Knowledge, Attitude and Practice of Mothers about Perinatal Care
Abstract
Background: Infant Mortality Rate (IMR), the most sensitive indicator of health is reflected by female literacy, health education and nutrition of mother and infant. The present study is aimed to assess the Knowledge, Attitude and Practice of mothers regarding perinatal care, nutrition in pregnancy, place and method of delivery, breast feeding, prelacteal feeds, care of newborn, vaccination and red flag signs in newborn.
Methods: The study was conducted to determine the Knowledge, Attitude, Practices amongst mothers (250 families), regarding perinatal care and to study the effect of health education. A pretested questionnaire was adopted after a short pilot study. Proportions were calculated for all observations and Z-test was applied for comparison between observations.
Results: The majority of the respondents had correct knowledge regarding antenatal care, hospital delivery (88%), selection of clean place for delivery, delivery to be conducted by doctors, nurses or trained birth attendants (97.2%), cord cutting (83.6%), cord care(52.4%), rooming in (88%), hypothermia prevention (72.4%) and physiological jaundice of newborn (81.2%). Most had incorrect knowledge regarding type of diet and time of initiation of nutritious diet after delivery, infant feeding in relation to initiation of first feed (58%), colostrum being beneficial and giving prelacteal feeds (52.4%), kajal application (68.4%) and oil instillation in ears (72%).
Conclusions: Successful maternal and child health depends largely on perinatal care viz. pregnancy, antenatal care, nutrition, spacing between pregnancies, basic hygiene, domiciliary delivery, care of the newborn and prevention from infection. Thus, health education regarding perinatal care is important for both mother and child.
Downloads
References
2.K.Park.Preventive Medicine in Obstetrics,Pediatrics and Geriatrics. In: K.Park,editor.Preventive and Social Medicine.19th Edition.Ed:K.Park.Jabalpur:Bhanot.2007;p.446.
3. Madani KA, Khashoggi RH, Al-NowaisserAA, NasratHA, Khalil MH. Lactation amenorrhea in Saudi women. J Epidemiol Community Health 1994;48:286-289. [PubMed]
4. Mittal MC, Govila AK, Govinda U. Social customs and beliefs in relation to pregnancy and childhood in the area of rural health training centre Harsola. Ind J Soc and Prev Med. 1969;1:82.
5. Conde-Agudelo A, Rosas-Bermúdez A, Kafury-Goeta AC. Effects of birth spacing on maternal health: a systematic review. American Journal of Obstetrics & Gynecology. April 2007;196(4):297-308.
6. Husaini MB. Major causes of maternal mortality in Nigeria. [Internet]. Available from: http://www.academia.edu/3605112/Major_causes_of_Maternal_Mortality_in_Nigeria accessed on 16.6.14.
7. Nour NM. An Introduction to Maternal Mortality. Rev Obstet Gynecol. 2008 Spring; 1(2): 77–81. [PubMed]
8. Mudgal SK, Rajput VJ, Chansoria M and Kaul KK. Tribals of Madhya Pradesh – A “Knowledge, attitude and practice” Survey of infant feeding practices. Indian Pediatrics.1979Jul;16(7):617-22. [PubMed]
9. Pant I and Chothia K.: Maternal knowledge regarding breast feeding and weaning practices. Indian Journal of Pediatrics, 57: 395-400 (1990). [PubMed]
10. Wickes IG. A history of infant feeding Part 1,primitive people, ancient works: renaissance writers. Arch.Res Child Health 1953;28: 151-158. [PubMed]
11. Bhandari NR, Patel GP. Dietary and feeding habit of infants in various socio-economic groups. Indian Pediatrics.1973;10(4):233-238. [PubMed]
12. Mohapatra SS, Baag RK. Customs and Beliefs on Neonatal Care in a Tribal community. Indian Pediatrics.1982Aug;19(8):675-678. [PubMed]
13. Saxena S, Garg OP. A study of methods used for child rearing in Bikaner (West Rajasthan). Indian J Pediatr. 1968 Jul;35(246):342-9. [PubMed]
14. Kar M, Reddiah VP, Kant S. Primary Status of children in slum areas of South Delhi. Ind Jrnl Comm Med.2001;26(3):p151-154.