Mymensingh medical journal : MMJ最新文献

{"title":"Effect of Serum Vitamin-D in Patients with Type 2 Diabetes Mellitus.","authors":"M Y Mili, M R Hoque, S A Mitu, A T Jenea, S Farzana, F R Momo, S P Krishna, K Diluara, M H Rabbi, T Y Ami, M S Hossain","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Type 2 diabetes, formerly known as adult-onset diabetes, is a form of diabetes mellitus that is characterized by high blood sugar, insulin resistance and relative lack of insulin. This cross sectional study was carried out in the Department of Biochemistry, Mymensingh Medical College and in collaboration with the Department of Endocrinology, Mymensingh Medical College Hospital, Mymensingh from July 2021 to June 2022. A total of 100 subjects were included in this study. Among them 50 were diagnosed type 2 diabetes mellitus patients denoted as case group and 50 were apparently healthy individuals denoted as control group selected on the basis of inclusion and exclusion criteria. Serum vitamin D was estimated by chemiluminescence immunoassay from the subjects. Data were then processed and analyzed. Statistical analysis was done by using SPSS (Statistical Package for Social Science) version 26 windows package. The study revealed that, mean±SD values of vitamin-D were 25.50±3.63 ng/ml and 27.72±5.25 ng/ml in Group I and Group II respectively. Student's unpaired 't' test was done to measure the level of significance. Serum vitamin-D was significantly lower in Group I than that of Group II. This result has an association with type 2 diabetes mellitus progression and also may has important role in the etiology of type 2 diabetes mellitus and its complications.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 1","pages":"31-34"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Pelvic Pathology of Subfertile Women by Transvaginal Sonography and Correlation with Laparoscopic Findings.","authors":"M A Sumi, T Ghani, F Rahman, R Paul, B M Annur, U K Mahmuda, R R Zahan, R Nasreen, P Das, A Begum, M Nahar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Damage of fallopian tube, endometriosis, fibroid uterus, adenomysis and polycystic ovary syndrome are the major pelvic pathology that causes subfertility. Although there are many diagnostic tests available, the clinical presentation of each patient can usually be linked to specific and efficient testing strategies. Transvaginal sonographic (TVS) imaging is an effective, easy to use, safe and readily available noninvasive means to evaluate fertility potential. But in some cases laparoscopic evaluation is mandatory. The study was conducted with an aim to investigate prospectively the role of transvaginal sonography in evaluation of subfertile women. Sixty two patients' transvaginal sonographic and laparoscopic findings were compared to explore the role of TVS as diagnostic tool in infertile women. This descriptive cross sectional type of observational study was done in the Reproductive Endocrinology and Infertility unit, Dhaka Medical College Hospital, Bangladesh from January 2020 to December 2020. Sixty two samples were selected for laparoscopy was taken as purposive sampling. Out of 62 patients 58.0% presented with primary sub-fertility and 42.0% presented with secondary subfertility. Using laparoscopy as the gold standard, TVS showed 100.0% sensitivity and specificity in detection of polycystic ovary and congenital anomaly of the uterus. TVS showed 100.0% sensitivity and 98.3% specificity in the detection of adenomyosis in comparison to laparoscopy. As a test for the detection of fibroid TVS had 87.5% sensitivity, 95.7% specificity and accuracy of 93.6% in comparison to laparoscopy. In detection of chocolate cyst TVS showed good specificity (98.1%) and sensitivity (77.8%) but in cases of hydrosalpinx TVS showed sensitivity only 40.0% in comparison to laparoscopy. The sensitivity of transvaginal sonographic characterization of pelvic adhesion was 6.7% while specificity and positive predictive value were 97.9% and 50.0% respectively. Tubal occlusion was found in 45.0% cases by laparoscopy but TVS failed to evidence this. TVS can be used for the initial investigation of infertile women in cases of congenital anomaly of the uterus, adenomyosis, fibroid uterus and polycystic ovarian syndrome.