Knowledge Of Newborn Care Research Articles

Knowledge and practice of healthcare providers and associated factors of essential newborn care in Ethiopia: a systematic review and meta-analysis.

Preventing neonatal mortality and morbidity in developing countries such as Ethiopia requires improved practices and knowledge among healthcare providers. Several studies have been conducted in Ethiopia, but the overall level has not been estimated based on essential newborn care practices, knowledge of health care providers, and associated factors. Therefore, the objective of this review is to assess the overall practice and knowledge of essential newborn care and associated factors among healthcare providers in Ethiopia. Only articles published in English were included in this review. Medline/PubMed, Web of Science, Google Scholar, EMBASE, and CINAHL, Scopus, Ethiopian University Repository Online, and the Cochrane Library are the main databases. The review included cross-sectional studies written in English that met the inclusion requirements. Using a random-effects model, the overall practice and knowledge level was estimated. Additionally, funnel plots and Eggers' test were used to assess publication bias. STATA version 14 was used to perform all statistical analysis. This review included 15 studies involving 3,210 health care providers in Ethiopia. In Ethiopia, overall health care providers had a good practice and knowledge level of essential newborn care of 57.38% [95% CI (49.56; 65.20); I 2 = 95.3%, P < 0.001] and 54.06% [95% CI (45.07; 63.05); I 2 = 95.5%, P < 0.001], respectively. Knowledge, training status, and material availability of healthcare professional were significantly associated with their practice of essential newborn care, while educational qualification and training status were significantly associated with the knowledge of healthcare providers of essential newborn care. Overall, 57% and 54% of healthcare providers had good ENC practices and knowledge. So, the Ethiopian government and other stakeholders should take immediate measures to improve essential neonatal care practice and knowledge among healthcare providers, and improve identified factors.

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&lt; 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.

Unraveling the Interplay between Postnatal Mothers' Expertise in Neonatal Care amid the COVID-19 Pandemic and Media Consumption

Abstract Background The arrival of a newborn is a source of joy and optimism, whereas the loss of an infant is a profoundly tragic event for families worldwide. During the initial days of life, infants demand meticulous care, especially during the critical 1- to 28-day period when they are more vulnerable to infections, necessitating heightened protection and security. In the context of the coronavirus disease 2019 (COVID-19) pandemic, mothers and caregivers have become increasingly cautious regarding the care of newborns. This study aims to assess the knowledge level of postnatal mothers regarding neonatal care and their utilization of mass media during the COVID-19 pandemic. Materials and Methods Conducted in a tertiary care setting, this study used a descriptive correlation design with 46 primiparous mothers chosen through purposive sampling. The evaluation of mothers' knowledge about newborn care utilized a self-reported questionnaire, whereas a checklist was used to gauge their use of mass media. Results The study revealed that 60.9% of mothers utilize mass media for more than 6 hours daily. Among the participants, 63% demonstrated adequate knowledge of newborn care, whereas 37% exhibited inadequate knowledge. Additionally, the study indicated a weak negative correlation between mass media usage and postnatal mothers' knowledge of newborn care (r = − 0.034). The type of family (p = 0.023) was significantly associated with postnatal mothers' knowledge (p &gt; 0.05). Conclusions The findings suggest a correlation between mass media usage and postnatal mothers' knowledge of newborn care. However, no discernible relationship was identified between mass media usage and mothers' awareness of neonatal care during the COVID-19 pandemic. This may indicate that the content disseminated through mass media during the pandemic did not sufficiently emphasize neonatal care, potentially resulting in a limited impact on mothers' awareness in this specific domain.

