Day 2 :
- Midwifery | Childbirth | Pregnancy | Family Planning| Maternal and Child Health
Session Introduction
Navita Rahim
Greenstar Social Marketing, Pakistan
Title: Holistic approach is the only way to increase uptake of family planning services
Time : 10:00-10:40
Biography:
Navita Rahim has completed her BSc in 2012 from Aga Khan University, School of Nursing and Midwifery, Karachi, Pakistan. She has completed her Diploma in Midwifery from Aga Khan Maternal and Child Health Center in 2004. She is the Clinical Trainer at Jhpiego, Pakistan. She has worked for more than five years in reputed organization and has been serving for maternal and child health. She has worked for four years with international Non-Government Organizations (NGOs) to improve family planning quality services in low socio-economic areas of Pakistan for the betterment of maternal life and decrease maternal mortality rate (MMR).
Abstract:
Holistic care is a comprehensive model of caring and proper guidance. Use of family planning (FP) services is still a question mark nowadays. One MWRA (Married Women of Reproductive Age) in four has an unmet need for contraception, which is the highest such rate in the region. Meeting unmet need for limiting can be accomplish by increasing the holistic approach, for family planning, three major components can be highlighted: Supply, the enabling environment and demand. Up take of family planning services can be enhanced, more successful and sustainable if multifaceted determinates included in interventions. Availability and quality of services and other supply-related issues is a major factor for not availing FP services. Improvement in family planning cannot be achieved without quality services. Quality is considered good when adequate infrastructure, supplies and equipment are in place and when well- trained, skilled, motivated and supported staffs are available. Besides that, an enabling environment for health-seeking behavior is another factor for increasing services. An enabling environment requires adequate resources, effective leadership, management and accountability. Engagement of governments, communities and other members of civil society is critical to fostering an enabling environment. Furthermore, improve knowledge of family planning and cultivate a demand for services. The demand for FP exists in different forms: Actual use and latent demand. The latter exists among those who wish to avoid pregnancy but are not currently using FP (those with an unmet need for FP) and those who might wish to avoid pregnancy. Holistic, client-centered approaches are the only way to make FP programming effective and successful ultimately supports health system.
Affryta Nur Fauzia Analda
Sebelas Maret University, Indonesia
Title: Relationship between exclusive breastfeeding and nutritional status of infants aged 12-24 months
Time : 10:40-11:20
Biography:
Affryta Nur Fauzia Analda is currently a student of Diploma Midwifery in Medical Faculty of Sebelas Maret University, Indonesia.
Abstract:
Relation between breast-feeding duration and childrens nutritional status is still a controversy. Positive as well as negative relations were shown. Exclusive breastfeeding has a high nutrient content to fulfill the nutritional needs of infants aged 0 months. The aim of this study was to describe the nutritional status of infants aged 12-24 months and to determine the relationship of exclusive breastfeeding and nutritional status of infants aged 12-24 months and support this current issue on breast feeding duration and nutritional status of children aged 12-24 months in Pusat Kesehatan Masyarakat (Puskesmas) Gajahan, Surakarta. A cross sectional study was conducted with 100 propositional stratified random coupled samples (mothers and weaned children) with inclusion criteria: Normal birth weight, full-term delivery and no physical and psychological problems. Data from children were measured using seca digital weight scale, wooden length board, while data from mothers were collected through 1×24 hours food recall form and a questionnaire on mothers knowledge. The average of breastfeeding duration was 14 months. The prevalence of malnutrition was quite low (<10%), but the prevalence of stunting was high enough (22.3%) while wasting was moderately high (10.2%). Breastfeeding duration was significantly associated to childrens nutritional status (height for age index and weight for height index). The highest correlation was found in height for age index (r=0.403). Regression model revealed that breastfeeding duration, exclusive breastfeeding, diarrhea, working mother, mothers knowledge, energy intake and protein intake were independently associated with childrens nutritional status. As this study found that the average of breastfeeding duration was 14 months and there was a significant association between exclusive breastfeeding and nutritional status of infants aged 12-24 months old, thus these findings strengthen the recommendation of WHO to continue breast feeding up to 2 years old.
Silfana Putri Nur Azizah
Sebelas Maret University, Indonesia
Title: The relationship between education and mother’s behavior providing breastfeeding in Gajahan, Surakarta, Central Java, Indonesia community health clinic
Time : 11:40-12:10
Biography:
Silfana Putri Nur Azizah is a Midwifery Student in Medical Faculty of Sebelas Maret University, Indonesia.
