Postnatal counseling on exclusive breastfeeding using video – experience from a tertiary care teaching hospital, south India

Adhisivam, B; Bhat, B. Vishnu; Poorna, Rachel; Thulasingam, Mahalakshmy; Pournami, Femitha; Joy, Rojo

doi:10.1080/14767058.2016.1188379

Cited by 18 publications

(6 citation statements)

References 14 publications

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“…21 Our survey data show that mothers' use of evidence-based newborn care practices at 4 weeks post delivery is relatively low, with the exception of exclusive breast feeding. The high rate of exclusive breast feeding (77%) is consistent with other studies from India at 4 weeks post delivery [21][22][23] as well as the India National Family Health Survey 2015-2016 rate of exclusive breast feeding for babies under 2 months old, 24 and aligns with our study team's expectations given the country's investments in breastfeeding promotion programmes. The rate of proper umbilical cord care (46%) is consistent with a systematic review of cord care practices in LMICs that found widespread traditions of applying substances to the umbilical cord, 25 and aligns with the study team's experience that clean/ dry cord care is not always discussed in hospital discharge instructions.…”

Section: Implications For Postnatal Education Programmingsupporting

confidence: 90%

Just-in-time postnatal education programmes to improve newborn care practices: needs and opportunities in low-resource settings

Subramanian

Murthy²,

Bogam³

et al. 2020

BMJ Glob Health

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Worldwide, many newborns die in the first month of life, with most deaths happening in low/middle-income countries (LMICs). Families’ use of evidence-based newborn care practices in the home and timely care-seeking for illness can save newborn lives. Postnatal education is an important investment to improve families’ use of evidence-based newborn care practices, yet there are gaps in the literature on postnatal education programees that have been evaluated to date. Recent findings from a 13 000+ person survey in 3 states in India show opportunities for improvement in postnatal education for mothers and families and their use of newborn care practices in the home. Our survey data and the literature suggest the need to incorporate the following strategies into future postnatal education programming: implement structured predischarge education with postdischarge reinforcement, using a multipronged teaching approach to reach whole families with education on multiple newborn care practices. Researchers need to conduct robust evaluation on postnatal education models incorporating these programee elements in the LMIC context, as well as explore whether this type of education model can work for other health areas that are critical for families to survive and thrive.

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Section: Implications For Postnatal Education Programmingsupporting

confidence: 90%

Just-in-time postnatal education programmes to improve newborn care practices: needs and opportunities in low-resource settings

Subramanian

Murthy²,

Bogam³

et al. 2020

BMJ Glob Health

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“…The intervention translated into a better quality of care (Okawa et al, 2019 ). Higher rates of EBF were due to higher confidence levels and good dietary practices adopted post-intervention (Okawa et al, 2019 ).Strengthening efforts to enhance mothers’ self-confidence is essential in encouraging EBF, especially in countries with low EBF rates (Adhisivam et al, 2017 ; Chandhiok et al, 2015 ; Haroon et al, 2013 ; Opadeyi et al 2019 ; Victora et al, 2016 ; Tsegaye et al, 2019 ). The present study established that the best breastfeeding practices with long term benefits can be achieved by reinforcing education on ENC soon after delivery.…”

Section: Discussionmentioning

confidence: 99%

Can Flip-Chart Assisted Maternal Education Improve Essential New Born Care Knowledge and Skills? A Randomized Controlled Trial

