A study to assess the knowledge and practice of nursing staff posted in postnatal ward about immediate care of newborn and breast feeding in selected hospital of Bhopal district, Madhya Pradesh

Amreen Khan, Pradeep K. Dohare, Veena Melwani, Manju Toppo, Rama S. Lodha, Shoaib Arshad


Background: High rate of infancy deaths is largely attributed to very high share of neonatal deaths i.e 66% of infant deaths in 2007, in India. It can be largely attained by providing quality care to the newborn immediately after birth and Breast-feeding which is the standard way of feeding all infants. Objectives of the study were to assess the knowledge and practices of nurses regarding Immediate Care of Newborn and assess the knowledge of nurses of postnatal ward regarding Breast feeding.

Methods: This was a hospital based cross-sectional study carried out in selected hospital of Bhopal district. 32 nurses involved in the immediate care of the newborn were identified. Data was collected about Immediate Care of Newborn and breast feeding. Analysis was done using MS Excel and EpiInfo-7.

Results: 81.3% nurses knew how to prevent the new born from bleeding and 71.9% knew the correct dose of Vit K at birth. 78.1% put delivered baby on to mother’s abdomen, 84.4% dried and covered the baby correctly, 90.6% tied cord correctly and 96.9 weighted the baby. 75% said initiation should be done within first hour of birth. 90.6% said feeding should be done for more than 8 times a day and 87.5% believed hand washing should be done before every feed. 59.4% said Pre-lacteal feeding should not be given, 87.5% adhered to colostrum feeding.

Conclusions: Nurses have knowledge about the immediate care of the newborn and breast feeding but there are some lacunas despite the continuous efforts of training. Much still needs to be done.


Newborn care, Breast feeding, Nursing staff

Full Text:



Child Feeding Practices and Nutritional Status of Children NFHS-3 report 2005-06.

Hiregoudar V, Hemagiri K, Goud TG. Breast feeding practices in Bellary Karnataka: a hospital based study. Journal of Public Health and Medical Research. 2013;2:76-80.

Melwani V, Sethia S, Bansal M, Khan A, Melwani S, Priya A. A Study on Acceptance to Voluntarily Participate in Breast Milk Bank Activities amongst Antenatal and Postnatal Women in Three Hospitals of Bhopal. Natl J Community Med. 2018;9(6):411-4.

Patel DV, Bansal SC, Nimbalkar AS, Phatak AG, Nimbalkar SM, Desai RG. Breastfeeding practices, demographic variables, and their association with morbidities in children. Advances in Prevent Med. 2015;2015.

Berhe AK, Tinsae F, Gebreegziabher G. Knowledge and practice of immediate newborn care among health care providers in eastern zone public health facilities, Tigray, Ethiopia, 2016. BMC Pediatrics. 2017;17(1):157.

Ayiasi RM, Criel B, Orach CG, Nabiwemba E, Kolsteren P. Primary healthcare worker knowledge related to prenatal and immediate newborn care: a cross sectional study in Masindi, Uganda. BMC Health Services Res. 2014;14(1):65.

Silvestre PK, Carvalhaes MABL, Venâncio SI, Tonete VLP, Parada CMGL. Breastfeeding knowledge and practice of health professionals in public health care services. Rev. Latino-Am. Enfermagem. 2009;17(6):953-60.