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Antenatal education for expectant mothers results in sustained improvement in knowledge of newborn care

Abstract

Objective:

Basic perinatal education to increase parental knowledge of neonatal illnesses (such as respiratory distress, sepsis, complications of prematurity) could be a feasible way to reduce high neonatal mortality rates in limited-resource nurseries. To assess the efficacy of antenatal education in increasing mothers’ knowledge of basic newborn care in a limited-resource nursery, and to determine whether the knowledge is retained postpartum.

Study Design:

In March to April 2008, we implemented a 10-min educational program on basic neonatal care for women receiving prenatal care in a maternal child hospital in Vientiane, Laos. The educational intervention was a structured, face-to-face interactive module taught by Lao providers using pictographic and written materials about temperature control, umbilical cord care and signs of neonatal illness. We assessed knowledge before and immediately after the module using a standardized interview tool. When possible, we reassessed knowledge postpartum to determine whether they retained information after the training.

Result:

We recruited 101 women (average age=26.3 years), and the majority (53%) were primigravidas. Participants were well educated by local standards; 57% of women had >8 years and 28% had >12 years of education. Women's knowledge of neonatal care increased by 10% on immediate posttest (P<0.0001), especially regarding knowledge of umbilical cord care and temperature control (normal temperature ranges, thermometer use). Maternal education (P=0.025) and previous births (P=0.037) correlated positively with higher pretest scores. Higher maternal education correlated with higher posttest scores (P=0.01); however, less-educated women increased their scores as much as did women with more education. Nulliparous women also increased their posttest scores to comparable levels in women with previous deliveries. Women retested after delivery retained the educational message, achieving similar posttest and postdelivery scores (P=0.08).

Conclusion:

Brief antenatal education increases mothers’ understanding of basic newborn care. Mothers retain this knowledge into the early postpartum period and during early infancy when it might help reduce morbidity and mortality. The education was efficacious for women with little education. Brief antenatal educational modules seem a feasible, sustainable means of improving mothers’ knowledge of newborn care. We speculate that similar programs could improve neonatal morbidity and mortality in developing countries.

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References

  1. Countdown Coverage Writing Group, Bryce J, Daelmans B, Dwivedi A, Fauveau V, Lawn JE, Mason E et al. Countdown to 2015 for maternal, newborn and child survival: the 2008 report on tracking coverage of interventions. Lancet 2008; 371: 1247–1258.

    Article  Google Scholar 

  2. Bryce J, Terreri N, Victora C, Mason E, Daelmans B, Bhutta Z et al. Countdown to 2015: tracking intervention coverage for child survival. Lancet 2006; 368: 1067–1076.

    Article  Google Scholar 

  3. Fenn B, Kirkwood B, Popatia Z, Bradley D . Inequities in neonatal survival interventions: evidence from national surveys. Arch Dis Child Fetal Neonatal Ed 2007; 92: 361–366.

    Article  Google Scholar 

  4. Zupan J . Perinatal mortality in developing countries. N Engl J Med 2005; 352: 2047–2948.

    Article  CAS  Google Scholar 

  5. Darmstadt GL, Walker N, Lawn JE, Bhutta ZA, Haws RA, Cousens S . Saving newborn lives in Asia and Africa: cost and impact of phased scale-up of interventions within the continuum of care. Health Policy Plan 2008; 23: 101–117.

    Article  Google Scholar 

  6. Shankar A, Bartlett L, Fauveau V, Islam M, Terreri N . Delivery of MDG 5 by active management with data. Lancet 2008; 371: 1223–1224.

    Article  Google Scholar 

  7. Horton R . Countdown to 2015: a report card on maternal, newborn and child survival. Lancet 2008; 371: 1217–1219.

    Article  Google Scholar 

  8. World Health Organization. Neonatal and perinatal mortality: country, region and global estimates. 2006, http://whqlibdoc.who.int/publications/2006/9241563206_eng.pdf.

