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Chatterjee, Devoshree. "Postnatal care". InnovAiT: Education and inspiration for general practice 6, n. 5 (maggio 2013): 293–301. http://dx.doi.org/10.1177/1755738013479943.
Testo completoAbstract (sommario):
The role of GPs in providing maternity care has changed dramatically over the past 30 years, with a trend towards declining involvement; however, recent proposals have suggested greater involvement is required. Nevertheless, the GP remains an important point of contact for postnatal advice, and it is the GP who usually carries out the 6-week postnatal maternal check. This article aims to provide an overview of the common types of problems mothers may encounter in the postnatal period and how they can be appropriately managed. It also provides a guide for the topics to be covered during the 6-week postnatal maternal check.
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Bullough, C. H. W. "Postnatal Care". Tropical Doctor 18, n. 2 (aprile 1988): 79–83. http://dx.doi.org/10.1177/004947558801800214.
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Rogers, Amanda. "Transforming postnatal care". British Journal of Midwifery 26, n. 4 (2 aprile 2018): 216. http://dx.doi.org/10.12968/bjom.2018.26.4.216.
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Moffat, Polly. "Better postnatal care". Journal of Health Visiting 5, n. 5 (2 maggio 2017): 213. http://dx.doi.org/10.12968/johv.2017.5.5.213.
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Marchant, Sally, Jo Garcia, Jo Alexander, Mavis Kirkham, Debra Bick, Christine MacArthur, Helena Fortune e Heather Winter. "Hospital Postnatal Care". British Journal of Midwifery 6, n. 3 (5 marzo 1998): 194. http://dx.doi.org/10.12968/bjom.1998.6.3.194.
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McLeish, Jenny, Merryl Harvey, Maggie Redshaw, Jane Henderson, Reem Malouf e Fiona Alderdice. "First-Time Mothers’ Expectations and Experiences of Postnatal Care in England". Qualitative Health Research 30, n. 12 (17 settembre 2020): 1876–87. http://dx.doi.org/10.1177/1049732320944141.
Testo completoAbstract (sommario):
Postnatal care is the aspect of maternity care with which women in England are least satisfied. Little is known about first-time mothers’ expectations of postnatal care, or how these expectations relate to their experiences and appraisal of care. Thirty-two first-time mothers took part in a longitudinal qualitative descriptive study, based on two semi-structured interviews—the first in pregnancy, and the second 2 to 3 months after birth. Trajectory analysis was used to identify the thematic patterns in the relationships between postnatal care expectations, needs, experiences, and confidence. Five trajectories were identified, showing that mothers’ satisfaction with postnatal care and confidence were primarily influenced not by the extent to which their expectations were met but the varied extent to which their individual postnatal needs were met. Rapid and responsive assessment of needs both antenatally and postnatally, and appropriate adjustment of care, is key in supporting women effectively at this time.
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Singh, Amrita. "Postnatal Health Care among Urban Women". Contemporary Social Sciences 27, n. 2 (1 aprile 2018): 132–40. http://dx.doi.org/10.29070/27/57474.
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Hughes, P. E. "Postnatal care in pigs". BSAP Occasional Publication 15 (1992): 149–61. http://dx.doi.org/10.1017/s0263967x00004171.
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AbstractIn the pig industry the mortality of piglets both during the birth process and in the subsequent 3 to 5 weeks is unacceptably high. This review attempts to summarize the major causes of these losses and to suggest means whereby such losses may be minimized in the commercial situation. Stillbirth rate is discussed in relation to various management regimes and it is concluded that anoxia (the primary cause of intra-partum piglet deaths) may be minimized by the provision of careful assistance during the birth process. Pre-weaning mortality is presented as a complex interaction of factors predominant amongst which are overlying by the sow, chilling, starvation and infection. Each of these areas is discussed in detail and recommendations are made to reduce their negative influence on the survival rate of piglets. Finally, the rōle of piglet activity level/vigour is considered in relation to pre-weaning survival rate. Various factors are discussed in relation to piglet vigour and it is concluded that the two major contributors to low activity level/vigour are intra-partum hypoxia and the endocrine status of the sow and piglet at birth. To reduce hypoxia, careful intervention is again suggested. The rôle of endocrine status is yet to be fully established but promising results are presented on the use of oestradiol treatment of piglets at birth to raise activity level and reduce pre-weaning mortality rate.
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Jackson, Kate. "Postnatal care in hospital". British Journal of Midwifery 4, n. 1 (gennaio 1996): 40–41. http://dx.doi.org/10.12968/bjom.1996.4.1.40.
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Aderoba, Adeniyi Kolade, e Kwame Adu-Bonsaffoh. "Antenatal and Postnatal Care". Obstetrics and Gynecology Clinics of North America 49, n. 4 (dicembre 2022): 665–92. http://dx.doi.org/10.1016/j.ogc.2022.07.005.
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Robinson, Max, e Paul Woollett. "Postnatal bladder care audit". European Journal of Obstetrics & Gynecology and Reproductive Biology 293 (febbraio 2024): 68. http://dx.doi.org/10.1016/j.ejogrb.2023.08.195.
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Asim, Muhammad, Saira Siddiqui, Nazia Malik, Waseem Nawaz e Farman Ali. "ANTENATAL HEALTH CARE;". Professional Medical Journal 24, n. 04 (6 aprile 2017): 495–99. http://dx.doi.org/10.29309/tpmj/2017.24.04.1531.
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Background: Prenatal and postnatal health care utilization services areimperative strategy to decrease maternal morbidity and mortality. One in 38 Pakistani womendies from pregnancy related causes as compared to 1 in 230 women in Sri Lanka. Objectives:The objective of the present study is to know about the pattern and trends of utilization ofantenatal and postnatal health care services by mothers in Pakistan. Study design: Descriptivesystematic literature review. Material and methods: The relevant literature was systematicallysearched through different key words related to antenatal and postnatal health care utilizationservices in Pakistan through different online research engines to accomplish this study.Results: Twenty five research articles were included in this review article. It was found thatlast two decades, we cannot achieve the optimum progress towards antenatal and postnatalhealth care utilization services. The problem is much severe in rural areas of across the country,where a number of socio-cultural and program factors hinders women to utilize the basic healthservices. Mother’s education, household income, autonomous at household decision makingand birth order are the significant factors that to utilize the antenatal and postnatal care inPakistan. Conclusion: There should be need to aware the mother about the importance ofprenatal and postnatal visits. In rural areas, government should give some economic incentivefor prenatal and postnatal visits. Furthermore, government should take necessary steps totackle the problem by providing the easy access to the health care facilities.
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Tierney, Olivia, e Shanna Fealy. "Postnatal Maternity Outpatient Clinic: An innovation in postnatal care". Women and Birth 30 (ottobre 2017): 32. http://dx.doi.org/10.1016/j.wombi.2017.08.081.
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Doherty, Jean, Mary Brosnan e Lucille Sheehy. "Changes in care in the fourth trimester in Ireland: 2010–2020". British Journal of Midwifery 29, n. 12 (2 dicembre 2021): 683–91. http://dx.doi.org/10.12968/bjom.2021.29.12.683.
