Phuong Nguyen Tk, Hoang Tran T, Foster Kirsty, Roberts Christine L, Marais Ben J
Discipline of Paediatrics and Adolescent Medicine, The Children's Hospital at Westmead, The University of Sydney, Sydney, Australia.
Da Nang Hospital for Women and Children, Da Nang, Vietnam.
BMJ Paediatr Open. 2017 Aug 10;1(1):e000155. doi: 10.1136/bmjpo-2017-000155. eCollection 2017.
To understand the prevalence of pneumonia risk factors and perceived barriers to risk factor reduction among Vietnamese infants.
We conducted a cross-sectional survey of mothers in the postnatal wards of Da Nang Hospital for Women and Children in central Vietnam from 10 February 2017 to 24 February 2017.
Of 286 mothers surveyed, 259 (91%) initiated breast feeding and 207 (72%) intended to continue exclusive breast feeding for 6 months. No mother smoked cigarettes, but 42% of fathers did. Mothers' decision not to smoke was motivated by concerns for their own health and that of their baby. Households rarely used wood or coal for cooking (6%). Mothers indicated near universal (99%) uptake of the National Expanded Program of Immunization vaccinations. Few (64; 22%) mothers knew about the pneumococcal conjugate vaccine; 56/64 (88%) indicated that they would purchase it for their infants. Family members rarely influenced mothers' decisions about breast feeding or vaccination, except in two instances where fathers were concerned about vaccine-related adverse effects.
Modifiable pneumonia risk factors were uncommon among newborn babies in central Vietnam, apart from paternal cigarette smoke exposure. Successful local implementation of the WHO Essential Newborn Care package as well as high levels of maternal education and decision autonomy was observed.
了解越南婴儿肺炎风险因素的流行情况以及降低风险因素过程中所感知到的障碍。
2017年2月10日至2017年2月24日，我们对越南中部岘港妇女儿童医院产后病房的母亲进行了一项横断面调查。
在接受调查的286名母亲中，259名（91%）开始母乳喂养，207名（72%）打算纯母乳喂养6个月。没有母亲吸烟，但42%的父亲吸烟。母亲不吸烟的决定是出于对自身和婴儿健康的担忧。家庭很少用木材或煤炭做饭（6%）。母亲们表示几乎普遍（99%）接受了国家扩大免疫规划疫苗接种。很少有母亲（64名；22%）了解肺炎球菌结合疫苗；56/64（88%）表示会为婴儿购买该疫苗。除了两例父亲担心疫苗相关不良反应的情况外，家庭成员很少影响母亲关于母乳喂养或疫苗接种的决定。
除了父亲吸烟外，越南中部新生儿中可改变的肺炎风险因素并不常见。观察到成功在当地实施了世界卫生组织基本新生儿护理包，以及高水平的母亲教育程度和决策自主权。
