Growth Faltering Among Discharged Babies from Inpatient Newborn Care Facilities: Learnings from Two Districts of Himachal Pradesh

Objective To determine the burden of early growth faltering and understand the care practices for small and sick babies discharged from newborn units in the district. Study design Observational and follow-up study. Participants 512 babies discharged from two Special Newborn Care Units (SNCUs) and four Newborn Stabilization Units (NBSUs) in two districts of Himachal Pradesh. Methods Anthropometric assessments, interview of mothers and Accredited Social Health Activists (ASHAs) conducted between August, 2018 and March, 2019. Change in weight-for-age z-score (ΔWAZ) of <−0.67SD between birth and assessment was used to define growth faltering. Outcomes Proportion of growth faltering (or catch-down growth) in small and sick babies discharged from SNCUs and NBSUs, and infant care practices. Results Growth faltering was observed in a significant proportion of both term (30%) and preterm (52.6%) babies between 1 to 4 months of age. Among babies with growth faltering (n=180), 73.9% received a home visit by ASHA, and only 36.7% received a follow-up visit at a facility. There were 71.3% mothers counselled at discharge (mostly informed about breast feeding). Most (96.7%) mothers did not perceive inadequate weight gain in their babies post-discharge. During home visits, ASHAs weighed 61.6% of the infants with growth faltering. Amongst infants who had growth faltering, only 49.6% of mothers had been provided information about their infant’s growth and 57.1% mothers had received breastfeeding counselling. Conclusion Small and sick newborn infants (both term and preterm babies) discharged from special care newborn units are at increased risk of early growth faltering. Follow-up care provided to these infants is inadequate. There is a need to strengthen both facility-based and home-based follow up of small and sick newborn infants discharged from newborn care facilities..

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:59

Enthalten in:

Indian pediatrics - 59(2022), 10 vom: 12. Juli, Seite 763-768

Sprache:

Englisch

Beteiligte Personen:

Joseph, Jessy [VerfasserIn]
Jalal, Ruchita [VerfasserIn]
Nagrath, Monal [VerfasserIn]
Dasgupta, Rajib [VerfasserIn]
Chellani, Harish [VerfasserIn]
Pandey, R. M. [VerfasserIn]
Sood, Mangla [VerfasserIn]
Goyal, Rajat [VerfasserIn]
Ramji, Siddarth [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

Themen:

Catch-down growth
Growth monitoring
Low birth weight
Preterm

Anmerkungen:

© Indian Academy of Pediatrics 2022

doi:

10.1007/s13312-022-2618-y

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC2132603820

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