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 1","pages":"65-73"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Serum Vitamin D Status in Infants with Cholestatic Jaundice.","authors":"S A Biswas, M Rukunuzzaman, R K Biswas, S M H Rahman, M S Alam","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Cholestatic jaundice is a potentially serious condition that requires early diagnosis for proper management. Fat-soluble vitamin (FSV) deficiency develops as a consequence of cholestasis. Vitamin D deficiency is common and remains a challenge in patients with cholestasis. Objectives of the study were to evaluate the serum 25-hydroxyvitamin D status in infants with cholestatic jaundice. This cross-sectional analytical study was conducted at department of Paediatric Gastroenterology and Nutrition of Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh, from January 2017 to June 2018 on purposively sampled infants. Infants who developed jaundice before three months of age, had direct bilirubin of more than 20.0% of the total bilirubin if total bilirubin is ≥5 mg/dl or more than 1.0 mg/dl if total bilirubin is &lt;5 mg/dl, with pale stool and dark urine were included as cases while infants who visited hospital with a diagnosis of acute bronchiolitis, reactive airway disease and acute viral infection but no evidence of liver, gastrointestinal disease or renal disease checked by means of medical history, physical examination and a review of medical records were included as controls. Blood was collected from patients with cholestatic liver disease for liver biochemistries, prothrombin time, 25-hydroxyvitamin D and serum calcium. Blood was also collected from controls for 25-hydroxyvitamin D and serum calcium. 25-hydroxyvitamin D levels &lt;15, 15 to 20 and &gt;20 ng/ml were defined as vitamin D \"deficiency\", \"insufficiency\" and \"sufficiency\" respectively. Thirty patients and 30 controls were evaluated. Mean age in cases and controls were 113.43±74.08 and 145.50±88.62 days respectively (p=0.134). Biliary atresia was found to be the commonest cause, 18(60.0%), followed by idiopathic neonatal hepatitis (INH) 7(23.3%), choledochal cyst 4(13.3%) and 1 case of neonatal hepatitis (NH) due to CMV infection. The mean serum bilirubin (total) was 12.07±3.92 mg/dl, mean serum bilirubin (direct) 6.51±2.03 mg/dl, serum ALT 130.7±67.81 U/L, serum AST 135.07±52.54 U/L, prothrombin time 17.36±11.88 seconds, serum gamma-glutamyl transpeptidase (GGT) 700.3±555.89 U/L, alkaline phosphatase 560.37±283.12 U/L and serum albumin was 3.6±0.4 gm/dl. Mean serum calcium was 9.18±0.84 mg/dl. Mean 25-hydroxyvitamin D level in cholestatic patients was 14.7±5.75 ng/ml, compared to 27.68±10.44 ng/ml in controls (p=0.001). Vitamin D deficiency was found in 43.3% patients. The correlation between age at presentation and serum 25-hydroxyvitamin D levels was not significant (r = 0.051; p = 0.784). Statistically significant negative correlation (r = -0.389; p=0.034) was found between serum 25-hydroxyvitamin D and serum gamma-glutamyl transpeptidase. Serum calcium was found to have statistically significant positive correlation with 25-hydroxyvitamin D (r=0.692; p=0.001). Blood levels of 25-hydroxyvitamin D in patients with cholestasis were lower than those of controls. So, adequate v","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 1","pages":"192-199"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcome of Double Layer UrethroplastyWithout Flap in Mid and Distal Penile Hypospadias.","authors":"A A Mahmud, N Khan, M B Uddin, M Mokarabin, M F H Siddique, M S Ali, S Muhammod, A Hasan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hypospadias is the absence of external urethral meatus in the tip of the glans but present in the ventral surface of the penis. Hypospadias surgery is challenging and changing. Many modifications have been done to reduce the complications. Currently urethroplasty with flap coverage is widely used but flap itself induces some complications. Aim of this study was to evaluate the outcome of double layer urethroplasty in mid and distal penile hypospadias without flap. This was a prospective type of observational study conducted in the department of pediatric surgery Mymensingh Medical College Hospital (MMCH) and several other private hospitals from January 2021 to December 2023. Total 61 patients were enrolled among them 7 patients failed the follow up schedule; finally 54 patients were included in this study. Age ranges from 2-12 years with mean age 5.8±2.55 years. Maximum 26 (48.14%) patients had distal penile hypospadias followed by coronal hypospadias 11 (20.37%). Mean operative time was 65.0±10.0 minutes for all types. Among the 54 patients, 48(88.88%) were recovered uneventfully and 6(11.11%) patients developed one or more complications. Urethro-cutaneous (U-C) fistula 5(9.25%) were the most common complications followed by meatal stenosis 3(5.5%) and residual chordee 1(1.8%). This study shows double layer urethroplasty without flap in mid and distal penile hypospadias surgery is safe and feasible as other procedures with flap.