Postnatal and neonatal care after home birth: A community-based study in Nepal.
Background: In Nepal, the majority of women who give birth at home do not visit a health facility for postnatal and neonatal care. Objectives: This study investigated postnatal and neonatal care practices of women who give birth at home in a central hills district of Nepal. Design: This study is a p...
| Main Authors: | , |
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| Format: | Journal Article |
| Published: |
Elsevier BV
2016
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| Online Access: | http://hdl.handle.net/20.500.11937/27023 |
| _version_ | 1848752148713570304 |
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| author | Karkee, R. Khanal, Vishnu |
| author_facet | Karkee, R. Khanal, Vishnu |
| author_sort | Karkee, R. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Background: In Nepal, the majority of women who give birth at home do not visit a health facility for postnatal and neonatal care. Objectives: This study investigated postnatal and neonatal care practices of women who give birth at home in a central hills district of Nepal. Design: This study is a part of community-based prospective study in the Kaski district of Nepal. Postnatal and neonatal care practices were collected via structured questionnaires. Setting: Kaski district of Nepal. Participants: 92 postpartum women who gave birth at home. Outcome measures: Postnatal care at a health facility and neonatal care practices. Findings: Approximately 90% (83/92) of women who gave birth at home were assisted by non-skilled birth attendants, and 67% (62/92) received no postnatal care at a health facility within a week post delivery. The main reason for not having postnatal care at a health facility was ‘no perceived need’ (52/ 62, 83.9%). With regard to neonatal care practices, 67% (62/92) used a delivery kit, 79% (73/92) washed their hands before handling their babies, 70% (64/92) bathed their babies on the second day of birth, while all dried and wrapped their babies with a cloth within half an hour of the birth. However, only 46% (42/92) reported skin-to-skin contact within one hour after birth. Conclusions: The results suggest that there is great scope to strengthen community-based postnatal and neonatal care to screen for and identify postnatal and neonatal problems, especially at home birth. |
| first_indexed | 2025-11-14T08:04:01Z |
| format | Journal Article |
| id | curtin-20.500.11937-27023 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T08:04:01Z |
| publishDate | 2016 |
| publisher | Elsevier BV |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-270232017-09-13T16:09:11Z Postnatal and neonatal care after home birth: A community-based study in Nepal. Karkee, R. Khanal, Vishnu Background: In Nepal, the majority of women who give birth at home do not visit a health facility for postnatal and neonatal care. Objectives: This study investigated postnatal and neonatal care practices of women who give birth at home in a central hills district of Nepal. Design: This study is a part of community-based prospective study in the Kaski district of Nepal. Postnatal and neonatal care practices were collected via structured questionnaires. Setting: Kaski district of Nepal. Participants: 92 postpartum women who gave birth at home. Outcome measures: Postnatal care at a health facility and neonatal care practices. Findings: Approximately 90% (83/92) of women who gave birth at home were assisted by non-skilled birth attendants, and 67% (62/92) received no postnatal care at a health facility within a week post delivery. The main reason for not having postnatal care at a health facility was ‘no perceived need’ (52/ 62, 83.9%). With regard to neonatal care practices, 67% (62/92) used a delivery kit, 79% (73/92) washed their hands before handling their babies, 70% (64/92) bathed their babies on the second day of birth, while all dried and wrapped their babies with a cloth within half an hour of the birth. However, only 46% (42/92) reported skin-to-skin contact within one hour after birth. Conclusions: The results suggest that there is great scope to strengthen community-based postnatal and neonatal care to screen for and identify postnatal and neonatal problems, especially at home birth. 2016 Journal Article http://hdl.handle.net/20.500.11937/27023 10.1016/j.wombi.2015.10.003 Elsevier BV restricted |
| spellingShingle | Karkee, R. Khanal, Vishnu Postnatal and neonatal care after home birth: A community-based study in Nepal. |
| title | Postnatal and neonatal care after home birth: A community-based study in Nepal. |
| title_full | Postnatal and neonatal care after home birth: A community-based study in Nepal. |
| title_fullStr | Postnatal and neonatal care after home birth: A community-based study in Nepal. |
| title_full_unstemmed | Postnatal and neonatal care after home birth: A community-based study in Nepal. |
| title_short | Postnatal and neonatal care after home birth: A community-based study in Nepal. |
| title_sort | postnatal and neonatal care after home birth: a community-based study in nepal. |
| url | http://hdl.handle.net/20.500.11937/27023 |