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Background There has been a shift in maternity care over the past decade. The changes encountered by postnatal ward staff and the impact of these changes on women postnatally requires exploration. This study aimed to ascertain midwives' and healthcare assistants' perspectives of the changes in postnatal care and challenges to providing care in the current context. Methods This was a qualitative study involving two focus groups of 15 midwives and healthcare assistants from an Irish urban maternity hospital. The participants' responses were analysed thematically. Results Changes in women's clinical characteristics, including increased comorbidities and caesarean section rates, were highlighted as creating additional care needs. Furthermore, additional midwifery tasks and clinical protocols as well as shorter hospital stays leave little time for high-quality, woman-centred care. Participants highlighted a negative impact on maternal health from limited follow-up midwifery care in the community. Conclusions With additional midwifery duties and a reduction in time to complete them, additional community midwifery care is key to providing high-quality follow-on care after postnatal discharge from hospital.
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Bamber, J. H. "Why Anesthetists Should Care About Postnatal Care". Obstetric Anesthesia Digest 44, n. 2 (24 maggio 2024): 110–12. http://dx.doi.org/10.1097/01.aoa.0001016132.17694.bd.
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(Anaesthesia. 2023;78(9):1058–1061) The National Institute for Health and Care Excellence (NICE) characterizes current UK postnatal care as a “Cinderella service,” marked by insufficient provisions and only 8.5% of the maternity care budget. Despite 97% of births occurring in hospitals, the average postnatal stay of 1.5 days is the shortest among high-income countries. While most women find their stay appropriate, empowering them to choose its duration enhances satisfaction without adverse effects.
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Kiragu, Charles, Justus SO Osero e Anthony K. Wanyoro. "Factors influencing women's knowledge at scheduled postnatal visits: a multi-centre study in Kakamega, Kenya". African Journal of Midwifery and Women's Health 15, n. 4 (2 dicembre 2021): 1–8. http://dx.doi.org/10.12968/ajmw.2020.0044.
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Background/aims Postnatal care is offered to mothers and their babies from birth and across the postnatal period. Visits are spread over the postnatal period, and a minimum of four visits is recommended. In many studies, postnatal visits in Africa have been reported to be low compared to antenatal visits. As a result of low postnatal visits, mothers are not able to utilise postnatal care services, resulting in delayed detection of and interventions for maternal and neonatal health problems, leading to high rates of maternal and neonatal morbidity and mortality. In Kenya, only 53% of mothers attend postnatal clinics; in Kakamega county, only 34% of mothers attend. This study aimed to establish factors influencing postnatal knowledge among mothers in selected hospitals in Kakamega, Kenya. Methods The study was a descriptive cross-sectional study involving 320 postnatal mothers recruited from four sub-counties. Systematic sampling was used to select eligible study participants. Data were collected using questionnaires that assessed the participants' knowledge of postnatal care in terms of what postnatal care is, recommended postnatal care, when to attend a clinic and the services offered at postnatal care clinics. The data were entered into a database and analysed using the Chi-squared test to assess how sociodemographic and socioeconomic characteristics were associated with knowledge of postnatal care. Results The majority of participants (73.1%) had poor or no knowledge of postnatal care and 89.7% had poor or no knowledge on when postnatal visits should be carried out. Most postnatal mothers (71.9%) received postnatal health information from health workers. Occupation (P<0.000), income (P<0.000), transport (P<0.000) and time taken to travel to hospital (P=0.034) were significantly associated with postnatal knowledge. Conclusions Knowledge on postnatal care is poor among postnatal mothers in Kakamega. The majority of participants obtained postnatal care information from health workers, and so it is recommended that Kakamega establishes other strategies for giving information on postnatal care, such as pamphlets to mothers.
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Akinbowale, B. T., O. Ademuyiwa, A. A. Akinyele e O. D. Akinwale. "Postnatal home visit: An effective strategy to a successful postnatal care". Research Journal of Health Sciences 11, n. 4 (3 agosto 2023): 377–83. http://dx.doi.org/10.4314/rejhs.v11i4.11.
Testo completoAbstract (sommario):
Home visiting is a crucial aspect of postnatal care services as recommended by the WHO, but it appears to be the most neglected service. This is due to various challenges like a shortage of manpower, inadequately skilled or trained health care workers, the non-availability of assessment tools and resources, and a lack of community awareness of the importance of postnatal care. However, it's the responsibility of health care workers, especially the midwives, to carry out postnatal home care visits to ensure the well-being of both the mother and the neonates, as well as the assessment of the environment where the newborn will be nurtured. Therefore, to ensure effective postnatal home care visits, there should be availability of adequate tools and resources for the services, training of health care personnel, allocation of experienced health care workers, and community awareness of the importance of postnatal home care visits. This review thus explained the concept of postnatal home care visits, the timing of visits, who should conduct postnatal home visits, what to look out for in mothers, babies, and environments.
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Tolera, Habtamu, Tegegne Gebre-Egziabher e Helmut Kloos. "Risk factors for women’s non-utilization of decentralized primary health care facilities for postnatal care in rural western Ethiopia". Therapeutic Advances in Reproductive Health 14 (gennaio 2020): 263349412092834. http://dx.doi.org/10.1177/2633494120928340.
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Objective: Evidence suggests postnatal care contributes to reductions in maternal mortality. In Ethiopia, the proportion of women who do not utilize postnatal care after birth is high and the frequency of postnatal checks falls short of the four visits recommended by World Health Organization. This study examined risk factors associated with non-utilization of decentralized local health facilities, namely, health posts, health centers, and a primary hospital, for postnatal care services in Gida Ayana Woreda in rural western Ethiopia. Methods: In this study, 454 mothers were examined for the following risk factors: kebele (the smallest administrative unit in Ethiopia) in which decentralized health care facilities were located, postnatal woman’s age, antenatal care service visit, experience of postnatal complications, knowledge of postnatal complications, knowledge of the recommended number of postnatal care visits, knowledge of the availability/provision of postnatal care, and health extension workers’ home visits. Bivariate and multivariable logistic regression analyses were applied to identify predictors of non-utilization of decentralized local facilities for postnatal care services. Results: Over half (55.7%) of the women did not utilize postnatal care within 42 days of delivery, and only 10.0% utilized the care considered appropriate according to World Health Organization guidelines. After adjusting for various potential confounding factors, we found the following risks to be strongly associated with non-utilization of decentralized health care facilities for postnatal care services: some outer rural administrative decentralization entities such as Angar, Lalistu, and Ejere kebeles; age 35 years or older (adjusted odds ratio = 3.4, 95% confidence interval: 1.4–8.3), not receiving antenatal care during this pregnancy (adjusted odds ratio = 2.0, 95% confidence interval: 1.1–3.7), no experience of any postnatal complications (adjusted odds ratio = 3.3, 95% confidence interval: 1.7–6.4), and no knowledge of at least one postnatal complication (adjusted odds ratio = 2.0, 95% confidence interval: 1.2–3.3). Risk factors highly but less strongly associated with women’s non-utilization of postnatal care services were no knowledge of the standard number of postnatal care visits recommended, no knowledge about the availability/provision of services at a local health facility, and no home visit from health extension worker by day 3 post-delivery. Conclusion: The risk factors for women’s non-utilization of decentralized health care facilities for postnatal care identified in this study need to be considered in interventions for enhancing the utilization of the service and reducing maternal and newborn deaths in rural western Ethiopia. Strengthening of postnatal care services, especially in the more remote kebeles, should include upgrading of the referral system and expansion of counseling of women by health extension workers.