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 1","pages":"106-112"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frequency of Malignancy in Multi-nodular Goiter in a Tertiary Care Hospital.","authors":"M M Islam, M J A Khan, S Ahmed, M R Islam, K S Salam, M A Siddique, M A Alam, D Roy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Historically multi-nodular goiters have been thought of as a benign disease with a low risk of associated malignancy. Recent studies suggested that the incidence of malignancy in patients with MNG is not uncommon. With the aim of determining frequency of malignancy in multi-nodular goiter this cross sectional observational study was done at Mymensingh Medical College Hospital, Mymensingh, Bangladesh from June 2021 to March 2022. One hundred (100) cases were selected by purposive sampling. Data were collected by preformed questionnaire, clinical examination and laboratory investigations which included only patients with Multi-nodular Goiter (MNG). Analysis was performed using the SPSS software version 23.0. Malignant neoplasm accounted 12 in 100 cases of multi-nodular goiter. Among them 7.0% were Papillary thyroid carcinoma (PTC) and 5.0% were Follicular thyroid carcinoma (FTC). Others (88.0%) cases were non- neoplastic or benign lesion. Age of the patients and duration of multi-nodularity found statistically significant for development of malignancy. As an indicator of probable benign disease multi-nodularity of goiter should no longer be considered. So, multi-nodularity of the goiter should not be considered as low risk of malignancy and delay for surgical intervention.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 1","pages":"46-52"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Status of Serum Iron in Patients with Chronic Obstructive Pulmonary Disease.","authors":"S P Krishna, M R Hoque, B K Saha, M Y Mili, K Diluara, S R Khan, S A Mitu, F R Momo, F Ahmed","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Chronic obstructive pulmonary disease (COPD) remains a major public health problem with relatively high prevalence rates worldwide (5.0-13.0%). COPD is a major cause of morbidity and mortality worldwide and results in an economic and social burden that is both substantial and increasing. The purpose of the study was to explore the alteration of serum iron in patients with COPD. This cross-sectional study was carried out in the Department of Biochemistry, Mymensingh Medical College, Bangladesh from January 2021 to December 2021. Data was collected from Medicine Department of Mymensingh Medical College Hospital, Bangladesh. A total number of 120 subjects participated in this study. Out of them, 60 apparently normal healthy individuals were selected as Group I and another 60 diagnosed COPD patients were selected as Group II. Serum iron was measured by CAB method. Statistical package for social science (SPSS), version 21.0 was used for results calculation and analysis. Data were expressed in mean ±SD and statistical significance was done by Student's unpaired 't' test. The mean results of serum iron were 97.60±5.50 μg/dl in Group I and 49.80±5.92 μg/dl in Group II (p<0.001). This study found the relation between COPD and alteration of serum iron was statistically significant. So, by this study we recommended that routine evaluation of serum iron is important for prevention of exacerbations, reduction of morbidity and mortality in patients with COPD.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 1","pages":"9-12"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Causes and Consequences of Delayed Presentation of Muscle Invasive Urinary Bladder Carcinoma.","authors":"M F H Siddique, M M Uddin, M A Salam, M S Rahman, M A Salam","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Lag times for the diagnosis and treatment of urinary bladder cancer are generally longer which reduces the chances of achieving cures. This study was carried out at the Urology Department of Bangabandhu Sheikh Mujib Medical University, Dhaka and a Urology Center in a private hospital in Dhaka, Bangladesh from July 2007 to June 2008 on patients of newly diagnosed muscle invasive bladder carcinoma. This study was intended to assess the delay encountered by the patients and its consequences in the process of diagnosis and treatment of bladder cancer. This cross-sectional study was conducted on 50 patients of newly diagnosed muscle invasive bladder carcinoma. The five types of delays studied were: Delay-1 or Patient Delay; Delay-2 or GP (General Practioners) Delay; Delay-3 or First Treatment Delay; Delay-4 or the