Fenta Kebede Belete, Dagnaw Genie Yalemtsehay, Yetwale Hiwot Aynalem, Biyazin Tesafa Tsegaw, Abebe Betelhem
School of Midwifery, Institute of Health, Jimma University, Jimma, Ethiopia.
Department of Nursing, Mizan-Tepi University, Mizan-Teferi, Ethiopia.
Pediatric Health Med Ther. 2022 Mar 5;13:43-52. doi: 10.2147/PHMT.S348657. eCollection 2022.
The timing of the first bath is an important variable in newborn care despite variations from setting to setting. Early first bath can affect the newborn's temperature, blood sugar levels, bonding with his/her mother, comfort, and security. Thus, timing affects several aspects of newborn care and is still a major concern. However, in Ethiopia, there is insufficient evidence regarding newborn bath timing. Therefore, this study aimed to assess early newborn bath practice and its associated factors in Jimma, Southwest Ethiopia, 2021.
An institutional-based cross-sectional study was conducted from July to August 2021 on 388 postpartum women who came for newborn immunization. Data were collected through face-to-face interviews using a structured questionnaire. Data were entered into Epi-data 4.4.2.1 and exported to Stata version 14 for cleaning and analysis. Logistic regression was used to determine the association between explanatory and response variables. The level of significance was declared at a p-value of less than 0.05 in multivariable logistic regression.
This study revealed 126 (32.5%) of mothers were practicing early newborn bathing. Vaginal mode of delivery (AOR: 3.84 (95% CI: 1.96-7.52)), poor knowledge about danger signs (AOR: 6.78 (95% CI: 3.77-12.19), poor knowledge about hypothermia (AOR: 0.35 (95% CI: 0.20-0.58) and educational level of women (AOR: 0.33 (95% CI: 0.15-0.73) were variables significantly associated with early newborn bathing practice.
Early neonatal bathing practice in this study is high and needs priority as it results in neonatal hypothermia and its complications. Therefore, Education for women and their families on delayed bathing of their newborns could begin in antenatal care visit, on admission into the labor and delivery unit and again on the postpartum unit.
尽管不同环境下情况有所不同,但首次洗澡的时间是新生儿护理中的一个重要变量。过早进行首次洗澡会影响新生儿的体温、血糖水平、与母亲的亲密关系、舒适度和安全感。因此,洗澡时间会影响新生儿护理的多个方面,仍是一个主要关注点。然而,在埃塞俄比亚,关于新生儿洗澡时间的证据不足。因此,本研究旨在评估2021年埃塞俄比亚西南部吉马地区新生儿早期洗澡的情况及其相关因素。
2021年7月至8月,对388名前来为新生儿进行免疫接种的产后妇女进行了一项基于机构的横断面研究。通过使用结构化问卷进行面对面访谈收集数据。数据录入Epi-data 4.4.2.1,并导出到Stata 14版本进行清理和分析。采用逻辑回归确定解释变量和反应变量之间的关联。在多变量逻辑回归中,p值小于0.05时具有统计学意义。
本研究显示,126名(32.5%)母亲进行了新生儿早期洗澡。阴道分娩方式(调整后比值比:3.84(95%置信区间:1.96 - 7.52))、对危险信号的认知不足(调整后比值比:6.78(95%置信区间:3.77 - 12.19))、对体温过低的认知不足(调整后比值比:0.35(95%置信区间:0.20 - 0.58))以及女性的教育水平(调整后比值比:0.33(95%置信区间:0.15 - 0.73))是与新生儿早期洗澡情况显著相关的变量。
本研究中新生儿早期洗澡的比例较高,由于其会导致新生儿体温过低及其并发症,需要优先关注。因此,应在产前检查、入院待产和产后护理期间,对妇女及其家人开展关于延迟为新生儿洗澡的教育。