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      Newborn Care Practices in Urban Slums of Lucknow City, UP

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          Abstract

          Objectives:

          To study the knowledge and practices related to newborn care in urban slums of Lucknow city, UP, and to identify critical behaviors, practices, and barriers that influence the survival of newborns.

          Materials and Methods:

          A cross-sectional study in urban slums of Lucknow city, UP, included 524 women who had a live birth during last 1 year preceding data collection. Data were analyzed using statistical software SPSS 10.0 for windows.

          Results:

          Study findings showed that about half of the deliveries took place at home. Majority (77.1%) of the mothers believed that baby should be bathed with warm water and dried with clean cloth and 79.7% mothers practiced it. Only 36.6% mothers initiated breast-feeding within 1 h of birth and 30.2% initiated after 1 day. The mothers who have not given colostrum to their baby, in majority the reason was customs.

          Conclusion:

          In majority of cases, correct knowledge and correct practices regarding newborn care were lacking among mothers and this should be promoted through improved coverage with existing health services.

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          Most cited references13

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          World Health Report

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            International Institute for Population Sciences

            (2010)
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              Body temperatures of home delivered newborns in north India.

              In this prospective study, axillary temperature of newborns delivered at home were recorded by a field worker once within a period of 24 h after the birth in 10 villages of Haryana, India, during 1992-1993. Room air temperature was measured at the same time. Family members were interviewed to record newborn care practices. Of the 189 babies, 11.1% were found to be hypothermic (temperature 37.3 degrees C). During winter months 19.1% were hypothermic as compared to only 3.1% in summer whereas 8.5% were hyperthermic in winter compared to 36.8% in summer. Room air temperature of < 24 degrees C was recorded in 41%. A strong correlation was observed between room air temperature and neonatal temperature. At the time of birth, 13.2% of the delivery rooms in summer and 73.6% in winter were reported to have heat source: 58.2% babies were reported to be wiped soon after birth; 97.3% were wrapped in cloth; the head was covered in 59.1% cases in winter and 10.5% in summer; 97.3% babies were kept with mother in same bed but not in skin-to-skin contact; and 65% were bathed within 24 h after delivery. Neonatal hypothermia is a common problem in developing countries. It is important that information, education and communication strategy about appropriate technologies for prevention and management of neonatal hypothermia is provided at domiciliary level. A significant proportion of babies are likely to suffer from hyperthermia in warm countries, specially in summer. Therefore, guidelines for thermal control in home births should be tailored to the specific environmental situation.
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                Author and article information

                Journal
                Indian J Community Med
                IJCM
                Indian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social Medicine
                Medknow Publications (India )
                0970-0218
                1998-3581
                January 2010
                : 35
                : 1
                : 82-85
                Affiliations
                Department of Community Medicine, Era's Lucknow Medical College, Lucknow, India
                [1 ]Department of Upgraded of SPM (Community Medicine), Lucknow, India
                [2 ]Department of KGMU-JHU Collaborative Projects, King George's Medical University, Lucknow, India
                Author notes
                Address for correspondence: Dr. Pratibha Gupta, C/o Keshaw Prasad Gupta, Chandra Colony, Peernagar, Ghazipur, UP, India. E-mail: pratibha_jayant@ 123456yahoo.co.in
                Article
                IJCM-35-82
                10.4103/0970-0218.62570
                2888375
                20606927
                b967bd82-6eed-4926-8448-2c6f92a30a04
                © Indian Journal of Community Medicine

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 24 October 2008
                : 24 October 2009
                Categories
                Original Article

                Public health
                newborn,breastfeeding,hypothermia,birth asphyxia
                Public health
                newborn, breastfeeding, hypothermia, birth asphyxia

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