A study to assess the effectiveness of planned teaching regarding the harmful effect of oil application on anterior fontanels of newborn among post-natal mothers

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Manjusha mahakarkar" } ], "publisher": { "@type": "Organization", "name": "F1000Research", "logo": { "@type": "ImageObject", "url": "https://f1000research.com/img/AMP/F1000Research_image.png", "height": 480, "width": 60 } }, "image": { "@type": "ImageObject", "url": "https://f1000research.com/img/AMP/F1000Research_image.png", "height": 1200, "width": 150 }, "description": "The anterior fontanelle, sometimes known as the “soft spot,” is an important anatomical component in neonates that allows brain growth and development. Possible harm is caused by such practices, as they may result in unfavorable outcomes, such as skin irritation and a delay in fontanelle closure. The goal of this study was to see how effective pre-planned education was at informing postpartum women about the dangers of applying oil to newborns’ anterior fontanelles. The study was conducted with the goal of increasing the understanding of the adverse effects of oil application on the anterior fontanels of newborns among postnatal mothers, The study will be thoroughly described to the participants, and their written Consent will be taken for the participate in the study and publishing the information. Sampling technique will be convenient. Population and sampling techniques will be examined. Mothers will be the target group with a sample size of 60 postnatal mothers. The sample will be drawn using The Purposive sampling approach. Prior authorization will be acquired from the designated hospitals’ higher authority. The inclusion criteria will be used to select samples. Information will be gathered from the hospital’s obstetric ward. First, pretest knowledge of the adverse effects of applying oil to newborns’ anterior fontanels among postnatal mothers was assessed. Postnatal mothers will be taught about the detrimental effects of placing oil on the anterior fontanels of their newborns. The post-test assessment of knowledge regarding the adverse effects of applying oil to anterior fontanels was performed after 7 days. If the hypothesis of our study is helpful in improving mothers’ knowledge in the post-test rather than pre-test following the intended training." } { "@context": "http://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": "1", "item": { "@id": "https://f1000research.com/", "name": "Home" } }, { "@type": "ListItem", "position": "2", "item": { "@id": "https://f1000research.com/browse/articles", "name": "Browse" } }, { "@type": "ListItem", "position": "3", "item": { "@id": "https://f1000research.com/articles/13-346/v1", "name": "A study to assess the effectiveness of planned teaching regarding..." } } ] } Home Browse A study to assess the effectiveness of planned teaching regarding... ALL Metrics - Views Downloads Get PDF Get XML Cite How to cite this article Raut K and mahakarkar MM. A study to assess the effectiveness of planned teaching regarding the harmful effect of oil application on anterior fontanels of newborn among post-natal mothers [version 1; peer review: 1 approved with reservations] . F1000Research 2024, 13 :346 ( https://doi.org/10.12688/f1000research.144857.1 ) NOTE: If applicable, it is important to ensure the information in square brackets after the title is included in all citations of this article. Close Copy Citation Details Export Export Citation Sciwheel EndNote Ref. Manager Bibtex ProCite Sente EXPORT Select a format first Track Share ▬ ✚ Study Protocol A study to assess the effectiveness of planned teaching regarding the harmful effect of oil application on anterior fontanels of newborn among post-natal mothers [version 1; peer review: 1 approved with reservations] Kajal Raut https://orcid.org/0009-0001-2333-8296 1 , MS. Manjusha mahakarkar 2 Kajal Raut https://orcid.org/0009-0001-2333-8296 1 , MS. Manjusha mahakarkar 2 PUBLISHED 23 Apr 2024 Author details Author details 1 gynaecology, datta meghe institute of higher education and research, wardha, Maharashtra, 442001, India 2 gynaecology, datta meghe institute of higher education and research, waradha, Maharashtra, 442001, India Kajal Raut Roles: Writing – Original Draft Preparation MS. Manjusha mahakarkar Roles: Supervision OPEN PEER REVIEW DETAILS REVIEWER STATUS This article is included in the Datta Meghe Institute of Higher Education and Research collection. Abstract The anterior fontanelle, sometimes known as the “soft spot,” is an important anatomical component in neonates that allows brain growth and development. Possible harm is caused by such practices, as they may result in unfavorable outcomes, such as skin irritation and a delay in fontanelle closure. The goal of this study was to see how effective pre-planned education was at informing postpartum women about the dangers of applying oil to newborns’ anterior fontanelles. The