Advice on healthy pregnancy, delivery, motherhood and information on non-communicable diseases in the maternal care programme in Myanmar: a cross-sectional study

Abstract

ObjectivePregnancy and delivery periods offer an opportunity for counselling women to improve behavioural risk and prevent complications, including non-communicable diseases (NCDs). However, little evidence is available on counselling offered during antenatal and postnatal care (PNC) in Myanmar. This study aimed to assess the contents of advice and information received by women during antenatal and postnatal counselling and to identify factors associated with receiving those advice and information.DesignCross-sectional study.SettingA predominantly rural township in the Ayeyawady region and a predominantly urban township in the Yangon region.Participants1500 women who had given birth in the last 6 weeks to 12 months prior to the survey.Outcome measuresReceiving advice on 18 items during antenatal counselling, 10 items during postnatal counselling and information on five major NCDs during antenatal care (ANC).ResultsNearly 52% of women received advice on 18 items during antenatal counselling, and 60% received advice on 10 items during postnatal counselling. About 28% received information on five NCDs during ANC. Women who were living in the Yangon site, who had primary school education or lower and who experienced complications were less likely to receive advice on all items during both antenatal and postnatal counselling. Women who received PNC outside of a healthcare facility and were primiparas were also less likely to receive advice on all items during postnatal counselling. Women living in the Yangon site and those who utilised a private care facility were less likely to receive information on NCDs.ConclusionsOnly 60% of women received advice on healthy pregnancy, delivery and motherhood, whereas 30% received information on NCDs. Although non-modifiable maternal factors were associated with these results, counselling practice can be improved and information on NCDs can be offered as the first step of integrated NCDs care in maternal care programme in Myanmar.

Essential Newborn Care Among Postnatal Mothers at Selected Health Centers in Eastern Province, Rwanda

“…The WHO guidelines included four major areas; umbilical cord care (to prevent infection), early initiation and exclusive breastfeeding, thermoregulation measures, and early recognition of danger signs. [2,3] In Kayonza District, where the study was conducted, the 35% neonatal mortality rate is much higher than in other eastern province districts. The high mortality rate is in line with their low rate of neonatal checkups (2%) in the first two days following birth.…”

“…According to the literature, maternal roles and the magnitude of ENC knowledge and practice are vitally needed. [3] In Rwanda, the 2015 National Institute of Statistics Rwanda (NISR) reported that 85% of neonatal deaths are the result of prematurity, sepsis, asphyxia, poor management of pregnancy and delivery complications, and poor quality of care immediately following the birth. [4] Many of these neonatal deaths could be prevented if mothers used the evidenced-based ENC guidelines.…”

Prevalence and Determinants of Anaemia among Women aged 15-49 in Nepal: A Trend Analysis from Nepal Demographic and Health Surveys from 2006 to 2016

“…Anaemia is one of the major public health problems globally and the second leading cause of disability among pregnant women (World Health Organization, 2016). Poor maternal health is also associated with low birth outcomes including maternal morbidity and mortality (Okawa et al, 2019). Anaemia is defined as less than 12.0g/dl for non-pregnant and 11.0g/dl haemoglobin level for pregnant women (Ministry of Health et al, 2017) however definition varies in terms of severity, sex, living condition, and status of women including age (Ford et al, 2020;Miles et al, 2019).…”

Does exposure of mass media associate with utilisation of ANC services? A trend analysis from Nepal demographic and health surveys

“…Studies demonstrate that maternal morbidity and mortality rates are higher for those women who do not receive ANC 7 . Timely and appropriate ANC improves birth outcomes through proper delivery of quality health services which includes physical examinations, health screenings, counselling, prevention of complications, and even treatment of health problems 8 . Mothers are vulnerable during pregnancy due to many complications which are preventable.…”