Parental perception of neonatal care in urban slums of Jammu city

Background: India is undergoing rapid urbanization and many rural residents relocate to urban regions in search of employment, better living conditions and access to education and health care facilities. Neonatal morbidity and mortality are attributed to misperceptions in the community about newborn care. In many parts of urban slums in India, care seeking from multiple providers and use of traditional/home remedies hampered appropriate and timely medical care seeking. Aim was to study awareness, knowledge and practice of newborn care among postnatal mothers in Urban slums of Jammu city. Methods: This observational study was conducted in Urban slums of Jammu city. A total of 100 mothers of newborns residing in urban slums participated in the study after taking Informed Consent from them. A self-structured proforma was used to collect data. Results: Most of the deliveries were conducted in hospital (82%) and 18% were home deliveries. Regarding newborn care practices 88 % had wrapped the newborn with clean cloth immediately after birth. 58% of newborns were given first bath within 2-7 days. 39% of mothers-initiated breast feeding within 6-24 hours. Majority (68%) newborns were fed with colostrum. Regarding cord cutting procedures among home deliveries, it was observed that clean blade was used in 15 newborns while in 3 cases aseptic practice for cord cutting was not followed. Conclusions: Good newborn practices like promotion of warmth, cord care, hygiene and early breastfeeding should be the main focus of community-based health workers. The present study concluded that some unhealthy neonatal care practices were still found to be prevalent which can be mitigated by increasing awareness among parents through IEC activities.

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=&lt;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 &amp; to reduce the high-risk newborn care practices like unsafe cord care, delayed breast feeding, early bathing, Prelacteal feeding &amp; 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 &lt;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&lt; 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&lt;0.05.

Knowledge Analysis of Postnatal Mother about Essential Newborn Care with Incidence of Postpartum Blues: A Cross-Sectional Study

Stress in the postpartum period can cause anxiety, fatigue, and decreased self-care associated with an increased risk of postpartum depression. In Indonesia, the incidence of postpartum blues is between 50-70%. This study assessed knowledge of essential newborn care among postnatal mothers and identified the incidence rate of postpartum blues. This cross-sectional study was conducted in Bengkulu city. Respondents of this research were 57 mothers who met the criteria included in the 2 weeks postpartum in Public Health Facilities. Mother’s knowledge was measured by Essential Newborn Care Questionnaire. The symptoms of postpartum blues were measured by the Edinburg Postnatal Depression Scale (EPDS). The contingency coefficient shows a relationship between mother’s knowledge about essential newborn care and the incidence of postpartum blues (p = 0.002; r = 0.380). The multiple logistic regression proved that knowledge is the main risk factor of postpartum blues (p 0.007; OR 6.039). The results of this study indicate that there is a significant relationship between maternal knowledge about essential newborn care and postpartum blues with a weak relationship. Those with poor knowledge, who are 6.039 times more risky than those with good knowledge, should be targeted for newborn care education.

Effects of community-based educational video interventions on nutrition, health, and use of health services in low- and middle-income countries: systematic review and meta-analysis

Abstract Context Health education using videos has been promoted for its potential to enhance community health by improving social and behavior change communication. Objective To provide stakeholders in maternal and child health with evidence that can inform policies and strategies integrating video education to improve maternal, newborn, and child health. Data sources Five databases (MEDLINE, Embase, Scopus, Web of Science, and CENTRAL) were searched on January 28, 2022, and November 10, 2022 (updated search). Quantitative and qualitative studies conducted in low- and middle-income countries on the effects of video-based interventions on nutrition, health, and health service use were eligible. There was no restriction on time or language. Study selection was done in 2 stages and in duplicate. Data extraction A total of 13 710 records were imported to EndNote. Of these, 8226 records were screened by title and abstract using Rayyan, and 76 records were included for full-text evaluation. Results Twenty-nine articles (n = 12 084 participants) were included in this systematic review, and 7 were included in the meta-analysis. Video interventions improved knowledge about newborn care (n = 234; odds ratio [OR], 1.20; 95% confidence interval [CI], 1.04–1.40), colostrum feeding (n = 990; OR, 60.38; 95%CI, 18.25–199.78), continued breastfeeding (BF; n = 1914; OR, 3.79; 95%CI, 1.14–12.64), intention to use family planning (FP) (n = 814; OR, 1.57; 95%CI, 1.10–2.23), and use of FP (n = 864; OR, 6.55; 95%CI, 2.30–18.70). Video interventions did not result in reduced prelacteal feeding or improvement in early initiation of BF. The qualitative studies showed that video interventions were acceptable and feasible, with perceived impacts on communities. Conclusion This systematic review and meta-analysis indicated that video interventions improved knowledge of newborn care, colostrum feeding, and continuing BF, and the intention to use FP. Given the high levels of heterogeneity and inconsistency in reporting, more research with stronger designs is recommended. Systematic review registration PROSPERO registration no. CRD42022292190.

