Development and evaluation of a newborn care education programme in primiparous mothers in Nepal
Abstract
Background the health and survival of newborns depend on high levels of attention and care from caregivers. The growth and development of some infants are unhealthy because of their mother's or caregiver's lack of knowledge or the use of inappropriate or traditional child-rearing practices that may be harmful.Objective to develop a newborn care educational programme and evaluate its impact on infant and maternal health in Nepal.Design a randomised controlled trial.Participants one hundred and forty-three mothers were randomly assigned to the intervention (n=69) and control (n=74) groups. Eligible participants were primiparous mothers who had given birth to a single, full-term, healthy infant, and were without a history of obstetric, medical, or psychological problems.Methods prior to being discharged from the postnatal unit, the intervention group received our structured newborn care education programme, which consisted of one-on-one educational sessions lasting 10-15minutes each and one postpartum follow-up telephone support within two weeks after discharge, in addition to the hospital's routine general newborn care education. The control group received only the regular general newborn care education. Outcomes were measured by using Newborn care Knowledge Questionnaires, Karitane Parenting Confidence Scale, State-Trait Anxiety Inventory for Adults and infant health and care status.Findings the number of mothers attending the health centre due to the sickness of their babies was significantly decreased in the intervention group compared to the control group. Moreover, the intervention group had significant increases in newborn care knowledge and confidence, and decreases in anxiety, compared with the control group.Conclusions the structured newborn care education programme enhanced the infant and mother health. Moreover, it increased maternal knowledge of newborn care and maternal confidence; and reduced anxiety in primiparous mothers. Thus, this educational programme could be integrated into routine educational programs to promote maternal and infant well-being in Nepalese society.
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Interventions frequently involved in-person and written or media resources or included post-discharge follow-up.
“Interventions frequently involved in-person and written or media resources or included post-discharge follow-up (Khresheh et al., 2011; Shrestha et al., 2016), which made it impossible to isolate the effect of only the postpartum education provided by nurses in the hospital.”
From Scoping Review of Postpartum Discharge Education Provided by Nurses (2022) · cites this paper as Shrestha et al., 2016
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- Authors
- Shrestha, S., Adachi, K., Petrini, M. A., Shrestha, S., & Rana Khagi, B.
- Affiliations
- Bir Hospital (NP)
- Tokyo Metropolitan University (JP)
- Wuhan University (CN)
- Corresponding author
- Shrestha, Sharmila
- Venue
- Midwifery
- Publisher
- Elsevier BV
- Published
- 2016-11
- Volume
- 42
- Pages
- 21-28
- ISSN
- 0266-6138 (ISSN-L)
- OpenAlex
- W2519933996
- Cited by
- 42
- References
- 37
- Citations by year
- 2026: 1 · 2025: 8 · 2024: 5 · 2023: 1 · 2022: 8 · 2021: 4 · 2020: 5 · 2019: 4 · 2018: 3 · 2017: 1 · 2013: 1
- FWCI
- 4.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Midwifery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Keywords
- newborn care education, primiparous women, postpartum care, maternal knowledge, parental confidence, maternal anxiety, infant health, telephone follow-up
- MeSH terms
- Maternal Health, Infant Health, Adult, Developing Countries, Female, Humans, Infant Care, Infant, Newborn, Health Knowledge, Attitudes, Practice, Male, Mothers, Nepal, Parity, Patient Education as Topic, Pregnancy, Surveys and Questionnaires, Program Development, Statistics, Nonparametric, Postpartum Period, Young Adult
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