Research Proposal Final 2

Knowledge and practice of immediate newborn care among
midwives and nurses in maternity hospital in Benghazi
Supervisor
DR. Oml elkhier elbanoni
Presented by:
Donia Mohamed Alkhfify 1631
Zainab Abdulmonsef ELgadi 1791
Rania Fathi Alkhfify 1834
Retaj Radi Elzwi 1830
Introduction
• Newborn refers to an infant who is within hours, days, or up to a few
weeks from birth, or it refers to an infant in the first 28 days of life, The
day of birth is the riskiest time to a baby. Newborn immediate care is the
care given to the neonate after birth by qualified personnel in the
delivery room according to the World Health Organization (WHO) report
on 2015, globally 2.7 million neonates die in the first 28 days which
constitutes 45% of the under-five mortality and nearly 58% of infant
mortality. Essential care of the normal newborn with the aim of
preventing illnesses, providing extra care for low birth weight babies and
quality emergency care for the sick newborn.
• The care present during birth, whether at home
or in medical facilities, is crucial to a newborn's
health. For a newborn to survive, it must
receive care and treatment from medical
professionals soon after birth and during the
early and late neonatal stages.
• Ensuring that neonates receive proper care
from birth requires the active participation and
involvement of all members of the health team,
especially midwives.
• Simple, low-cost measures like early, exclusive
breastfeeding and clean cord care help avoid
infection and support healthy growth in
children, respectively. However, a number of
issues, such as a lack of sufficient knowledge
and sociocultural, economic, and demographic
factors that affect mothers and carers, may
prevent babies from receiving the care they
require.
• A descriptive case series study was conducted during 2015 in
Benghazi paediatric hospital , in the study out of 1610 neonatal
admissions reviewed, the total number of deaths was 122 during
2015. Approximately 52 % of neonatal deaths in one day were of
newborns <1 week old, and 54% were full-term newborns.
• The most frequent direct single cause of death in neonates was

prematurity, then neonatal sepsis and congenital heart disease
respectively.
Literature review
• In April 2018 cross sectional study was employed on 357 nurses and midwives
in northeast Ethiopia, Overall, 53.8% and 62.7% of the health professionals
(midwives and nurses) had adequate knowledge and good practice on
immediate newborn care
• A hospital based analytical cross sectional study included 246 nurses and
midwives was conducted in Zanzibar from January to fabruary 2021. Among 246,
89(36.2%) and 66(26.8%) had adequate knoweldge and appropriate skills of
ENC.
• A cross-sectional descriptive survey design was conducted in Four hospitals that

provide inpatient maternity services in Tamale, Ghana in December 2018 using
an electronic survey questionnaire , About 98% of midwives were female. The
mean age of midwives was 31.87 years. The percentage of midwives who
responded correctly to questions on newborn care and management of
postpartum complications ranged from 29.80% to 89.39%
• The Aim of the study
The aim of study is to assess the knowledge and practices of

midwives and nurse in maternity hospital towards recent up to date
practices of immediate newborn care .
• Objective
Reduce neonatal mortality and morbidity among

maternity hospital in Benghazi.
Materials and Methods
• Study design: Cross-sectional study.
• Study setting: Benghazi medical centre , neonate unit .
• Participants : nurses and midwives in maternity hospital
• Sampling method: purposive sampling technique

Materials and Methods
• Tools/measurements: Questionnaire that focus on the level of training
experience hospital protocols and ongoing eduction, according to WHO
guideline the nurses should be knowledge about
1. Immediate care at birth
(delayed cord clamping, thorough drying, assessment of breathing, skin-to-skin
contact, early initiation of breastfeeding)
2. Thermal care
3. Resuscitation when needed
4. Support for breast milk feeding
5. Nurturing care
6. Infection prevention
7. Assessment of health problems
8. Recognition and response to danger signs
9. Timely and safe referral when needed
✓ Time frame
Month
Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Activity
Obtaining
sources
Proposal
writing
Data Collection
Data Analysis
Thesis Writing
References
1. Afjeh SA, Sabzehei MK, Esmaili F. Neonatal resuscitation in the delivery room from a tertiary level hospital: risk factors
and outcome. Iran J Pediatr. 2013 Dec;23(6): 675-80.
2. World Health Organization. WHO recommendations on postnatal care of the mother and newborn. 2014.
3. Darmstadt GL, Bhutta ZA, Cousens S, Adam T, Walker N, de Bernis. L; Lancet Neonatal Survival Steering Team. Evidence-
based, cost effective interventions: how many newborn babies can we save. The Lancet. 2005;365(9463): 977-988.
4. a href='https://www.macrotrends.net/global-metrics/countries/LBY/libya/infant-mortality-rate'>Libya Infant Mortality Rate

1950-2024</a>. www.macrotrends.net. Retrieved 2024-03-10.
5. Alharam, Z. M., Elsaeti, I. ., & Alferjani, M. . (2020). Neonatal Mortality in the Neonatal Intensive Care Unit at Benghazi
Pediatric Hospital– Libya. Al-Mukhtar Journal of Sciences, 35(4), 284–293. https://doi.org/10.54172/mjsc.v35i4.33
6. Lawn JE, Kinney M, Lee AC, Chopra M, Donnay F, Paul VK et al. Reducing intrapartum-related deaths and disability: can
the health system deliver. Int J Gynaecol Obstet. 2009 Oct;107 Suppl 1: S123-40, S140-2
7. Abdu H, Gebrselassie M, Abdu M, Mare KU, Tadesse W, Liben ML. Knowledge and practice of immediate newborn care among
midwives and nurses in public health facilities of Afar regional state, Northeast Ethiopia. BMC Pregnancy Childbirth. 2019
Nov 19;19(1):422. doi: 10.1186/s12884-019-2581-3. PMID: 31744464; PMCID: PMC6862785
8. Deborah Tolulope Esan et al. Knowledge and practices of immediate newborn care among midwives in selected health care
facilities in Ekiti State, Nigeria. Pan African Medical Journal. 2020;37:263. [doi: 10.11604/pamj.2020.37.263.24628]
10. Yenupini Joyce Adams, Herman E. Ray, Lynn Sladek, Janeen Amason, Knowledge of immediate newborn care and
management of complications among midwives in Ghana, Midwifery, Volume 121, 2023, 103654, ISSN 0266-6138,
https://doi.org/10.1016/j.midw.2023.103654.

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Knowledge and practice of immediate newborn care among

midwives and nurses in maternity hospital in Benghazi

• The most frequent direct single cause of death in neonates was

• A cross-sectional descriptive survey design was conducted in Four hospitals that

The aim of study is to assess the knowledge and practices of

Reduce neonatal mortality and morbidity among

• Study setting: Benghazi medical centre , neonate unit .

• Participants : nurses and midwives in maternity hospital

• Sampling method: purposive sampling technique

4. a href='https://www.macrotrends.net/global-metrics/countries/LBY/libya/infant-mortality-rate'>Libya Infant Mortality Rate

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