Mothers

Effects of Health Education Intervention Programme On Health Seeking Practices and Treatment Preferences for Mothers of Under-Five Children with Febrile Illness in Ogbomoso (Published)

This study determined the effect of health-education intervention programme on health-seeking practices and treatment –preferences for mothers having under-five children with febrile-illness .Quasi Experimental research design was conducted among mothers of under-five children attended primary health care centres for immunization in selected Primary Health Care s in Ogbomoso Pre and Post intervention self-structured questionnaire were used to collect data from 191 mothers using purposive sampling technique. One third of respondent (28.0%) have heard about febrile illness during pre-intervention while most (98.4%) have heard about it in the post intervention. Majority (74.2%) during pre-intervention declined to take their child to health facility when sick while during post-intervention over half (51.1%) do it often. Health education intervention programme improved health seeking practices and treatment preferences for mothers of under-five.

Keywords: Mothers, febrile, health seeking, treatment preference

Perception of Mothers on Factors Contributing to Puerperal Sepsis in Selected Government Hospital in Lagos State (Published)

Puerperal sepsis is a bacterial infection of the genitourinary tract that occurs after delivery or a miscarriage. In a particular Lagos State government hospital, the study examined how mothers felt about the causes of puerperal sepsis. Structured questionnaires were used to gather data for the cross-sectional design of the study. The mothers’ questionnaires, numbering 210 altogether, were collected and analysed with SPSS 22.0. Results indicated that whereas 42.4% of women had a high awareness of puerperal sepsis, 59.0% were unaware of it. Sixty-three percent of respondents also identified low levels of education, ignorance, and living in rural areas as important reasons. In addition, 89% found that the manner of birth was a factor, and 87.1% found that infrequent antenatal clinic attendance was a factor. Low immunity was cited by 64.3% of respondents, whereas 96% cited the location of birth as a contributor to puerperal sepsis. All p-values for tests of correlation between the two sets of variables (factors and perception) were significantly lower than 0.05. Overall, most mothers only had a hazy understanding of what puerperal sepsis entailed. The stigma surrounding puerperal sepsis strongly correlates with socioeconomic standing. Puerperal sepsis awareness was significantly influenced by factors such as birth location, delivery method, and lack of antenatal clinic attendance. Puerperal sepsis risk variables were significantly correlated with mothers’ reports of experiencing the condition. The perception of puerperal sepsis among mothers continues to be low; thus, the obstetrics and gynaecological healthcare system should make it a matter of utmost importance to teach pregnant women about it so that their perception about it would have improved before to delivery. Puerperal sepsis is an infection that occurs after childbirth and can lead to serious complications. 

 

Keywords: Factors, Mothers, Perception, government hospital, puerperal sepsis

Comparative Analysis of Social Responses Between Mothers with Preterm and Term Babies in Teaching Hospital, Ile – Ife, Osun State (Published)

Social response is the ability of a person to adjust to a new environment or circumstances with the goal of becoming a better person. Parenthood is often seen as a happy, gratifying, and fulfilling experience. Due to various reasons, babies’ gestational age inclusive, mothers may exhibit diverse social responses. This can affect maternal bonding, immediate child’s care and future development of the child, the family and society at large. This study therefore was conducted to comparatively analyze the social responses of mothers with preterm and term babies. The study adopted a quantitative descriptive non-experimental comparative survey design. A sample size of 98 and 102 mothers with preterm babies in neonatal and term babies in postnatal wards respectively in Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Osun State were selected using a purposive sampling technique. A self-designed questionnaire with Cronbach’s alpha consistency scores ranging from 0.78 – 0.88 was used for data collection. Data were analyzed with Statistical Package for Social Sciences (SPSS) version 21 using both descriptive and inferential statistics at 0.05 level of significance. Result showed that both group of mothers had higher positive social responses, mothers of term babies exhibited a slightly higher positive social response (84.3%) compared to mothers of preterm babies (76.5%). There was a significant difference between the social responses of mothers with preterm and term babies. However, the social response mean difference (0.078) was not statistically significant (p= .168). In conclusion, this study shows that women who experience a preterm birth express increased negative social responses compared to mothers with term babies. It was recommended that health care providers especially nurses must be adequately skilled with the ability to detect, and intervene promptly and appropriately in prevention and management of negative social responses in newly delivered mothers.

