PMID- 31492146
OWN - NLM
STAT- MEDLINE
DCOM- 20200221
LR  - 20200225
IS  - 1471-2393 (Electronic)
IS  - 1471-2393 (Linking)
VI  - 19
IP  - 1
DP  - 2019 Sep 6
TI  - Knowledge, attitude, and practice among mothers about newborn care in Sindh, 
      Pakistan.
PG  - 329
LID - 10.1186/s12884-019-2479-0 [doi]
LID - 329
AB  - BACKGROUND: Each year nearly 7.7 million children under five years die around the 
      world; out of which approximately 3.1 million of the newborns die during the 
      neonatal period and almost all these (99%) deaths occur in the developing 
      countries. According to the World Health Organization's estimation neonatal 
      deaths account for 45% of the under-five deaths. More than one-third of these 
      deaths occur in the first 24 h of birth, whereas three-quarter of the neonatal 
      deaths takes place in the first seven days of birth. The purpose of this study is 
      to assess the knowledge, attitude, and practices (KAP) among mothers about 
      newborns' care and its related factors in district Badin Sindh province of 
      Pakistan. METHODS: A community-based cross-sectional study was conducted from 
      July 2017 to August 2017 to assess the Knowledge, Attitude, and Practices (KAP) 
      in mothers regarding newborn care. A structured questionnaire was administered, 
      after pretest, for data gathering through face to face interview. All survey 
      participants were identified using multi-stage cluster sampling. A scoring system 
      was used to calculate the level of KAP among participants. Independent sample 
      t-test, ANOVA, and GLM were applied to identify the statistical difference 
      between the means of various groups. RESULT: A total of 518 survey participants 
      were interviewed. Among the study sample, more than half of the newborns were 
      bathed within six hours of delivery. Around 50% started breastfeeding after 1 h 
      of birth. A substantial proportion (45%) of mothers gave pre-lacteal feeding and 
      44.8% of them did not feed colostrum to their newborns. Among those who 
      administered pre-lacteal to their newborn babies included animal/formula milk 
      (15.4%), honey (24.5%) and fresh butter/ghee (5.2. %). Mothers with no education 
      had less significant KAP score about newborn care as compared to those who had 
      higher education (p < 0.05). CONCLUSION: This study revealed that high-risk 
      factors such as immediate bathing, application of traditional substances on the 
      cord, delayed initiation of breastfeeding, discarding colostrum and giving 
      pre-lacteal feed to newborns were highly prevalent. This requires urgent 
      attention of Maternal, Newborn and Child Health (MNCH) programs and health care 
      delivery system to prevent harmful care practices and adopt healthy practices 
      especially in the rural settings.
FAU - Memon, Javed
AU  - Memon J
AUID- ORCID: 0000-0002-9094-2442
AD  - School of Public Health, International Campus, Tehran University of Medical 
      Sciences, Tehran, Iran. javedmemon1@gmail.com.
FAU - Holakouie-Naieni, Kourosh
AU  - Holakouie-Naieni K
AD  - Department of Epidemiology and Biostatistics, School of Public Health, Tehran 
      University of Medical Sciences, Tehran, Iran.
FAU - Majdzadeh, Reza
AU  - Majdzadeh R
AD  - Department of Epidemiology and Biostatistics, School of Public Health, Tehran 
      University of Medical Sciences, Tehran, Iran.
FAU - Yekaninejad, Mir Saeed
AU  - Yekaninejad MS
AD  - Department of Epidemiology and Biostatistics, School of Public Health, Tehran 
      University of Medical Sciences, Tehran, Iran.
FAU - Garmaroudi, Gholamreza
AU  - Garmaroudi G
AD  - Department of Epidemiology and Biostatistics, School of Public Health, Tehran 
      University of Medical Sciences, Tehran, Iran.
FAU - Raza, Owais
AU  - Raza O
AD  - Department of Health Education & Promotion School of Public Health, Tehran 
      University of Medical Sciences, Tehran, Iran.
FAU - Nematollahi, Shahrzad
AU  - Nematollahi S
AD  - Men;s Health & Reproductive Health Research Center, Shahid Beheshti University of 
      Medical Sciences, Tehran, Iran.
LA  - eng
PT  - Journal Article
DEP - 20190906
PL  - England
TA  - BMC Pregnancy Childbirth
JT  - BMC pregnancy and childbirth
JID - 100967799
SB  - IM
MH  - Adult
MH  - *Breast Feeding/methods/psychology/statistics & numerical data
MH  - Cross-Sectional Studies
MH  - Female
MH  - *Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - *Infant Care/methods/statistics & numerical data
MH  - Infant, Newborn
MH  - Male
MH  - Maternal Behavior/*psychology
MH  - Mothers/psychology/statistics & numerical data
MH  - Needs Assessment
MH  - Pakistan
MH  - Pregnancy
MH  - Public Health/methods/statistics & numerical data
MH  - Rural Population
MH  - Socioeconomic Factors
MH  - Urban Population
PMC - PMC6729052
OTO - NOTNLM
OT  - Attitude
OT  - Knowledge
OT  - Newborn care
OT  - Practice
COIS- The authors declare that they have no competing interests.
EDAT- 2019/09/08 06:00
MHDA- 2020/02/23 06:00
PMCR- 2019/09/06
CRDT- 2019/09/08 06:00
PHST- 2018/06/02 00:00 [received]
PHST- 2019/08/26 00:00 [accepted]
PHST- 2019/09/08 06:00 [entrez]
PHST- 2019/09/08 06:00 [pubmed]
PHST- 2020/02/23 06:00 [medline]
PHST- 2019/09/06 00:00 [pmc-release]
AID - 10.1186/s12884-019-2479-0 [pii]
AID - 2479 [pii]
AID - 10.1186/s12884-019-2479-0 [doi]
PST - epublish
SO  - BMC Pregnancy Childbirth. 2019 Sep 6;19(1):329. doi: 10.1186/s12884-019-2479-0.