Medicine and Health Sciences Commons^™

Determinants Of Neonatal Mortality In Rural And Urban Nigeria: Evidence From A Population-Based National Survey, Emmanuel O. Adewuyi, Yun Zhao

Research outputs 2014 to 2021

Background

Significant reduction in the global burden of neonatal mortality was achieved through the millennium development goals. In Nigeria, however, only a marginal reduction was realized. This study assesses the rural–urban differences in neonatal mortality rate (NMR) and the associated risk factors in Nigeria.

Methods

The dataset from the 2013 Nigeria demographic and health survey (NDHS), disaggregated by rural–urban residence (n = 20 449 and 9935, respectively), was explored using univariate, bivariate, and multivariable analysis. Complex samples analysis was applied to adjust for the unequal selection probabilities due to the multi-stage cluster sampling method used in the 2013 NDHS. The …

Antenatal Clinic: Using Ethnographic Methods To Listen To The Voices Of Pregnant Adolescents, Deborah Ireson

Theses: Doctorates and Masters

Aim: This research aims to explore the motivating reasons and external influences that affect pregnant adolescents’ reasons for attending an antenatal clinic. Background: Pregnancy during adolescence has been researched from perceived ‘poor’ decision making during pregnancy and postnatal perspectives involving high-risk outcomes for mother and baby. Antenatal clinic attendance by pregnant adolescents is often characterised by late and infrequent attendance, limiting midwifery contact with this inexperienced group. Gaps in the literature exist where the real-time voices of pregnant adolescents offer their current experiences of antenatal clinic as a relevant means to inform midwifery practice.

Research design: Using ethnographic methods, this …

Develop A Sudden Infant Death Syndrome (Sids) Education Package In Jordan: Using Participatory Action Research Approach To Create Ripple Of Change, Shereen Hamadneh, Jehan Hamadneh

eCULTURE

IInfant mortality is high in Jordan, a developing country in the Middle East, at 19 per 1000 live births. Most mortality risk factors are preventable. The SIDS incidence rate has also been extrapolated as 11.22 per 1000 live births [1]. This is much higher than the United State of America (USA), a developed country (0.54 per 1000 live births) [2]. Most of modifiable SIDS risk factors can be reduced by increasing knowledge, change behaviors and practices regarding SIDS risks and prevention measures.

There has not been a major investment in educating Jordanians about SIDS. Heath care providers are identified …

Preventing Maternal And Early Childhood Obesity: The Fetal Flaw In Australian Perinatal Care, Margaret R. Miller, Lydia A. Hearn, Paige Van Der Plight, Jane Willcox, Karen Campbell

Research outputs 2013

Almost half of Australian women of child-bearing age are overweight or obese, with a rate of 30–50% reported in early pregnancy. Maternal adiposity is a costly challenge for Australian obstetric care, with associated serious maternal and neonatal complications. Excess gestational weight gain is an important predictor of offspring adiposity into adulthood and higher maternal weight later in life. Current public health and perinatal care approaches in Australia do not adequately address excess perinatal maternal weight or gestational weight gain. This paper argues that the failure of primary health-care providers to offer systematic advice and support regarding women’s weight and related …

The Development Of An Interdisciplinary Research Agenda At Ngala: An Innovative Case Study, E Bennett, Y Hauck, S Bindahneem, Vicki Banham, M Owens, L E Priddis, G Wells, W Sinclair, L Shields

Research outputs 2012

Background Ngala is an early parenting, not-for-profit organisation in Western Australia (WA). Research academics from three universities in Perth had been involved in separate research activities over recent years at Ngala. During 2007, a strategic decision was made to forge formal links and articulate an interdisciplinary research framework to promote a research culture amongst Ngala practitioners. Aim To describe an organisational case study of the development of an interdisciplinary research agenda within Ngala. Methods Collaborative methods were used. An action learning project was undertaken over a two-year period with the involvement of researchers, managers and practitioners across the five disciplines …

The Effect Of Nursing Interventions On Thermoregulation And Neuromotor Function In Very Low Birthweight Infants, Leanne Monterosso

Theses: Doctorates and Masters

The prone position is used routinely in neonatal intensive care units worldwide in the nursing of preterm infants because of reported beneficial psychological effects This position can, however, lead to development of flattened posture very low birthweight (VLBW) infants and contributes to both short and longer term implications for functional motor development of upper and lower extremities. To date limited research has been undertaken to investigate methods of reducing flattened posture and its related negative outcomes temperature instability is also a problem for VLBW infants and no nappy exists that meets postural size and thermoregulation requirements. The purpose of this …

