Care Of Newborn Baby Research Articles

Promotive and Preventive Programs for Health Workers and Mothers on Newborn Umbilical Cord Care to Prevent Infection During the Neonatal Period

Umbilical cord infections can be prevented by caring for the umbilical cordproperly. The data regarding proper and correct umbilical cord care of newborn babiesby mothers in North Sumatra Province is limited. Hence, this community serviceaimed to determine the proportion of knowledge in umbilical cord care for newbornbabies using the open-dry cord care method. Thew community service project washeld on August 24, 2023, in Pematang Siantar City, North Sumatra Province. In thisactivity, we provided counseling on the open-dry cord care method for umbilical cordcare by presentation and discussion using modules, posters, and leaflets. We used apre-test and post-test questionnaire to assess the knowledge level of health workersand mothers. Participant demographic data and results are presented in the form ofproportion data. This counseling was attended by 150 participants consisting of 52health workers and 98 mothers. Before the counseling, 39 health workers and 93mothers did not know how to take care of the umbilical cord properly. After thecounseling, the knowledge of umbilical cord care using the open-dry cord methodincreased by 15.4% for health workers and 24.5% for mothers. Based on the results,over 80% of participants were found to have had a satisfactory level of knowledgeabout umbilical cord care after the counseling session. This community serviceprogram should be conducted regularly to further enhance the knowledge of healthworkers and mothers on proper umbilical cord care.

PEMBERDAYAAN KADER TENTANG PERAWATAN BAYI BARU LAHIR DENGAN MENGOPTIMALKAN PELAYANAN KOMPLEMENTER

Newborn babies, especially those less than one month old, are the age group at highest risk of health problems, so they need appropriate supervision and treatment. Cadres play a role as community mobilizers, counseling and monitoring, who directly deal with social problems, including health problems faced by the community, so they play a big role in supporting the success of treatment of the newborns. This community service activity aimed to train the skills of posyandu cadres through empowering the role of posyandu cadres regarding care of newborn babies by optimizing complementary services in Kampung Delima Village, Rejang Lebong Regency. This activity was carried out from July to November 2023 targeting health cadres in Kampung Delima Village, East Curup District. Rejang Lebong Regency. Activities were carried out through training and mentoring of cadres. The results of this activities after training showed an increase in cadres' knowledge and skills regarding newborn care by optimizing complementary services, which include bathing babies and umbilical cord care using topical breast milk, correct breastfeeding techniques and baby massage in Kampung Delima Village.

Newborn Care Education on Mother's Readiness to Care for Babies Independently

Preparation for newborn care (BBL) is important throughout the duration of pregnancy, particularly in the third trimester of gestation. Handling BBL that is not good can be fatal because it will cause abnormalities that cause lifelong disability to death. The purpose of this research was to identify the effect of Newborn Baby Care Education on Mothers' Readiness to Independently Care for their babies at BPM Sifra Langowan. The research design was quasi-experimental with a control group pre-post test design that involved 20 subjectss in the experimental group and 20 subjectss in the control group using the purposive sampling technique. The research results showed that the mean readiness to care for newborn babies before the intervention in the experimental group was 2,85, and after the intervention was 1.30, with a mean difference of 1,15 and a P value of 0,000 (p-value<0,05). In the control group, the mean readiness to care for newborn babies before the intervention was 3,00, and after the intervention was 2,80, with a mean difference of 0,20 and a p-value of 0,042 (p-value<0,05). It could be concluded that there was an influence of having provided newborn baby care education on mothers' readiness to independently care for their babies.

A Study to Assess the Knowledge of NICU Nurses Regarding the Care of Newborn Baby on Photo Therapy in Selected Hospitals of Pune City

All the parents have fruitful ambition to have healthy child. The child inherits their parent’s characters and they are the future wealth of nation. The early life of the new born is the precious period and it is the risk period in human life cycle. In human life cycle from birth to 28 days is known as the newborn period. Phototherapy as a treatment modality has become the backbone of unconjugated Hyperbilirubinemia in the neonate. It's noninvasive in nature and have fewer side effects as reported until now. The health personnel have the main role to protect the newborn from the adverse effects and ensure the effectiveness of the photo therapy. Among the health personal the nurses are main role to deliver the comprehensive care to the newborn some of the nurses’ roles are like eye shielding during the phototherapy, protecting the genitals, fluid maintance, regular monitoring of temperature, serum bilirubin, weight and other adverse such as loose greenstools, lethargy, dehydration, hypocalcemia

Does Kangaroo Care Have an Effect on Transition Time from Gavage Feeding to Full Oral Feeding in Premature Babies?