study was conducted with the goal of increasing the understanding of the adverse effects of oil application on the anterior fontanels of newborns among postnatal mothers, The study will be thoroughly described to the participants, and their written Consent will be taken for the participate in the study and publishing the information. Sampling technique will be convenient. Population and sampling techniques will be examined. Mothers will be the target group with a sample size of 60 postnatal mothers. The sample will be drawn using The Purposive sampling approach. Prior authorization will be acquired from the designated hospitals’ higher authority. The inclusion criteria will be used to select samples. Information will be gathered from the hospital’s obstetric ward. First, pretest knowledge of the adverse effects of applying oil to newborns’ anterior fontanels among postnatal mothers was assessed. Postnatal mothers will be taught about the detrimental effects of placing oil on the anterior fontanels of their newborns. The post-test assessment of knowledge regarding the adverse effects of applying oil to anterior fontanels was performed after 7 days. If the hypothesis of our study is helpful in improving mothers’ knowledge in the post-test rather than pre-test following the intended training. READ ALL READ LESS Keywords Newborn, Anterior, Fontanelles, Application, Harmful. Corresponding Author(s) MS. Manjusha mahakarkar ( [email protected] ) Close Corresponding author: MS. Manjusha mahakarkar Competing interests: No competing interests were disclosed. Grant information: The author(s) declared that no grants were involved in supporting this work. Copyright: © 2024 Raut K and mahakarkar MM. 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 work is properly cited. How to cite: Raut K and mahakarkar MM. A study to assess the effectiveness of planned teaching regarding the harmful effect of oil application on anterior fontanels of newborn among post-natal mothers [version 1; peer review: 1 approved with reservations] . F1000Research 2024, 13 :346 ( https://doi.org/10.12688/f1000research.144857.1 ) First published: 23 Apr 2024, 13 :346 ( https://doi.org/10.12688/f1000research.144857.1 ) Latest published: 23 Apr 2024, 13 :346 ( https://doi.org/10.12688/f1000research.144857.1 ) Introduction The fragile, delicate bodies of babies necessitate extra care and attention throughout their first few days of life. The infant’s anterior fontanelle, a soft part of the skull where the cranial bones have not yet fused, must be maintained. 1 Despite the fact that this area is already delicate and sensitive, some cultural norms or well-meaning but wrong views have encouraged the use of oils in the anterior fontanelle. 2 The purpose of this introduction is to highlight the need for adequate infant care practices and shed light on the detrimental consequences of oil application on babies’ anterior fontanelles. The anterior fontanelle, also known as the “soft spot,” is a membrane-covered space in the baby’s skull that allows it to grow and bend throughout the early stages of development. 3 Oils or other substances applied to the anterior fontanelle in many cultures can improve brain development, increase brain growth, or even fend off evil spirits. 4 First, certain oils may include allergens or irritants that might result in skin reactions or infections when in contact with a baby’s sensitive skin. Second, oils can hinder sweat from normal evaporation, increase body heat retention, and increase the newborn’s vulnerability to heat-related disorders. In addition, improper soft spot handling during oil delivery may result in mechanical injuries such as pressure on the fontanelle or an inadvertent puncture, which can lead to serious problems such as infections or brain damage. 5 Promoting evidence-based practices and educating parents and communities about the dangers of applying oils to the anterior fontanelle are crucial tasks for healthcare providers and caregivers. Encouragement of suitable infant care practices, such as routine washing, keeping the environment clean, and avoiding superfluous practices, can significantly lower the risk of neonatal injuries. Finally, the anterior fontanelle of a newborn is a delicate and vulnerable structure that requires special care and preservation. 6 Applying oils to this sensitive part of the baby’s head may have negative consequences, including skin difficulties, heat-related disorders, and the possibility of mechanical harm. By raising awareness of the negative consequences of oil application on the anterior fontanelle, we may work to protect newborn’s health and safety and develop evidence-based practices for baby care. 7 Aim The purpose of this study was to assess how well postpartum mothers understood the harmful effects of oil application on their newborn’s anterior fontanelles through a structured education session. Objective 1. To improve knowledge regarding the harmful effects of oil application on the anterior fontanels of newborns among postnatal mothers. 