Adelaja Lamina Mustafa
Department of Obstetrics and Gynaecology, Olabisi Onabanjo University Teaching Hospital, P.M.B. 2001, Sagamu 12001NG, Ogun State, Nigeria.
ISRN Obstet Gynecol. 2011;2011:983542. doi: 10.5402/2011/983542. Epub 2011 Jun 7.
Context. Information about reasons for delivering at home and newborn care practices in suburban areas of Western Nigeria is lacking, and such information will be useful for policy makers. Objectives. To describe the home delivery and newborn care practices and to assess the reasons for delivering at home. Study Design, Setting, and Subjects. A cross-sectional survey was carried out in the immunization clinics of Sagamu local government, Western part of Nigeria during January and February 2008. Two trained health workers administered a semistructured questionnaire to the mothers who had delivered at home. Main Outcome Measures. Planned or unplanned home delivery, reasons for delivering at home, the details of events that took place at home from the onset of labour pains till delivery and after birth till initiation of breast-feeding, attendance at delivery, cleanliness and hygiene practices during delivery, thermal control, and infant feeding. Results. A total of 300 mothers were interviewed. Planned home deliveries were 200 (66.7%) and 100 (33.3%) were unplanned. Only 13.4% of deliveries had a skilled birth attendant present, and 47 (15.7%) mothers gave birth alone. Only 51 (16.2%) women had used a clean home delivery surface. Majority (98.2%) of the newborns were given a bath soon after birth. Initiation rates of breast-feeding were 65.3% within one hour and 95.7% within 24 hours. Conclusion. High-risk home delivery and newborn care practices are common in semiurban population also. Community-based interventions are required to improve the number of families coming to health facilities and engaging a skilled attendant and hygiene during delivery.
背景。尼日利亚西部郊区关于在家分娩的原因及新生儿护理做法的信息匮乏，而此类信息对政策制定者会很有用。目的。描述在家分娩及新生儿护理做法，并评估在家分娩的原因。研究设计、地点和对象。2008年1月和2月在尼日利亚西部萨加穆地方政府的免疫诊所进行了一项横断面调查。两名经过培训的卫生工作者向在家分娩的母亲发放了一份半结构化问卷。主要观察指标。计划内或计划外在家分娩、在家分娩的原因、从宫缩开始到分娩以及产后到开始母乳喂养期间在家发生的事件细节、分娩时的在场人员、分娩期间的清洁和卫生做法、温度控制以及婴儿喂养情况。结果。共采访了300名母亲。计划内在家分娩有200例（66.7%），计划外有100例（33.3%）。只有13.4%的分娩有熟练的助产人员在场，47名（15.7%）母亲独自分娩。只有51名（16.2%）妇女使用了干净的家庭分娩表面。大多数（98.2%）新生儿在出生后不久就洗了澡。母乳喂养开始率在1小时内为65.3%，24小时内为95.7%。结论。高风险的在家分娩和新生儿护理做法在半城市人口中也很常见。需要开展基于社区的干预措施，以增加前往卫生设施的家庭数量，并让熟练的助产人员参与分娩过程并保持卫生。
