Parental perception of neonatal care in urban slums of Jammu city
DOI:
https://doi.org/10.18203/2349-3291.ijcp20241351Keywords:
Newborn, Breastfeeding, Knowledge, Practices, Mothers and antenatal careAbstract
Background: India is undergoing rapid urbanization and many rural residents relocate to urban regions in search of employment, better living conditions and access to education and health care facilities. Neonatal morbidity and mortality are attributed to misperceptions in the community about newborn care. In many parts of urban slums in India, care seeking from multiple providers and use of traditional/home remedies hampered appropriate and timely medical care seeking. Aim was to study awareness, knowledge and practice of newborn care among postnatal mothers in Urban slums of Jammu city.
Methods: This observational study was conducted in Urban slums of Jammu city. A total of 100 mothers of newborns residing in urban slums participated in the study after taking Informed Consent from them. A self-structured proforma was used to collect data.
Results: Most of the deliveries were conducted in hospital (82%) and 18% were home deliveries. Regarding newborn care practices 88 % had wrapped the newborn with clean cloth immediately after birth. 58% of newborns were given first bath within 2-7 days. 39% of mothers-initiated breast feeding within 6-24 hours. Majority (68%) newborns were fed with colostrum. Regarding cord cutting procedures among home deliveries, it was observed that clean blade was used in 15 newborns while in 3 cases aseptic practice for cord cutting was not followed.
Conclusions: Good newborn practices like promotion of warmth, cord care, hygiene and early breastfeeding should be the main focus of community-based health workers. The present study concluded that some unhealthy neonatal care practices were still found to be prevalent which can be mitigated by increasing awareness among parents through IEC activities.
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References
Lam JY, Howlett A, Stephen LM, Brindle ME. Parental perceptions and experiences of care in the surgical neonatal intensive care unit. Pediatri Surg Int. 2023;39:210.
Management of newborn illness and complications. Available at: https://www.who.int/maternal_child_ adolescent/newborns/management_illness_complications/en/. Accessed on 20 November 2023.
Newborns: improving survival and well-being. Available at: https://www.who.int/news-room/fact-sheets/detail/newborns-reducing-mortality. Accessed on 20 November 2023.
Awasthi S, Srivastava NM, Pant S. Symptom-specific care-seeking behavior for sick neonates among urban poor in Lucknow, Northern India. J Perinatol. 2008; 28(S2):S69-75.
National Population Policy 2000. New Delhi, India. Available at: http//www.populationcommission.nic. in/npp_intro.htm. Accessed on 20 November 2023.
Ghosh S, Shah D. Nutritional problems in urban slum children. Indian Pediatr. 2004;4:688-96.
Key Results from the re-analysis of NFHS-3, 2005-06 data by wealth index quartiles (Wall chart). Available at: https://healtheducationresources.unesco.org/. Accessed on 20 November 2023.
Agarwal S, Sethi V, Srivastava K, Jha PK. Newborn care practices in urban slums: Evidence from central India. J Neonat Perinat Med. 2009;2:277-87.
Gupta P, Srivastava V, Kumar V, Jain S, Masood J, Ahmad N, et al. Newborn Care Practices in Urban Slums of Lucknow City, UP. Indian J Community Med. 2010;35(1):82-5.
Nimbalkar AS, Shukla VV, Phatak AG, Nimbalkar SM. Newborn Care Practices and Health Seeking Behavior in Urban Slums and Villages of Anand, Gujarat. Indian Pediatr. 2013;50:408-10.
Abdullah A, Dalal K, Yasmin M. Perceptions and practices on newborn care and managing complications at rural communities in Bangladesh: a qualitative study. BMC Pediatr. 2021;21:168.
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