Maternal and infant health problems after normal childbirth : a randomised controlled study in Zambia.
Study objectives-The main aim of the study was to discover if a midwife home visiting programme has a significant effect on the prevalence of health problems and breast feeding behaviour of mothers who delivered normally and their healthy fullterm newborn babies, during a period of 42 days after delivery.
Another aim was to compare the mothers'the midwife's, and the doctor's findings of prevalence of health problems at the end of the puerperium period.
Design-A randomised controlled trial was carried out.
One group of mothers and their infants were randomly allocated to a home visiting group (Group A) ; the other group (Group B) was only visited at day 42.
Setting-The study was carried out at the University Teaching Hospital (UTH) in Lusaka, the capital city of Zambia.
Participants-A total of 408 mothers who had a normal delivery and gave birth to a healthy fullterm infant, as assessed by the attending midwife, were randomised to two groups.
Group A consisted of 208 mother/infant dyads who were visited by a midwife in their homes at days 3,7,28, and 42 after delivery and Group B consisted of 200 mother/infant dyads who were only visited at day 42.
Main results-At day 42 an equal proportion (30%) of mothers in both groups perceived that they had health problems.
The prevalence of infant health problems in Group B was significantly higher (p<0.01) as perceived by mothers.
There were more mothers in Group B. (...)
Mots-clés Pascal : Morbidité, Autoperception, Mère, Allaitement, Programme sanitaire, A domicile, Sage femme, Epidémiologie, Prévalence, Efficacité, Evaluation, Nourrisson, Homme, Etude en condition contrôlée, Zambie, Afrique, Randomisation, Perception sociale, Personnel sanitaire, Santé physique
Mots-clés Pascal anglais : Morbidity, Self perception, Mother, Breast feeding, Sanitary program, At home, Midwife, Epidemiology, Prevalence, Efficiency, Evaluation, Infant, Human, Controlled environment study, Zambia, Africa, Randomization, Social perception, Health staff
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0288592
Code Inist : 002B30A03B. Création : 27/11/1998.