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McMillan, Brian, Katherine Easton, Elizabeth Goyder, Brigitte Delaney, Priya Madhuvrata, Reem Abdelgalil e Caroline Mitchell. "Reducing risk of type 2 diabetes after gestational diabetes: a qualitative study to explore the potential of technology in primary care". British Journal of General Practice 68, n. 669 (26 febbraio 2018): e260-e267. http://dx.doi.org/10.3399/bjgp18x695297.
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BackgroundDespite the seven-fold increased risk of type 2 diabetes mellitus (T2DM) among females previously diagnosed with gestational diabetes (GD), annual rates of follow-up in primary care are low. There is a need to consider how to reduce the incidence of progression to T2DM among this high-risk group.AimTo examine the views of females diagnosed with GD to ascertain how to improve primary care support postnatally, and the potential role of technology in reducing the risk of progression to T2DM.Design and settingA qualitative study of a purposive sample of 27 postnatal females leaving secondary care with a recent diagnosis of GD.MethodSemi-structured interviews were conducted with 27 females, who had been previously diagnosed with GD, at around 6–12 weeks postnatally. Interviews were audiotaped, transcribed, and analysed thematically.ResultsFacilitators and barriers to engaging in a healthy postnatal lifestyle were identified, the most dominant being competing demands on time. Although females were generally satisfied with the secondary care they received antenatally, they felt abandoned postnatally and were uncertain what to expect from their GP in terms of follow-up and support. Females felt postnatal care could be improved by greater clarity regarding this, and enhanced by peer support, multidisciplinary input, and subsidised facilities. Technology was seen as a potential adjunct by providing information, enabling flexible and personalised self-management, and facilitating social support.ConclusionA more tailored approach for females previously diagnosed with GD may help reduce the risk of progression to T2DM. A need for future research to test the efficacy of using technology as an adjunct to current care was identified.
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Dasanayake, D. L. W., e Sri Lanka College of Obstetricians and Gynaecologists. "Postnatal care during hospital stay". Sri Lanka Journal of Obstetrics and Gynaecology 43, n. 3 (25 novembre 2021): 269. http://dx.doi.org/10.4038/sljog.v43i3.8021.
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Smythe, Elizabeth, Deborah Payne, Sally Wilson, Ann Paddy e Kate Heard. "Revealing Tact Within Postnatal Care". Qualitative Health Research 24, n. 2 (21 gennaio 2014): 163–71. http://dx.doi.org/10.1177/1049732313519704.
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Bick, Debra. "The importance of postnatal care". British Journal of Midwifery 11, n. 10 (ottobre 2003): 593. http://dx.doi.org/10.12968/bjom.2003.11.10.12216.
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Lazarus, John H., L. Kuvera DE Premawardhana, Arthur B. Parkes e Brian Harris. "Postnatal care and women's health". Lancet 353, n. 9163 (maggio 1999): 1532. http://dx.doi.org/10.1016/s0140-6736(05)67230-3.
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Bell, R. "Postnatal care also requires evaluation". BMJ 313, n. 7050 (20 luglio 1996): 168. http://dx.doi.org/10.1136/bmj.313.7050.168.
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Bick, Debra. "Postnatal care cannot be ignored". British Journal of Midwifery 3, n. 8 (2 agosto 1995): 411–12. http://dx.doi.org/10.12968/bjom.1995.3.8.411.
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Henderson, Christine. "What's happening in postnatal care". British Journal of Midwifery 5, n. 10 (ottobre 1997): 608. http://dx.doi.org/10.12968/bjom.1997.5.10.608.
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Salvador, Ann, Wendy Peterson, Julie Nault, Anne Gravelle, David McCoubrey, Laurence Tsorba, Dean Leduc et al. "Hôpital Montfort’s Postnatal Care-at-Home Program: An Innovative Model for Early Postnatal Care". Healthcare Quarterly 25, n. 3 (25 ottobre 2022): 42–48. http://dx.doi.org/10.12927/hcq.2022.26942.
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Joshi, Neha, Gomathi B., Kanchan Bala e Mahalingam V. "Effectiveness of structured teaching programme on knowledge about postnatal care among mothers". International Journal of Research in Medical Sciences 5, n. 11 (27 ottobre 2017): 4993. http://dx.doi.org/10.18203/2320-6012.ijrms20174958.
Testo completoAbstract (sommario):
Background: Mothers and new-borns are vulnerable to illness and deaths during the postnatal period. Care during postnatal period is the important part of maternal health care as the serious and life-threatening complications can occur in postnatal period.Methods: A Quantitative approach with pre- experimental design was used to study the effectiveness of STP on postnatal care. Sixty postnatal mothers were selected from tertiary care hospital. The Purposive sampling techniques was used to select the study subjects. Data was collected by using Structured Knowledge questionnaire.Results: The results show that the overall mean pre-test knowledge score of postnatal mothers was 19.8±2.98 and mean post-test knowledge score of postnatal mothers was 26.28±1.89 and the mean difference was 6.48. This revealed that the STP was an effective method in improving mother’s knowledge on postnatal care. There was no significant association found between pre-test knowledge score with their demographic variables except occupation.Conclusions: The findings of the study revealed that STP was effective in enhancing the knowledge of postnatal mothers on postnatal care.
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Limenih, Miteku Andualem, Zerfu Mulaw Endale e Berihun Assefa Dachew. "Postnatal Care Service Utilization and Associated Factors among Women Who Gave Birth in the Last 12 Months prior to the Study in Debre Markos Town, Northwestern Ethiopia: A Community-Based Cross-Sectional Study". International Journal of Reproductive Medicine 2016 (2016): 1–7. http://dx.doi.org/10.1155/2016/7095352.
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Improving maternal and newborn health through proper postnatal care services under the care of skilled health personnel is the key strategy to reduce maternal and neonatal mortality. However, there were limited evidences on utilization of postnatal care services in Ethiopia. A community based cross-sectional study was conducted in Debremarkos town, Northwest Ethiopia. Cluster sampling technique was used to select 588 study participants. Bivariate and multivariable logistic regression model was fitted to identify factors associated with postnatal care utilization. Odds ratio with 95% confidence interval was computed to determine the level of significance. Postnatal care service utilization was found to be 33.5%. Awareness about maternal complication (AOR: 2.72, 95% CI (1.71, 4.34)), place of delivery of last child (AOR: 1.68, 95% CI: (1.01, 2.79)), outcome of birth (AOR: 2.71, 95% CI (1.19, 6.19)), delivery by cesarean section (AOR: 4.82, 95% CI (1.86, 12.54)), and delivery complication that occurred during birth (AOR: 2.58, 95% CI (1.56, 4.28)) were factors associated with postnatal care service utilization. Postnatal care service utilization was found to be low. Increasing awareness about postnatal care, preventing maternal and neonatal complication, and scheduling mothers based on the national postnatal care follow-up protocol would increase postnatal care service utilization.
