Tag Archives: Mothers

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

Factors Influencing Non-Compliance to Exclusive Breastfeeding among HIV Positive Mothers Attending Selected Government Owned Hospitals in Lagos State, Nigeria (Published)

The objective of this study was to evaluate the factors influencing non-compliance to exclusive breastfeeding among HIV positive mothers attending selected government owned hospitals in Lagos state. This study is a descriptive study carried out among 297 HIV positive mothers selected using multi stage sampling technique. Structured questionnaires were used for data collection with reliability index of 0.95. Data obtained was analyzed using descriptive and inferential statistic and data were presented in tables and figures. The outcome of the study shows that 35.7% of respondent only breastfed their babies while 64.3% practiced mixed feeding. The factors identified to influence compliance include: Fear of transmitting HIV infection through breast milk, Cultural factor (df=1, P<0.001), level of education (df=3, P<0.001), social stigmatization and discrimination (df=1, P<0.001), spousal and family support  (df=1, P<0.001), and  maternal knowledge about HIV transmission (df=1, P=0.029).  it is therefore important to work on those factors identified in this study by individual, organization and government towards the improvement of practice of exclusive breastfeeding among HIV positive women.

Keywords: HIV positive, HIV/AIDS, Mothers, noncompliance and exclusive breast feeding

Socio-Cultural Factors Influencing Child Nutrition among Mothers in Calabar Municipality, Cross River State Nigeria. (Published)

Purpose: This study was carried out to assess the socio-cultural factors influencing child nutrition among mothers in Calabar Municipality, Cross: River State Nigeria. In order to successfully carry out the study, objectives and corresponding hypothesis’were1 formulated to guide the study. Literature was reviewed based on the research variables, Methods: A cross-sectional descriptive survey design was used for the study in Calabar Municipality, Cross River State. A simple random sampling technique was used to select 5 communities from the L.G.A. for the study and snowball non-probability sampling techniques was used to select the subjects for the study. The target population was unknown; a sample size of 376 was determined using Golden formula for infinite population. Their responses were analyzed using frequencies, percentage and Chi-square analysis and the following results were obtained. Result: The study reveal that majority of the respondents believed that feeding children with egg, meat and fish makes them thieves with mean value response of 3.48 and 3.53 respectively while majority also disagreed with stopping breastfeeding in the advent of a new pregnancy with mean value score of 2.03. majority also disagreed that their cultural practices had influence on the nutritional status of their children with a mean response value of 1.82 but the grand mean score of 2.77 and SD score of 0.64 which is greater than the criterion mean of 2.5 confirms that religious and cultural practices has an influence on the nutritional status of children. Conclusion: Socio-economic status of the family like the occupation of breadwinner, the person who controls the finance, and poor living conditions (inadequate water supply, inadequate sanitations), with a grand mean score of 2.91 has a negative influence on the nutritional status of children.

Keywords: Factors Influencing, Mothers, Socio-cultural, child nutrition

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