Newborn Care Knowledge and Practices among Mothers Attending Pediatric Outpatient Clinic of a Hospital in Karachi , Pakistan

Gul, Saadia; Khalil, Rehana; Yousafzai, Mohammad Tahir; Shoukat, Faiza

doi:10.12816/0006083

Cited by 28 publications

(40 citation statements)

References 12 publications

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“…Some variation in rates between sites may have been due in part to health system-wide disruptions in service delivery (e.g., floods in Pakistan, 2010; health worker strikes in Kenya, 2012). However, the lower rates of EIBF and EBF observed in the Pakistan site in the current study have also been noted in prior investigations [23,24]. It is interesting to note that the Pakistan site differs from others within the Global Network, in that women face many additional risk factors that have been shown, in previous studies, to interfere with EIBF.…”

Section: Discussionsupporting

confidence: 84%

“…It is interesting to note that the Pakistan site differs from others within the Global Network, in that women face many additional risk factors that have been shown, in previous studies, to interfere with EIBF. These include: higher rates of women who have no formal education (83%); women with higher parity (47% parity of 2 or more); later initiation of antenatal care in the 3rd trimester (44%); higher percentage of babies who required resuscitation (5%); and the lowest rate of babies placed on the mother’s chest after delivery (7%) [23-26]. …”

Section: Discussionmentioning

confidence: 99%

“…It is unclear why male babies were less likely to have EIBF, but as described elsewhere, there may be cultural beliefs surrounding the birth of males that discourage immediate breastfeeding [23,33-35]. Additionally, in some regions, such as Guatemala, cultural factors such as those related to the belief that colostrum is “dirty” can serve as barriers to EIBF.…”

Section: Discussionmentioning

confidence: 99%

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Rates and determinants of early initiation of breastfeeding and exclusive breast feeding at 42 days postnatal in six low and middle-income countries: A prospective cohort study

et al. 2015

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BackgroundEarly initiation of breastfeeding after birth and exclusive breastfeeding through six months of age confers many health benefits for infants; both are crucial high impact, low-cost interventions. However, determining accurate global rates of these crucial activities has been challenging. We use population-based data to describe: (1) rates of early initiation of breastfeeding (defined as within 1 hour of birth) and of exclusive breastfeeding at 42 days post-partum; and (2) factors associated with failure to initiate early breastfeeding and exclusive breastfeeding at 42 days post-partum.MethodsProspectively collected data from women and their live-born infants enrolled in the Global Network’s Maternal and Newborn Health Registry between January 1, 2010-December 31, 2013 included women-infant dyads in 106 geographic areas (clusters) at 7 research sites in 6 countries (Kenya, Zambia, India [2 sites], Pakistan, Argentina and Guatemala). Rates and risk factors for failure to initiate early breastfeeding were investigated for the entire cohort and rates and risk factors for failure to maintain exclusive breastfeeding was assessed in a sub-sample studied at 42 days post-partum.ResultA total of 255,495 live-born women-infant dyads were included in the study. Rates and determinants for the exclusive breastfeeding sub-study at 42 days post-partum were assessed from among a sub-sample of 105,563 subjects. Although there was heterogeneity by site, and early initiation of breastfeeding after delivery was high, the Pakistan site had the lowest rates of early initiation of breastfeeding. The Pakistan site also had the highest rate of lack of exclusive breastfeeding at 42 days post-partum. Across all regions, factors associated with failure to initiate early breastfeeding included nulliparity, caesarean section, low birth weight, resuscitation with bag and mask, and failure to place baby on the mother’s chest after delivery. Factors associated with failure to achieve exclusive breastfeeding at 42 days varied across the sites. The only factor significant in all sites was multiple gestation.ConclusionsIn this large, prospective, population-based, observational study, rates of both early initiation of breastfeeding and exclusive breastfeeding at 42 days post-partum were high, except in Pakistan. Factors associated with these key breastfeeding indicators should assist with more effective strategies to scale-up these crucial public health interventions.Trial registrationRegistration at the Clinicaltrials.gov website (ID# NCT01073475).

