Background: Neonatal sepsis is one of the leading causes of neonatal morbidity and mortality during the neonatal period especially in the first week of life. The objectives of this study were to determine early breastfeeding initiation (EBFI) and the incidence of neonatal sepsis in in the first week of life in Chipinge District, Zimbabwe.Methods: After obtaining approval from the ethical institutional review board and Medical research council of Zimbabwe, a total of 200 healthy term neonates were recruited into a prospective cohort study within 24 hours of birth after the mothers had given an informed consent. Mother and baby pair was followed up at day 3 and day 7 to assess presence of infection using clinical checklist and physical examination.Results: The Pearson correlation was significant at 0.01 level (2 tailed) at day 3 and day 7. The findings revealed a significant association between EBFI and neonatal sepsis in the first week of life.Conclusions: Neonatal sepsis is one of the leading causes of death during the neonatal period especially in the first week of life. Findings of the study revealed a significant Pearson correlation at 0.01 levels (2 tailed) at day 3 and day 7. Delayed initiation of breastfeeding increases the risk of neonatal sepsis and about 33 % neonatal deaths can be averted if breastfeeding is initiated within an hour of birth.
Background: Neonatal jaundice is the most prevalent condition affecting new born babies especially during the first week of life. About 50-60 % of the new born babies get affected with jaundice in the first week of life. The objective of the present study is to determine early breastfeeding initiation (EBFI) and the incidence of severe neonatal jaundice in in the first week of life in Chipinge District, Zimbabwe.Methods: A prospective cohort was conducted among 200 (100 early initiators and 100 late initiators) healthy term neonates and screening of jaundice was done on day 3 and day 7 using the transcutaneous bilirubinometry (JM 120). Early breast-feeding initiation was defined as the actual giving of the first breastmilk within an hour of birth and anything beyond an hour was considered as late (WHO, 2010). Jaundice was graded from mild (<10mg/dl), moderate (>10<14mg/dl) to severe (15mg/dl or more).Results: The Pearson correlation for early breastfeeding and severe neonatal jaundice was significant 2 tailed at (P = 0.01) at 95% CI and significant 2 tailed (P = 0.01) at 95% CI delayed breastfeeding initiation and severe neonatal jaundice. Conclusions: Early breast-feeding initiation had strong association with severe jaundice, significant 2 tailed at (P = 0.01) at 95% CI and significant 2 tailed (P = 0.01) at 95% CI delayed breastfeeding initiation and severe neonatal jaundice. There is need to assess neonatal jaundice objectively as clinical assessment through eye observation has limitation in picking at risk babies.
The Early breastfeeding initiation means practical giving of the breast milk to the baby soon after delivery that is in the first hour. Knowledge is defined as a true and justifiable phenomenon. The goal of the researchers in writing in this paper was to have an in depth description of knowledge regarding early breastfeeding initiation for the purpose of measuring and evaluating performance of nurse midwives performance. Concept analysis model postulated by Walker and Avant was used in helping describing the concept of interest. The researchers conducted literature search in a month's time using, breastfeeding journals, Journals of Nursing Philosophy Cochrane data base, Pub-med and MEDLINE as search engines. Thirty two studies that were found relevant to the concept of interest were included in the description of EBFI knowledge. Early breastfeeding initiation knowledge was cognitively appraised in almost all studies.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.