India and Babies Diagnosed with Congenital Syphilis-A Cross-Sectional Research Study

Sexually transmitted infections (STIs) continue to be a major public health problem globally, affecting the quality of life as well as causing serious morbidity and mortality. STIs have a direct and significant impact on reproductive and pregnant women-child health. They can directly cause infertility, cancers as well as pregnancy-related complications, and indirectly affects individual/ family economies. The information on the number of PW found to be seropositive for Syphilis among women attending antenatal care in India and the number of babies diagnosed with Congenital Syphilis is collected from HMIS electronic records of MoHFW, Government of India with a key objective to know about the impact of covid-19 era i.e. 2020 and 2021 on the prevalence of syphilis by comparing it with the pre-pandemic era of 2018 and 2019. I collected seropositivity data for Syphilis among women attending antenatal care in India and the number of babies diagnosed with Congenital Syphilis across 36 states and union territories of India including all health facilities viz. public, private, rural, urban health facilities. The data is collected, observed, and analyzed with Microsoft office software. The total number of pregnancies and deliveries has shown a declining trend during pandemic years as compared to the pre-pandemic era. Year-wise maximum number of syphilis-positive pregnant women treated for syphilis was reported in 2021. The mean number of babies per month diagnosed with congenital syphilis increased in the pandemic era whereas the mean number of babies per month treated with congenital syphilis decreased during the pandemic era. This research study revealed that there is an increasing trend in, the number of PW tested using the POC test for Syphilis, out of the above, the number of PW found seropositive for Syphilis, a number of babies diagnosed with Congenital Syphilis, and total pregnant women tested found seropositive for Syphilis by any test during pandemic years as compared to pre-pandemic years.

Keep it simple - Effective training in obstetrics for low- and middle-income countries.

In low-and middle-income countries, the burden of disease related to pregnancy and childbirth remains high. The health of the mother is intricately linked to that of the baby. Neonatal mortality is most likely to occur in the first week of life accounting for almost half of all deaths among children under 5-year old. Many babies are stillborn each year. It is important that healthcare is accessible, available, and of good quality. This requires a functioning health system with motivated, competent healthcare providers who were able to provide the continuum of care for mothers and babies. Pre- and in-service training is effective if it uses adult learning approaches, includes all members of the maternity team, and is focused on the core content of the care packages that are agreed for each setting. Most programmes that seek to build the capacity of the health system include training as one of the interventions to be implemented.

QUALITATIVE STUDY OF LOCAL CULTURAL WISDOM AND HEALTH SERVICES ON STUNTING EVENTS

Preliminary. Stunting is a condition of chronic malnutrition accompanied by complications of the disease. The prevalence of stunting in children under five in Indonesia and the province of Lampung is still high and the highest is in rural areas. Stunting occurs from the initial nutritional status of the mother before pregnancy, during pregnancy and this condition is thought to be influenced by local habits in attitudes and behavior in the care of pregnant women with their babies. Cipadang village is one of the villages formed from immigration from Java to Sumatra, which makes this village inhabited by the majority of the population of Javanese ethnicity with their cultural style. Socio-cultural conditions in general affect the health of mothers during pregnancy and the pattern of child rearing when they are under 2 years old. The purpose of this study is to explain the state of local culture and health services on the incidence of stunting.&#x0D; Method. This study uses a qualitative approach, to explore in depth the socio-cultural and health services related to the incidence of stunting. Sources of information came from informants, 17 people through focus group discussions.&#x0D; Results and Discussion. The research location village is inhabited by the majority of the population of Javanese ethnicity with its cultural style, with an agricultural livelihood. The characteristics consist of 14 mothers of toddlers and 2 posyandu cadres in Cipadang village, 1 community leader with an age range of informants between 21 to 45 years with the most education level being Elementary School. The community pays special attention to the period of pregnancy, and there are habits in the care of babies, pregnant women and postpartum mothers with ancestral traditions. However, this habit has begun to shift to health care services. Knowledge of general informants is good but behavior is not in accordance with health standards.&#x0D; Conclusion. Some cultures still have an influence, there are habits in caring for babies, pregnant women and postpartum mothers. Good knowledge has not been able to describe the desired behavior