American Journal of Nursing Research. 2019, 7(3), 256-261
DOI: 10.12691/AJNR-7-3-4
Original Research

Effect of Instructional Program on Primipara Mothers' Knowledge Regarding Neonatal Care

Amany Ali Abd El-Salam1, Abeer Mohammed El-Maghawery Eldeeb2, and Asmaa Salah Eldin Mohamed Saleh3

1Maternal and Newborn Health Nursing, Faculty of Nursing, Monifia University, Egypt

2Family and Community Health Nursing, Faculty of Nursing, Beni-Suef University, Egypt

3Community Health Nursing, Faculty of Nursing, Beni-Suef University, Egypt

Pub. Date: March 09, 2019

Cite this paper

Amany Ali Abd El-Salam, Abeer Mohammed El-Maghawery Eldeeb and Asmaa Salah Eldin Mohamed Saleh. Effect of Instructional Program on Primipara Mothers' Knowledge Regarding Neonatal Care. American Journal of Nursing Research. 2019; 7(3):256-261. doi: 10.12691/AJNR-7-3-4


Care of newborn depends on a lot of knowledge, skills and attitude of the mother. The ideal basic needs for any newborn include warmth, cleanliness and breast feeding. The neonatal period is the most vulnerable time for a child’s survival, in which face the highest risk of dying in their first month of life, so it can be prevented by proper and timely care of the newborn. Aim of the study: Evaluate the effect of instructional program on primipara mothers' knowledge regarding neonatal care. Research design: Quasi-experimental research design was used. Setting: The study was conducted at Maternal and Child Health Centers (Kebly & Bahary) at Shebin El-Kom-Menoufia Governorate, Egypt. Subjects and methods: A purposive sample of 100 primipara mothers who attended to maternal and child health center from June 2017 to September 2017. Results: The study was revealed statistical significant improvement of mothers' knowledge regarding to the neonatal care that were noticed at the post and follow-up test. Conclusion:. Based on the findings of the present study, the primipara mothers' knowledge were increased after the instructional program and also the mother’s had a good knowledge regarding neonatal care with statistical significant difference regarding the aspects of neonatal care knowledge in the post-test compared with the pre-test. Recommendations: Increasing the information and education regarding neonatal care at MCH centers for pregnant women especially primipara is required. Further researches recommended for increasing primipara mothers' awareness and enhancing their level of knowledge related to essential neonatal care which helps to reduce neonatal mortality rate.