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Hazarika, Malashree, e Dhiramani Baishya. "A Study to Assess the Knowledge and Practice on Newborn Care Among Postnatal Mothers at a Selected Hospital Golaghat District, Assam". International Journal of Science and Healthcare Research 7, n. 4 (7 dicembre 2022): 180–85. http://dx.doi.org/10.52403/ijshr.20221025.
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Neonatal period is a very crucial period of life. All newborns require care in this period to minimize the risk of illness and maximize their growth and development. The objective of the study was to assess the knowledge and practice on newborn care among postnatal mothers. A quantitative non-experimental approach with a descriptive research design was selected for the present study. The study was conducted among 50 postnatal mothers in maternity ward in VKNRL Hospital, Numaligarh, Golaghat, Assam. Data were collected by using self-structured questionnaire on newborn care. The study results revealed that majority i.e, 54% had moderate 26% had poor and 20% of the postnatal mothers had adequate knowledge regarding newborn care. Whereas, 54% of the postnatal mothers had moderate, 24% had adequate, and 22% had poor practice on newborn care. The mean value of knowledge on newborn care among postnatal mothers is 14.58 and SD is 2.12. The mean value of practice on newborn care among postnatal mothers is 7.38 and SD is 1.5. There was a significant association between knowledge on newborn care and selected demographic variables such as educational status, mode of delivery of postnatal mothers. There was a significant association between practice and educational status of the postnatal mothers. It can be concluded that participants had moderate knowledge and practice on newborn care. Keywords: Newborn care, postnatal mothers, knowledge, practice.
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Yosef, Yirgalem, Mebratu Demissie, Seblework Abeje, Fantahun Walle, Shegaw Geze, Aberash Beyene e Mariama Shifa. "Prevalence of early postnatal care services usage and associated factors among postnatal women of Wolkite town, Gurage zone, Southern Ethiopia: a community-based cross-sectional study". BMJ Open 13, n. 1 (gennaio 2023): e061326. http://dx.doi.org/10.1136/bmjopen-2022-061326.
Testo completoAbstract (sommario):
ObjectiveEarly postnatal care service usage in developing countries is one of the healthcare service usage problems among postnatal women, which is related to extensive maternal and neonatal complications and mortality. Identification of the prevalence of early postnatal care services usage and associated factors among postnatal women is imperative to develop intervention measures to mitigate their complications and public health impact, which is not well known in Ethiopia, particularly in the selected study area. Thus, this study aimed to assess the prevalence of early postnatal care services usage and associated factors among postnatal women of Wolkite town, southeast Ethiopia.DesignA community-based cross-sectional study design was conducted among 301 postnatal women from 15 May to 15 June 2021.MeasurementsData were collected using a pretested structured questionnaire. The collected data were cleaned and entered in EpiData V.3.1 and then exported to SPSS V.23 for analysis. Finally, a multivariate logistic regression model was fitted to identify the factors associated with early postnatal care services usage. The p value<0.05 was considered statistically significant.ResultsThe finding showed that the prevalence of early postnatal care services usage was 23.3% (95% CI 18.9% to 27.9%). Wanted pregnancy (adjusted OR (AOR)=4.17, 95% CI 1.93 to 9.03), had over four histories of pregnancy (gravida >4) (AOR=2.90, 95% CI 1.18 to 7.11) and had spontaneous vertex delivery (AOR=2.18, 95% CI 1.07 to 9.39) were statistically significant factors of early postnatal care service usage.ConclusionThis study has shown that the prevalence of early postnatal care services usage was slightly low when compared with other studies. Thus, community-based health promotion should be an important recommendation to increase early postnatal care service usage among postnatal mothers to improve the level of awareness of early postnatal check-up schedules; done by healthcare providers.
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Bekele, Gadise, Della Berhanu, Konjit Wolde, Dedefo Teshite, Walelegn Worku, Anne Hyre, Lisa Noguchi e Alemayehu Worku. "A multi-site, non-randomized study of the feasibility and acceptability of a family-led postnatal care model in the Ada District, Ethiopia". Gates Open Research 7 (4 luglio 2023): 104. http://dx.doi.org/10.12688/gatesopenres.14512.1.
Testo completoAbstract (sommario):
Background: Postnatal care is a critical intervention to reduce newborn and maternal mortality in high-mortality settings. However, it is underutilized in many countries. Family-led postnatal care (FPNC) is an innovative postnatal care service delivery model that leverages self-care principles to address key barriers identified in the Ethiopian context, including women’s preference to stay home in the first week after delivery and receive support from trusted family members. Utilizing an improved discharge process, coupled with user-friendly monitoring devices made available as a home care kit kept with preferred community custodians, this self-care model for postnatal care will be evaluated as a potential solution to very low coverage of postnatal care in the first week of life. Methods: The study will use mixed sequential methods: quantitative pre-intervention and post-intervention survey and phenomenological qualitative study. Four health centers in Ada Districtof Oromia, Ethiopia will be purposively selected. A pre-intervention survey will measure coverage and content of postnatal checks and care-seeking behavior. Health centers will then implement family led postnatal care. Once FPNC is initiated, post-intervention quantitative data will be collected. Approximately 218 postnatal women are to be included in the quantitative survey. Qualitative interviews with approximately 20 mothers, 20 partners, 20 families, eight health managers, 12 postnatal discharge counselors, 20 health extension workers, and eight home care kit custodians will be conducted. A quantitative measurement of sustainability six months after the endline will also be assessed. Conclusions: Optimally, the study will contribute evidence to inform decision makers locally and globally on whether FPNC is a feasible and acceptable service delivery model for postnatal care, and whether it improves women’s empowerment and/or increases men’s support and connection to women and newborns in the early postnatal period.
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Wassie, Gizachew Tadesse, Minyichil Birhanu Belete, Azimeraw Arega Tesfu, Simachew Animen Bantie, Asteray Assmie Ayenew, Belaynew Adugna Endeshaw, Semaw Minale Agdie et al. "Association between antenatal care utilization pattern and timely initiation of postnatal care checkup: Analysis of 2016 Ethiopian Demographic and Health Survey". PLOS ONE 16, n. 10 (12 ottobre 2021): e0258468. http://dx.doi.org/10.1371/journal.pone.0258468.
