Sakelo Amanuel Nuramo, Assefa Nega, Oljira Lemessa, Assefa Zebene Mekonnen
Department of Midwifery, College of Medicine and Health Science, Wachamo University, Ethiopia.
Department of Public Health, College of Health and Medical Science, Haramaya University, Ethiopia.
Int J Pediatr. 2020 Oct 20;2020:3897427. doi: 10.1155/2020/3897427. eCollection 2020.
Newborn care refers to the care that is provided to the baby from birth to one-month-old by a caregiver or by the mothers including thermal care, hygienic care, cord care, eye care, breastfeeding, immunization, and identification of newborn danger signs. According to Ethiopian Demographic and Health Survey (EDHS) 2016, the neonatal mortality rate was 29 deaths per 1000 live births, and the postneonatal mortality rate was 19 deaths per 1000 live births with neonates contributing 48 deaths per 1000 of the infant mortality. Neonatal mortality accounts for approximately two-thirds of all infant mortality worldwide. . The objective of this study was to assess newborn care practice and associated factors among mothers with babies of one-month-old in Hossana town, Southern Nations, Nationalities, and Peoples' Region, Ethiopia, 2018. . A community-based cross-sectional study was conducted among randomly selected 422 mothers with babies of one-month-old in Hossana town, southwest Ethiopia. The data were entered to EpiData 3.1 and exported to Statistical Package for the Social Sciences (SPSS) version 22. Bivariate and multivariate analyses were applied, and frequencies and odds ratios were calculated to determine the prevalence and associated factors, respectively. . In this study, 31% of participants had good newborn care practice based on three composite variables such as 84% who have done early breastfeeding initiation, 32.9% who have done safe cord care, and 30.6% who have done thermal care. Educational status of the mother's, primary (AOR = 2.80, 95% CI: 1.027-7.637), secondary (AOR = 2.596, 95% CI: 0.921-7.316), and college and above (AOR = 3.63, 95% CI: 1.056-12.492); mothers who practiced handwashing (hygiene) before touching a newborn (AOR = 2.552, 95% CI: 1.092-5.963); and mothers who had good knowledge on newborn care practice (AOR = 15.638, 95% CI: 3.599-67.943) were significantly associated with newborn care practice. . The present study indicated that the level of comprehensive newborn care practice was unsatisfactory; all responsible bodies were giving attention and intervene on the predictors to improve newborn care practice and provide health education regarding newborn care practice. Education level, health education (counseling) on hygiene, and knowledge of mother on newborn care practice were independent predictors of newborn care practice.
新生儿护理是指由护理人员或母亲在婴儿出生至1个月大期间提供的护理，包括体温护理、卫生护理、脐带护理、眼部护理、母乳喂养、免疫接种以及识别新生儿危险信号。根据2016年埃塞俄比亚人口与健康调查（EDHS），新生儿死亡率为每1000例活产中有29例死亡，新生儿后期死亡率为每1000例活产中有19例死亡，新生儿占每1000例婴儿死亡中的48例。全球范围内，新生儿死亡约占所有婴儿死亡的三分之二。本研究的目的是评估2018年埃塞俄比亚南方民族、民族和人民地区霍桑纳镇1个月大婴儿母亲的新生儿护理实践及相关因素。在埃塞俄比亚西南部霍桑纳镇随机选取422名有1个月大婴儿的母亲进行了一项基于社区的横断面研究。数据录入EpiData 3.1并导出至社会科学统计软件包（SPSS）22版。应用双变量和多变量分析，分别计算频率和比值比以确定患病率及相关因素。在本研究中，基于早期开始母乳喂养（84%）、进行安全脐带护理（32.9%）和进行体温护理（30.6%）这三个综合变量，31%的参与者有良好的新生儿护理实践。母亲的教育程度，小学（调整后比值比[AOR]=2.80，95%置信区间[CI]：1.027 - 7.637）、中学（AOR = 2.596，95% CI：0.921 - 7.316）以及大专及以上（AOR = 3.63，95% CI：1.056 - 12.492）；在接触新生儿前洗手（保持卫生）的母亲（AOR = 2.552，95% CI：1.092 - 5.963）；以及对新生儿护理实践有良好知识的母亲（AOR = 15.638，95% CI：3.599 - 67.943）与新生儿护理实践显著相关。本研究表明，综合新生儿护理实践水平不令人满意；所有责任机构都应予以关注并对预测因素进行干预，以改善新生儿护理实践并提供有关新生儿护理实践的健康教育。教育水平、卫生方面的健康教育（咨询）以及母亲对新生儿护理实践的知识是新生儿护理实践的独立预测因素。
