Kiran Asha, Kujur Manisha, Sagar Vidya, Singh Shashi Bhushan, Kashyap Vivek, Trivedi Kiran, Kumari Archana, Akhouri Minni Rani, Jha Sunanda, Lakra Sarita, Badanayak Sraban Kumar, Roy Sumitro, Jagtap Shailesh, Kushwah Prafull Singh
Department of Preventive and Social Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Department of Obstetrics and Gynaecology, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
J Family Med Prim Care. 2022 Dec;11(12):7607-7615. doi: 10.4103/jfmpc.jfmpc_2301_21. Epub 2023 Jan 17.
The first 1000 days of life is a unique window of opportunity when the foundation of overall optimum health and neurodevelopmental growth across the lifespan is established.
To explore the level of knowledge and practice of service providers in delivering maternal, infant, and young child nutrition (MIYCN) services at the point of care.
This was a cross-sectional study done in the department of Obstetrics and Gynecology and Pediatrics of RIMS, Ranchi, Jharkhand from May to September 2019.
The practices and counseling skills of nursing staff pertaining to maternal nutrition interventions like IFA and calcium supplements was good. Though counseling on maternal minimum dietary diversity, frequency, and quantity of meals was done during the antenatal care period, its knowledge and expected total weight gain during pregnancy were suboptimal. The practice of early initiation of breastfeeding was significantly higher in those who delivered normally (79%) than those by cesarean section (7%). The nursing staff's knowledge and technical skills on early initiation and exclusive breastfeeding were good, but inadequate for cesarean section. Forty-one percentage of recently delivered women were counseled on colostrum feeding, 17% about positioning and attachment, and 38% on exclusive breastfeeding (EBF) during the first 6 months. In the pediatrics OPD and immunization clinic, 93% of mothers with an infant below 6 months of age, received counseling on EBF, 47% on feeding during illness, and 13% on breastfeeding difficulties and their solutions. Sixty percentage of mothers of children >6 months old received counseling on timely introduction of complementary feeding and 40% on minimum dietary diversity. Forty percentage of mothers were counseled on feeding techniques during and after illness.
The nursing staffs were providing the services related to MIYCN during antenatal, intranatal, and postnatal services, sick child visits, and immunization visits but their technical knowledge and skills on the specific components were not in accordance with the standard guidelines.
生命的最初1000天是一个独特的机遇窗口，在此期间奠定了一生全面最佳健康和神经发育成长的基础。
探讨服务提供者在提供孕产妇、婴幼儿营养（MIYCN）服务时的知识水平和实践情况。
这是一项于2019年5月至9月在印度贾坎德邦兰契市RIMS的妇产科和儿科进行的横断面研究。
护理人员在铁剂和钙剂等孕产妇营养干预措施方面的实践和咨询技能良好。虽然在产前护理期间对孕产妇的最低饮食多样性、进餐频率和量进行了咨询，但其知识以及孕期预期总体体重增加情况并不理想。顺产者早期开始母乳喂养的比例（79%）显著高于剖宫产者（7%）。护理人员在早期开始母乳喂养和纯母乳喂养方面的知识和技术技能良好，但在剖宫产方面不足。41%的近期分娩妇女在产后接受了初乳喂养咨询，17%接受了姿势和含接咨询，38%接受了头6个月纯母乳喂养咨询。在儿科门诊和免疫接种诊所，93%的6个月以下婴儿的母亲接受了纯母乳喂养咨询，47%接受了患病期间喂养咨询，13%接受了母乳喂养困难及其解决办法咨询。60%的6个月以上儿童的母亲接受了适时引入辅食咨询，40%接受了最低饮食多样性咨询。40%的母亲在患病期间及病后接受了喂养技巧咨询。
护理人员在产前、产时、产后服务、患病儿童就诊和免疫接种就诊期间提供与MIYCN相关的服务，但其在具体内容方面的技术知识和技能不符合标准指南。