lag time from TURBT (Trans Urethral Resection of Bladder Tumor) to obtaining the biopsy report and Delay-5 from the biopsy report to final treatment. These five delays were added together to find the total delay. A 6-month period was used as a cut-off point to divide the patients into shorter (≤180 days) and longer (>180 days) delay groups and all the variables of interest were compared between these two groups to find the causes and consequences of delay in bladder cancer. The total median delay encountered by the patients was 220(45-888) days. The median Delay 1 was the shortest (3.5 days), while the median Delay 2 was the longest (91.5 days) among the 5 delays. The median Delay 3, Delay 4 and Delay 5s were 12.5, 12.5 and 11 days respectively. Older and female patients were predominant among the delayed group (86.7% and 40.0% respectively) than those among the non-delayed group (65.0% and 15.0% respectively) (p=0.134 and p=0.059 respectively). One-third of the delayed presenters was housewife as opposed 10.0% of the early presenters (p=0.048). Illiterate and middle and poor income subjects delayed significantly more than their educated and solvent counterparts (p=0.052 and p=0.012 respectively). Delayed group had a 25.0% increase in the incidence of pT3 - 4 (p=0.083) and 23.0% increase in the non-organ confined disease (N stage positive) than the non-delayed group (p=0.103). Distant or lymph node metastasis was relatively higher in delayed group (p=0.279). A delay in the presentation of muscle-invasive bladder tumors may lead to larger lesions and disease dissemination, resulting in advanced disease. GP delay is the longest to contribute to the total delay.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 1","pages":"98-105"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of Medical Students Regarding E-learning during Covid-19 Pandemic.","authors":"M Farjana, B K Riaz, S S Mouly, M A Hossain","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>World population is experiencing huge death toll due to Covid-19 pandemic with panic and uncertainty. Students used the electronic media called e-learning, became the budging word in these days. This study was aimed to determine the experiences of the medical students regarding e-learning during Covid-19 pandemic. This cross-sectional study was carried with conveniently selected 207 medical students of Kumudini Women's Medical College and Hospital, Bangladesh. Data were collected by structured questionnaire through face-to-face interview. Then data were analyzed using a computer program SPSS (Statistical Package for Social Science) version 26.0. Among 207 respondents 67.1% had good experience, and 32.9% had bad experience during e-learning. Among all of them 54.6% were within 21-23 age with mean age 21.82±1.705 years. Among all 69.0% of respondents lived in urban and they had good experience of e-learning. Among them most of the students 22.7% were in 2nd year and they had good experience of e-learning. Among all 87.4% used mobile devices, 35.3% used computer device. Of all of them 46.4% used mobile network and 21.3% used broadband network. All respondents were found to be used zoom application as the media of e-learning, whereas 86.5% respondents used WhatsApp. Among all 99.0% respondents were able to provide the feedback of e-learning session through item examination. Of all the respondents 98.0% had knowledge of e-learning and among them had good experience of e-learning. Among all, 74.4% were found that e-learning session was helpful to prevent their learning gaps during this pandemic situation of them 87.0% respondents were actively interact with their facilitator by raising their hands during the e-learning sessions. Regarding practical session 99.0% found it difficult to perform their practical classes through e-learning sessions. Of all of them 57.5% expressed their internet speed was average during the e-learning session. Most of the respondents in this study had a good experience of e-learning. However, there are many challenges including difficulty in practical classes, speed of the internet services, electricity interruption and physical problems considered as roadblock for proper utilization of the benefit of the e-learning.