European Journal of Molecular & Clinical Medicine

Background: Acute malnutrition is a public health problem of epidemic proportions.
Feeding approaches for infants who are under 6 months of age with severe acute
malnutrition should prioritize establishing, or re-establishing, effective exclusive
breastfeeding by the mother or other caregiver. The aim of this study is to identify the
various risk factors and determinants of severe acute malnutrition as defined by WHO
growth reference standards in infants aged below 6 months of age at district hospital in
Rajasthan.
Materials& Methods: A prospective observational study was conducted in the
Department of Pediatrics, District hospital, Dholpur, Rajasthan, India during one year
period. 30 comprised infants with SAM as defined by current WHO guidelines:
weight‐ for‐ length Z‐ score (WLZ) <−3 and/or bilateral nutritional oedema (WHO,
2013); the other comprised age‐ and sex‐ matched infants who were not severely
malnourished (control group) defined as WLZ≥−2to<2and mid‐ upper‐ arm
circumference (MUAC)≥125 mm.
Results:Mean age of Cases and Controls was 16.03±1.18 and 20.38±1.23 weeks
respectively. Mean length of infants was 60.3±3.12 cm in cases and 67.7±2.78 cm in
control group, which was statistically significant (P<0.05*). The statistically significant
of MUAC (mm) in between groups, which was shorter arm circumferences in
malnourished infants. The duration of exclusive breast feeds was less (8.9±1.86 weeks)
as compared to control group (20.8±4.36 weeks), which was statistically significant
(P<0.05*).Mothers of the SAM infants were significantly lighter, shorter, and had lower
MUAC than control mothers.
Conclusion: The study findings will help to increase the knowledge about the factors
associated with severe acute malnutrition. There is a statistical correlation of Severe
Acute Malnutrition with rural area, maternal Illiteracy and low socioeconomic status,
and failure of exclusive breast feeding for 6 months.

The aim of the research was to study the occurrence of autoimmune processes in chronic
hepatitis and its effect on the hematological parameters of the mother and offspring in the
dynamics of lactation. Material and research methods - the work was carried out on white
outbred female rats, in which, after heliotrine intoxication before pregnancy, the presence of
antihepatic antibodies in female rats was carried out by a passive hem agglutination reaction
according to Boyden's method, as well as hematological parameters in the mother and
offspring in the dynamics of lactation by conventional methods. The presence of
antihepatocytic autoantibodies during lactation was established, mainly in blood serum, and in
small amounts in the milk of female rats, therefore, antihepatic antibodies of the mother in
toxic hepatitis are not a pathological agent for offspring during breastfeeding. In the body of
female rats and offspring, anemia develops, progressing until the second week of lactation,
that is, the transition of pups to a mixed diet, therefore, it is more expedient to carry out
therapeutic measures before this period.

Abstract: Background – Normally, women who had undergone normal delivery will
remain in the hospital for at least two days and who had undergone cesarean section for
five to six days. An accurate and exact care is very important for the mother who is
recovering from the ailments of pregnancy and delivery and also for the health of the
newborn. Anything can be happen in the postnatal period. in order to avoid any unwanted
occurrence or complications, essential care for mother and baby is a must. Objectives: 1)
To assess the perception of postnatal mothers regarding received Nursing care, 2) To
associate the level of perception with selected demographic variables. Materials and
methods: Survey research approach and descriptive study design was used in the study.
The study was conducted at A.V.B.R Hospital Sawangi Meghe, Wardha. 100 post natal
mothers who had undergone cesarean section were selected for the study. Non-probability
convenience sampling was used for the selection of the samples. Result: Each 50% of the
postnatal mothers were moderately and fully satisfied with the nursing care received and
none of the selected demographic variables were associated with level of perception
regarding nursing care received. Conclusion: Mothers who had undergone cesarean
section in AVBR hospital were satisfied with the nursing care provided.

The study indicates that there are a variety of improper feeding activities and awareness among mothers. Therefore, all health care professionals and mothers ought to be improved and sensitized. Intervention and further study should pay attention to considerations such as cultural patterns, barriers and the usage of health care services and infant feeding education. Awareness alone does not decide effective breast-feeding activities, sensitization of the health care worker and infrastructural improvements are required for early breast-feeding, including in hospital settings. And if all the children were breastfed, there was no awareness and experience. Efforts need to be made to help the mother start feeding early, particularly in the Caesarean section.