Nurse's Knowledge Associated with the Routine Essential Newborn Care after Birth in Baghdad City

The care given to newborns immediately within the first few hours of birth is critical for their survival. The neonatal period is a transitional period immediately after birth and is critical for their survival and existence. Essential newborn care is one of the significant strategies for neonatal survival, especially immediately after delivery. Pediatric Nurses are the key healthcare providers who care for neonates immediately after birth. Aim of the study~was to assess Nurse's Knowledge Associated with the Routine Essential Newborn Care after birth in Baghdad City. A descriptive design was utilized for this study. The setting The study was conducted at Al-Elwiya Maternity Teaching and the Private Nursing Home Hospitals in Baghdad. Sample: According to inclusion criteria, a purposive sample consisted of 60 participants (Pediatric/ midwives nurses). Tools: The questionnaire was constructed and developed and includes two parts: the first includes A structured Nurse demographic characteristics Sheet, and the second includes nurses' knowledge about immediate newborn care. Results:The results of the present study indicated that 45 (75.0%) of nurses had fair knowledge and (10%) had good knowledge, only (15.0%) of them had poor knowledge. Conclusion: According to the findings of the present study, the study concluded that only 10% of nurses has good knowledge of routine essential newborn care after birth. The socio-demographic characteristics of nurses do not affect their knowledge, except for years of experience working in the delivery room, which has a significant effect on the level of pediatric/midwives nurses' knowledge. Recommendation: Replication of the study on large samples of pediatric/ midwives nurses. Also, an Education program for pediatric/midwife nurses about immediate newborn care to improve their knowledge and practice.

Effect of mentorship and a mHealth application in updating provider skills and knowledge in maternal and newborn care in two informal settlements of Nairobi

BackgroundChildren and women in urban informal settlements have fewer choices to access quality maternal and newborn health care. Many facilities serving these communities are under-resourced and staffed by fewer providers with limited access to skills updates. We sought to increase provider capacity by equipping them with skills to provide general and emergency obstetric and newborn care in 24 facilities serving two informal settlements in Nairobi. We present evidence of the combined effect of mentorship using facility-based mentors who demonstrate skills, support skills drills training, and provide practical feedback to mentees and a self-guided online learning platform with easily accessible EmONC information on providers’ smart phones.MethodsWe used mixed methods research with before and after cross-sectional provider surveys conducted at baseline and end line. During end line, 18 in-depth interviews were conducted with mentors and mentees who were exposed, and providers not exposed to the intervention to explore effectiveness and experience of the intervention on quality maternal health services.ResultsResults illustrated marked improvement from ability to identify antepartum hemorrhage (APH), postpartum hemorrhage (PPH), manage retained placenta, ability to identify and manage obstructed labour, Pre-Eclampsia and Eclampsia (PE/E), puerperal sepsis, and actions taken to manage conditions when they present. Overall, out of 95 elements examined there were statistically significant improvements of both individual scores and overall scores from 29/95 at baseline (30.5%) to 44.3/95 (46.6%) during end line representing a 16- percentage point increase (p > 0.001). These improvements were evident in public health facilities representing a 17.3% point increase (from 30.9% at baseline to 48.2% at end line, p > 0.001). Similarly, providers working in private facilities exhibited a 15.8% point increase in knowledge from 29.7% at baseline to 45.5% at end line (p = 0.0001).ConclusionThis study adds to the literature on building capacity of providers delivering Maternal and Newborn Health (MNH) services to women in informal settlements. The complex challenges of delivering MNH services in informal urban settings where communities have limited access require a comprehensive approach including ensuring access to supplies and basic equipment. Nevertheless, the combined effects of the self-guided online platform and mentorship reinforces EmONC knowledge and skills. This combined approach is more likely to improve provider competency, and skills as well as improving maternal and newborn health outcomes.

