Effect of Nursing Educational Package for Pregnant Women upon Selected Aspects of Postnatal and Newborn Care

Naeima Mohamed El-Sayed Ahmed^1, , Bataa Mahmoud Mohammed² and Neveen Mohamed Mohamed Hasaneen³

¹Lecturer of Obstetrics and Gynecological Nursing, Faculty of Nursing, Zagazig University, Zagazig, Egypt

²Lecturer of Pediatrics Nursing.Faculty of Nursing.ZagazigUniversity,Zagazig, Egypt

³Lecturer of Obstetric and Gynecology Nursing, Faculty of Nursing, Suez Canal University, Ismailia, Egypt

Cite this paper:
Naeima Mohamed El-Sayed Ahmed, Bataa Mahmoud Mohammed and Neveen Mohamed Mohamed Hasaneen. Effect of Nursing Educational Package for Pregnant Women upon Selected Aspects of Postnatal and Newborn Care. American Journal of Nursing Research. 2016; 4(3):122-130. doi: 10.12691/ajnr-4-3-10

Abstract

Postnatal period is the most important part of maternal health care as the dangerous and life threatening complications occurs during this period. Mothers and newborns are vulnerable to illness during this phase. So, mother's knowledge and education before childbirth regarding postnatal and newborn care is important for the health of the mother's as well as the health of newborn. Aim: intended toevaluate the effect of nursing educational package for pregnant women upon selected aspects of postnatal and newborn care. Design: A quasi-design with pre/posttests used. Setting: on antenatal and postnatal departments at Zagazig University hospitals. Subjects: A purposive sample composed of 80 pregnant women. Tools: Divided to three tools as: Tool I: Interviewing questionnaire. Tool II: Pregnant women knowledge about postnatal and newborn care.Tool III: An observational checklist regarding selected items of postnatal and newborn care. Results: It was revealed that 25% of the studied mothers had satisfactory knowledge score before implementation of the educational package then this percentage was increased to 76.30% immediately after the implementation and slightly decreased to 71.30% in the follow up phase. In additions to improving mothers' total practice score related to postnatal and neonatal care three phases of educational intervention. Conclusion: Implementation of the educational package about selected aspects of postnatal and newborn care was effective in improving level of pregnant women’s total knowledge and total practices scores, where, their knowledge and practices at the post and follow up tests were higher than that of pre-test with a statistical significant difference. Recommendations: Establishing a comprehensive training program for pregnant women especially primiparous at MCH centers are mandatory to improve their knowledge and practices on the different aspects of postnatal and newborn care which can reduce the maternal and neonatal morbidity and mortality rate.