2. To Evaluate the effectiveness of planned teaching regarding the harmful effects of oil on anterior fontanels of newborn postnatal mothers. Protocol The participants’ written agreement will be sought from their mothers at Sawangi Meghe Hospital in Wardha, Maharashtra, as this study is cantered on postnatal mothers. Pre- and post-test knowledge will be collected after obtaining ethical approval with the inclusion and exclusion criteria based on creating planned instructions for mothers to impart knowledge. Mothers were the study’s target demographic for the interventional approach research design, which consisted of a single group pre- and post-test. The target population of this study will be mothers. participants In the study will be new mothers. A non-probability sampling technique will employed in this investigation. 60 mothers will make up a convenient sample size for this investigation. The study tools consisted of structured lectures and questionnaires. The variable consists of two variables: independent and dependent. The awareness of mothers regarding the detrimental impact of oil application on a newborn’s anterior fontanelles will the dependent variable, while the planned education of postnatal mothers on this knowledge will the independent variable. We plan to gather this information using questionnaires. Descriptive and inferential statistics will used for interpretation, followed by report-writing. Inclusive criteria • Postnatal mothers admitted and presenting in ward. • Postnatal mothers who can read and write English and Marathi. • Mother available during data collection. Exclusive criteria • Postnatal mothers who are known cases of psychiatric illness. • Postnatal mothers who had already been a part of a similar study from 6 months to 1 year. • Mother who is not willing to participate in the study. Interventions In this study, an interventional method will be used in conjunction with a pretest and post-test design. We recruited 60 postpartum mothers. The total knowledge of postnatal mothers will be measured using a structured knowledge questionnaire. Sections A and B constitute the two sections that constitute the tool. The demographic information in Section A includes age, education level, type of home, monthly income, and prior awareness of the harmful effects of oil application on a newborn’s anterior fontanel. Ten items comprise Section B’s structured knowledge questionnaire on negative impacts. Experts received the instrument to guarantee content authenticity. Following consultation with the guide and expert guidance, the instrument underwent necessary modifications. The details will be gathered between October 5, 2023, and November 5, 2023. Pre-intervention assessment A standardized questionnaire will be used to assess the participants’ current knowledge of the detrimental effects of oil application on the anterior fontanels of newborns among postnatal mothers. Implement planned teaching intervention We will create a 30-minute teaching plan on the adverse effects of oil application on newborn anterior fontanels. Post-test assessment A post-test questionnaire will be administered after seven days to assess the success of the intended education on the adverse effects of oil application on the anterior fontanels of newborns. Primary outcome The primary goal of this study was to improve postnatal mothers’ understanding of the adverse effects of oil application on the anterior fontanels of newborns. This was determined by comparing postnatal pre- and post-test results. Secondary outcome A feedback survey and questionnaires used to assess participant satisfaction with the planned educational program and their assessment of its worth in terms of knowledge improvement were used to assess participant satisfaction. Planned instruction had little effect on postnatal moms’ practice of administering oil to their newborns’ anterior fontanels. It monitors whether there is a decrease in the amount or frequency of oil applied to this sensitive spot, indicating an improvement in the procedures. Sample size calculation “Eligibility criteria are the postnatal mothers who are interested in participating in the study.” The sample size calculation is based on a similar study. In the present study, the sample is postnatal mothers selected hospitals. Sample size – 60 I took this sample size from this reference to obtain the sample size. Cochran’s formula for sample size (this formula is referred as per Cochran W.G. et al) 8 n = Z 2 p 1 − p d 2 Z = 1.96 P = Subjects received jaundice education = 11% = 0.11 d = Desired error of margin = 8% = 0.08 n = 1.96 2 ∗ 0.11 ∗ 1 − 0.1 0.08 2 = 58.76 = 60 participants needed in each group Data analysis and statistical plan T-tests and other analytical tests will be also performed. All statistical analyses will be performed using SPSS version 27.0 9 p0.05 as the significance threshold. This