Impact of essential newborn care education on knowledge and practice of new-born care among nurses in rural primary health centres in Ebonyi state of Nigeria

Background: This study was designed to determine the level of knowledge and the extent of practice of the components of essential new-born care (ENC), and the effects of a training programme on the knowledge and practice of ENC among nurses in rural primary health cares (PHCs) in Ebonyi state Nigeria. Methods: This study was a one group pre-test and post-test intervention design. The components of ENC considered were: New-born initiation of breastfeeding, thermoregulation, new-born cord care, newborn eye care, initiation of breathing and administration of vitamin K. A neonatal care knowledge and practice assessment (NCKPA) questionnaire tested for validity and reliability, with a Spearman’s correlation coefficient of 0.81, was used for data collection among the (48) available nurses (All female). Results: There was significant improvement in the level of knowledge and extent of practice of the components of ENC following the training programme. Despite the improvement, there were gaps in knowledge and practice of the components of ENC amongst the nurses in rural PHCs and affected were the level of knowledge of eye care 20 (41.6%) pre-intervention, and least knowledge of cord care 35 (72.9%) and eye care 45 (93.8%)-post-intervention. Conclusions: Increase in knowledge corresponded with increase in good practice of ENC. The concern with knowledge transfer and translation of knowledge into practice could be achieved by pre-service and in-service education, update courses and workshops, and this will empower the nurses, getting them familiar with current trends and practices for improved child survival rate.

Effect of Maternal and Newborn Care Intervention on Maternal Functioning of Primiparous Mothers

Primiparous mother is confronted with many physical and psychosocial changes during the postpartum period which consequently affect her maternal functioning. To deal with these changes positively, the maternal functioning of postpartum mothers should be enhanced by the provision of maternal and newborn care intervention (MNCI). A quasi-experimental research pretest post-test comparison group design was used to study the effect of MNCI on the maternal functioning of primiparous mothers. This study was conducted in Mandalay Central Women’s Hospital, Myanmar. A total of 72 primiparous mothers (control group=36, intervention group=36) were recruited by consecutive sampling. The MNCI was given to the intervention group in the form of direct nursing care, individual and group teaching and demonstration using audio-visual materials and an educational booklet, discussion in “Peer Viber Support Group” and follow-up telephone calls. Baseline assessment was done at antenatal 32nd to 36th weeks to assess postpartum self-care knowledge, maternal newborn care knowledge, and social support. At six weeks postpartum, self-efficacy and maternal functioning of participants were assessed in addition to baseline assessment. Descriptive statistics, paired t-test, independent t-test, and Chi-square test were used to analyze the data. The results showed that maternal functioning was significantly improved in the intervention group than the control group at postpartum six weeks (p &lt; 0.05). The improvement was also found in postpartum self-care knowledge, maternal newborn care knowledge, social support, and postpartum self-efficacy of primiparous mothers at postpartum six weeks (p &lt; 0.001). This study highlighted that the MNCI was effective in enhancing the maternal functioning of the primiparous mothers. Further studies are recommended to determine the effectiveness of the MNCI upon health outcomes of postpartum mothers and babies in hospitals and community settings.

Study on knowledge of immediate newborn care among midwifery-trained nurses in a tertiary care Teaching Hospital in Sri Lanka

Study on knowledge of immediate newborn care among midwifery-trained nurses in a tertiary care Teaching Hospital in Sri Lanka

Assessing Essential New-Born Care Knowledge, Skills and Associated Factors among Nurses/Midwives in Zanzibar: A Cross-Sectional Study.