Citation: Arewa, Florence Olanike  and Aluko, Joel O. (2022)Comparative Analysis of Social Responses Between Mothers with Preterm and Term Babies in Teaching Hospital, Ile – Ife, Osun State, International Journal of Nursing, Midwife and Health Related Cases, Vol.8, No.1, pp.24-38

Keywords: Mothers, Preterm babies, social responses, term babies

Lived experiences of mothers of with premature babies in a Neonatal Intensive Care Unit of a selected hospital, in United Arab Emirates: A Qualitative Content Analysis (Published)

Background: A mother’s expectation and excitement of having a healthy newborn is cut short when a baby is born premature. She is faced with the fear and anxiety of losing her baby or overwhelming thoughts of her baby suffering inconceivable distress in Neonatal Intensive Care Unit (NICU). Aim: This study explored the lived experience of mothers who had a premature baby admitted to NICU. Methods: A qualitative design with a phenomenological approach was used for the study. It was conducted from October to January 2019 among eleven women whose premature babies were admitted in the NICU at a hospital in Ras Al Khaimah, United Arab Emirates. Purposive sampling was used to choose the participants which continued until data saturation was reached. Data was collected using in-depth, semi structured face- to- face recorded interviews and analyzed using Colaizzi’s method. Results: Three themes were generated from the analysis. Mother’s expression of thoughts and emotions while their babies in NICU; Families experienced emotion while their premature babies were in the NICU and Mothers perception of care and support from health care professionals. Conclusion: Mothers and family members were anxious about the survival of their premature babies admitted to NICU. They exhibited emotions such as anxiety, anger and sadness. During the recovering process, mothers relied on family support, faith and hope to help get through the ordeal. Satisfaction of nurses providing competent care and provision of psychological support to the mothers helped them to cope.

Keywords: Experiences, Mothers, Neonatal Intensive care unit, Preterm babies

Umbilical Cord Care and Management Outcome among Mothers in Calabar South Local Government Area of Cross River State – Nigeria. (Published)

In developing countries umbilical cord infections constitute a major cause of neonatal morbidity and pose significant risk for mortality Methods of caring for the umbilical cord vary greatly between communities depending on their cultural and religious beliefs, level of education and resources. The risk of cord infection is increased by unhygienic cutting of the cord and application of unclean substances. This study examined the cord management practices and management outcome among mothers in Calabar South Local Government Area of Cross River State, Nigeria. Methods: A cross sectional community based study was conducted in Calabar South Local Government Area of Cross River State, Nigeria. Calabar South is one of the two Local Government Areas that make up Calabar Metropolis with 11 wards. Women of child bearing age were used as population of the study. A sample size of 451 mothers was selected using the snowball method. A structured pre-tested interviewer administered questionnaire was used to collect data. Data were analyzed descriptively using frequencies, percentages, means and standard deviation. All analyses were performed using SPSS version 18.0 at 95% confidence interval. Results: Whereas most of the respondents 224(49.8%) used methylated spirit in cleaning the cord, others used dettol 88(19.6%), saliva and salt 44(9.8%), herbal preparations 44(9.8%). Most of the respondents 314 (69.8%) applied unhygienic substances at the base of the stump after cleaning the cord. Main reason for choice of materials includes to wade off evil spirits and hasten cord separation 270(55.9%). The outcome of cord management showed that majority of the umbilical cords were infected 338 (75.1 %.). Conclusion: Majority of the respondents applied harmful and contaminated materials/ substances to the umbilical cord. Good umbilical cord care practices can lead to improved newborn care while poor umbilical cord care practices may result in neonatal morbidity and mortality. Improving the standard of umbilical cord care among mothers can largely be achieved through health education and follow up visits by nurses after discharge from the health facility.

