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  1. The effects of postnatal health education for mothers on infant care and family planning practices in Nepal : a randomised controlled trial.

    Article - En anglais

    Objectives 

    To evaluate impact of postnatal health education for mothers on infant care and postnatal family planning practices in Nepal.

    Design 

    Randomised controlled trial with community follow up at 3 and 6 months post partum by interview.

    Initial household survey of study areas to identify all pregnant women to facilitate follow up.

    Setting 

    Main maternity hospital in Kathmandu, Nepal.

    Follow up in urban Kathmandu and a periurban area southwest of the city.

    Subjects 

    540 mothers randomly allocated to one of four groups : health education immediately after birth and three months later (group A), at birth only (group B), at three months only (group C), or none (group D).

    Interventions 

    Structured baseline household questionnaire ; 20 minute, one to one health education at birth and three months later.

    Main outcome measures 

    Duration of exclusive breast feeding, appropriate immunisation of infant knowledge of oral rehydration solution and need to continue breast feeding in diarrhoea, knowledge of infant signs suggesting pneumonia, uptake of postnatal family planning.

    Results 

    Mothers in groups A and B (received health education at birth) were slightly more likely to use contraception at six months after birth compared with mothers in groups C and D (no health education at birth) (odds ratio 1.62,95% confidence interval 1.06 to 2.5).

    There were no other significant differences between groups with regards to infant feeding, infant care, or immunisation. (...)

    Mots-clés Pascal : Education santé, Mère, Postnatal, Planning familial, Népal, Asie, Soin santé primaire, Femelle, Influence, Randomisation, Nourrisson, Homme, Nouveau né

    Mots-clés Pascal anglais : Health education, Mother, Postnatal, Family planning, Nepal, Asia, Primary health care, Female, Influence, Randomization, Infant, Human, Newborn

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0175559

    Code Inist : 002B30A03B. Création : 11/09/1998.