Browsing by Author "Acharya, Sharada"
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Publication Effectiveness of Glycerin Magnesium Sulphate Versus Heparin Benzyl Nicotinate Application Among Children with Phlebitis(Nepal Paediatric Society (JNPS), 2020) Dahal, Akriti Shree; Tuitui, Roshani; Shrestha, Purna Devi; Sharma, Bharati; Acharya, Sharada; Dahal, PriyankaAbstract: Introduction: Phlebitis is the most common complication of intravenous infusion therapy. Incidence of phlebitis in children receiving intravenous therapy has been reported to be as high as 71.25%. The study was done to find out the effectiveness of glycerin magnesium sulphate versus heparin benzyl nicotinate application in children with phlebitis. Methods: A pre-post control group design was used. A total of 43 subjects were randomly assigned into two groups [22 in experimental (glycerin magnesium sulphate application) and 21 in control (heparin benzyl nicotinate application) group] by lottery method. Data was collected using Modified Visual Infusion Phlebitis (VIP) Score. Results: The comparison between VIP score was based on observations made before the interventions and at 12, 24, 36 and 48 hours after the intervention. Independent t tests showed significant difference in reduction of VIP score in experimental and control group after 12 hours and 24 hours of intervention. The study demonstrated that there is no statistically significant difference in reduction of VIP score among the subjects in experimental and control group at 12 hours (p = 0.219), 24 hours (p = 0.349), 36 hours (p = 0.695) and 48 hours (p = 0.424) after the intervention. Conclusion: The study concludes that both glycerin magnesium sulphate and heparin benzyl nicotinate can be used effectively among children with phlebitis. However, after 24 hours of phlebitis, an alternative intervention needs to be used.Publication Factors Associated with Exclusive Breastfeeding among Working Mothers Attending Maternal and Child Health Clinic(Nepal Paediatric Society (JNPS), 2023) Sigdel, Narayani Devi; Sapkota, Sochana; Acharya, SharadaAbstract: Introduction: Breast milk is a natural and perfect food that protects against illness and death by acting as the baby’s first immunization. The employment of the mother is considered to be one of the most important barriers to exclusive breastfeeding (EBF). Methods: A hospital-based descriptive cross-sectional study was done to find out the associated factors with EBF among working mothers. A total of 150 working mothers having children six to 24 months were selected. Self-developed semi-structured interview schedule was used. Pre-testing was done on 15 (10%) of the total sample and necessary modifications were done. Data were analyzed by using descriptive (Frequency, percentage) and inferential statistics (Chi-square and odds ratio). Results: A total of 52 (34.66%) working mothers reported to have practice of EBF for six months. Majority (80%) of the working mothers fed colostrum. Majority (92.85%) of the working mothers gave powdered milk due to inadequate milk secretion. Regarding Expressed Breast Milk (EBM) storage, more than 50% had no idea about EBM and 47 (31.33%) of the mothers had a breastfeeding room at their workplace. 80 (53.33%) mothers had allowed children in their workplace while 47 (88.0%) had family support. EBF was associated with mode of delivery (OR = 0.440, 95% CI: 0.214 - 0.903), child hospitalization in the past (OR = 0.139, 95% CI: 0.031 - 0.618), facility of express breastmilk (OR = 4.087, 95% CI: 0.978 - 17.079) and flexible working environment (OR = 4.2, 95% CI: 1.789 - 9.863). Conclusions: About only one-third of working mothers had given EBF to their child. Vaginal delivery, child hospitalization in the past, a facility of EBM at home, and a flexible working environment were associated factors with EBF among working mothers.Publication The Determinants of Early Initiation of Breastfeeding Practice among Mothers Attending a Tertiary Hospital, Kathmandu(Nepal Paediatric Society (JNPS), 2019) Acharya, Sharada; Khanal, Chitra; Dahal, Akriti Shree; Maharjan, Mankeshari; Bhandari, BhagawatiAbstract: Introduction: Breastfeeding is the best way of providing ideal food for the optimal growth and development of an infant. Early initiation of breastfeeding (EIBF) within one hour of birth is one of the cost effective strategies to reduce neonatal mortality. The aim of the study was to find out the determinants of breastfeeding practice. Methods: This was a descriptive cross-sectional study conducted among 207 mothers who have child from birth to 12 months in Maternal and Child Health (MCH) Clinic of tertiary care referral hospital. The mothers for the study were selected using probability sampling technique. Variables were analysed using a multivariate logistic regression model to identify the determinants of EIBF. Results: The prevalence of EIBF in the study population was 47.3%. Caesarean delivery (AOR: 3.449, CI: 1.224-9.719, p = 0.019), mothers who have done more than one postnatal visit (AOR: 2.824, CI: 1.126-7.079, p = 0.027) and low birth weight babies (AOR: 7.973, CI: 1.571-40.465, p = 0.027) were more likely to delay initiation of breastfeeding. Conclusions: Less than half newborn receive breast milk within the first hour of birth. Mothers delivered by caesarean section, who have done more than two postnatal visit and low birth weight babies were more likely to delay initiation of breastfeeding. These are the major determinants of initiation of breastfeeding. Existing breastfeeding promotion program should be strengthened within the existing health care system.