New Born Care Practices in Nepal (A Case Study of Dumarwana Vdc, Bara District)

Abstract

Care of women during pregnancy and children is essential to ensure health and successful outcome of pregnancy for mother and her newborn infants. Women often deliver in unhygienic condition, with out help of the skilled birth attendant that increase the risk to both mother and newborn baby. The title of the study was “A study on New Born Care Practice in Nepal: A Case Study of Dumarwana VDC, Bara District.” The objective of this study were to assess and find out the home based newborn care practice, to assess the home based delivery care, to identify the newborn care practices and to find out the factors associated with safe delivery and newborn care practices among the mothers i.e. socio-economic and demographic factors. A descriptive cross sectional analytical study was conducted to find out the newborn care practices, primary data were collected from sample survey covering 150 women of reproductive age. Among 150 respondents maximum number of delivery were conducted at hospital. The study showed that 62 percent respondents had knowledge about cleanness of delivery place and 60 percent of delivery attendants had knowledge on hand washing practice before conducting delivery. Use of safe delivery kit was done by maximum respondents and majority of the respondents were found taking vitamin A and iron doses. The study showed good cord cutting practices as 74 percent used new blade. Similarly, 72.7 percent used sterilized thread for tying cord and less percent i.e. 88 applied some home made substances like oil, ash, turmeric etc. after cord cutting. It was seen from the study about 66.7 percent of respondent dried baby before placenta delivery, majority of respondents bath their baby within after 1 hour of delivery. First breast feeding time was found good as the study showed about 62.7 percent breast feed their baby within one hour of delivery and also 90.0 percent feed yellow milk to their baby. Among the total respondents 94 percent are still breast feeding their baby of the VII total respondents 55 percent of respondent had given drinks like bottle milk, water, glucose water, fruit juice, sugar salt water etc. within three days of delivery. As the study showed majority of the respondents except 22.7 percent had knowledge on danger signs of neonates and most of them were found seeking treatment from health facilities i.e. 68.6 percent incase of treatment seeking practice. About 56.7 percent of respondent’s baby had diarrhea of which 36.7 percent took their baby to health facilities for treatment as the study showed. About 98.7 percent of the babies were found immunized and most of the respondent had knowledge on nutritional foods.