research will be conducted at the A.V.B.R.H. hospital Sawangi Meghe Wardha. Data source measurement The pre-test and post-test will be used to assess knowledge levels; knowledge will change as a result of the intended training, and knowledge will improve. Bias Bias is conceivable at the statistical analysis level and can be mitigated by utilizing appropriate analytical software and double checking of the outputs. Dissemination When the study is completed, it will be published in Scopus, Web of Science, PubMed, and other nursing-related indexed journals. Study status Currently, the study is yet to be started. Discussion In this study, a descriptive research design was adopted. Purposive sampling was used to obtain 157 samples from a single institution. A structured dichotomous questionnaire and demographic data were used to gather the subjects’ data. Results: The information acquired from 157 samples was analyzed using descriptive statistics. (149) Of the mothers, 95% massaged their infants with oil before bathing. (83) 53% of mothers have given their infants over-the-counter medications. When their babies’ skin turned yellow, (87) 55% of the mothers gave their children ash, soot, powder, or dried cow dung; (115) 73% of the mothers exposed their children to sunshine. (129) To avoid bad eyesight, 82% of mothers apply “Kajal” to their infant’s face. (92%). 59% of mothers follow the adage “An empty cradle should not be moved.” In summary, the study’s conclusions showed a significant correlation between parents’ cultural practices and beliefs about baby care and demographic traits, including family structure and religion. The postnatal ward should offer regular health education on the dos and don’ts of newborn care. This will help curtail the detrimental customs. 10 To determine the customary remedies Turkish mothers utilized to treat their newborns’ jaundice, a cross-sectional descriptive study was conducted. In one university hospital and one public children’s hospital in Sanliurfa, 229 mothers of newborns aged 0-28 days were assessed using knowledge questionnaires on the customs and beliefs of mothers regarding jaundice. Data were analyzed using descriptive and inferential methods. According to this study, mothers apply traditional practices when dealing with health issues such as jaundice, and these methods are important to them. In addition, mothers mentioned employing dangerous traditional therapies for neonatal jaundice, such as severing the space between the infant’s brows with a knife, which is not customary in other societies. The study’s conclusions were used to support the recommendation that families should receive education regarding the consequences of conventional techniques and that future research examining the effects of this type of education should be guided by these findings. 3 All babies admitted to the paediatrics department at SVP PGIP & SCBMCH, CUTTACK, or those who presented to the outpatient department at SVPPGIP, CTC, were eligible for this descriptive study a two-year span beginning on August 1, 2014, and ending on July 31, 2016. Critically ill neonates were excluded from the study. A structured dichotomous questionnaire was developed, verified, and used to gather, examine, and aggregate the data. Of the 170 mothers, 64.1% were under 25 years of age, and 61.8% were part of a combined or extended family. Over 40% (40.6%) of mothers had a family income of less than Rs. 9794, the majority (>80%) were in Matric, and 91.2% of mothers were identified as Hindu. Eleven infants were wrapped in old fabric within 30 min of delivery, making up the bulk of newborns (69.4%). A total of 95.9% of mothers massaged their infants with oil prior to bathing, and 92.4% massaged their infants with oil. week on earth. Of the mothers who began breastfeeding, 54% did so within one hour, 24.7% did so between one and four hours, and 15.9% did so more than that. Ethic-related issues. 11 Ethical considerations The institutional ethics committee approved the title of the Study with reference number DMIHER (DU)/IEC/2023/1133 ON DATE 01/07/2023 this approval has been granted on the assumption that the proposed research work will be carried out in accordance with the ethical guideline prescribed by central ethics committee on human research (C.E.C.H.R.). Data availability No dada associated with this article. Acknowledgements I would like to thanks Ms. Manjusha Mahakarkar for her invaluable advice, Mr. Vijay Babar for his assistance with the sample size calculation and analytic design, and Mr. Laximakant Umate for his assistance in developing the study Protocol. References 1. Nethra N, Udgiri R: A study on traditional beliefs and practices in newborn care among mothers in a tertiary health care centre in Vijayapura, North Karnataka. Int. J. Commun. Med. Public Health. 