Kangaroo care is a safe and effective alternative method to conventional neonatal care for newborn babies. The aim of this study was to evaluate the effect of kangaroo care on the transition time to full oral feeding in preterm infants fed by gavage. This is a randomized controlled trial. This study was conducted in a level III neonatal intensive care unit of a university hospital in eastern Turkey 50 premature babies with a birth weight of≥1000 g and a gestational age of 27-36 weeks, and their mothers were included in the study. The cases were randomly divided into two groups: kangaroo care, which would be applied up to five days a week, and standard care. Records of cases were kept regularly from their hospitalization until they reached full oral feeding. Premature babies in the kangaroo care group reached full oral feeding at 29.20±8.06 days after birth, while babies in the standard care group reached full oral feeding at 44.60±21.90 days. The transition period from gavage feeding to reaching full oral feeding was 13.60±6.83 days in the kangaroo care group, and 22.10±7.38 days in the standard care group. The difference was statistically significant (p=0.007). Kangaroo care is an effective method to reduce the transition time from gavage feeding to full oral feeding for premature babies.

Prevalence and Pattern of Congenital Malformations among Neonates in the Neonatal Unit of a Tertiary Care Hospital

Background and Aim: Globally, congenital anomalies (CA) are a major contributing factor for neonate’s admission in NICU causing neonatal morbidity and mortality particularly in developing countries. Congenital anomalies generally indicate the morphogenesis defect in an early neonate’s life. The leading cause for perinatal mortality is congenital anomalies that arise with advancement of delivery and care for newborn babies. The present study aimed to evaluate the prevalence and pattern of congenital anomalies among neonates admitted to neonatal unit. Methodology: This retrospective study was carried out on 1620 neonates (newborns to age 28 days) admitted to the neonatal unit of Services Hospital, Lahore from April 2020 to March 2022. The incidence, risk factors, and pattern of congenital anomalies were measured. Detailed examinations such as radiological, laboratory, ultrasonography, and echocardiography were recorded. Different outcomes such as hospital stay, morbidity, and mortality were determined with 95% confidence intervals. SPSS version 25 was used for data analysis. Results: Of the total 1620 admitted neonates, the prevalence of neonates with congenital anomalies were 112 (6.9%). Out of 112 neonates diagnosed with congenital anomalies, 64 (57.1%) were male and 48 (42.9%) were females. The incidence of cesarean and other modes of delivery were 74 (66%) and 38 (34%) respectively. Cardiovascular system malformation was the most prevalent affected system in 36 (31.9%) neonates followed by central nerve system 28 (25%), genitourinary system 19 (17%), musculoskeletal system 16 (14.3%), gastrointestinal tract 6 (5.4%), digestive system 4 (3.6%), and syndromes and skin 3 (2.7%). Congenital anomalies were significantly increasing over time. The incidence of discharged, referred to higher centers for intervention, and expired babies were 77 (68.8%), 19 (16.7%), and 16 (14.3%) respectively. Conclusion: The present study found that the prevalence of congenital anomalies was 6.9%. Cardiovascular system malformation was the most prevalent congenital anomaly followed by the central nerve system. The overall mortality rate was 14.3% caused by congenital anomalies. A better health care strategies and management must be developed in terms of early detection, supplementation facilitation, decreasing drug usage, and better antenatal care to prevent the impacts of congenital anomalies on neonates. Keywords: Prevalence, Pattern, Congenital anomalies, neonates

A Study to Assess the Knowledge Regarding “Prevention of Puerperal Sepsis” in Early Puerperium among Postnatal Mothers Admitted in the Maternity Unit of NMCH, Jamuhar, Rohtas

