Essential components of postnatal care – a systematic literature review and development of signal functions to guide monitoring and evaluation

McCauley, Hannah; Lowe, Kirsty; Furtado, Nicholas; Mangiaterra, Viviana; Broek, Nynke van den

doi:10.1186/s12884-022-04752-6

Cited by 27 publications

(16 citation statements)

References 67 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a previous analysis of the same cohort we have reported a high drop out rate in HIV-negative women compared to HIV-positive women [35]. We have hypothesized that while the mothers living with HIV were more motivated to maintain a tighter contact with healthcare services in order to receive regular HIV treatment [36,37], this was not true for the HIV-negative women and their HUU infants.…”

Section: Discussionmentioning

confidence: 99%

Antibody responses against vaccine-preventable infectious diseases in HIV-exposed and unexposed Malawian infants

Baroncelli

Galluzzo

Orlando

et al. 2023

Preprint

View full text Add to dashboard Cite

Background The evaluation of immunological status with respect to vaccine-preventable infectious diseases allows to identify populations with suboptimal protection. HIV-exposed infants, even if not infected with HIV, have higher morbidity and mortality in comparison to their unexposed counterparts, and even if the underlying mechanisms have not been clearly elucidated, dysfunctional immune responses might be involved. The aim of this study was to evaluate post-vaccination immune responses in two groups of infants (HIV-exposed and HIV-unexposed) living in the area of Blantyre, Malawi, measuring IgG levels against Haemophilus Influenzae type B (HiB), Hepatitis B (HBV), and Streptococcus pneumoniae (PCP). Methods Sixty-two infants, 49 HIV-exposed, uninfected (HEU), born to women living with HIV, and 13 HIV-unexposed, uninfected (HUU), born to HIV-negative mothers, were included in the study. The infants were visited monthly, from birth to 12 months, and blood samples were collected at 6 months. Anti-HiB, -HBV and -PCP vaccines are administered in Malawi at 6, 10, and 14 weeks of life. The antibody responses to the vaccines were determined by ELISA tests. Results The geometric mean concentrations (GMCs) of anti-HiB, anti-HBs and anti-PCP antibodies were not different between the two groups. The proportion of infants with protective levels (> 0.15 mg/l) versus HiB was lower (although not significantly) in HEU in comparison to HUU infants (81.6% vs 100%, p = 0.095). There was no significant difference between the two groups in the proportion of infants with protective antibody levels against HBV or PCP, although this proportion was lower than expected in both groups, varying from 81.6–84%. Overall, only 61.3% of the infants showed protective levels against all three vaccine antigens. Conclusions The humoral response after vaccination was similar in HEU and HUU infants. A disturbingly high proportion of infants without protective antibody levels against HBV and PCP in both groups of infants and against HiB in HEU infants was observed.

show abstract

Section: Discussionmentioning

confidence: 99%

Antibody responses against vaccine-preventable infectious diseases in HIV-exposed and unexposed Malawian infants

Baroncelli

Galluzzo

Orlando

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Because of this, the mother requires increased emotional, educational, and medical assistance during the postpartum period; postnatal mothers who are well-informed about post-natal care have a far better chance of making it through this challenging time. This was concluded by a group of researchers [3] . For mothers to avoid long-term health problems after giving birth, postnatal care is considered a crucial component of maternal health.…”

Section: Introductionmentioning

confidence: 90%

Impact of health educational program for pregnant women on their knowledge regarding to postpartum and newborn care

Allah¹,

Mohamed²,

Kamel³

2023

Int. J. Obstetrics Gynaecological Nurs.

View full text Add to dashboard Cite

Background: The postnatal period, especially the first few days and hours of life, is the most crucial time for both mothers and their children. To cut down on maternal and child mortality, it is crucial to implement educational programs to encourage mothers to have the right knowledge. Aim of the study: To evaluate the impact of health educational program for pregnant women on their knowledge regarding post-partum and newborn care. Research design: Quasi-experimental research design (one group pre-test, post-test) was used to fulfill the aim of this study. S ample: A purposive sample of (70 pregnant women) was used in this research. Two tools were used for data collection: Tool (I) interviewing questionnaire. Tool (II): Pregnant women's knowledge about post-partum and newborn care. Results:The findings of this study revealed that (75.70%) of the studied sample had a poor knowledge level before the implementation of the educational while (90.00%) of the study sample had good knowledge immediately after the implementation of the educational program and slightly decreased to (85.70%) in the first day post-partum with highly statistically significant differences. Conclusion: Implementation of the health education program was effective and significantly improved pregnant women, overall knowledge towards post-partum and newborn care. Recommendation: Regular training programs to educate pregnant women, especially primigravida, to improve their knowledge about post-partum and newborn care which can reduce maternal and newborn morbidity and mortality.