instructional teaching program, primipara mothers' knowledge and neonatal care


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[1]  Gagan Gurung. (2015). Practice on immediate care of newborn in the community of kailali district. Available from http/
[2]  Alam AY, Qureshi AA, Adil MM, Ali H. Comparative study of knowledge, attitude and practices among antenatal care facilities utilizing and non-utilizing women. J Pak Med Assoc. 2015; 55(2): 53-56.
[3]  Mohamed Asif Padiyath, Vishnu Bhat B, Maheswari Ekambaram. 444r4ledge attitiude and practice of neonatal care among Prenatal Mothers. Current Pediatric Research. 14(2); 2015: 147-152.
[4]  World Health Organization. Care of the Umbilical Cord: A review of the evidence. In: Maternal and New-born Health/Safe Motherhood Geneva: Division of Re-productive Health (Technical Support), Family and Re-productive Health, World Health Organization. 2017.
[5]  Menaka, Assess the effectiveness of structured teaching programme on newborn care among primigravida mothers in Bangalore. [internet document]cited on 2016. April 20, Available from:
[6]  S. Menaka, Assess the effectiveness of structured teaching programme on newborn care among primigravida mothers in Bangalore. [internet document]cited on 2012 April 20, Available from:
[7]  Obimbo E, Musoke RN, Were F. Knowledge attitude and practices of mothers and knowledge of health workers regarding care of newborn umbilical cord. East African medical Journal. 2016 Aug; 76(8): 425-29.
[8]  Shrestha M1, Singh R2, Upreti D3, Epidemiology of neonatal infections. (cited in april 2017). available from: Williams & Wilkins Ovid Technologies, Inc. swets Information Services.
[9]  Langkamp DL, Hoshaw-woodard S, Boye ME, Lemeshow S. Immunizations In Children: A Nationally Representative Sample. Arch Pediatr Adolesc Med 2018; 155(2): 167-175.
[10]  Sinha A, Yokoe D, Platt R.. in 2014. Epidemiology of neonatal infections. (cited in April 2015) available from: Williams & Wilkins Ovid Technologies, Inc. swets Information Services.
[11]  Waise, P. & Kaikoba, S. (2008). Acceptability of Evidence Based Neonatal Care Practice in Rural Uganda: Implications for Programming. International nursing journal 2(2): 52-54.
[12]  Klein, Prenatal Visit and Routine Obstetric Care. Návar A, Halsey NA, Carter TC, Montgomery MP, Salmon DA. J Prev Med 2017; 33(3): 211-213.
[13]  Bowman KG. Postpartum learning needs. J Obstet Gynecol. Neonatal Nurs. 2017; 34(4):438-43.
[14]  Huang M, Kuo S, Avery M, Chen W. Evaluating effects of a prenatal web-based breastfeeding education programme in Taiwan. journal of clinical nursing. 2018; 16(8): 1571-9.
[15]  Baqui AH, Williams EK, Darmstadt GL, Kumar V, Kiran TU, Panwar D, Sharma RK, Ahmed S, Sreevasta V, Ahuja R, Santosham M, Black RE. Newborn Care in Rural Uttar radesh. Indian Journal of Pediatrics. 74; 2017: 241-247.
[16]  Warisma P, Peterson S, Tomson G, Pariyo GW. Poor Newborn Care Practices-A population Based Survey in Eastern Uganda. BMC pregnancy and Childbirth. 2010; 10: 9. [PMC free article] [PubMed]
[17]  Amy J. Kesterton and John Cleland. Neonatal care in rural Karnataka: healthy and harmful practices, the potential for change. BMC Pregnancy and Childbirth. 9; 2017: 20.
[18]  Santhi MD., & Kokilavani (2016). Assess the effectiveness of education programme on breast feeding on primi gravid mothers. International Journal of Nursing car, 1(1), 77-82.
[19]  Borràs E. et al. Parental knowledge of paediatric vaccination. BMC. Public Health. 2018;9(1):154-160.
[20]  Davis T, Fredrickson D, Bocchini C, Arnold C, Green K, Humiston S, Wilder E, Bocchini J. Improving Vaccine Risk/Beneft Communication With An Immunization Education Package: A Pilot Study. AMBULATORY PEDIATRICS 2016; 2(3): 193-200.
[21]  Rama, R., Gopalakrishnan, S., & Udayashankar, P M. (2014). Assessment of knowledge regarding newborn care among mothers. International Journal of community medicine and public health. 1(1), 58-63.
[22]  St-Amour M, Guay M, Perron L, Cl´ement P, Baron G, Petit G. Are vaccination information leaflets useful for vaccinators and parents?. Vaccine 2017; 24: 2491-2496.
[23]  Kadam S, Tata S. Impact of Structured Education Programme on Antenatal Mothers Regarding Essential New Born Care. International Journal of Science and Research. 2014; 3: 595-601.
[24]  Kuo S, Chen Y, Lin K, Lee T, Hsu C. Evaluating the effects of an Internet education programme on newborn care in Taiwan. Journal of Clinical Nursing. 2016;18: 1592-1601.
[25]  Mozafari Kermani R, Zoljalali SH, Azari A, Kouhpayezadeh J. The role of training workshops of newborn cares in promotion of mothers' knowledge. Iran J Pediat 2016; 17(1): 41-45.