Testo completoAbstract (sommario):
Background Despite significant public health intervention, maternal mortality remains high in low- and middle-income countries, including Ethiopia. Effective postnatal care is a critical service to reduce maternal mortality. In Ethiopia, only 17% of mothers received postnatal care services in 2016. Objective This study examined the association between antenatal care and timely postnatal care checkup among reproductive-age women in Ethiopia. Methods The study used the 2016 Ethiopian Demographic and Health Survey data. The current study included 4,081 women who give birth in the two years preceding the survey. Chi-square test and multivariable logistic regression analyses were used to examine the association between antenatal care and timely initiation of postnatal care. Results Postnatal care services within 2 days of delivery were received by 16.5% of women. Women who had at least four timely antenatal care visits had higher odds of timely postnatal checkups compared to women who had no antenatal care [adjusted Odds Ratio (aOR): 2.50; 95% CI 1.42–4.42]. Women who had at least four antennal care visits without timely initiation also had higher odds of postnatal check-up than their counterparts (aOR: 2.46; 95%CI: 1.22–4.97). Other factors significantly associated with timely initiation of PNC were secondary and above education (aOR: 1.64; 95%CI: 1.03–2.60), perceived distance to the nearby health facility as a significant barrier (aOR: 1.55; 95%CI: 1.15–2.09), primiparous (aOR: 0.34; 95%CI: 0.19–0.61) and institutional delivery (aOR: 14.55; 95%CI: 2.21–95.77). Conclusion The prevalence of timely initiation of postnatal care in Ethiopia is very low. Women who received recommended antenatal care services had higher odds of timely initiation of postnatal care. Thus, strengthening the existing maternal and child health programs to adhere to the recommended ANC care guidelines may improve the timely initiation of postnatal care.
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Hinonaung, Jelita Siska Herlina, Astri Juwita Mahihody e Grace Angel Wuaten. "Factors Influencing Poor Postnatal Care in Sangihe Regency". JURNAL INFO KESEHATAN 19, n. 1 (9 giugno 2021): 20–27. http://dx.doi.org/10.31965/infokes.vol19.iss1.484.
Testo completoAbstract (sommario):
Postpartum mothers from the first day of childbirth up to six weeks will undergo changes both physically and psychologically making intensive care indispensable. Conditions in which the postpartum mother does not get the correct and timely postnatal care lead to postpartum complications that can cause death. The objective of the study is to identify factors related to poor postnatal care in Sangihe Regency, North Sulawesi. This research was a correlation cross-sectional study. The population was postpartum mothers in the working area of The Kuma Health Center of Sangihe Regency. In this study, researchers sampled 62 respondents. The variables included age, culture, mode of delivery, support, and knowledge. The relationship between age, culture, mode of delivery, support, and knowledge with poor postnatal care was measured less using the chi-square test. In contrast, the determinants of poor postnatal care were identified employing logistics regression. The results showed that factors influencing poor postnatal care were age, culture, mode of delivery, support, and knowledge. Mode of delivery was discovered as the most dominant variable influencing poor postnatal care. This research concluded that age, culture, mode of delivery, support and knowledge had a correlation with poor postnatal care, and the most dominant variable was the mode of delivery. Researcher hopes that these findings could help health workers and local governments to direct appropriate postpartum care, especially other postnatal care requiring further research.
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Pascal, Marie C., e Caroline S. E. Homer. "Models of Postnatal Care for Low-Income Countries: A Review of the Literature Abstract". International Journal of Childbirth 6, n. 2 (2016): 104–32. http://dx.doi.org/10.1891/2156-5287.6.2.104.
Testo completoAbstract (sommario):
PURPOSE:This review aims to identify the key features of effective models of postnatal care involving midwifery personnel and to determine which models may be appropriate for implementation in low-income countries.STUDY DESIGN:A narrative synthesis of English language, peer-reviewed articles from 2004 to 2014 was undertaken. Four online library databases were searched. Inclusion/exclusion criterion and a quality appraisal were applied.MAJOR FINDINGS:Twenty-two studies were included in the review, but only 4 were from low-income countries. Midwifery-led models of postnatal care are cost-effective to provide high-quality care in every settings for every women in respect of 2 core components of quality care that are woman-centered care and continuity of care. Midwifery postnatal care is provided at hospital, in community settings, and at home, all presenting different strengths and weaknesses. Combinations of models of midwifery postnatal care and collaboration between stakeholders have had positive impacts on the quality of postnatal care. To be completely effective, this requires a better management and support of midwifery personnel though. Women and midwifery personnel’s satisfaction needs to be considered to identify the local means and needs and to plan a suitable model of midwifery postnatal care at each location.MAIN CONCLUSION:Low-income countries could develop a midwifery-led model of postnatal care. This will require identifying women and midwifery personnel’s needs and the available resources and involving the stakeholders collaboratively to provide a suitable model of midwifery postnatal care. Education and practice will need to be addressed as well as promotion to the population. There is a need to conduct more research on midwifery postnatal care in low-income countries to evaluate how to best use them and what aspect of the midwifery postnatal care can be strengthened.
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Gebremedhin, Aster Ferede, Angela Dawson e Andrew Hayen. "Effective coverage of newborn postnatal care in Ethiopia: Measuring inequality and spatial distribution of quality-adjusted coverage". PLOS ONE 18, n. 10 (26 ottobre 2023): e0293520. http://dx.doi.org/10.1371/journal.pone.0293520.
Testo completoAbstract (sommario):
Neonatal health is a significant global public health concern, and the first two days of life are crucial for newborn survival. Most studies on newborn postnatal care have focused on crude coverage measures, which limit the evaluation of care quality. However, evidence suggests a shift towards emphasising effective coverage, which incorporates the quality of care when measuring intervention coverage. This research aimed to assess the effective coverage of newborn postnatal care in Ethiopia while also examining its inequalities and spatial distribution. The study used secondary data from the 2016 Ethiopian Demographic and Health Survey, which was a cross-sectional community-based study. A total weighted sample of 4169 women was used for analyses. We calculated crude coverage, which is the proportion who received a postnatal check within 48 hours of birth and quality-adjusted coverage (effective coverage), which is the proportion who received a postnatal check within 48 hours of birth and reported receipt of 6 or more contents of care provided by health care providers. Concentration index and concentration curves were used to estimate the socioeconomic-related inequalities in quality-adjusted newborn postnatal care. The spatial statistic was analysed by using Arc-GIS. The crude coverage of newborn postnatal care was found to be 13.2%, while the effective coverage was 9%. High-quality postnatal care was disproportionately concentrated among the rich. A spatial variation was found in quality-adjusted coverage of newborn postnatal care across regions. The findings suggest that there is a significant gap in the coverage and quality of postnatal care for newborns across regions in Ethiopia. The low rates of coverage and effective coverage, combined with the concentration of high-quality care among the rich and the spatial variation across regions, highlight the need for targeted interventions and policies to address the inequalities in access to high-quality postnatal care for newborns.
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Brown, Clementine Rees. "Delivering care". Dental Nursing 20, n. 1 (2 gennaio 2024): 28–30. http://dx.doi.org/10.12968/denn.2024.20.1.28.
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Limbu, Chandrakala, Chanchala Kuwar, Sapana Shrestha, Neha Shrestha e Sanjita Fyak. "Utilization of Postnatal Care Services among Mothers Residing in Morang District, Nepal". Journal of College of Medical Sciences-Nepal 19, n. 2 (30 giugno 2023): 201–09. http://dx.doi.org/10.3126/jcmsn.v19i2.49957.