2018 Feb 24; 5 : 1035. Publisher Full Text 2. Oumer M, Tazebew A, Alemayehu M: Anterior Fontanel Size Among Term Newborns: A Systematic Review and Meta-Analysis. Public Health Rev. 2021; 42 : 1604044. PubMed Abstract | Publisher Full Text | Free Full Text 3. Reshma, Sujatha R: Cultural practices and beliefs on newborn care among mothers in a selected hospital of mangalore taluk. J. Health Allied Sci. Nu. 2014 jun 1; 04 : 021–026. Publisher Full Text 4. Furtado LMF, Filho JA d CV, Freitas LS, et al. : Anterior fontanelle closure and diagnosis of non-syndromic craniosynostosis: a comparative study using computed tomography. J. Pediatr. 2021 Nov 30; 98 (4): 413–418. Publisher Full Text 5. Bangari A, Thapliyal S, Ruchi R, et al. : Traditional beliefs and practices in newborn care among mothers in a tertiary care centre in Dehradun, Uttarakhand, India. Int. J. Commun. Med. Public Health. 2019 May 27; 6 : 2600. Publisher Full Text 6. Arumugam L, Kamala S, Ganapathy K, et al. : Traditional Newborn Care Practices in a Tribal Community of Tamilnadu, South India: A Mixed Methods Study. Indian J. Community Med. Off. Publ. Indian Assoc. Prev. Soc. Med. 2023 Feb; 48 (1): 131. Publisher Full Text 7. Ansong J, Asampong E, Adongo PB: Socio-cultural beliefs and practices during pregnancy, child birth, and postnatal period: A qualitative study in Southern Ghana. Cogent Public Health. 2022 Dec 31; 9 (1): 2046908. Publisher Full Text 8. Yılmaz A: Cochran 1977 Sampling Techniques Third Edition.[cited 2024 Feb 18]. Reference Source 9. Stamm A: FileCR. IBM SPSS Statistics 27.0.1 IF026; 2022 [cited 2024 Feb 18]. Reference Source 10. Sharma A, Pandya A: Traditional Beliefs and Practices in New Born Care at Different Communities-Literature Review. Int. J. Nurs. Care. 2017 Jan 1; 5 : 80. Publisher Full Text 11. Nethra N, Udgiri R: A study on traditional beliefs and practices in newborn care among mothers in a tertiary health care centre in Vijayapura, North Karnataka. Int. J. Commun. Med. Public Health. 2018 Feb 24; 5 : 1035. Publisher Full Text Comments on this article Comments (0) Version 1 VERSION 1 PUBLISHED 23 Apr 2024 ADD YOUR COMMENT Comment Author details Author details 1 gynaecology, datta meghe institute of higher education and research, wardha, Maharashtra, 442001, India 2 gynaecology, datta meghe institute of higher education and research, waradha, Maharashtra, 442001, India Kajal Raut Roles: Writing – Original Draft Preparation MS. Manjusha mahakarkar Roles: Supervision Competing interests No competing interests were disclosed. Grant information The author(s) declared that no grants were involved in supporting this work. Article Versions (1) version 1 Published: 23 Apr 2024, 13:346 https://doi.org/10.12688/f1000research.144857.1 Copyright © 2024 Raut K and mahakarkar MM. 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COPY CITATION DETAILS track receive updates on this article Track an article to receive email alerts on any updates to this article. TRACK THIS ARTICLE Share Open Peer Review Current Reviewer Status: ? Key to Reviewer Statuses VIEW HIDE Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions Version 1 VERSION 1 PUBLISHED 23 Apr 2024 Views 0 Cite How to cite this report: Ani-Amponsah M. Reviewer Report For: A study to assess the effectiveness of planned teaching regarding the harmful effect of oil application on anterior fontanels of newborn among post-natal mothers [version 1; peer review: 1 approved with reservations] . F1000Research 2024, 13 :346 ( https://doi.org/10.5256/f1000research.158710.r285281 ) The direct URL for this report is: https://f1000research.com/articles/13-346/v1#referee-response-285281 NOTE: it is important to ensure the information in square brackets after the title is included in this citation. Close Copy Citation Details Reviewer Report 01 Jul 2024 Mary Ani-Amponsah , Maternal and Child Health Department, University of Ghana, Accra, Greater Accra Region, Ghana Approved with Reservations VIEWS 0 https://doi.org/10.5256/f1000research.158710.r285281 The protocol has relevance for practice and potential to improve newborn health but it has several gaps. Harmful practices are best addressed before they happen; hence will the researchers sample mothers with newborns who have applied the oil to ... Continue reading READ ALL The protocol has relevance for practice and potential to improve newborn health but it has several gaps. Harmful practices are best addressed before they happen; hence will the researchers sample mothers with newborns who have applied the oil to the fontanel or any mother seeking postnatal service?  