Eluri

Baliga

Rao

et al. 2022

Matern Child Health J

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Background Despite the implementation of essential newborn care (ENC) by the World Health Organization, knowledge gaps among postpartum women persist. Inappropriate breastfeeding practices and lack of knowledge regarding ENC among mothers has resulted in higher neonatal mortality. Purpose Our study focused on evaluating the effectiveness of flip-chart assisted postpartum maternal education in improving ENC knowledge and skills. Material and Methods A single blind parallel randomized controlled trial was carried out with 120 primigravidae. Participants were allocated to the intervention group (IG) or the control group (CG) by block randomization. A pretested validated questionnaire was administered to participants in both groups within 24 h post-delivery. Women in the IG were provided flip-chart assisted education regarding ENC approximately 24 h post-delivery. Women in both groups received verbal advice on ENC from the postnatal ward nurses, as per the existing hospital policy. ENC skills were observed in all participants in postnatal wards by independent observers. 6 months later, knowledge retention was assessed and analyzed in both groups. Results Antenatal education remained at 32% among all postnatal women. Postnatal flip-chart-assisted maternal education had a significant impact on ENC skills in the IG (p < 0.01) and precipitated higher knowledge scores at the end of 6 months (p < 0.01) in the IG. Conclusion for Practice Flip-chart assisted education soon after delivery had a sustained effect on ENC knowledge and practices that persisted for 6 months post-delivery.

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“…Postnatal counseling and support of mothers on breastfeeding techniques like positioning, attachment of baby and common breastfeeding difficulties and their solutions, expression of breast milk, builds confidence among mothers, and encouraging them to breastfeed their babies in a better way and job aids can improve counseling skills of nursing staff. [ 24 ]…”

Section: Discussionmentioning

confidence: 99%

Knowledge and practices of nursing staffs related to Maternal Nutrition and Infant and Young Child Nutrition (MIYCN) services at Rajendra Institute of Medical Sciences, Jharkhand, India: A cross-sectional study

Kujur

Kiran

Sagar

et al. 2022

Journal of Family Medicine and Primary Care

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A BSTRACT Background: The first 1000 days of life is a unique window of opportunity when the foundation of overall optimum health and neurodevelopmental growth across the lifespan is established. Objective: To explore the level of knowledge and practice of service providers in delivering maternal, infant, and young child nutrition (MIYCN) services at the point of care. Methodology: This was a cross-sectional study done in the department of Obstetrics and Gynecology and Pediatrics of RIMS, Ranchi, Jharkhand from May to September 2019. Result: The practices and counseling skills of nursing staff pertaining to maternal nutrition interventions like IFA and calcium supplements was good. Though counseling on maternal minimum dietary diversity, frequency, and quantity of meals was done during the antenatal care period, its knowledge and expected total weight gain during pregnancy were suboptimal. The practice of early initiation of breastfeeding was significantly higher in those who delivered normally (79%) than those by cesarean section (7%). The nursing staff’s knowledge and technical skills on early initiation and exclusive breastfeeding were good, but inadequate for cesarean section. Forty-one percentage of recently delivered women were counseled on colostrum feeding, 17% about positioning and attachment, and 38% on exclusive breastfeeding (EBF) during the first 6 months. In the pediatrics OPD and immunization clinic, 93% of mothers with an infant below 6 months of age, received counseling on EBF, 47% on feeding during illness, and 13% on breastfeeding difficulties and their solutions. Sixty percentage of mothers of children >6 months old received counseling on timely introduction of complementary feeding and 40% on minimum dietary diversity. Forty percentage of mothers were counseled on feeding techniques during and after illness. Conclusion: The nursing staffs were providing the services related to MIYCN during antenatal, intranatal, and postnatal services, sick child visits, and immunization visits but their technical knowledge and skills on the specific components were not in accordance with the standard guidelines.

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Postnatal counseling on exclusive breastfeeding using video – experience from a tertiary care teaching hospital, south India

Cited by 18 publications

References 14 publications

Just-in-time postnatal education programmes to improve newborn care practices: needs and opportunities in low-resource settings

Just-in-time postnatal education programmes to improve newborn care practices: needs and opportunities in low-resource settings

Can Flip-Chart Assisted Maternal Education Improve Essential New Born Care Knowledge and Skills? A Randomized Controlled Trial

Knowledge and practices of nursing staffs related to Maternal Nutrition and Infant and Young Child Nutrition (MIYCN) services at Rajendra Institute of Medical Sciences, Jharkhand, India: A cross-sectional study

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