ASSESSMENT OF THE IMPACT OF CULTURAL PRACTICES IN CORD CARE OF NEONATES IN SIR YAHAYA MEMORIAL SPECIALIST HOSPITAL BIRNIN KEBBI, KEBBI STATE.

Medical and Health Sciences

ABSTRACT

Cultural practices of Cord Care Practices remain one of the leading neonatal death in Sir Yahaya Memorial Specialist Hospital Birnin Kebbi, the study assessed the impact of cultural practices in Cord Care of neonates. The study was conducted with simple random sampling technique was used 100 neonates were selected from the hospital, where questionnaire was used to collect valid information (data) four different objectives were stated for this study. However, the findings revealed that 70% of mothers uses lantern and rag, 10% of mothers uses herbs, 10% of mothers uses tooth paste, 6% uses cow dung, 4% uses powder which gives total of 100%respondent uses cultural practices which the respondents revealed that the cultural practices is not effective on the health of their babies, further more health education during antenatal visits should be emphasized so as to prepare the mothers mind to discard harmful practices on Cord Care, recommend, organizing regular seminars or workshops on the importance of modern medicine (orthodox) method of the umbilical cord care to the community. Government should provide free chlohexdine anti-bacteria also organize intensive health education and training programme for traditional birth attendants should be done, by authority with a view of all concerned with dangers associated with an improper cord care.     

TABLE OF CONTENTS

Title page

Certification

Abstract

Dedication

Acknowledgement

Table of contents

CHAPTER ONE

1.0     Introduction

1.1     Background of the study

1.2     Statement of the problem

1.3     Purpose of the study

1.4     Objectives of the study

1.5     Significance of the study

1.6     Research question

1.7     Scope of the study

1.8     Limitation of the study

1.9     Operational definition of terms

CHAPTER TWO

2.0     Literature review

2.1     Identify various culture practices used in the care of the cord        

2.3     Impact of various cultural practices used

2.3     Theoretical frame work

2.4     Summary

CHAPTER THREE

3.0     Introduction

3.1     Research design

3.3     Study area

3.3     Target population

3.4     Study population

3.5     Sample and sampling technique

3.6     Instrument for data collection

CHAPTER FOUR

4.0     Introduction

CHAPTER FIVE

5.0     Introduction

5.1     Discussion of the findings

5.2     Summary   

5.3     Conclusion

5.4     Recommendation 

5.5     Suggestion for further studies

CHAPTER ONE

INTRODUCTION

  • BACKGROUND OF THE

According to Zimmermann K.A, (2015) culture is the characteristics and knowledge of a particular group of people. Culture can also be defined as everything from language, religion, cuisine, social habit music, and art.

Honby A.S (2005) also defined culture as ideas, customs and social behavior of a particular people or society.

However culture is also the total of the inherited ideas, beliefs, value and knowledge, which constitute the shared bases of social action.

Culture consist of various components: ideas, norms values, beliefs, laws etc. even before baby is born his/her culture heredity influences his body through common factors such as diet, hygiene and provision for giving adequate parental care and protection from industrial hazard  (Allen S. 2005).

Umbilical cord is a long flexible tube like organ through which a foetus is attached to the placenta and through which it receives nourishment (chambers 2008).

Umbilical cord is also a connection between the developing embryo and the placenta. During prenatal development, the umbilical cord is physiologically and genetically part of the foetus and normally contains two arteries and one vein, buried within wharton’s jelly . The umbilical vein supplies the foetus with oxygenated nutrient rich blood from the placenta conservatively; the fetal heart pumps deoxygenated nutrient, depleted blood through the umbilical arteries back to the placenta. However, it is rendered useless soon after delivery leaving an umbilical stump attached to the body’s navel (Mc Donald’s 2013).

Umbilical stump is a stump of tissue attached to the body’s navel. Many paediatricians’ suggest cleaning the stump several times a day and keep it dry by rubbing alcohol, gently clean around the base of the cord and then the surrounding skin.

The recommended treatment of umbilical cord by world health organization (2012) include combining the use of chlorhexidine to clean the navel, keep the folded down below the navel and keeping the navel clean and dry (Sinha. A. 2016).

However, there are some cultural practice that is used on umbilical cord care such as ; application of  hurt fermentation, use of rag, lantern red sand, application of herbs, alcohol or cow dung, application of tooth paste,  application of palm mangrove.

These cultural practices can affect the neonate in forms of neonatal tetanus and severe bacterial infection. Umbilical cord infection can occur in all settings.

However, these cultural practices are more likely to occur in low income countries and in setting where the majority of  births are not attended by a skilled attendant. In some setting popular culture or traditional practices lead to higher susceptibility to cord infection. Infection may be acquired from bath water or from herbs and other applications or dressing on cord stumps (WHO 2004).

Thus these necessitate the study: assessment of the impact of cultural practices in cord card of neonates in sir yahaya memorial specialist hospital Birnin Kebbi.

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