Introduction: According to survey conducted by World Health Organization (WHO) in 1998 only a small proportion of women in developing countries i.e. less than 30% receive adequate postpartum care and in very poor countries and regions only 5% of women receive such care where as in developed countries 90% of mothers receive postpartum care. World health organization reported about 358000 maternal deaths occurring during labour and childbirth and 15% were related with puerperal sepsis in 2019. Background: Postpartum period or puerperium is the period following childbirth and of great importance for both mother and baby as it is an aspect of maternity care which receives less attention compared to pregnancy and delivery. Also, the others are less aware of their health while taking care of newborn baby and also many alarming complications can arise due to lack of knowledge in preventive measures. So it is necessary to assess the knowledge of postnatal mothers regarding the prevention of puerperal sepsis, in a selected hospital. It was conducted at selected hospital in NMCH jamuhar, Rohtas among 60 postnatal mothers selected by using convenient sampling technique and who met the inclusion criteria. Objectives: To assess the level of knowledge of postnatal mothers regarding prevention of puerperal sepsis in early puerperium. To find out the association between the knowledge of postnatal mothers regarding prevention of puerperal sepsis in early puerperium with selected demographic variables. The population of sample consists of postnatal mothers in NMCH, jamuhar, Rohtas. Methodology: A non-experimental descriptive approach is using for this study as it is considered as suitable one to assess the knowledge regarding prevention of puerperal sepsis among postnatal mothers. The research design for present study is descriptive Design. Results: In order to collect the scientific data we used self structured questionnaire index. According to the Majority of sample (8.33%) postnatal mothers were having poor knowledge change, (88.33%) postnatal mothers were having average knowledge change and (3.33%) postnatal mothers were having good knowledge change. With the help of self structure questionnaire knowledge has been assess that majority of the participant average knowledge about puerperal sepsis. Conclusion: the study concluded that assess the level of knowledge of postnatal mothers regarding prevention of puerperal sepsis in early puerprium. The level of knowledge significantly different between postnatal mothers.

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

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.

Peter Dunn: coined the term “perinatal medicine”

Peter Dunn was a big man with an immense presence who contributed massively to the better care of newborn babies. When he qualified, 40 of every 1000 babies born alive...

産褥入院中の初産婦が受ける育児支援:―「二人称的かかわり」を中心に―

産褥入院中の初産婦が受ける育児支援:―「二人称的かかわり」を中心に―

Exploring the association between adverse maternal circumstances and low birth weight in neonates: a nationwide population-based study in Bangladesh

ObjectiveThis study is concerned with helping to improve the health and care of newborn babies in Bangladesh by exploring adverse maternal circumstances and assessing whether these are contributing towards low...

Communication between mothers and health workers is important for quality of newborn care: a qualitative study in neonatal units in district hospitals in South Africa

BackgroundThere is a high global burden of neonatal mortality, with many newborn babies dying of preventable and treatable conditions, particularly in low and middle-income countries. Improving quality of newborn care could save the lives of many thousands of babies. Quality of care (QoC) is a complex and multifaceted construct that is difficult to measure, but patients’ experiences of care are an important component in any measurement of QoC. We report the findings of a qualitative study exploring observations and experiences of health workers (HWs) and mothers of babies in neonatal units in South Africa.MethodsA qualitative case study approach was adopted to explore care of newborn babies admitted to neonatal units in district hospitals. Observation data were collected by a registered nurse during working hours over a continuous five-day period. Doctors and nurses working in the neonatal unit and mothers of babies admitted during the observation period were interviewed using a semi-structured interview guide. All interviews were audio recorded. Observation data were transcribed from hand written notes. Audiotapes of interviews were transcribed verbatim and, where necessary, translated into English. A thematic content analysis was used to analyse the data.ResultsObservations and interviews were conducted in seven participating hospitals between November 2015 and May 2016. Our findings highlight the importance of information sharing between HWs and mothers of babies, contrasting the positive communication reported by many mothers which led to them feeling empowered and participating actively in the care of their babies, with incidents of poor communication. Poor communication, rudeness and disrespectful behaviour of HWs was frequently described by mothers, and led to mothers feeling anxious, unwilling to ask questions and excluded from their baby’s care. In some cases poor communication and misunderstandings led to serious mismanagement of babies with HWs delaying or withholding care, or to mothers putting their babies at risk by not following instructions.ConclusionGood communication between mothers and HWs is critical for building mothers’ confidence, promoting bonding and participation of mothers in the care of their baby and may have long term benefits for the health and well-being of the mother and her baby.

KECEMASAN PADA IBU POST PARTUM PRIMIPARA DENGAN GANGGUAN PROSES LAKTASI

ANXIETY IN PRIMIPHARA POSTPARTUM MOTHERS WITH LACTATION TROUBLE ON MATERNITY WARD ABSTRACTLabor or delivery is a normal physiological condition happens in life, especially to women. Changes in the role and process of newborn-baby care will lead to psychological problems. Anxiety is one of psychological problems that happens to primiphara mothers. Anxiety will affect the process of lactation (breastfeeding) for some primiphara mothers with psychological problems. This study is to provide an overview of a case study of nursing care for primiphara postpartum mothers who have problem with breastfeeding because of anxiety. This scientific paper is an analytical descriptive with a case study approach. The study was conducted on two primiphara mothers with anxiety in their breastfeeding. Data were obtained through interview, observation, and documentation. After having nursing care, there was a decrease in anxiety (patient 1: from 44.6% to be 30.3%, patient 2: from 32.1% to be 19.6 %). Besides, there is a difference in the increase of affective ability, with the highest increase patient 2 (60%) while patient 1 (40%). It is advisable for nurses to provide nursing care for primiphara postpartum mother with breastfeeding problem caused by anxiety. Keywords: Labor, primiphara, anxiety, lactation.

