Improving maternal confidence in neonatal care through a checklist intervention
Dina Radenkovic1, Shrinal Kotecha1, Shreena Patel1
1UCLH, London, UK.
BMJ Quality Improvement Reports
|June 24, 2016
Summary
A new checklist significantly improved maternal confidence in newborn care, addressing feeding, jaundice, and common infant issues. This simple tool shows potential for routine use in postnatal care settings.
Area of Science:
- Maternal and Child Health
- Neonatal Care
- Health Education
Background:
- Qualitative studies indicate low maternal confidence in newborn care post-discharge.
- Healthcare professionals and mothers identified specific concerns regarding neonatal presentations.
- Maternal confidence is crucial for effective newborn care and infant well-being.
Purpose of the Study:
- To design and implement a checklist to enhance maternal confidence in newborn care.
- To assess the impact of a structured checklist on maternal self-efficacy in managing common neonatal issues.
- To evaluate the effectiveness of an 8-question checklist covering feeding, jaundice, and other infant care aspects.
Main Methods:
- An 8-question checklist was developed based on market research and expert input.
- Maternal confidence was assessed using the checklist before and after a 7-day follow-up period.
- The study involved three cycles, incorporating information posters and checklist integration into personal child health records.
Main Results:
- A significant increase in median checklist scores was observed post-follow-up across all study cycles (p < 0.001).
- The greatest median difference in confidence scores was noted in the third study cycle, following checklist integration into personal child health records.
- 99 mothers participated, with 92 successfully contacted for follow-up assessment.
Conclusions:
- A simple checklist intervention can effectively improve maternal confidence in caring for their newborn.
- The checklist shows promise for routine implementation in postnatal care to support new mothers.
- Further research is recommended to explore the long-term impact and broader application of this intervention.
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