RP-School of Nursing

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Browsing RP-School of Nursing by Author "Too, Wesley"

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    Nurse’s Knowledge Aspects of Enhancing Haemoglobin Level and Safety through Delayed Cord Clamping Time in a Semi-urban Hospital in South Rift Region, Kenya
    (Kabarak Journal of Research & Innovation, 2019) Bor, Wesley; Mbithe, Dorcus; Ogada, Irene; Too, Wesley
    The clamping of the umbilical cord can be done at different times after delivery, although delaying the clamping of the cord for ≥ 1 minute after birth improves the haemoglobin levels for newborn and variation may lead to safety issues and influence of the haemoglobin status of the infants. There is limited literature on the knowledge of health care providers on the optimal time to clamp the umblical cord after delivery. The objective was to assess the nurse’s knowledge aspect on enhancing haemoglobin levels through delayed cord clamping in a Semi Urban Hospital in South Rift Region, Kenya. The Participants nurses in the study were enrolled through simple random sampling in maternity and delivery rooms and the aspect of knowledge was assessed using Pre-test questionnaire. Half of the nurses (50%) had knowledge that delayed clamping is recommended. However, 69% had knowledge that delayed cord clamping should be performed for those infants requiring essential care under maximum safety conditions while 94% reported that delayed cord clamping is beneficial to the infant and does not interfere assessment of the baby and administration of uterotonic drugs. A bout 31% had incorrect knowledge that delayed umblical cord clamping increases the infant’s risk of acquiring HIV. Half of the nurses (50%) of nurses had knowledge that the World Health Organization (WHO) 2014 guidelines recommended delayed cord clamping for all infants without medical complications including infants of women who are HIV positive. The nurse’s knowledge on the optimal time to clamp the umblical cord after delivery was not uniform. Majority of the nurses had knowledge that delayed cord clamping increases the risk of mother to child HIV transmission and aspect of knowledge affected the safety level of infant haemoglobin levels. Relevant stakeholders should consider developing national guideline and standard operational procedures on Umblical Cord Clamping after delivery.