Factor analysis and predictive validity of the Early Risks of Physical Abuse and Neglect Scale (ERPANS): A prospective study in Dutch public youth healthcare.

Early detection of child abuse risk factors in families of new-born babies is an important task of the public youth health care system in the Netherlands. The Early Risks of Physical Abuse and Neglect Scale (ERPANS) was originally developed in Belgium as an observation scale for public child healthcare nurses. The present longitudinal study is an independent prospective validation of the ERPANS in a Dutch community sample (N = 1257) of families with a new-born. Results showed a commonality of underlying subsets of items belonging to the 'Disturbed parent-child relationship' and 'Psychological problems' factors, but the factor 'Communication problems' of the original ERPANS could not be replicated. We found that parental psychological problems were a significant predictor of family problems, including involvement of child protection authorities, at an average follow-up of 22 months. Parents who reported feeling unloved by their own parents were at higher risk of reports of serious concern to child protection authorities at 22 months after birth. These findings support the utility of at least a subset of the ERPANS items as a screening tool for child abuse risk in preventive public youth health care for new-born babies. Our research adds to a growing body of evidence which points to the importance of parental mental health problems and adverse childhood experiences as precursors to child abuse risk.

PEMBERIAN INFORMASI NEONATAL DEVELOPMENTAL CARE MENINGKATKAN SIKAP PERAWAT DALAM MERAWAT BBLR

Newborn with low birth weight (LBW) in Indonesia is relatively high even up to 16,9 %. The role of the neonatal nurse is highly expected to provide care for newborn babies with LBW by giving supportive environment. Neonatal Developmental Care (NDC) is one of intervention that aims to implement modifications to the nursery environment and care practices to promote growth and development of newborn with LBW. Most of nurses still have no information related NDC and its implementation in neonatal room. This study aimed to explore the influence of NDC information exposure toward nurse’s attitude. A quasi-experimental with before-and-after design was applied. This study recruited 21 nurses to participate as intervention and control group. The Paired T-Test was performed to analyze the data. The results showed there is an influence of NDC information exposure toward nurse’s attitude in caring for newborn with low birth weight by P-value 0,00. This study recommend that NDC can be one of nursing intervention for caring newborn baby with LBW in order to optimize caring for infant along caring for growth and development during their treatment in hospital.

HUBUNGAN BBLR DENGAN KEJADIAN SEPSIS NEONATORUM DI RSUD DR. H. ABDUL MOELOEK PROVINSI LAMPUNG TAHUN 2015

Infection is one of the main causes of the high mortality rate of mothers and newborns. There are several factors that can cause infections in infants including Low Birth Weight (LBW). The aim of this study is to identify the relationship of LBW with the incidence of neonatal sepsis in the Dr. H. Abdul Moeloek hospital in Lampung in 2015. The method used in this research is analytical case-control study. This study population is 123 infants of cases group while the control group has 1363 infants. Simple Random Sampling is used to take a sample of 94 babies for cases group and 94 babies as control samples. The data are obtained by looking at medical records in the Dr. H Abdul Moeloek hospital. The data are processed using the univariate and bivariate analysis. The results showed that in the case group 63 infants (67%) of babies have low birth weight, whereas in the control group, 53 infants (56.4%) did not experience low birth weight, with (p-value = 0.002 and OR = 2.627), which means there is a relationship between the incidence of LBW with neonatal sepsis. The researcher therefore suggested to the hospital for early detection in antenatal care to prevent complications in childbirth, postpartum, taking care of newborn babies and provide counseling to maintain health in pregnancy and how to care for babies with neonatal emergencies.

