DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20201525

Knowledge, attitude and practice of mothers and prospective mothers in neonatal care and utilization of perinatal care services

Pawankalyani Pinnamaneni, Joshna Mutyala, Ravikumar Chodavarapu

Abstract


Background: The present study was done with the aim to study existing knowledge, attitude and practice (KAP) about neonatal care, perinatal care and its services, among mothers (pregnant and lactating mothers).

Methods: This cross-sectional study was done among 624 pregnant women and in mothers of newborn in both rural and urban areas around Vijayawada during the period from October 2015 to November 2017. A structured questionnaire reflecting KAP about neonatal care and perinatal care services was used in the study. The collected data was placed in a proforma and analysed.

Results: Rural (53.8%) and urban (46.2%) mothers are equally represented in the present study. There is a slight preponderance of lactating mothers (52.2%). Most of the mothers are homemakers (82.1%) and belong to nuclear families (90.1%). There is a considerable deficiency in the knowledge nearly 45% ad practices nearly 40%, related to the number of ANC’s. The proportion of mothers receiving baby’s immunization advice from obstetrician is 18.5% and from paediatrician is 26.4%. Neonatal infection prevention was not advised in 71.3% of mothers and 23.5% mothers receive advice from obstetrician and 19.1% from paediatrician. The practice of staring first breast feed within one hour is not implemented about 88% of mothers. Nearly 30% of the mothers are not keeping the baby warm and nearly 90% of the mothers are not aware of KMC.

Conclusions: The findings of the study conclude that there is a need for systematic and planned health education by the paediatrician and obstetrician to increase the KAP among mothers about neonatal health care.


Keywords


KAP, Mothers, Neonatal care, Perinatal services

Full Text:

PDF

References


Maternal, newborn, child and adolescent health. Available at: https://www.who.int/maternal_child_adolescent/topics/maternal/maternal_perinatal/en/. Accessed on 10 January 2020.

de Bernis L, Sherratt DR, AbouZahr C, Lerberghe WV. Skilled attendants for pregnancy, childbirth and postnatal care. British Med Bull. 2003;67(1):39-57.

Memon J, Holakouie-Naieni K, Majdzadeh R. Knowledge, attitude, and practice among mothers about newborn care in Sindh, Pakistan. BMC Pregnancy Childbirth. 2019;19:329.

Kawungezi PC, AkiiBua D, Aleni C, Chitayi M, Niwaha A, Kazibwe A, et al. Attendance and utilization of antenatal care (ANC) services: multi-center study in upcountry areas of Uganda. Open J Preventive Med. 2015;5(3):132.

Kesterton AJ, Cleland J. Neonatal care in rural Karnataka: healthy and harmful practices, the potential for change. BMC Pregnancy Childbirth. 2009;9(1):20.

Osrin D, Colbourn T. No reason to change WHO guidelines on cleansing the umbilical cord. Lancet Global Health. 2016;4(11):766-8.

Laishram J, Mukhia S, Thounaojam UD, Devi HS, Panmei J. Knowledge and practice of ante-natal care in an urban area. Indian Medical Gazette. 2013: 101-106.

Patel BB, Gurmeet P, Sinalkar DR, Pandya KH, Mahen A, Singh N. A study on knowledge and practices of antenatal care among pregnant women attending antenatal clinic at a Tertiary Care Hospital of Pune, Maharashtra. Medical J Dr. DY Patil University. 2016;9(3):354.

Patel BB, Gurmeet P, Sinalkar DR, Pandya KH, Mahen A, Singh N. A study on knowledge and practices of antenatal care among pregnant women attending antenatal clinic at a Tertiary Care Hospital of Pune, Maharashtra. Medical J Dr. DY Patil University. 2016;9(3):354.

Hajela S. Knowledge, Attitude and Practice of Mothers about Perinatal Care. International J Med Res Rev. 2014;2(04).

Gul S, Khalil R, Yousafzai MT, Shoukat F. Newborn care knowledge and practices among mothers attending paediatric outpatient clinic of a hospital in Karachi, Pakistan. International J Health Sci. 2014;8(2):167.

Misgna HG, Gebru HB, Birhanu MM. Knowledge, practice and associated factors of essential new-born care at home among mothers in Gulomekada District, Eastern Tigray, Ethiopia, 2014. BMC Pregnancy Childbirth. 2016;16(1):144.

Amolo L, Irimu G, Njai D. Knowledge and Attitude of Postnatal Mothers on Essential New-born Care Practices at Kenyatta National Hospital. Pan Afr Med J. 2017;28:97.

Nigatu SG, Worku AG, Dadi AF. Level of mother’s knowledge about neonatal danger signs and associated factors in North West of Ethiopia: a community based study. BMC Res Notes. 2015;8(1):309.

Gul S, Khalil R, Yousafzai MT, Shoukat F. Newborn care knowledge and practices among mothers attending paediatric outpatient clinic of a hospital in Karachi, Pakistan. International J Health Sci. 2014;8(2):167.

Bhatnagar P, Gupta S, Kumar R, Haldar P, Sethi R, Bahl S. Estimation of child vaccination coverage at state and national levels in India. Bull World Health Organization. 2016;94(10):728.

Chris-Otubor GO, Dangiwa DA, Ior LD, Anukam NC. Assessment of Knowledge, Attitudes and Practices of Mothers in Jos North Regarding Immunization. IOSR J Pharmacy. 2015;5(6):34-45.