Testo completoAbstract (sommario):
Introduction: Post-natal care is regarded as the care provided to the mother and the baby during first six weeks of childbirth. Large proportion of maternal and neonatal deaths occur during postnatal period. The utilization of postnatal care services helps in preventing maternal and neonatal deaths. The study aim to find out the utilization of postnatal care services among postnatal mothers residing in Morang district, Nepal.Methods: A Cross sectional study was undertaken among 256 postnatal mothers residing in Kanepokhari rural municipality, Belbari and Sundarharaincha municipality of Morang district. Multi stage sampling method was used. Ethical approval was obtained from PUSHS- Institutional review committee (Ref no 041—078/079). Face to face interview was done using self developed semi structure questionnaire to collect the data. Descriptive statistics were performed and chi –square was done. Multivariable logistic regression was doneResults: Nearly half (47.3%) had utilized the postnatal care services. Very few (6.6%) of the respondents were aware about the importance about the PNC utilization. Most (85.2%) of the respondents were unaware about the government protocol of PNC visit. Educational level, duration of stay at hospital parity, danger sign seen in pregnancy, place of delivery and mode of delivery were associated with having utilization of postnatal services. The primi mothers (95% CI: 1.229-0.403) had higher likelihood of having postnatal care utilization.Conclusions: Nearly half postnatal mothers have utilized the postnatal care services. Awareness programme focusing on government protocol for postnatal services should be done to improve the utilization.
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Pongpanich, Sathirakorn, Abdul Ghaffar, Najma Ghaffar e Hafiz Abdul Majid. "Determinants of newborn care utilization in Pakistan: Findings from the Demographic and Health Surveys". F1000Research 9 (21 ottobre 2020): 1061. http://dx.doi.org/10.12688/f1000research.25700.2.
Testo completoAbstract (sommario):
Background: Information on determinants of postnatal care is essential for maternal health services, and this information is scarce in Pakistan. This study aimed to determine the factors of newborn postnatal care utilization from the Pakistan Demographic and Health Surveys (PDHS) conducted from 2006–2018. Methods: We analyzed data from three rounds of cross-sectional, nationally representative PDHS 2006–07, 2012–13, and 2017–18. Multivariable logistic regression models were applied to explore factors associated with utilization of newborn postnatal care within two months. Results: This study included 5724 women from the 2006–07 PDHS, 7461 from the 2012–13 survey, and 8287 from the 2017–18 survey. The proportion of women receiving newborn postnatal care within the first two months of delivery increased from 13% in 2006–07 to 43% in 2012–13 but dropped to 27% in 2017–18. Respondent’s occupation and prenatal care utilization of maternal health services were common factors that significantly influenced newborn postnatal care utilization within two months. The utilization of postnatal care was greater among women having educated husbands and where the first child was a male in PDHS 2007 round. Higher wealth index and educated respondent had higher postnatal care utilization odds in DHS 2012 and DHS 2018. However, the odds of using postnatal care decreased with the number of household members and total number of children ever born in DHS 2012 and 2018 rounds. Conclusions: There was a general increase in the proportion of women who utilized postnatal care for their newborns during 2006–2013 but a decrease in 2018. The decreased utilization in 2018 warrants further investigation. Improving women’s economic status, education, employment, and antenatal care attendance and reducing parity may increase newborn postnatal care utilization.
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Kokedo, Ruth Nailantei, e Angeline Chepchirchir. "Factors influencing uptake of postnatal care services at a maternal and child health clinic in Kajiado County Referral Hospital, Kenya". African Journal of Midwifery and Women's Health 17, n. 1 (2 gennaio 2023): 1–9. http://dx.doi.org/10.12968/ajmw.2021.0064.
Testo completoAbstract (sommario):
Background/Aims Despite birth aftercare recommendations that a postnatal visit should take place to examine both a woman and her child 6 weeks after birth, use of postnatal care services remains low at the Kajiado County referral hospital. This study's aim was to understand the factors influencing uptake of postnatal care among women of reproductive age. Methods This qualitative study used purposive sampling to select study respondents who were asked to attend focus group discussions to collect data. A total of 12 women were interviewed during their postnatal period. The qualitative data were analysed by theme categorisation. Results Respondents cited low income and forgetfulness, as well as the long distance to travel for postnatal services and long waiting times at the hospital as the main factors hindering attendance at and use of postnatal services. Conclusions Affordable and accessible postnatal care services need to be provided to follow up postnatal mothers, reducing the waiting time for services in postnatal clinics and ensuring women's partners support them to promote postnatal care service use.
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Ganiga, Pradeep, e Sourabha S. Shetty. "A prospective study on awareness of postnatal mothers regarding self and newborn care in a tertiary care centre in Mangalore, Karnataka". International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, n. 1 (26 dicembre 2020): 239. http://dx.doi.org/10.18203/2320-1770.ijrcog20205775.
Testo completoAbstract (sommario):
Background: Postnatal care is the important portion of maternal health care as it helps to assess the health status of mother and newborn. It promotes to rectify the defect and to identify the progress of the baby that is essential to solve the health issues.Methods: All 100 postnatal women were assessed regarding awareness of self and newborn care using structured questionnaire.Results: In this study maximum number were in age group of 21-25 years (42%). Majority of respondents were literate (88%). Main source of information regarding postnatal and neonatal care is given by health care personnel (49%). 77% cleaned the perineum after defecation and urination. 39% of postnatal mothers practice postnatal exercise. 54% were aware of spacing between two pregnancies. Majority of mothers agreed that colostrum is first breast milk and are aware on giving it to newborn (68%). 78% are aware of exclusively breast feeding baby for 6 months. 79% of postnatal women were aware vaccines prevent diseases in baby. Postnatal mothers had good awareness about self and newborn care.Conclusions: The first 48 hours after delivery is the time when the mother and baby are most vulnerable to morbidity and mortality associated with childbirth. Postnatal care is one of the most important maternal health care for not only prevention of impairment and disabilities, but also for reduction of maternal and neonatal mortality and morbidity.
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Fred Norman Bagenda, Vincent Batwala, Christopher Garimoi Orach, Jerome Kabakyenga, Elizabeth Nabiwemba e Lynn Atuyambe. "Effect of household couple counselling for male involvement on the utilization of postnatal services at 1 week in Ibanda district, Uganda; A cluster randomized community trial". International Journal of Scientific Research Updates 4, n. 2 (30 novembre 2022): 115–25. http://dx.doi.org/10.53430/ijsru.2022.4.2.0152.
Testo completoAbstract (sommario):
Introduction: Prompt and Skilled postnatal care attendance coupled with skilled Antenatal and delivery care can drastically reduce maternal morbidity and mortality and also improve newborn outcomes. Research shows that men are decision makers in the home but they may also restrict resources, hence preventing women and children from health care seeking. But however if involved men may lead to better health care seeking behavior and better utilization of Antenatal care, delivery and postnatal care services. The postnatal care attendance at 1 week is low in Uganda, Ibanda district reported 4% in 2018. The aim of this study was to innovate, implement and document an intervention of house hold couple counseling for male involvement and compare the intervention and control clusters on the utilization of postnatal care services at 1 week. Methods: This was a two arm cluster randomized Community trial with a parallel design with the aim of comparing utilization of postnatal care services. It was carried out in two intervention parishes and two control parishes and was a superiority trial to test if the intervention of household couple counseling would improve utilization of postnatal care services. Results: The intervention arm had 200 respondents while the control had 213. The mean age was 27.3years (SD 6.8). Ninety one point five percent of mother had used skilled delivery services in the intervention compared to 78.4% in the control. Seventy Five percent attended postnatal care at 1week in the intervention as compared to 21.1% in the control (OR 11.2, P<0.001). The activity that are statistically significantly associated with utilization of postnatal services utilization is providing transport to the postnatal clinic (AOR 30.8, P<0.001) comparing the intervention and control clusters. The others included; accompanying to antenatal clinic, partner attending antenatal clinic, providing transport for delivery, escorting partner for delivery, providing psychological support during delivery and providing necessary drugs during delivery and PNC period but these were not statistically significant. Conclusion: The study demonstrated that the intervention of household couple counseling for increased male partner involvement improved significantly utilization of postnatal care services. Interventions to improve utilization of postnatal care services should focus on involving male partners to do the supportive activities which help their partners utilize the health care services.