Essential newborn care (ENC) is one of the significant strategies for neonatal survival, especially immediately after delivery. Nurses and midwives are the key healthcare providers who care for neonates immediately after birth, their knowledge and skills on ENC are very important for the preventable causes of neonatal deaths. Therefore, this study aimed to assess essential newborn care knowledge and skills among nurses/midwives in Zanzibar. A hospital-based analytical cross-sectional study that included 246 nurses-midwives was conducted in Zanzibar from January to February 2021. The purposive sampling method was used to select district and regional hospitals. Simple random sampling was used to select primary health facilities. A systematic random sampling technique was used to select study participants. A standard structured self-administered questionnaire was used. Predictors of knowledge and skills of ENC were determined using Binary Logistic regression under multivariate analysis using SPSS version 23.0. P<.05 was considered to be significant. Among the total (246) participants, 89 (36.2%) and 66 (26.8%) had adequate knowledge and appropriate skills of ENC, respectively. Having a BSc in Nursing (AOR = 8.83, 95%CI = 2.00-38.96) and the presence of guidelines (AOR = 3.52, 95%CI = 1.59 -7.80) were significantly associated with knowledge of ENC. Residing in Pemba (AOR = 0.30, 95%CI = 0.11-0.80), availability of staff (AOR = 0.80, 95%CI = 0.02-0.32), adequate knowledge (AOR = 2.80, 95%CI = 1.15-6.84) were factors significantly associated with ENC skills. Generally, nurses-midwives had suboptimal knowledge and skills on essential newborn care. Nurses-midwives are in urgent need of positive supportive supervision and low-dose- high-frequency skills training in ENC for the prevention of neonatal morbidity and mortality. Also, policymakers should be aware of this gap and should plan necessary interventions to close the gap to resecure newborns' survival.

A study to assess the knowledge regarding the care of newborns among postnatal mothers at AIIMS Jodhpur, Rajasthan

Background: The health of future children depends on the nurturing practice in the initial years of life. Knowledge about the care of newborns among mothers plays a major role in reducing neonatal morbidities and mortalities. Therefore, the objective of the study was to assess the knowledge among postnatal mothers about newborn care. Methods: A descriptive study was done among 60 purposively selected post-natal mothers admitted at AIIMS, Jodhpur. Data was collected through self-structured questionnaires. The reliability of the self-structured knowledge questionnaire was determined by the KR-20 method and found reliable (0.81). Data collected was analyzed for frequency, mean, and standard deviation. Both descriptive and inferential statistics were used to compute the data. The Chi-square (Fisher’s Exact Test) was used to determine the relationship between selected socio-demographic variables and knowledge scores of post-natal mothers. Results: Findings showed that most (73%) of the respondents were from the age group 20-27 years. The mean knowledge score was 26.783±3.9234. Most of the respondents (60%) had excellent knowledge, whereas 28.33% had good knowledge levels. None of the participants was in the range of poor knowledge. Knowledge of participants about newborn care was found to have a significant association with the level of education, area of living and occupation. Conclusions: The result of this study provided information that postnatal mothers have adequate knowledge of newborn care. Some socio-demographic factors like occupation, literacy and area of residence were found to be associated with the knowledge of the mothers.

Knowledge of immediate newborn care and management of complications among midwives in Ghana

ObjectiveMidwives are instrumental in improving maternal/newborn health outcomes. Since complications after childbirth are leading causes of maternal deaths, midwives’ knowledge of how to manage complications and care for the newborn is important. This study assessed midwives’ knowledge of immediate newborn care and management of postpartum complications. DesignA cross-sectional descriptive survey design was used. SettingFour hospitals that provide inpatient maternity services in Tamale, Ghana. Participants245 midwives who worked in the four hospitals. MeasurementsData were collected in December 2018 using an electronic survey questionnaire by the Johns Hopkins Program for International Education in Gynecology and Obstetrics, and analyzed using descriptive, bivariate, and multivariate statistics. FindingsAbout 98% of midwives were female. The mean age of midwives was 31.87 years. The percentage of midwives who responded correctly to questions on newborn care and management of postpartum complications ranged from 29.80% to 89.39%, and 32.17% to 91.43% respectively. Midwives were most knowledgeable about breastfeeding and immediate hemorrhage intervention, and least knowledgeable about cord care, thermal protection, newborn resuscitation, contraindications for vacuum extraction, treating metritis, and performing a cervical repair. Years of experience and age are predictive factors of midwives’ knowledge. Conclusion/ImplicationsThere remains the opportunity for continuing education on complication management. Additional training of midwives on newborn resuscitation is recommended.

Knowledge, confidence, and educational needs of newborn care among North Korean refugee women: a descriptive study.

