Knowledge of Safe Swaddling Practices among Mothers of Neonates Visiting a Tertiary-Care Hospital in a Developing Country
DOI:
https://doi.org/10.37762/jgmds.10-2.424Keywords:
Knowlegde, Swaddling, Practices, Mothers, NeonatesAbstract
OBJECTIVES
Swaddling of new-borne and infants remains common in the developing world, but little is known about maternal knowledge of swaddling. Therefore, this study aimed to determine the level of knowledge of safe swaddling practices among mothers of neonates visiting a Tertiary-Care Hospital.
METHODOLOGY
This cross-sectional study was conducted in the paediatric unit of tertiary care hospital in Peshawar city, Pakistan, between July and December 2018. A total number of 370 mothers of neonates who volunteered their participation were selected using a non-probability consecutive sampling technique. The study was based on a questionnaire comprised of socio-demographic and other questions related to the knowledge of safe swaddling practices.
RESULTS
A total number of 370 mothers of neonates knowledge were assessed. The study participants ranged between 17 - 49 years, with a mean age of 27.14 (SD ± 5.46). Of the total, 365 (98.6%) mothers were swaddling their babies, while only 5 (1.3%) reported not practising swaddling. Most mothers (51.1%) had good knowledge, while 44.3% had adequate knowledge, and only 4.6% had insufficient knowledge regarding safe swaddling. Knowledge of safe swaddling increased with age and parity. Most mothers (90%) correctly identified that "cotton cloth or light blanket should be used to swaddle baby".
CONCLUSION
It is concluded from this study that most mothers have adequate knowledge about safe swaddling, and the level of knowledge increases with age and parity. Safe swaddling techniques and information should be given to mothers at the beginning of antenatal care to benefit from its positive outcomes and, at the same time to avoid its drawbacks.
Downloads
Metrics
References
Swaddling a baby: the benefits, risks and seven safety tips [Internet]. NCT (National Childbirth Trust). NCT; 2011 [cited 2023 Feb 26]. Available from: https://www.nct.org.uk/baby-toddler/slings-and-swaddling/swaddling-baby-benefits-risks-and-seven-safety-tips
Dixley A, Ball HL. The effect of swaddling on infant sleep and arousal: A systematic review and narrative synthesis. Front Pediatr [Internet]. 2022;10:1000180
Swaddling & safe sleep [Internet]. Safe Sleep Academy - Helping every baby sleep safer. Safe Sleep Academy; 2017 [cited 2023 Feb 26]. Available from: https://www.safesleepacademy.org/swaddling-safe-sleep/
Pease AS, Fleming PJ, Hauck FR, Moon RY, Horne RSC, L’Hoir MP, et al. Swaddling and the risk of sudden infant death syndrome: A meta-analysis. Pediatrics [Internet]. 2016;137(6)
Nelson AM. Risks and benefits of swaddling healthy infants: An integrative review: An integrative review. MCN Am J Matern Child Nurs [Internet]. 2017;42(4):216–25
Efendi D, Rustina Y, Gayatri D. Pacifier and swaddling effective in impeding premature infants pain score and heart rate. Enfermería Clínica. 2018;28:46–50
Healio. Heel stick pain reduced when babies are held and swaddled [Internet]. Healio. 2011 [cited 2023 Feb 26]. Available from: https://www.healio.com/news/pediatrics/20120325/heel-stick-pain-reduced-when-babies-are-held-and-swaddled
Kitase Y, Sato Y, Takahashi H, Shimizu M, Ishikawa C, Yamamoto H, et al. A new type of swaddling clothing improved development of preterm infants in neonatal intensive care units. Early Hum Dev [Internet]. 2017;112:25–8
Erkut Z, Yildiz S. The effect of swaddling on pain, vital signs, and crying duration during heel Lance in newborns. Pain Manag Nurs [Internet]. 2017;18(5):328–36
Antonia NM. Risks and benefits of Swaddling Healthy Infants. An integrated review: The American Journal of Maternal/Child Nursing. 2017;42
Ulziibat M, Munkhuu B, Bataa A-E, Schmid R, Baumann T, Essig S. Traditional Mongolian swaddling and developmental dysplasia of the hip: a randomized controlled trial. BMC Pediatr [Internet]. 2021;21(1):450
Vaidya S, Aroojis A, Mehta R. Developmental dysplasia of hip and postnatal positioning: Role of swaddling and baby-wearing. Indian Journal of Orthopaedics. 2021;55(6):1410–6
Pinto DA, Aroojis A, Mehta R. Swaddling practices in an Indian institution: Are they hip-safe? A survey of paediatricians, nurses and caregivers. Indian J Orthop [Internet]. 2021;55(1):147–57
Waitzman KA. The importance of positioning the near-term infant for sleep, play, and development. Newborn Infant Nurs Rev [Internet]. 2007;7(2):76–81
Arabiat DH, Whitehead L, Al Jabery MA, Darawad M, Geraghty S, Halasa S. Newborn care practices of mothers in Arab societies: Implication for infant welfare. J Transcult Nurs [Internet]. 2019;30(3):260–7
Emamghorashi F, Hidari ST, Sayadi Z. Knowledge, Attitude and practice of mothers about neonatal swaddling in Jahrom. Pars Jahrom Univ Med Sci [Internet]. 2008;6(3):67–73
Ahmed GEN, Mohammed BA. Effect of Implementing Learning Package of Nesting and Swaddling for Premature Infants on Nurses’ Knowledge and Performance in NICU. American Journal of Nursing Research. 2019;7(4):428–36
Bulut A, Gulay C. Knowledge, Attitude and Behaviors of Mothers with 0-1 Year Olds about Infant and Personal Care. Int Journal of caring sciences. 2021;14(1)
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Saffi Ullah, Asif Rehman, Umair Qazi, Ayesha Abdullah, Azhar Zahir Shah, Abdul Jalil Khan, Mahvash Zeb
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
