{
    "abstract": "The advantages of caesarean section (CS) in managing obstetric emergencies are abundant, but it is associated with several complications including surgical site infection (SSI). SSI significantly contributes to maternal morbidity and mortality rates. Mothers often do not receive adequate information about their at-home post-delivery care. Also, guidelines on post-CS care worldwide typically do not include home care recommendations. Because of the increased rate of CS and space constraints in the hospitals, mothers are often discharged home within 48 hours after CS. Therefore, it is anticipated that using an evidence-based home care guide would provide instruction to the mothers and is likely to prevent postpartum complications and promote the well-being of both the mother and the newborn.\nTo design and test the effectiveness of a post-CS home care guide in preventing SSI in central Tanzania.\nThis is a sequential exploratory mixed-method interventional study conducted in two regional referral hospitals in central Tanzania. A qualitative study will be conducted to explore the experiences of nurse midwives, mothers who had caesarean deliveries and their caretakers regarding the care of mothers and newborns at home. The findings will inform the development of a post-CS home care guide. Following a series of validations of the guide, research assistants will employ the guidelines to instruct post-CS mothers about home care as part of the intervention. Thirty participants will purposively be recruited for the qualitative study and a random sample of 248 nurse-midwives and 414 post-CS mothers to assess the effectiveness of the guide in improving knowledge of home care and preventing SSI. SPSS version 25 will be used to analyse quantitative data and content analysis, and ATLAS.ti will guide in analysing the qualitative data.\nThe post-CS home care guide will provide instructions to post-CS mothers and their caretakers about the care of the mothers after CS to enhance their recovery.",
    "authors": [
        {
            "affiliation": "Department of Clinical Nursing, School of Nursing and Public Health, University of Dodoma, Dodoma, Tanzania.",
            "firstname": "Mwajuma Bakari",
            "initials": "MB",
            "lastname": "Mdoe"
        },
        {
            "affiliation": "Department of Clinical Nursing, School of Nursing, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.",
            "firstname": "Lilian Teddy",
            "initials": "LT",
            "lastname": "Mselle"
        },
        {
            "affiliation": "Department of Public Health, School of Nursing and Public Health, University of Dodoma, Dodoma, Tanzania.",
            "firstname": "Stephen Mathew",
            "initials": "SM",
            "lastname": "Kibusi"
        }
    ],
    "conclusions": "The post-CS home care guide will provide instructions to post-CS mothers and their caretakers about the care of the mothers after CS to enhance their recovery.",
    "copyrights": "Copyright: \u00a9 2023 Mdoe et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.",
    "doi": "10.1371/journal.pone.0287004\n10.1016/S0140-6736(18)31928-7\n10.1111/1471-0528.14223\n10.1111/tog.12280\n10.1016/S0140-6736(18)32386-9\n10.12816/0005976\n10.1371/journal.pone.0214807\n10.1186/s12879-019-4383-7\n10.1186/s13756-017-0205-0\n10.2147/IJWH.S182362\n10.1371/journal.pone.0116079\n10.1056/NEJMoa1306801\n10.1186/2047-2994-3-25\n10.1186/s13756-017-0216-x\n10.1016/j.jhin.2016.02.021\n10.1016/j.ajog.2019.04.012\n10.1097/AOG.0b013e31828a7e4c\n10.1002/ijgo.14284\n10.1371/journal.pgph.0000318\n10.1002/j.2048-7940.1993.tb00794.x\n10.1186/1748-5908-4-50\n10.30476/IJCBNM.2020.81690.0.140\n10.1007/s11135-017-0574-8\n10.1016/j.nedt.2003.10.001\n10.1080/13676260903173504\n10.1186/s12978-019-0838-y\n10.1016/j.ajic.2013.04.020\n10.1016/j.ajic.2008.03.002\n10.1002/bjs.11008\n10.1016/j.ijans.2022.100474",
    "journal": "PloS one",
    "keywords": [],
    "methods": null,
    "publication_date": "2023-06-14",
    "pubmed_id": "37315064\n30322584\n27443946\n30929893\n23267307\n22866185\n30964909\n31455246\n28503302\n31191039\n25602284\n23171822\n24670166\n25126415\n28593044\n27125664\n35467813\n30995461\n23635696\n35617096\n36962191\n7938895\n19664226\n32309455\n26761761\n16532249\n29937585\n14769454\n31831076\n23938001\n30133525\n18538699\n30556594",
    "results": null,
    "title": "Protocol for designing and testing the effectiveness of a post caesarean section home care guide in preventing surgical site infection in Central Tanzania.",
    "xml": "<Element 'PubmedArticle' at 0x788505770a40>"
}