  9. Lawn JE, Wilczynska-Ketende K, Cousens SN . Estimating the causes of 4 million neonatal deaths in the year 2000. Int J Epidemiol 2006; 35: 706–718.

    Article  Google Scholar 

  10. Agarwal R, Agarwal K, Acharya U, Christina P, Sreenivas V, Seetaraman S . Impact of simple interventions on neonatal mortality in a low-resource teaching hospital in India. J Perinatol 2007; 27: 44–49.

    Article  CAS  Google Scholar 

  11. Hoan PT, Bao TV, Phong DN, Huong NT, Lazare M, Boelaert M . [Early neonatal mortality at the gynecological-obstetrical hospital of Hanoi, Vietnam]. Bull Soc Pathol Exot 2000; 93: 62–65.

    CAS  PubMed  Google Scholar 

  12. World Health Organization. Mortality Country Fact Sheet 2006. World Health Organization: Lao People's Democratic Republic, 2006.

  13. Syed U, Asiruddin S, Helal MS, Mannan II, Murray J . Immediate and early postnatal care for mothers and newborns in rural Bangladesh. J Health Popul Nutr 2006; 24: 508–518.

    PubMed  PubMed Central  Google Scholar 

  14. Wilkinson D, Connolly C, Stirling S . Impact of prematurity on admissions to the neonatal nursery of a rural South African district hospital. J Trop Pediatr 1999; 45: 76–80.

    Article  CAS  Google Scholar 

  15. van der Mei J . Survival chances of low birth weight infants in a rural hospital in Ghana. Trop Geogr Med 1994; 46: 313–317.

    CAS  PubMed  Google Scholar 

  16. Bang AT, Baitule SB, Reddy HM, Deshmukh MD, Bang RA . Low birth weight and preterm neonates: can they be managed at home by mother and a trained village health worker? J Perinatol 2005; 25 (Suppl 1): S72–S81.

    Article  Google Scholar 

  17. Carlo W, Goudar S, Jehan I, Chomba E, Tshefu A, Garces A et al. Newborn-care training and perinatal mortality in developing countries. N Engl J Med 2010; 365: 614–623.

    Article  Google Scholar 

  18. Murray-Johnson L, Witte K, Boulay M, Figueroa ME, Storey D, Tweedie I . Using health education theories to explain behavior change: a cross-country analysis. Int Q Community Health Educ 2000–2001; 25: 185–207.

    Article  Google Scholar 

  19. Neonatal Mortality Formative Research Working Group. Developing community-based intervention strategies to save newborn lives: lessons learned from formative research in five countries. J Perinatol 2008; 28 (suppl 2): s2–s8.

    Article  Google Scholar 

  20. Cleland JG, Van Ginneken JK . Maternal education and child survival in developing countries: the search for pathways of influence. Soc Sci Med 1988; 27: 1357–1368.

    Article  CAS  Google Scholar 

  21. UNICEF. At a glance: Lao People's Democratic Republic Statistics. 2000–2007, http://www.unicef.org/infobycountry/laopdr_statistics.html.

  22. Morrison J, Osrin D, Shrestha B, Tumbahangphe KM, Tamang S, Shrestha D et al. How did formative research inform the development of a women's group intervention in rural Nepal? J Perinatol 2008; 28 (suppl 2): s14–s22.

    Article  Google Scholar 

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Acknowledgements

This study was supported by the University of California Pacific Rim Research Program, UCSF Dean's Research Grant, and by the UCSF Academy of Medical Educators Chair of Pediatric Education (JCP). We appreciate the assistance of Drs Thienmany Thammanong, MD, Philavanh Kedsadtha, MD and On-anong Sengvilaipaserth, MD, in translation, recruitment and study interviews.

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Correspondence to J C Partridge.

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Weiner, E., Billamay, S., Partridge, J. et al. Antenatal education for expectant mothers results in sustained improvement in knowledge of newborn care. J Perinatol 31, 92–97 (2011). https://doi.org/10.1038/jp.2010.108

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