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Fernandez Turienzo, Cristina, Sergio A. Silverio, Kirstie Coxon, Lia Brigante, Paul T. Seed, Andrew H. Shennan e Jane Sandall. "Experiences of maternity care among women at increased risk of preterm birth receiving midwifery continuity of care compared to women receiving standard care: Results from the POPPIE pilot trial". PLOS ONE 16, n. 4 (21 aprile 2021): e0248588. http://dx.doi.org/10.1371/journal.pone.0248588.
Testo completoAbstract (sommario):
Background Midwifery continuity of care models for women at low and mixed risk of complications have been shown to improve women’s experiences of care. However, there is limited research on care experiences among women at increased risk of preterm birth. We aimed to explore the experiences of care among women with risk factors for preterm birth participating in a pilot trial (POPPIE) of a midwifery continuity of care model which included a specialist obstetric clinic. Methods A total of 334 pregnant women identified at increased risk of preterm birth were randomly allocated to either midwifery continuity of care (POPPIE group) or standard maternity care. Women in both groups were followed up at six-to-eight weeks postpartum and were invited to complete a postnatal survey either online or by post. An equal status exploratory sequential mixed method design was chosen to collect and analyse the quantitative postnatal survey data and qualitative interviews data. The postnatal survey included measures of social support, trust, perceptions of safety, quality of care, control during childbirth, bonding and quality of life. Categorical data were analysed with chi-squared tests and continuous data were analysed with t-tests and/or Mann-Whitney U test to measure differences in measures scores among groups. The qualitative interview data were subjected to a thematic framework analysis. Data triangulation brought quantitative and qualitative data together at the interpretation stage. Findings A total of 166 women completed the survey and 30 women were interviewed (90 and 16 in POPPIE group; 76 and 14 in standard group). We found survey respondents in the POPPIE group, compared to respondents in the standard group, were significantly more likely to report greater trust in midwives (Mann-Whitney U, p<0.0001), greater perceptions of safety during the antenatal care (t-test, p = 0.0138), have a particular midwife to contact when they needed during their pregnancy (t-test, p<0.0001) and the postnatal period (chi-squared, p<0.0001). They reported increased involvement in decisions regarding antenatal, intrapartum and postnatal care (t-test, p = 0.002; p = 0.008; p = 0.006 respectively); and greater postnatal support and advice about: feeding the baby (chi-squared, p<0.0001), handling, settling and looking after the baby (chi-squared, p<0.0001), baby’s health and progress (chi-squared, p = 0.039), their own health and recovery (chi-squared, p = 0.006) and who to contact about any emotional changes (chi-squared, p = 0.005). There were no significant differences between groups in the reporting of perceptions of safety during birth and the postnatal period, concerns raised during labour and birth taken seriously, being left alone during childbirth at a time of worries, control during labour, bonding, social support, and physical and mental health related quality of life after birth. Results from qualitative interviews provided insight and depth into many of these findings, with women in the POPPIE group reporting more positive experiences of bonding towards their babies and more positive physical health postnatally. Conclusions Compared with standard maternity care, women at increased risk of PTB who received midwifery continuity of care were more likely to report increased perceptions of trust, safety and quality of care. Trial registration ISRCTN (Number: 37733900); UK CRN (ID: 31951).
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Paudel, Radha Kumari, Mamata Maharjan e Sabina Shrestha. "Utilization of Postnatal among Mothers having under Two years Child in Mahalaxmi Municipality, Lalitpur, Nepal". Journal of Advanced Academic Research 4, n. 2 (1 aprile 2018): 92–98. http://dx.doi.org/10.3126/jaar.v4i2.19539.
Testo completoAbstract (sommario):
Postnatal care is a critical phase in the lives of mothers and newborn babies as major changes occur during this period which determines the well-being of mothers and newborns. Adequate utilization of postnatal care can help reduce maternal as well as infant morbidity and mortality. Thus, this study generates the information regarding postnatal care utilization in Lubhu of Mahalaxmi Municipality. This was a descriptive cross-sectional study carried out in a Lubhu of Lalitpur district. The study sample comprised of 130 mothers having unser2 year’s children in year 2017. A pre-tested structured questionnaire was used for data collection. The findings showed that majority of mothers fall under age group 20-29, maximum were from Hindu and Newar ethnicity. This study highlighted more than half (67.7%) mothers utilize the postnatal services. One of the important reasons for not utilizing postnatal services is absence of disease condition in child followed by less knowledge about postnatal services. There was a significant (p=0.018) association between mothers’ education status with utilization of postnatal services. This study concludes that maternal education status affects the maternal utilization of postnatal care services. In order to achieve 100% postnatal care utilization, awareness programs, educational package and other various Postnatal women focused program must be conducted to make them aware about the importance of the utilization of Postnatal services and availability of Postnatal services in different level of health facility.
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Astari, Rahmi Windhy, Aulia Ayu Kusuma Wardani, Dyan Maryana, Era Kurniati, Bhisma Murti e Elsa Tursina. "Meta Analysis of Factors Determining Postnatal Care Utilization". Journal of Maternal and Child Health 9, n. 3 (16 maggio 2024): 282–97. http://dx.doi.org/10.26911/thejmch.2024.09.03.02.
Testo completoAbstract (sommario):
Background: Maternal and infant morbidity and mortality continue to be a challenge today. Most maternal and newborn deaths occur during the early postnatal period. This condition can be caused by low utilization of postnatal care services. This study aims to analyze and estimate the influence of determining factors on the utilization of postnatal care services. Subjects and Method: Meta-analysis was conducted using PRISMA guidelines and PICO format. Population: Postpartum Mothers. Intervention: high antenatal care, high maternal education, high family income and delivery in hospital. Comparison: low antenatal care, low maternal education, low family income, home birth. Outcome: postnatal care services. Cross-sectional study articles were collected from Google Scholar, PubMed, and Science Direct databases. The search strategy used the keywords: "Determinant Postnatal Care" AND "Maternal Health Service" AND "Cross-Sectional". The inclusion criteria for this study were full-text, cross-sectional studies published from 2014 to 2023. Data from articles were extracted with RevMan 5.3. Results: The meta-analysis included 16 cross-sectional studies from Ethiopia, Ghana, Kenya, and Malawi. The total sample was 29,165 postpartum mothers. Postnatal mothers with high antenatal care visits (aOR= 2.64; 95% CI= 1.87 to 3.71; p = 0.001), high education (aOR= 2.09; 95% CI= 1.67 to 2.63; p = 0.001), high family income (aOR= 1.63; 95% CI= 1.25 to 2.11; p = 0.002), and hospital delivery (aOR= 1.58; 95% CI= 1.15 to 2.97; p = 0.010) allow the utilization of postnatal care services and these results were statistically significant. Conclusion: The results of this study reveal that high antenatal care, high maternal education, high family income and delivery in hospital have a positive effect on the utilization of postnatal care services.