Abstract:
Mom’s milk is needed by a baby for a perfect growth in golden period. WHO/UNICEF recommends exclusive breastfeeding in the first six months after birth, then supplemented feeding of breastfeeding supplements up to the age of one or more years. Ironically, in an era of global rapid changes in science and technology, breast-feeding is exclusive often forgotten. Knowledge of ASI’s exclusive action is given to each nursing mother to strengthen the attitude of the mother in breastfeeding. The aim of this study was to analyze the relationship between educations with mother’s behavior in providing breast feeding to the baby. This study uses a correlative analytic design with cross-sectional approach. Its population is being all subjects that come to Gajahan, Surakarta, Central Java, Indonesia community health clinic and samples were taken with purposive sampling technique. Data collection using questionnaires and the data collected is presented in the form of a frequency distribution table and analyzed using logistic regression test. The result showed the greatest level of maternal education is secondary (high school) at 53.8% and most of that is 73.1% of behavior is not exclusive breastfeeding mother to their babies. Logistic regression analysis showed a p-value=0.067>0.05 means that H0 and H1 rejected. The results showed no relationship between level education and mother’s behavior in exclusive breastfeeding. The government should improve the comprehensive and continuous education about the importance of breastfeeding and the benefits of exclusive breastfeeding.
Angelo Scuderi
Centro Studi per la Salute della Donna, Italy
Title: Childbirth between culture, science and technology
Time : 12:00-12:40
Biography:
Angelo Scuderi is a Surgeon Specialist in Obstetrics and Gynecology in Centro Studi per la Salute della Donna, Italy.
Abstract:
This report wants to put in evidence, the relationship between culture, science, technology, nature and childbirth. We know, from Anthropology, that there is no people in the world, where labor and childbirth take place as natural and physiological events. The biological events of labor and birth are everywhere remolded and conditioned by social factors and dominant cultural factors of which they are expression. Physiology is universal, however, we know how there are multiple modes of approaching universal physiological events. Birth is considered in every society as a reflection of total culture. It is the culture to explain diversity and not nature. We should not lose sight of the fact that today we live in a post-modern society where technologies have an impact on the individual greater than that produced by their meaning. Contemporary medical obstetrics considers the use of high technology as the first element to control and dominate nature from the unpredictability of pregnancy and childbirth. Medicine needs to control the risk. In this culture, childbirth is a medical event and it is not considered the fact that reproduction is not only a biological process, but a complex experience that involves spirituality, psychology, ethics, rationality and relational life as expression of woman’s identity. Nature, culture and society are the three inseparable dimensions of human reproduction and childbirth, where it cannot be ignored the existential problematic of childbirth and human identity. This needs a reflection on the deepest meaning on maternity connected to women’s conscience developed in their human biography, as a visible expression of a personal act in a synthesis of total and original intimacy. In the seventies, as reaction to the excess of technocratic medicine, that rigidly separates, in a Cartesian way, the body from the mind; it was felt the necessity to humanize the techno medicine. At present, we are in a situation that has contradictory aspects. We can see that it has been tried to humanize childbirth but, on the other hand, the use of medical technology for childbirth has been progressively increased, as evidenced by the increase, in low risk births, interventions in most Western countries, which have become such a routine to be considered more and more as part of births defined normal. In the scientific model of birth (or Physiological Model) it is believed that for healthy women with normal pregnancies, we must work to improve the quality of birth support by following the principles of science, by integrating the judicious use of the best scientific evidence available, with the precise scientific knowledge of anatomy and physiology, associated with the clinical experience of the operator. But besides this, there is the necessity to understand the patient's values, preferences and considerations and to respect the inseparable unit of the woman with her baby. Every birth needs assistance and support. It is therefore proposed to analyze new territorial and hospital based birth assistants that see two parallel pathways, the physiological one entrusted to midwives with a continuity of care and that of high risk pregnancy to doctors. Today it is a commitment to practice holistic care to pregnancy and birth. The birth support model that best understands a holistic approach is that of Anglo-Saxons with the term midwifery model of care and identifying in the midwife as the appropriate operator to this type of assistance
Fernan N Torreno
Urdaneta City University, Philippines
Title: A descriptive study on the implementation of the essential new born care protocols in rural health units in Eastern Pangasinan
Time : 12:40-13:10
Biography:
Fernan N. Torreno, Master of Arts in Nursing Major in Administration & Teaching in Nursing at Urdaneta City University, Philippines
Abstract:
The study aims to evaluate the perspective of health care professionals on implementation of the essential new born care protocol as well as the problems encountered of respondents from 6 rural health units of Eastern Pangasinan along with governance, service delivery and regulation. A descriptive quantitative research design was employed through a survey questionnaire; total enumeration was employed with 90 respondents. Frequency count, mean and rank was used to analyze the data. Findings revealed that there is a moderate implementation (2.91) along with governance, service delivery and respondents stated a poor implementation (1.98) of the essential new born care protocols. Problems encountered by health workers include time pressure due to an increased number of clients, uncooperative mothers, knowledge deficit about the protocols of the "Unang Yakap", and lack of related seminars and training. It can be concluded that there is a poor implementation of the existing program in other areas because they lack training and knowledge regarding the essential new born care.