The Lived Experiences Of Single Teenage Mothers In Botswana : A Phenomenological Study, Tshepiso D. Mojapelo

Theses: Doctorates and Masters

This study was designed to explore-the lived-experiences of single teenage mothers in Botswana, as perceived by them. The participants were teenage mothers who had to leave school due.to pregnancy. They had either completed year one in secondary school or were in year two. Their ages ranged between 16 and 19 years. The ages of their babies range from five to 10 months, with the exception of one child who was three years old. All teenage mothers came from low socio-economic backgrounds with families whose parents were either not working, or were working in the lowest paying jobs as cleaners or …

A Phenomenological Study Of The Homebirth Experience : The Couples Perspective, Susanjane Morison

Theses: Doctorates and Masters

The purpose of this qualitative study was to describe the experience of parents who have had a homebirth in the past two years in Perth. Studies conducted to date have predominantly used quantitative research methods, investigating the safety of homebirth and comparing home to hospital birth without exploring a couples experiences. A phenomenological approach was used as it seeks to understand human experience in context. The research design consisted of a field study, in which ten parent couples were interviewed and three homebirth videos observed. Data analysis was conducted according to the procedure outlined by Colaizzi (cited in Knaack, 1984, …

Comparison Of Primiparous Women's Expected And Experienced Pain In Labour, Shelagh Lawrence

Theses : Honours

Pain is a subjective phenomenon and is, in varying degrees, an inherent part of the childbirth experience. However, most Western societies view suffering as unacceptable and as such, regard analgesia as a necessity. Many women do not anticipate the intensity of pain experienced in childbirth and are, therefore, not ready to manage this amount of pain when it occurs. This prospective study compared the expected and experienced labour pain of 99 primiparous women, aged 17-40 years. The relationship between expected and experienced pain and acceptance of pregnancy; identification with the motherhood role; relationship with mother; relationship with husband/partner; preparation for …

A Comparison Of Axillary And Tympanic Temperature Measurement In The Preterm Infant, Susan Elizabeth Bearsby

Theses : Honours

The transition of the newborn to extrauterine life, especially the preterm infant, necessitates adaptation to environmental changes in temperature (Levene, Tudehope & Thearle, 1987). The need for a method of measuring an infant's temperature rapidly and with minimal disturbance is critical and accurate temperature measurement in a preterm infant is a vitally important nursing procedure. However, the literature is inconclusive regarding the optimum placement time required to achieve an accurate temperature measurement and few studies bad been conducted to ascertain the reliability and usefulness of tympanic thermometers in preterm infants. The study of 81 hospitalised preterm infants, compared axillary mercury, …

Effects Of A Topical Application Of Chlorhexidine 1 % Cream On Clinical Signs Of Infection In Newborn Infants, Fiona Christine Bottin

Theses : Honours

For the past 40 years midwives and neonatal nurses have been applying antistaphylococcal cream to newborns, to reduce the risk of Staphylocccus aureus (Staph. aureus) infections. The purpose of this study was to determine whether there was any· difference in the incidence of clinical signs of infection in newborns, untreated or treated with a topical application of the currently used antistaphylococcal cream chlorhexidine 1%. The experimental design compared two groups of randomly assigned newborns, using an observation chart based on indicators of infection. Observations were recorded twice ~ day for four days. Any specific or nonspecific signs of infection …

Optimal Axillary Thermometer Placement Time For Recording Neonatal Temperature, Athalie Johnston

Theses : Honours

Since body temperature is a reflection of neonatal wellbeing, taking and recording an accurate temperature is an important nursing role. Research has shown that axillary temperature adequately reflects core body temperature and is the recommended site for neonates. However, researchers have been unable to agree on the length of thermometer placement time to record an accurate axillary temperature. The purpose of this study was to determine the optimal thermometer placement time to record the maximum axillary temperature in newborn infants using a descriptive correlational design. Axillary temperatures were taken using a convenience sample of 100 healthy, term neonates between 38 …

Umbilical Cord Separation Time In Infants, Helen Bailey

Theses : Honours

Umbilical cord separation vary throughout the world. This variation makes it difficult to advise parents when the umbilical cord will separate. The purpose of this study was to determine the length of time until umbilical cord separation for a sample of babies born in Perth. A descriptive study was conducted at two hospitals using two different cord care methods. Data were collected on a convenience sample of 228 babies by a structures telephone interview. Mothers were contacted at home after cord separation and asked questions about the study variables. Influencing variables included type and frequency of cord care, sex, mode …