Baqui A H, Williams E K, Darmstadt G L, Kumar V, Kiran T U, Panwar D, Sharma R K, Ahmed S, Sreevasta V, Ahuja R, Santosham M, Black R E
Johns Hopkins University Bloomberg School of Public Health, Department of International Health, Baltimore, Maryland, USA.
Indian J Pediatr. 2007 Mar;74(3):241-7. doi: 10.1007/s12098-007-0038-6.
To describe selected newborn care practices related to cord care, thermal care and breastfeeding in rural Uttar Pradesh and to identify socio-demographic, antenatal and delivery care factors that are associated with these practices.
A cross-sectional survey in rural Uttar Pradesh included 13,167 women who had a livebirth at home during the two years preceding data collection. Logistic regression was used to identify socio-demographic, antenatal and delivery care factors that were associated with the three care practices.
Use of antenatal care and skilled attendance at delivery were significantly associated with clean cord care and early breastfeeding, but not with thermal care. Antenatal home visits by a community-based worker were associated only with clean cord care. Women who received counseling from health workers or other sources on each of the newborn care practices during pregnancy were more likely to report the respective care practices, although levels of counseling were low.
The association between newborn care practices and antenatal care, counseling and skilled delivery attendance suggest that evidence-based newborn care practices can be promoted through improved coverage with existing health services.
描述印度北方邦农村地区与脐带护理、体温护理及母乳喂养相关的特定新生儿护理做法，并确定与这些做法相关的社会人口学、产前及分娩护理因素。
在印度北方邦农村地区开展的一项横断面调查纳入了在数据收集前两年内在家中分娩活产儿的13167名妇女。采用逻辑回归分析来确定与这三种护理做法相关的社会人口学、产前及分娩护理因素。
产前护理的使用及分娩时的专业助产与脐带清洁护理及早期母乳喂养显著相关，但与体温护理无关。社区工作者进行的产前家访仅与脐带清洁护理有关。孕期从卫生工作者或其他来源接受过关于每项新生儿护理做法咨询的妇女更有可能报告相应的护理做法，尽管咨询水平较低。
新生儿护理做法与产前护理、咨询及专业助产之间的关联表明，通过扩大现有卫生服务的覆盖范围，可推广基于证据的新生儿护理做法。
