Browsing by Author "Yadav, Dipendra Kumar"
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Publication Dietary Practices of Lactating Women and Nutritional Status of Children in Baglung District, Nepal Authors(Nepal Paediatric Society (JNPS), 2018) Gautam, Usha; Yadav, Dipendra KumarAbstract: Introduction: Breastfeeding success depends on both mother and child. There is high energy requirement to produce breast milk, which is wholesome food for under 6 months children and then complementary foods are introduced to child. Inadequate feeding practices affect nutritional status of children. The main aim of this study was to measure the dietary practices of lactating women and nutritional status of their children. Material and Methods: A cross sectional study was conducted among 343 lactating women and under two years children of Baglung district. Random sampling technique was applied to select the participants. Face to face interview was conducted among women to collect the data and anthropometric measurement was performed among the children. Data were entered in EPI-DATA version 3.2 and exported to Statistical Package for Social Sciences (SPSS version 17.0) for further analysis. Results: Only 5.2% of mother had taken additional two meals per day and energy intake of 31.8% of women was met. Dietary practices of mothers were not associated with nutritional status of children. Breastfeeding practice was nearly universal (99.7%). Bulks (91.8%) of children were put into breast for breast feeding within first hour of birth. Exclusive breastfeeding rate was 34.5%. Bottle feeding was practiced by 15.6% of women. Less than half (40%) of 6-23 months children (n=174) had achieved satisfactory feeding practice (minimum meal frequency and minimum dietary diversity). The rate of wasting (n=180), stunting (n=180) and underweight (n=343) was 10%, 22.2% and 9.3% respectively. Feeding practice to children was associated with wasting and stunting. Conclusion: Dietary practice of women and feeding practice to their children was not satisfactory. Dietary practice of women was not associated with nutritional status of children but feeding practice was associated with their nutritional status. The rate of stunting, wasting and underweight was high.Publication Maternal and Neonatal Factors Associated with Neonatal Mortality: a Prospective Follow-up Study in Selected Hospitals of Nepal(Nepal Health Research Council, 2024) Yadav, Dilip Kumar; Shukla, Girija Shankar; Gupta, Neena; Shrestha, Naveen; Singh, Jitendra Kumar; Kaphle, Hari; Yadav, Pratima; Yadav, Dipendra KumarBackground: Neonatal mortality, a sensitive indicator which indicates the availability, utilization, and effectiveness of maternal and child health services in the community, are major global public health challenges. The objective of the study was to find out the maternal and neonatal factors associated with neonatal mortality in selected hospitals of Nepal. Methods: This was a hospital based prospective follow up study conducted among babies nested for case control study design. Among 1104 babies, 368 babies with LBW and 736 babies with normal birth weight were followed up after 28 days of birth and mortality was assessed. Results: Neonatal mortality was about 10/1000 live birth. In multivariable logistic regression analysis, father with no formal education [AOR:12.54, 95% CI:(2.61-60.13), p=0.002], multi parity [AOR:11.26, 95% CI:(1.25-100.89), p=0.030] and depressed (<7) APGAR score at 5 minutes of birth[AOR:7.44, 95% CI:(1.18-46.80), p=0.032] were significantly associated with neonatal mortality. Conclusions: The study identified ‘father with no formal education, multi parity and low APGAR score at 5 minutes of birth’ as the major contributors to neonatal mortality. Improving parental education, and access to child health care will help to improve neonatal outcome. Keywords: Maternal factors; neonatal factors; neonatal mortality; Nepal.