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 1","pages":"113-122"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laparoscopy: A Comprehensive Approach for Diagnosis and Treatment of Abdominal Pain.","authors":"K Maula, M M Rahman, M E H Khan, M N Hsan, M N Ahmed","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Laparoscopy is a minimally invasive technique for visualization of the peritoneal cavity without creating large abdominal incisions. It has changed the treatment of abdominal pain in both emergency and elective settings. Many patients undergo exploration according to the conventional investigation; many are treated conservatively and discharged. However, in most cases, patients return with a recurrence or more definitive symptoms of pathology. Laparoscopy is now a well-known and accurate way to make a final diagnosis and avoid delays in making a diagnosis. Objective of the study was to evaluate the role of laparoscopy in diagnosis and treatment of abdominal pain where clinical symptoms and routine investigations are inconclusive. It was a prospective, cross-sectional study and the duration of the study was 6 months, from March 2016 to August 2016. All the patients who underwent laparoscopy for the diagnosis of abdominal pain were chosen using the purposive sampling technique. They were then investigated in accordance with the eligibility criteria, and 30 patients with abdominal pain that couldn't be diagnosed by clinical examination, routine investigations, and who consented to laparoscopy were included in this study. All data for the study were collected using a predesigned pro forma. After collecting the data, it is compiled, edited, and analyzed. After laparoscopy, 93.0% (28) of cases had a definitive diagnosis, while 6.67% (2) of cases had no obvious pathology. At the time of diagnosis, 66.67% (20) of patients underwent laparoscopic surgery and in 3.33% (1) of cases, they required conversion to laparotomy to treat the condition. Laparoscopic biopsy was taken in 16.67% (4) cases. In 3.33% (1) of the cases, a complication was observed related to laparoscopic port infection. The average hospital stay was 3.73 days and the average operation time was 65 minutes. Abdominal pain can be accurately, quickly and efficiently managed with laparoscopy. This procedure decreases the number of avoidable laparotomies while also improving diagnostic accuracy. Thus, physicians should consider diagnostic laparoscopy as the first invasive test for people with the unknown abdominal pain.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 1","pages":"250-255"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal Knowledge and Practice during Postnatal Period Regarding Newborn Care at Hospital Setting.","authors":"M S Afreen, B Majumder, M Mazumder, F Arju, S Islam, B K Majumder","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Care of newborn is traditionally provided by mothers. Maternal knowledge and practice of newborn care can significantly affect neonatal morbidity and mortality. There is convincing concern to explore knowledge and practice of postnatal mothers regarding newborn care. The objective of the study was to evaluate knowledge and practice of postnatal mothers regarding newborn care at hospital setting. This cross-sectional observational study was carried out in Special Care Newborn Unit, Rangpur Medical College Hospital, Bangladesh from July 2018 to January 2019. In this study, mean maternal age was 23.27±3.87 years. Out of 150 respondent mothers 121(81.0%) possessed average knowledge and 144(96.0%) demonstrated average practice on newborn care. Level of knowledge was high in the area of clean cord care by using sterile thread 125(83.3%), p<0.001, duration of exclusive breastfeeding 100(66.7%), p<0.001), colostrum as first food of newborn 122(81.3%), p<0.001) and awareness about immunization 95(63.3%), p<0.001). Postnatal mothers demonstrated poor knowledge regarding cord stump stuff 41(27.3%) p<0.001) and first bath of newborn 38(25.3%), p<0.001. Mothers showed higher level of practice in the area of wash and clean napkins after motion 147(98.0%), p<0.001 and poor practice in correct position and attachment of breastfeeding 00(00.0%), p=0.001. Most postnatal mothers practiced exclusive breastfeeding 139(92.7%), p<0.001. Association between knowledge and practice of newborn care was non significant (p=0.305). Results of the present study demonstrated that majority of the mothers had average knowledge and practice regarding newborn care. Level of knowledge was high in clean cord care using sterile thread, colostrum as first food, duration of exclusive breastfeeding and awareness about immunization. Mothers had poor knowledge about cord stump material and first bath of newborn. Mothers claimed higher level of practice in the area of napkin wash and clean after motion, eye care, exclusive breastfeeding and poor practice in correct position and attachment of breastfeeding.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 1","pages":"213-219"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}