show abstract

“…Postnatal care (PNC): is the care given to the mother and her newborn baby immediately after the birth and for the first six weeks of life [33]…”

Section: Operational Definitionsmentioning

confidence: 99%

Determining factors associated with the prevalence of knowledge, attitude, and practice in seeking skilled maternal healthcare services among women in a remote area of Gesha district

Hassen

Lelisho

2022

BMC Health Serv Res

View full text Add to dashboard Cite

Background Skilled health care is essential for the mother's and newborn's health and well-being during pregnancy, labor, and the postpartum period. This study aimed to analyze women's knowledge, attitudes, and practices while requesting competent assistance for maternity healthcare in Gesha District, Southwest Region of Ethiopia. Methods A community-based cross-sectional study design was conducted from September 20, 2021 to October 19, 2021. A total of 424 mothers participated in this study and a systematic sampling technique was used to select the respondents. The data were collected using a pretested and structured questionnaire. Statistical software SPSS-20 and R-4.1.2 were used to enter and analyze the data respectively. The factors associated with the prevalence of Knowledge, Attitude, and Practice in seeking Skilled Maternal Healthcare Services were identified using descriptive analysis and a binary logistic regression model. Results This study result revealed that the overall proportions of good knowledge, positive attitude, and good practice in seeking skilled maternal health care services were 39.15%, 37.5%, and 34.67% respectively. Estimated odds of having knowledge, attitude, and practice were as follows: for having age between 20–24 years at first pregnancy 1.859, 1.86, and 1.799; having a plan for pregnancy 2.74,2.315 and 2.579; mothers attended elementary education 2.337, 2.565 and 3.312; having maternal age 20–24 years 4.336,4.989 and 5.870; maternal age 25–29 years 2.917, 3.794 and 4.017; maternal age 35–49 years 2.837, 2.991 and 3.412; having husbands who had attended elementary education level 2.736, 2.542 and 2.134; secondary and above education 3.464, 3.360 and 2.508; rich mothers 2.261, 1.995 and 2.452; having antenatal care 4 times and above 2.606, 2.570, 2.682; having transportation access 1.921, 1.956 and 2.404; having media access 1.979, 2.171 and 2.715 respectively. The odds of having attitude and practice respectively were as follows: married 1.762, and 2.208; having medium wealth index 1.933 and 2.424. The odds of having previous pregnancy complications was 2.147 which significantly affect the practice of seeking skilled maternal care assistance. Conclusions This study discovered that the study participants' knowledge, attitude, and practice of skilled maternal health care are low. Associated factors included age at first pregnancy, planned pregnancy, maternal education level, husband’s education level, maternal age, antenatal care service visits, transport access, and access to media were found to significantly affect the knowledge, attitude, and practice of the respondents in seeking skilled maternal care assistance in common. The household wealth index was also associated with attitude. Pregnancy complications, current marital status, and household wealth index also significantly affect the practice of seeking skilled maternal care assistance. As a result of the findings, initiatives to increase women's knowledge, attitudes, and use of expert maternal health services in the research area are needed for women residing in rural areas.

show abstract

Essential components of postnatal care – a systematic literature review and development of signal functions to guide monitoring and evaluation

Cited by 27 publications

References 67 publications

Antibody responses against vaccine-preventable infectious diseases in HIV-exposed and unexposed Malawian infants

Antibody responses against vaccine-preventable infectious diseases in HIV-exposed and unexposed Malawian infants

Impact of health educational program for pregnant women on their knowledge regarding to postpartum and newborn care

Determining factors associated with the prevalence of knowledge, attitude, and practice in seeking skilled maternal healthcare services among women in a remote area of Gesha district

Contact Info

Product

Resources

About