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Bick, Debra, Sergio A. Silverio, Amanda Bye e Yan-Shing Chang. "Postnatal care following hypertensive disorders of pregnancy: a qualitative study of views and experiences of primary and secondary care clinicians". BMJ Open 10, n. 1 (gennaio 2020): e034382. http://dx.doi.org/10.1136/bmjopen-2019-034382.
Testo completoAbstract (sommario):
ObjectivesTo explore clinicians’ views and experiences of caring for postnatal women who had hypertensive disorders of pregnancy (HDP), awareness of relevant National Institute for Health and Care Excellence (NICE) guidance to inform their postnatal management, the extent to which NICE guidance was implemented, barriers and facilitators to implementation and how care could be enhanced to support women’s future health.DesignA qualitative study using semistructured interviews. Thematic analysis was used for coding and theme generation.SettingFour National Health Service maternity units and three general practice clinics in South-East and South-West London.ParticipantsA maximum variation, purposive sample of 20 clinicians with experience of providing postnatal care to women following HDP.ResultsFour main themes were generated: variation in knowledge and clinical practice; communication and education; provision of care; locus of responsibility for care. Perceived barriers to implementation of NICE guidance included lack of postnatal care plans and pathways, poor continuity of care, poor antihypertensive medication management, uncertainty around responsibility for postnatal care and women’s lack of awareness of the importance of postnatal follow-up for their future health. Some clinicians considered that women were discharged from inpatient care too soon, as primary care clinicians did not have specialist knowledge of HDP management. Most clinicians acknowledged the need for better planning, communication and coordination of care across health settings.ConclusionsEvidence of longer term consequences for women’s health following HDP is accumulating, with potential for NICE guidance to support better outcomes for women if implemented. Clinicians responsible for postnatal care following HDP should ensure that they are familiar with relevant NICE guidance, able to implement recommendations and involve women in decisions about ongoing care and why this is important. The continued low priority and resources allocated to postnatal services will continue to promote missed opportunities to improve outcomes for women, their infants and families.
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Gitonga, Moses M., Kenneth K. Ngure e Elizabeth E. Echoka. "Effectiveness of A Community Level Maternal Health Intervention in Improving Uptake of Postnatal Care in Migori County, Kenya". International Journal of Translational Medical Research and Public Health 3, n. 1 (20 marzo 2019): 11–20. http://dx.doi.org/10.21106/ijtmrph.70.
Testo completoAbstract (sommario):
Background: Provision of a continuum of care during pregnancy, delivery, and the postnatal period results in reduced maternal and neonatal morbidity and mortality. Complications and lack of skilled postnatal care has consequences for mothers and babies. We examined to what extent a community level integrated maternal health intervention contributed to improvements in uptake of skilled care after delivery by pregnant women.
Methods: An Ex post quasi-experimental design was applied. Among 590 reproductive-aged women, we assessed the effectiveness of a community level integrated maternal health intervention and predictors of uptake of postnatal care. Descriptive, bivariate and multivariate analyses were conducted.
Results: About three fifths (64%) of the women reported having sought postnatal care services at the health facility within six (6) weeks. Women in the intervention arm were 3.3 times more likely to take up postnatal care at a health facility (AOR= 3.31[95% CI 1.245 to 8.804] p=0.016). Women referred to the health facility for postnatal care by Community Health Workers (CHWs) were 2.72 times more likely to take up the services (AOR= 2.72[95% CI 1.05 to 7.07] p=0.039) than those not referred by CHWs. Distance to health facility (61%) was the major barrier, while some mothers did not feel the need for postnatal care (11%).
Conclusion and Implications for Translation: Routine health education by trained providers at community level health facilities, coupled with enhanced CHWs' involvement can improve uptake of postnatal care. Ignorance and accessibility challenges are some barriers to the uptake of postnatal care.
Key words: • Community • Maternal • Health • Intervention • Postnatal-Care • Kenya • MAISHA • Community Health Volunteers (CHVs) • Community Health Workers (CHWs)
Copyright © 2019 Gitonga et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Muthukumaran, Anjalatchi. "A study to assess the effect of teaching cum demonstration on knowledge regarding selected aspects of essential newborn care among postnatal mother admitted in selected hospital, Lucknow". IP Journal of Nutrition, Metabolism and Health Science 6, n. 4 (15 febbraio 2024): 184–88. http://dx.doi.org/10.18231/j.ijnmhs.2023.030.
Testo completoAbstract (sommario):
The present study aims at assess the effect of teaching cum demonstration on knowledge regarding selected aspects of Essential Newborn Care among postnatal mothers. The present study is based on General System Theory (Ludwig von Bertalanffy).The Essential Newborn Care Course (ENCC) aims to ensure health workers have the skills and knowledge to provide appropriate care at the most vulnerable period in a baby’s life. Health workers are taught to use WHO’s Pregnancy, Childbirth, Postpartum and Newborn Care. The investigator during her clinical posting observed that postnatal mothers were not having sufficient knowledge regarding newborn care, so that’s why their baby becomes sick and unhealthy. Globally 4 million newborns die every year before they reach the age of one month and approximately 3.4 million newborns die within the first week of life.The main objective of the present study is to assess the pre-existing knowledge regarding selected aspects of Essential Newborn Care among postnatal mothers. The research approach is quantitative approach and the design selected for the study is pre-experimental design, in which one group pre-test – post-test design. Sampling technique is convenience sampling. Samples consists of 30 postnatal mothers who was admitted in selected hospital and those postnatal mothers who satisfies the inclusion criteria are considered as samples. Content validity is done with the help of experts. Split-Half method is used to check the reliability.Evaluate the effect of teaching cum demonstration on selected aspects of Essential Newborn Care among postnatal mothers. And associate the knowledge with selected demographic variable among postnatal mothers. The mean 22.433 of post-test score was more than the mean 13.200 of pre-test score of postnatal mothers. There is totalenhancementoccur 9.233. The comparison of Pre-test and post-test knowledge on selected aspects of Essential Newborn Care among postnatal mother had significant difference with t value (13.052) at p< 0.05 Level of significance. From this study researcher found that the postnatal mothers have gained knowledge on selected aspects of Essential Newborn Care among postnatal mothers.
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Milroy, Talila, e Jacqueline Frayne. "Postnatal care: The general practitioner visit". Australian Journal of General Practice 51, n. 3 (1 marzo 2022): 105–10. http://dx.doi.org/10.31128/ajgp-02-21-5835.
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Allkins, Suzannah. "Public consultation on postnatal care guidelines". British Journal of Midwifery 28, n. 11 (2 novembre 2020): 749. http://dx.doi.org/10.12968/bjom.2020.28.11.749.
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