Keywords:
nursing educational package pregnant women postnatal care newborn care

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]	World Health Organization, WHO: WHO recommendations on postnatal care of the mother and newborn.2014. Available at: https://www.who.int/maternal_child_adolescent/documents/postnatal-care recommendations/en/
[2]	Dutta D: Text book of obstetrics.6th edition. kolkata: new central book agency (p) Ltd. 2014.) https://www.google.com/search?q=Dutta±D±C:±text±book±of±ob stetrics.6th±edition.±kolkata:±new±central±book±agency(p)Ltd.±2014 on March 2016.
[3]	Missiriya S: knowledge and practice of postnatal mothers regarding personal hygiene and newborn care. International journal of pharmaceutical sciences review and research.2016.40 (1). Article No.18: 89-93.
[4]	Park K: Textbook of Preventive and Social Medicine. 23rd Ed (2015) Jabalpur: BanarasidasBhanot Publishers. Available at: https://www.worldcat.org/title/parks-textbook-of-preventive-and-social-medicine/oclc/936412409 on May 2016.
[5]	Kumar A, Srivastava M , Ahmad S & , Upadhyay O.,: Knowledge & Practices of Newborn Care among Postnatal Mothers in Tertiary Care Hospital of Varanasi. International Journal of Health Sciences & Research. 2015; 5(8):38-44.
[6]	Obimbo E, Musoke R, Were F: Knowledge attitude and practices of mothers and knowledge of health workers regarding care of newborn umbilical cord. East African medical Journal. 2016 Aug; 76(8): 425-29.
[7]	Patil N, Satwe V, Mohite V et al: AStudy to Assess the Effectiveness of Informational Booklet on Postnatal Care among Primi Postnatal Mothers in Krishna Hospital, Karad, India.International journal of innovative research & development, 2016.5(7):176-180.
[8]	World Health Organization: Global Health Observatory (GHO) data. Neonatal mortality. 2016. available at https://www.who.int/gho/child_health/mortality/neonatal_text/en/ &https://www.who.int/gho/maternal_health/mortality/maternal_mortality_text/en.
[9]	Ostendorf W, Potter P & Perry A:Skills performance checklists for clinical nursing skills & techniques, chapter17.8th edition…Mosby. 2014.203-204.
[10]	Wheeler B: Health promotion of the newborn and family. In: Wong's nursing care of infants and children. 9th ed. Elsevier Company, Mosby, 2015: 222-268.
[11]	TimilsinaS&Dhakal R: Knowledge on Postnatal Care among Postnatal Mothers. Saudi J. Med. Pharm. Sci. 2015; 1 (4):87-92.
[12]	Shahin M, Haque M, Mainuddin G, et al. Neonatal care awareness among Bangladesh women. MOJ Public Health. 2015; 2(4):115‒117.
[13]	Yadav S, Mohan SaundM ,Jitendra Thakur J & et al: Knowledge, attitude and practices on the care of the newborn in postnatal mothers delivering at a tertiary care centre in Nepal.Sri Lanka Journal of Child Health, 2016; 45(3):189-192.
[14]	Rahayunindish F, KepA&Kes M: the knowledge of third trimester pregnant women about postpartum and newborn infants care. Journal of education and practice. 2015; 6(21): 101-106.
[15]	MandalM&Ghosh A: evaluation of awareness of neonatal care prctices among postnatal mothers in a tertiary care hospital. Clinical obstetrics, gynecology and reproductive medicine. 2016; 2(5): 1-5
[16]	Menaka S: Assess the effectiveness of structured teaching programme on newborn care among primigravida mothers in Bangalore.]cited on 2016. April 20, Available from: http://119.82.96.198:8080/jspui/bitstream/123456789/1412/1/CDNNOBG00018.pdf.
[17]	Indra V: A Study to assess the Effectiveness of Self-Instructional Module on Knowledge of postnatal care among primigravida women in selected hospital, at Puducherry; International Journal of Advances in Nursing Management Year. 2016; 4(1): 49-58.
[18]	Shah, T., & Pariyar, S: Knowledge and Practice Regarding Postnatal Care among Mothers Residing in Selected Slum Area of Dharan, Nepal. Internal Journal of Health and Medicine. 2016; 1(1).
[19]	Santhi M &Kokilavani : Assess the effectiveness of education programme on breast feeding on primi gravid mothers. International Journal of Nursing care. 2016; 1(1), 77-82.
[20]	Kesterton A and Cleland J: Neonatal care in rural Karnataka: healthy and harmful practices, the potential for change. BMC Pregnancy and Childbirth.2009; 9(20)1-13.
[21]	Baqui A, Williams E, Darmstadt G & et al: Newborn Care in Rural Uttar pradesh. Indian Journal of Pediatrics. 2014; 74;: 241-247.
[22]	Rama R, Gopalakrishnan S &Udayashankar P: Assessment of knowledge regarding newborn care among mothers. International Journal of community medicine and public health.2014. 1(1), 58-63.
[23]	Davis T, Fredrickson D, Bocchini C& et al: Improving Vaccine Risk/Benefit Communication with An Immunization Education Package: A Pilot Study. Ambulatory pediatrics; 2016; 2(3): 193-200.
[24]	Abd- ELrazek A: Enhancement of mother's self-care practices for relieving minor discomfort during postpartum period. AARJSH, 2013.1(13):316-332.
[25]	Kuo S, Chen Y, Lin K & et al: Evaluating the effects of an Internet education programme on newborn care in Taiwan. Journal of Clinical Nursing; 2016; 18: 1592-1601.
[26]	MozafariK ,Zoljalali S, AzariA&Kouhpayezadeh J:The role of training workshops of newborn cares in promotion of mothers' knowledge. Iran J Pediat 2016; 17(1): 41-45.
[27]	Kadam S, Tata S: Impact of Structured Education Programme on Antenatal Mothers Regarding Essential New Born Care. International Journal of Science and Research; 2014. 3: 595-601.
[28]	Laitha H: A study to assess the knowledge on self-care during postnatal period among primipara mothers in a selected maternity hospital. International Journal of Applied Research 2016; 2(4): 711-712.
[29]	Thaiba A & Rani U:knowledge and practice on selected aspects of postnatal care among postnatal mothers.Journal of Universal College of Medical Sciences .2016; 05 (01), 15:37-41.
[30]	Castalino F, Nayak B.S and D'Souza A, Knowledge and Practices Of Postnatal Mothers On Newborn Care in Tertiary Care Hospital of Udupi District. Nitte University Journal of Health Science. 2014; 4: 2249-7110.