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在尼日利亚埃基提州选定的医疗保健机构中,助产士对新生儿即刻护理的知识和实践。

Knowledge and practices of immediate newborn care among midwives in selected health care facilities in Ekiti State, Nigeria.

机构信息

Department of Nursing Science, College of Medicine and Health Sciences, Afe Babalola University, Ado-Ekiti, Nigeria.

Obstetrics and Gynecology Department, University College Hospital, Ibadan, Nigeria.

出版信息

Pan Afr Med J. 2020 Nov 24;37:263. doi: 10.11604/pamj.2020.37.263.24628. eCollection 2020.

DOI:10.11604/pamj.2020.37.263.24628
PMID:33598078
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7864274/
Abstract

INTRODUCTION

almost 99% of neonatal deaths occur in developing countries and these deaths can be prevented by the presence of a skilled birth attendant during labour. This study therefore assessed the knowledge and practices of midwives towards immediate newborn care.

METHODS

this study employed a descriptive cross-sectional design. Eighty nine midwives were selected using purposive sampling technique from the two health facilities. Questionnaire was adapted from helping babies breathe manual. Data collected were analyzed with SPSS version 25 and the results were presented using descriptive statistics.

RESULTS

the mean age of the respondents was 33.20 years ± 8.07. More than half of the midwives (56.2%) had a good knowledge on immediate newborn care. About 62.9% had good practices of immediate new born care, though some still carry out some obsolete practices like routine suctioning of the airway of newborns, immediate cleaning/removal of the vernix caseosa with olive oil and immediate cord clamping.

CONCLUSION

a bit above average of the midwives had good knowledge about immediate newborn care and some of the midwives still carry out obsolete practices that has been judge as non-beneficial and are not in line with recommendations of World Health Organization/UNICEF on immediate newborn care. This study therefore recommends that midwives undergo training and retraining on immediate newborn care and there should be increased awareness and education on recent up to date practices of immediate newborn care.

摘要

简介

近 99%的新生儿死亡发生在发展中国家,这些死亡可以通过在分娩时有熟练的接生员在场来预防。因此,本研究评估了助产士在新生儿立即护理方面的知识和实践。

方法

本研究采用描述性横断面设计。使用目的抽样技术从两个卫生机构中选择了 89 名助产士。问卷改编自帮助婴儿呼吸手册。使用 SPSS 版本 25 分析收集的数据,结果用描述性统计呈现。

结果

受访者的平均年龄为 33.20 岁±8.07。超过一半的助产士(56.2%)对新生儿立即护理有较好的认识。约 62.9%的助产士有良好的新生儿立即护理实践,但仍有一些陈旧的做法,如对新生儿进行常规气道吸引、用橄榄油立即清洁/去除胎脂和立即结扎脐带。

结论

略高于平均水平的助产士对新生儿立即护理有较好的了解,一些助产士仍在执行一些过时的做法,这些做法被认为是无益的,不符合世界卫生组织/联合国儿童基金会对新生儿立即护理的建议。因此,本研究建议助产士接受新生儿立即护理的培训和再培训,应加强对最新即时新生儿护理实践的认识和教育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79c7/7864274/6c625028a27c/PAMJ-37-263-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79c7/7864274/6c625028a27c/PAMJ-37-263-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79c7/7864274/6c625028a27c/PAMJ-37-263-g001.jpg

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