Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
J Trop Pediatr. 2012 Jun;58(3):200-7. doi: 10.1093/tropej/fmr057. Epub 2011 Jun 24.
The provision of essential newborn care through integrated packages is essential to improving survival. We analyzed data on newborn care practices collected among infants who participated in a community-based trial in rural Nepal. Analysis focused on feeding, hygienic, skin/cord care and thermal care practices. Data were analyzed for 23,356 and 22,766 newborns on Days 1 and 14, respectively. About 56.6% of the babies were breastfed within 24 h and 80.4% received pre-lacteal feeds within the first 2 weeks of life. Only 13.3% of the caretakers always washed their hands before caring for their infant. Massage with mustard oil was near universal, 82.2% of the babies slept in a warmed room and skin-to-skin contact was rare (4.5%). Many of these commonly practiced behaviors are detrimental to the health and survival of newborns. Key areas to be addressed when designing a community-endorsed care package were identified.
通过综合套餐提供基本新生儿护理对于提高存活率至关重要。我们分析了在尼泊尔农村进行的一项基于社区的试验中收集的新生儿护理实践数据。分析重点是喂养、卫生、皮肤/脐带护理和保暖护理实践。分别对第 1 天和第 14 天的 23356 名和 22766 名新生儿进行了数据分析。大约 56.6%的婴儿在 24 小时内进行母乳喂养，80.4%的婴儿在生命的头 2 周内接受了初乳喂养。只有 13.3%的照顾者在照顾婴儿前总是洗手。用芥子油进行按摩几乎是普遍的，82.2%的婴儿在温暖的房间里睡觉，皮肤接触很少（4.5%）。这些常见的行为习惯中有许多对新生儿的健康和生存不利。在设计社区认可的护理套餐时，确定了需要解决的关键领域。
