Factors Associated with Postpartum Care during the Fourth Stage of Labor in Nepal: A Hospital-based Cross-sectional Study

Postnatal care is an important part of maternal and neonatal care, and life-threatening complications can occur during the postpartum period. Empirical information on the level of postpartum care services is generally scarce in Nepal. Key elements of postpartum care during the fourth stage of labor include providing proper nutrition, promoting breastfeeding, and helping the mother manage any physical discomforts or challenges that may arise. This study investigated the level of postpartum care services delivered during the fourth stage of labor in a tertiary-level hospital in the Chitwan district of Nepal. A descriptive cross-sectional hospital-based study was conducted among 148 women admitted for vaginal delivery. A set of structured observation checklists was developed and finalized based on the WHO Recommended Interventions for Improving Maternal and Newborn Health: Integrated Management of Pregnancy and Childbirth. The structured observation checklist had twenty-two items, including twelve critical steps. A good level of care was valid with a score of ≥ 90% based on total items, including all twelve critical steps of care, and a poor level of care was valid with a score \u3c90%. The purpose of the study was explained to and written informed consent was obtained from all respondents. Ethical approval was received from the Institutional Review Committee of Chitwan Medical College. One third (33.8%) of the women received a good level of postpartum care services. Women’s residence (p = .021), number of pregnancies (p =.002), and number of antenatal visits (p =.029) were significantly associated with the level of postpartum care during the fourth stage of labor. Going forward, it will be important for Nepal to enhance the capacity of clinicians or nurses to provide postpartum care as per WHO guidelines

Knowledge of Cardiopulmonary Resuscitation Among Interns Working at Kathmandu Medical College

Background: Cardiac arrest is a substantial public health problem estimated to account for 15-20% of all death. Cardiac arrest is one of the most common emergencies within the emergency department leading to serious and life threatening results which can be managed if medical and paramedical personnel working in the emergency department have adequate knowledge about cardiopulmonary resuscitation (CPR) and if they are well trained to administer it effectively.  Objective: To assess the knowledge, attitude and practice regarding CPR amongst interns in tertiary medical center of Nepal and comprehend the depth of knowledge about CPR and practice regarding defibrillation used during CPR. Methodology: This is a cross-sectional study carried out in Kathmandu Medical College Teaching Hospital  using a semi structured pretested questionnaire. We requested interns to answer the questionnaire, which included 25 questions to assess the knowledge of  BLS. Similarly, subjects were inquired about  the  attitude level questionnaire by the researcher and scoring was done accordingly.  We analyzed the statistics through frequency, percentage, mean and mean percentw. Results:  Out of 150 interns , regarding knowledge, on an average 11.71 questions were correctly answered. Highest score of 22 was scored by five participants and lowest of 5 scored by seven participants. Eleven questions were rightly answered by more than 50%. All the participants  agreed that resuscitation training need to  be added in the curriculum . . Conclusion: The present study identified the  attitude score was good however, knowledge score of BLS  was poor among medical interns.  BLS training should be the part of the MBBS curriculum to solve this very critical issue. The unconsolidated knowledge about resuscitation among the  interns is not adequate. This study  emphasizes the necessity for standardized systemic resuscitation program in the undergraduate curriculum and effort should be made to introduce an appropriate, efficient and effective course design

Cloud-based framework to mitigate the impact of COVID-19 on seafarers' mental health.

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