North Korean refugee women struggle with the double burden of adaptation and parenting as mothers in a new environment. This study aimed to identify the knowledge, confidence, and educational needs regarding newborn care among North Korean refugees, and to determine differences between these variables according to participants' characteristics. Data were collected from September to October 2022, and 150 North Korean refugee women recruited using convenience sampling participated in the study. Descriptive statistics, the t-test, analysis of variance, and Pearson correlation analysis were used for data analysis. The mean scores were as follows: parenting knowledge, 14.97 out of 25; infection prevention knowledge and confidence, 20.09 out of 33 and 51.37 out of 80, respectively; and educational needs, 245.86 out of 310. Significant differences were observed in newborn care, knowledge, and confidence according to maternal age, educational level, family structure, and pregnancy history. Significant positive correlations were observed between the participants' newborn care knowledge, confidence, and educational needs. Personalized educational programs should be implemented to enhance North Korean refugee women's confidence in newborn care, focusing on areas with low knowledge levels and high educational needs and enabling women to achieve healthy pregnancy and childbirth, and to parent well.

Assessment of knowledge and practice of gynecology/obstetrics residents and midwives towards essential newborn care At Tikur Anbessa Specialized Hospital, Addis Ababa University, Ethiopia

Background: A time-bound and chronologically ordered series of medical interventions that a baby receives at birth are referred to as the "essential newborn protocol." This period of immediate care is critical for the babies' subsequent well-being and adaptation. However, there are still reports of health workers lacking good knowledge and practice with newborn care, which was not investigated in our hospital. &#x0D; Methods: A hospital-based cross-sectional study was conducted in TASH with 114 selected gynecology and obstetrics residents and midwives. Using the SPSS version 25 software package, continuous data were described using the mean and standard deviation, while categorical data were de-scribed using frequency and percentage. To identify factors related to knowledge and practice, multivariable binary logistic regression analyses were used. &#x0D; Result: Eighty-eight residents and 26 midwives were included. Nearly a quarter (24.6%) of participants had good knowledge about essential newborn care. Regarding knowledge level by profession, 31.8% of the residents had good knowledge of essential newborn care, and all the midwives had poor knowledge. The odds of having good knowledge of ENC were 96.3% lower for first-year residents and 90.5% lower for second-year residents as compared to year four. Untrained participants had an 84 percent lower chance of having good knowledge of essential newborn care than trained participants. Regarding practice level by profession, more than two-thirds of 68 (77.3%) residents and 21 (80.8%) midwives had sufficient skill in essential newborn care. &#x0D; Conclusion: A substantial number of healthcare providers lacked essential newborn care knowledge and practice. The availability of service or on-the-job training, as well as the year of residency, were factors influencing newborn care knowledge. In-service training, encouraging supervision, and provisions should be reinforced to improve newborn care activities.

A Cross sectional Study on Nurses Knowledge and Practice of Essential Newborn Care at Tertiary Care Hospitals of Bahawalpur

The newborn survival, growth, and development depend on the knowledge of essential infant care and correct application. The World Health Organization's guideline is crucial, yet the majority of healthcare professionals are unaware of it and do not adhere to it. Four million infants die every year, primarily in developing countries. For every 1,000 live births in Pakistan, there are 40.4 neonatal fatalities. Objectives: To examine nurses understanding and their application of newborn care at Bahawalpur tertiary care hospitals. Methods: At Bahawalpur's tertiary care hospitals, a cross-sectional study was done. Using a random sampling procedure, 280 registered nurses who provide labor and delivery and neonatal care were chosen. Participants were given self-administered questionnaires in order to gather data. Input and analysis of the data were done with SPSS Version 21.0. Frequency and percentages were used to present qualitative characteristics. A P value of 0.05 was employed to evaluate statistical significance. Results: Study participants averaged a 24.28 on a knowledge scale. 53.2 % of respondents had strong knowledge, while 47.8 % had low knowledge, according to the research. 52.1 % of respondents had an excellent level of practice, while 48.9 % had a low level, according to the mean practice score of 33.83. Conclusions: On some crucial aspects of neonatal care, the research population had inadequate knowledge and experience. Therefore, while assigning employees to the delivery room, preference should be given to participants with higher knowledge. Those who perform well should also be commended