Adam Zygmunt Czyżewicz (1841–1910) – zasłużony nauczyciel lwowskiej szkoły położniczej

Niniejszy artykuł jest poświęcony życiu i działalności Adama Zygmunta Czyżewicza. Był on najbardziej zasłużonym nauczycielem w dziewiętnastowiecznych dziejach lwowskiej szkoły położniczej. Ten postępowy i oddany sprawie lekarz położnik zreformował zaniedbaną placówkę kształcenia akuszerek i doprowadził do jej rozkwitu. W 1871 roku, kiedy obejmował stanowisko profesora, szkoła nie miała własnego lokum, mieściła się z wynajętym, zapuszczonym budynku, niespełniającym podstawowych wymogów dydaktycznych, sanitarnych i higienicznych, stawianym tego typu placówkom. Nauka trwała zaledwie 5 miesięcy, podczas których starano się wyposażać przyszłe adeptki sztuki położniczej w elementarne wiadomości teoretyczne (z zakresu budowy anatomicznej kobiety, fizjologii porodu, patologii i nieprawidłowości podczas porodów, zasad postępowania podczas odbierania porodu w różnych położeniach płodu oraz sposobach opieki nad położnicą i noworodkiem) i umiejętności praktyczne. Wykształcenie znacznej grupy uczennic (często analfabetek) w tak krótkim czasie na profesjonalne położne graniczyło z cudem. Czyżewicz zaczął zatem zabiegać o wprowadzenie niezbędnych zmian, które pozwoliłyby przekształcić istniejącą placówkę w doskonale prosperujący zakład. Dzięki wielu zabiegom i niezwykłemu zaangażowaniu tego lekarza społecznika wybudowano nowoczesną klinikę położniczo-ginekologiczną mieszczącą w sobie także zaplecze szkolne dla przyszłych akuszerek, wydłużono okres nauczania do 10 miesięcy, wprowadzono nauczanie i przestrzeganie zasad antyseptycznych. Dzięki tym reformom szkoła spełniała europejskie standardy w zakresie kształcenia położnych i stała się jedną z najlepiej funkcjonujących instytucji tego typu w Austrii.

Relación entre sobrepeso y obesidad materna con cardiopatías congénitas. Estudio retrospectivo caso-control en el área norte de Buenos Aires

BackgroundThere are discrepancies around maternal pre-conception overweight and obesity and structural congenital heart disease (CHD). The worldwide prevalence of overweight and obesity has increased in women of reproductive age and this could have an impact on the health care of newborn babies. ObjectivesTo estimate the risk for CHD associated with pre-conception maternal overweight and obesity in the study area. Material and methodsA quantitative, analytical, and observational retrospective case-control and anonymised study was conducted on newborns babies with a CHD entered in the National Registry of Congenital Malformations (RENAC). They were compared against others without any malformations, in a proportion of 1:1 between 2011 and 2014. ResultsA total of 22 mother-infants pairs were included in the RENAC. According to the pre-conception BMI, the prevalence of overweight was 4/22, obesity 6/22, and normal weight 12/22. The distribution of other factors present between cases and controls was similar, with no significant differences. The distribution of CHD was similar in those with normal weight (12/22) and overweight and obesity (10/22), with no statistically significant differences. Compared with normal-weight women, the relative risk of CHD associated with maternal overweight and obesity was 1 (95% CI; 0.55-1.81) with an odds ratio of 1 (95% CI; 0.30-3.27). Septal defects were the most frequent CHD (Q21). ConclusionsNo significant relationship was found between pre-conception maternal overweight-obesity and CHD in our newborns.

Understanding maternal postpartum needs: A descriptive survey of current maternal health services.

To assess mothers' learning needs and concerns after giving birth and to examine whether these needs were met at 6-8weeks postpartum. Women experience many physiologic and psychological changes during postpartum period, which is considered a vital transitional time. Exploring and meeting women's needs help woman to pass this period with little complications and enhance healthcare provider's ability to provide appropriate care following childbirth. A prospective cohort design was employed in this study. A prospective cohort design was employed. A convenience sample of 150 postpartum women have completed perceived leaning needs scale prior to hospital discharge, at southern region of Jordan, and have completed perceived met learning needs scale at 6-8weeks after giving birth. Women reported a high level of concern across all eight learning needs subscales. The most common concerns were related to new baby care, episiotomy care and breastfeeding. At 6-8weeks postpartum, the primary unmet learning needs postpartum were danger signs post-Caesarean section, physical changes, breastfeeding and new baby care. Attending postpartum check-up clinic was found as a significant predictor for postpartum meeting women's needs, particularly emotional changes and family planning-related information. The current maternal health services are not at the optimum level to meet women's individual needs and concerns, which could increase the risk for postpartum complications. Some women's characteristics, such as employment status and educational level, have increased women's concerns and unmet needs in some of the learning needs. Healthcare providers and policymakers should consider women's concerns and needs at early postpartum period to establish patient-centred postpartum care that is based on women's needs and concerns during this transitional period, with a focus on newborn baby care, episiotomy care and breastfeeding.