The protocol does not specify why postnatal mothers alone are the population of interest. Antenatal mothers and newborn gatekeepers could be included as the population of interest if the aim is to generate the evidence needed to change this cultural practice or generate evidence needed to address this issue. Postnatal mothers often are not the ones implementing the practice of oil application to fontanels due to cultural norms. Besides, conducting training and assessing maternal knowledge and the practice of oil application during the postnatal period leaves room for non compliance to best newborn practices. There is heavy confusion in the language text presentation between the proposal language and the study conduct; it appears the study has already been conducted; language editing needed. The discussion section needs to be improved; the content is linked to a different study not linked so well to the study topic. Is the rationale for, and objectives of, the study clearly described? Yes Is the study design appropriate for the research question? Partly Are sufficient details of the methods provided to allow replication by others? No Are the datasets clearly presented in a useable and accessible format? Partly Competing Interests: No competing interests were disclosed. Reviewer Expertise: Newborn health; child migration. I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above. Close READ LESS CITE CITE HOW TO CITE THIS REPORT Ani-Amponsah M. Reviewer Report For: A study to assess the effectiveness of planned teaching regarding the harmful effect of oil application on anterior fontanels of newborn among post-natal mothers [version 1; peer review: 1 approved with reservations] . F1000Research 2024, 13 :346 ( https://doi.org/10.5256/f1000research.158710.r285281 ) The direct URL for this report is: https://f1000research.com/articles/13-346/v1#referee-response-285281 NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article. COPY CITATION DETAILS Report a concern Respond or Comment COMMENT ON THIS REPORT Comments on this article Comments (0) Version 1 VERSION 1 PUBLISHED 23 Apr 2024 ADD YOUR COMMENT Comment keyboard_arrow_left keyboard_arrow_right Open Peer Review Reviewer Status info_outline Alongside their report, reviewers assign a status to the article: Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions Reviewer Reports Invited Reviewers 1 Version 1 23 Apr 24 read Mary Ani-Amponsah , University of Ghana, Accra, Ghana Comments on this article All Comments (0) Add a comment Sign up for content alerts Sign Up You are now signed up to receive this alert Browse by related subjects keyboard_arrow_left Back to all reports Reviewer Report 0 Views copyright © 2024 Ani-Amponsah M. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 01 Jul 2024 | for Version 1 Mary Ani-Amponsah , Maternal and Child Health Department, University of Ghana, Accra, Greater Accra Region, Ghana 0 Views copyright © 2024 Ani-Amponsah M. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. format_quote Cite this report speaker_notes Responses (0) Approved With Reservations info_outline Alongside their report, reviewers assign a status to the article: Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions The protocol has relevance for practice and potential to improve newborn health but it has several gaps. Harmful practices are best addressed before they happen; hence will the researchers sample mothers with newborns who have applied the oil to the fontanel or any mother seeking postnatal service?  The protocol does not specify why postnatal mothers alone are the population of interest. Antenatal mothers and newborn gatekeepers could be included as the population of interest if the aim is to generate the evidence needed to change this cultural practice or generate evidence needed to address this issue. Postnatal mothers often are not the ones implementing the practice of oil application to fontanels due to cultural norms. Besides, conducting training and assessing maternal knowledge and the practice of oil application during the postnatal period leaves room for non compliance to best newborn practices. There is heavy confusion in the language text presentation between the proposal language and the study conduct; it appears the study has already been conducted; language editing needed. The discussion section needs to be improved; the content is linked to a different study not linked so well to the study topic. Is the rationale for, and objectives of, the study clearly described? Yes Is the study design appropriate for the research question? Partly Are sufficient details of the methods provided to allow replication by others? No Are the datasets clearly presented in a useable and accessible format? Partly Competing Interests No competing interests were disclosed. Reviewer Expertise Newborn health; child migration. I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above. reply Respond to this report Responses (0) Ani-Amponsah M. Peer Review Report For: A study to assess the effectiveness of planned teaching regarding the harmful effect of oil application on anterior fontanels of newborn among post-natal mothers [version 1; peer review: 1 approved with reservations] . F1000Research 2024, 13 :346 ( https://doi.org/10.5256/f1000research.158710.r285281) NOTE: it is important to ensure the information in square brackets after the title is included in this citation. 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