Leone. Diarrheal vaccines were recommended in 2009 by World Health Organization in global immunization programs. Globally six countries account for 30% infant population in Pa k i s t a n , B a n g l a d e s h , N i g e r i a , Afghanistan and Democratic Republic of 6-8 Congo. RotaTeq and Rotarix are World Health Organization's approved and live attenuated vaccines given 3 , 9 through oral route. In spite of advanced and remarkable progress, still diarrheal diseases are major source of 10 morbidity and mortality worldwide. T h e L a n c e t p u b l i s h e d a s u r v e y conducted in India recorded 334,000 deaths in relation to diarrhea in 2005, inferring that one in eighty-two children in India meet death before celebrating 11 their fifth birthday. A matched case control study from Pakistan showed refusal of hospital admissions and delay in reaching the health care facility as the 12 significant predictors. The strong results of Bangladesh study proved and gave insight with motivation to start this vaccine into their immunization 13 programs. Clinical review done by Ghazanfer concluded that rotavirus vaccine is effective, efficient and safe enough to reduce mortalities among
OBJECTIVES Swaddling of new-borne and infants remains common in the developing world, but little is known about maternal knowledge of swaddling. Therefore, this study aimed to determine the level of knowledge of safe swaddling practices among mothers of neonates visiting a Tertiary-Care Hospital.METHODOLOGY This cross-sectional study was conducted in the paediatric unit of tertiary care hospital in Peshawar city, Pakistan, between July and December 2018. A total number of 370 mothers of neonates who volunteered their participation were selected using a non-probability consecutive sampling technique. The study was based on a questionnaire comprised of socio-demographic and other questions related to the knowledge of safe swaddling practices.RESULTSA total number of 370 mothers of neonates knowledge were assessed. The study participants ranged between 17 - 49 years, with a mean age of 27.14 (SD ± 5.46). Of the total, 365 (98.6%) mothers were swaddling their babies, while only 5 (1.3%) reported not practising swaddling. Most mothers (51.1%) had good knowledge, while 44.3% had adequate knowledge, and only 4.6% had insufficient knowledge regarding safe swaddling. Knowledge of safe swaddling increased with age and parity. Most mothers (90%) correctly identified that "cotton cloth or light blanket should be used to swaddle baby".CONCLUSIONIt is concluded from this study that most mothers have adequate knowledge about safe swaddling, and the level of knowledge increases with age and parity. Safe swaddling techniques and information should be given to mothers at the beginning of antenatal care to benefit from its positive outcomes and, at the same time to avoid its drawbacks.
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