Keywords: Calabar, Management outcome, Mothers, Nigeria, Umbilical cord care

Umbilical Cord Care and Management Outcome among Mothers in Calabar South Local Government Area of Cross River State – Nigeria (Published)

In developing countries umbilical cord infections constitute a major cause of neonatal morbidity and pose significant risk for mortality Methods of caring for the umbilical cord vary greatly between communities depending on their cultural and religious beliefs, level of education and resources. The risk of cord infection is increased by unhygienic cutting of the cord and application of unclean substances. This study examined the cord management practices and management outcome among mothers in Calabar South Local Government Area of Cross River State, Nigeria. Methods: A cross sectional community-based study was conducted in Calabar South Local Government Area of Cross River State, Nigeria. Calabar South is one of the two Local Government Areas that make up Calabar Metropolis with 11 wards. Women of child bearing age were used as population of the study. A sample size of 451 mothers was selected using the snowball method. A structured pre-tested interviewer administered questionnaire was used to collect data. Data were analyzed descriptively using frequencies, percentages, means and standard deviation. All analyses were performed using SPSS version 18.0 at 95% confidence interval. Results: Whereas most of the respondents 224(49.8%) used methylated spirit in cleaning the cord, others used dettol 88(19.6%), saliva and salt 44(9.8%), herbal preparations 44(9.8%). Most of the respondents 314 (69.8%) applied unhygienic substances at the base of the stump after cleaning the cord. Main reason for choice of materials includes to wade off evil spirits and hasten cord separation 270(55.9%). The outcome of cord management showed that majority of the umbilical cords were infected 338 (75.1 %.). Conclusion: Majority of the respondents applied harmful and contaminated materials/ substances to the umbilical cord. Good umbilical cord care practices can lead to improved newborn care while poor umbilical cord care practices may result in neonatal morbidity and mortality. Improving the standard of umbilical cord care among mothers can largely be achieved through health education and follow up visits by nurses after discharge from the health facility.

Keywords: Calabar, Management outcome, Mothers, Nigeria, Umbilical cord care

Health System Factors As Correlates of Infant Feeding Options among HIV Positive Mothers in Ogoja Local Government Area of Cross River State, Nigeria (Published)

Most rural communities are faced with numerous health challenges including contagious and terminal diseases. Their extent of survival from most of these ailments is tied to the quality of health facilities, equipments and the service providers available within the rural setting and the extent of affordability of these services. The problem is most aggravated when the issue involve is a communicable disease with terminal possibilities like HIV and the quality and accessibility of health facilities available to these rural dwellers. Most HIV+ mothers are faced with the risk of transmitting the virus to their new infant especially during infant birth and breastfeeding. The incidence of mother to child transmission of HIV can be reduced if there are functional health systems that can give the basic information and also provide the necessary services to reduce the incidence of mother to child transmission of HIV. Most HIV+ mothers are faced with the challenges of feeding their infant children; hence the health system factor was examined to ascertain the extent to which this influence the choices of infant feeding options among HIV+ mothers. The study adopted the descriptive research design, 136 HIV+ mothers were purposefully sampled for the study. The instruments for data collection were structured questionnaire and semi structured interview. Chi square was used for data analysis and the result of the analysis revealed that availability of qualified personnel providing basic services, (14.194, P≤.05), adequacy of ARVs for pregnant HIV+ mothers, (12.709, P≤.05), the availability of medical equipments for attending to HIV+ mothers, (14.367, P≤.05), giving of basic education on various feeding options to HIV+ mothers, (13.576, P≤.05) statistically significant. The study concluded that health system influences the choices of infant feeding options among HIV+ mothers. It was therefore recommended that government, organizations or individuals who can afford to provide health facilities should also endeavor to put the necessary facilities, equipment and qualified personnel in such facilities to give adequate services and education to those who may wish to access their services.

Keywords: Child Transmission, HIV, Health System Factors, Infant Feeding Options, Mothers