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ORIGINAL ARTICLE
Year : 2020  |  Volume : 9  |  Issue : 2  |  Page : 132-137

Maternal satisfaction with services provided in the neonatal step-down ward in a public sector hospital in North India


1 Department of Pediatrics, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
2 Department of Clinical Psychology, Institute of Human Behavior and Allied Sciences, Delhi, India

Correspondence Address:
Prof. Prerna Batra
Department of Pediatrics, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi - 110 095
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcn.JCN_137_19

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Background: Early transfer of baby to mother in step down ward is an approach that can improve maternal satisfaction among parents of neonates admitted in NICU. Objective: To assess the satisfaction of mothers of neonates admitted in the neonatal step down ward of a public sector hospital. Methods: This cross sectional study was conducted in neonatal step down ward of a public sector hospital in North India. One hundred mothers of neonates (< 34 weeks gestation and/or <1800 g birth weight) admitted to the step down ward were included in the study. Mothers of neonates born with major congenital malformations, mothers who were HIV or Hepatitis B positive or had any other chronic illness were excluded. The mothers were interviewed on the day of discharge using a semi-structured questionnaire. It comprised of 35 questions, categorized into 8 domains, namely interpersonal relationships with staff, personal requirements of mother, health services provided by hospital, caregiver proficiency, education and guidance, kangaroo mother care, food provision, and environment of the ward. Maternal satisfaction was marked on a three-point Likert scale. Results: Among the mothers interviewed, a vast majority expressed the utmost satisfaction with the interpersonal relationships with the staff (97.5%). Deficit in satisfaction was observed with the health services (79.57%), and education and guidance by the hospital (78.87%). Conclusion: Neonatal step down set up with early involvement of mother in care of neonates makes mother-baby duo ready for discharge and offers new possibilities for neonatal management in resource-poor countries. Multicentric studies with objectivized outcomes and larger sample size are required for implementing this setup.


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