DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20183084

Monitoring and evaluation of intranatal facilities at community health centre level in Siddharth Nagar district

Surbhi Yadav, Shamshad Ahmad, Mahendra Kumar, S. K. Yadav, P. K. Garg, Roma Bahteja

Abstract


Background: Despite WHO and UNICEF are leaving no stone unturn to promote breastfeeding in health facilities globally, there is poor status of breastfeeding in rural India till today. in 2012, U.P had one of the poorest maternal and neonatal health outcomes in India. Assessment the implementation of practice of skin to skin contact and early initiation of breastfeeding.

Methods: It was a descriptive longitudinal study. This study was carried out in CHC Khisraha and CHC Mithwal in Siddharthnagar, over a period of 3 months. All pregnant women admitted for normal delivery during data collection period and had positive outcome was our study sample. A total of 101 samples were observed and interviewed.

Results: Most of the beneficiaries were from age group 20-22 years (46.5%). Pre-term delivery was high (26.7%) in present study. Only in 12% of cases radiant warmer were switched on 20-30 minutes before delivery. Only 3% of babies born were dried with pre-warmed towel/cloth. Practice of skin to skin contact was observed in 97% of cases. Only in 18.8% of cases babies followed breast crawl. All babies were given pre-lacteal feed. Only in 8.9% of cases initiation of breastfeeding was done within 30 minutes.

Conclusions: Supportive supervision of staff nurses for STS contact and BF initiation is needed. Counselling and training of ASHA worker about benefits of early BF and STS contact for both mother and baby.


Keywords


Skin to skin contact, Newborn, Breastfeeding

Full Text:

PDF

References


Srivastava S, Gupta A, Bhatnagar A, Dutta S. Effect of very early skin to skin contact on success at breastfeeding and preventing early hypothermia in neonates. Indian J Public Health. 2014;58(1):22–6.

Moore ER, Bergman N, Anderson GC, Medley N. Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database Syst Rev. 2016 25;11:CD003519.

Takahashi K, Ganchimeg T, Ota E, Vogel JP, Souza JP, Laopaiboon M, et al. Prevalence of early initiation of breastfeeding and determinants of delayed initiation of breastfeeding: secondary analysis of the WHO Global Survey. Sci Rep. 2017;7:44868.

PM Award for Excellence in Public Administration. Available at: https://pmawards.gov.in/public/login. Accessed on 5 May 2018.

Cleveland L, Hill CM, Pulse WS, DiCioccio HC, Field T, White-Traut R. Systematic Review of Skin-to-Skin Care for Full-Term, Healthy Newborns. J Obstet Gynecol Neonatal Nurs JOGNN. 2017;46(6):857–69.

Righard L, Alade MO. Effect of delivery room routines on success of first breast-feed. Lancet Lond Engl. 1990;336(8723):1105–7.

Moore ER, Anderson GC, Bergman N, Dowswell T. Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database Syst Rev. 2012;5:CD003519.

Widström A-M, Lilja G, Aaltomaa-Michalias P, Dahllöf A, Lintula M, Nissen E. Newborn behaviour to locate the breast when skin-to-skin: a possible method for enabling early self-regulation. Acta Paediatr Oslo Nor 1992. 2011;100(1):79–85.

Alberts JR. Learning as adaptation of the infant. Acta Paediatr Oslo Nor 1992 Suppl. 1994;397:77–85.

Michelsson K, Christensson K, Rothgänger H, Winberg J. Crying in separated and non-separated newborns: sound spectrographic analysis. Acta Paediatr Oslo Nor 1992. 1996;85(4):471–5.

Liu D, Diorio J, Day JC, Francis DD, Meaney MJ. Maternal care, hippocampal synaptogenesis and cognitive development in rats. Nat Neurosci. 2000;3(8):799–806.

Porter RH, Winberg J. Unique salience of maternal breast odors for newborn infants. Neurosci Biobehav Rev. 1999;23(3):439–9.

De Carvalho M, Robertson S, Friedman A, Klaus M. Effect of frequent breast-feeding on early milk production and infant weight gain. Pediatrics. 1983;72(3):307–11.

Christidis I, Zotter H, Rosegger H, Engele H, Kurz R, Kerbl R. Infrared thermography in newborns: the first hour after birth. Gynakol Geburtshilfliche Rundsch. 2003;43(1):31–5.

Winberg J. Mother and newborn baby: mutual regulation of physiology and behavior--a selective review. Dev Psychobiol. 2005;47(3):217–29.

Handlin L, Jonas W, Petersson M, Ejdebäck M, Ransjö-Arvidson A-B, Nissen E, et al. Effects of sucking and skin-to-skin contact on maternal ACTH and cortisol levels during the second day postpartum-influence of epidural analgesia and oxytocin in the perinatal period. Breastfeed Med Off J Acad Breastfeed Med. 2009;4(4):207–20.

Bernard-Bonnin AC, Stachtchenko S, Girard G, Rousseau E. Hospital practices and breastfeeding duration: a meta-analysis of controlled trials. Birth Berkeley Calif. 1989;16(2):64–6.

Conde-Agudelo A, Belizán JM, Diaz-Rossello J. Kangaroo mother care to reduce morbidity and mortality in low birthweight infants. Cochrane Database Syst Rev. 2011;(3):CD002771.

Singh K, Khan SM, Carvajal–Aguirre L, Brodish P, Amouzou A, Moran A. The importance of skin–to–skin contact for early initiation of breastfeeding in Nigeria and Bangladesh. J Glob Health. 2017;7(2):020505.

Mikiel‐Kostyra K, Mazur J, Boltruszko I. Effect of early skin-to-skin contact after delivery on duration of breastfeeding: a prospective cohort study. Acta Paediatr. 2002;91(12):1301–6.

Bigelow A, Power M, MacLellan-Peters J, Alex M, McDonald C. Effect of mother/infant skin-to-skin contact on postpartum depressive symptoms and maternal physiological stress. J Obstet Gynecol Neonatal Nurs JOGNN. 2012;41(3):369–82.

Bramson L, Lee JW, Moore E, Montgomery S, Neish C, Bahjri K, et al. Effect of Early Skin-to-Skin Mother—Infant Contact During the First 3 Hours Following Birth on Exclusive Breastfeeding During the Maternity Hospital Stay. J Hum Lact. 2010;26(2):130–7.

Stevens J, Schmied V, Burns E, Dahlen H. Immediate or early skin-to-skin contact after a Caesarean section: a review of the literature. Matern Child Nutr. 2014;10(4):456–73.

Kollmann M, Aldrian L, Scheuchenegger A, Mautner E, Herzog SA, Urlesberger B, et al. Early skin-to-skin contact after cesarean section: A randomized clinical pilot study. PLOS ONE. 2017;12(2):e0168783.

India accounts for 23.6% of global preterm births. Available at: https://www.indiainfoline.com/article /news-corporate/india-accounts-for-23-6-of-global-preterm-births-113111804159_1.html. Accessed on 27 June 2018.

Aguayo VM, Gupta G, Singh G, Kumar R. Early initiation of breast feeding on the rise in India. BMJ Glob Health. 2016;1(2):e000043.