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Rates and determinants of early initiation of breastfeeding and exclusive breast feeding at 42 days postnatal in six low and middle-income countries: A prospective cohort study

et al. 2015

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“…Regarding immunization almost all mother vaccinated their child against antigen provided by the government as these two VDCs are hundred percent immunized VDC. Place of birth of the baby was associated with high knowledge on newborn care, and the findings of the study were supported by the study conducted in Pakistan where home delivery was a risk factor for poor cord care(OR=4.07) place of delivery was also associated with bathing (15) . In this study, we found that parity of mother was associated with safe practices for newborn care where the p-value is <0.03 and findings contrast to the study conducted in Chitwan district where they did not recognize parity as one of the factors for neonatal care and odds ratio was less than one (16) .…”

Section: Discussionsupporting

confidence: 71%

Knowledge and Practice of Newborn Care Among Mothers of Infants in Kavrepalanchok District

Nepal¹,

Thapa²

2017

IAM

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Background: In many communities around the world, newborn deaths are so commonplace that children are not even named until they survive their first month of life. Aims and Objectives: to identify the knowledge and practice of newborn care among mothers of infants. Materials and Methods: A descriptive cross-sectional study design was carried out with the sample of 96 mothers having less than 12 months old baby (infants) interviewed in two VDC of Kavrepalanchok district. Chi-square test was used to find out the significance of newborn care and its knowledge and practice. Result: out of 96 mothers approximately 78% have inadequate knowledge and 7.3% mother have unsafe practice on newborn care. Respondents were highly aware of the interval of breastfeeding (33%), colostrums feeding (96%), cleanliness (93.8%) and thermal protection (78.1%) of babies. Approximately one-third of respondents (33.3%) lacking knowledge on umbilicus cord care. Regarding practice, approximately one in four respondents initiate breastfeeding within one hour after birth, more than 80% practice rooming in, all most all respondents postpone bath for first 24 hours of birth, Nearly two third of respondents(61.5%) practice of applying oil in umbilicus, more than 90% mother clean their baby's eyes and all babies was fully immunized. The Association was found between parity of mother (P-value<0.04) and place of birth (P-value<0.04) to knowledge on newborn care and parity of mother to the practice of newborn care (P-value<0.03). Conclusion: study findings conclude that there was a huge gap between knowledge and practice on newborn care.

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“…In our study, we found that the rate of EIBF in the intervention group was 89.1%, which is higher than the values reported for studies in Pakistan and India, but lower than that in Nepal (Khanal, Scott, Lee, Karkee, & Binns, ; Patel et al, ; Zafar, Fatmi, & Shafi, ). There are multiple factors, including maternal education, multiple births, type of delivery, not putting the baby to the breast after birth, and low birthweight, that are associated with a lack of EIBF (Acharya & Khanal, ; Gul, Khalil, Yousafzai, & Shoukat, ; Khadduri et al, ; Sharma & Byrne, ). Our study has also shown that maternal education, low birthweight, and caesarean delivery were associated with late initiation of breastfeeding.…”

Section: Discussionmentioning

confidence: 99%

Peer counselling improves breastfeeding practices: A cluster randomized controlled trial in urban Bangladesh

Ara

Khanam

Papri

et al. 2018

Maternal & Child Nutrition

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This study aimed to evaluate the impact of peer counselling on early initiation of breastfeeding (EIBF) and exclusive breastfeeding (EBF) rates for mother–infant pairs living in urban slums, Dhaka, Bangladesh. This randomized controlled trial enrolled 350 mother–infant pairs from selected slums between September 2014 and July 2016. The women assigned to intervention group received peer counselling from locally recruited, trained community female volunteers starting in third trimester of pregnancy until 6 months after delivery; control group received no intervention. EIBF, any liquids given after birth, and EBF were compared between groups. Follow‐up was scheduled at enrolment, following childbirth, and every 2 months up to 6 months after delivery. Multiple logistic regressions were used to assess the effect peer counselling and other associated factors on EIBF and EBF practices. EIBF rate was higher in the intervention group than in the control group (89.1% vs. 77.4%, p = .005). More mothers in intervention group were exclusively breastfeeding at 5 months than mothers in the control group (73% vs. 27%, p < .005). Control mothers were twice as likely to not practice EIBF compared with intervention mothers (adjusted odds risk [aOR]: 2.53, CI [1.29, 4.97], p = .007). Overall, caesarean section was associated with an 8.9‐fold higher risk of not achieving EIBF (aOR: 8.90, CI [4.05, 19.55], p < .001). Intervention mothers were 5.10‐fold more likely to practice EBF compared with control mothers (aOR: 5.10, CI [2.89, 9.01], p < .001) at 5 months. This study demonstrates peer counselling can positively influence both EIBF and EBF among mothers living in urban area.

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Newborn Care Knowledge and Practices among Mothers Attending Pediatric Outpatient Clinic of a Hospital in Karachi , Pakistan

Cited by 28 publications

References 12 publications

Rates and determinants of early initiation of breastfeeding and exclusive breast feeding at 42 days postnatal in six low and middle-income countries: A prospective cohort study

Rates and determinants of early initiation of breastfeeding and exclusive breast feeding at 42 days postnatal in six low and middle-income countries: A prospective cohort study

Knowledge and Practice of Newborn Care Among Mothers of Infants in Kavrepalanchok District

Peer counselling improves breastfeeding practices: A cluster randomized controlled trial in urban Bangladesh

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