Eyeberu Addis, Getachew Tamirat, Debella Adera, Birhanu Abdi, Alemu Addisu, Dessie Yadeta
School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
School of Medicine, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Front Pediatr. 2022 Jun 2;10:883620. doi: 10.3389/fped.2022.883620. eCollection 2022.
Even though practicing levels of safe cord care and skin-to-skin contact among post-partum women are critical to reducing neonatal deaths, limited data revealed the low practice. Thus, the purpose of this study was to determine the level of practice and determinants of safe cord care and skin-to-skin contact among post-partum women in public hospitals of Eastern Ethiopia.
A facility-based cross-sectional study was conducted at the public hospitals of Harari reginal state, eastern Ethiopia. A random sample of 820 post-partum women was included in the study. A pre-tested and structured questionnaire was used to collect data through a face-to-face interview. STATA version 14 was used for data analysis. Bivariable and multivariable logistic regression analyses were employed to determine the association between independent and outcome variables.
The practicing level of safe cord care was 71.7% (95% Confidence Interval (CI): 64.5, 81.7). While the practicing level of Skin-To-Skin contact was 53.2% (95% CI: 43.6, 58.8). Being in age of 20-29 [adjusted odds ratio (AOR) = 2.93, 95% CI: 1.24, 6.96], attending tertiary education [AOR = 1.83, 95% CI (1.08, 3.13)], and having good knowledge about safe cord care [AOR = 11.3, 95% CI: (7.49, 17.18)] were determinants of safe cord care practice. While mothers aged 20-29, 30-39, and above 40 [(AOR = 11.17, 95% CI: 4.71, 26.5; AOR = 4.1, 95% CI: 1.77, 9.55, and AOR = 14.3, 95% CI: 7.2, 28.6), respectively], Being married [AOR = 3.70, 95% CI (1.58, 8.70)], being a merchant and self-employed ([AOR = 0.55, 95% CI: 0.34,0.87] and [AOR = 0.49, 95% CI: 0.27, 0.86], respectively), having good knowledge about SSC [AOR = 2.11, 95% CI: (1.53, 2.92)], giving birth at gestational age of 37-42 weeks [AOR = 1.82, 95% CI (1.31, 2.5)], and multigravidity (AOR = 2.83, 95% CI (1.90,4.21) were significantly associated with skin to skin contact.
The practicing level of safe cord care and skin-to-skin contact was high. In this study, the age of mothers, educational status, and knowledge of post-partum women on safe cord care were determinants of a safe cord care practice. While the age of mothers, marital status, occupational status, knowledge of mother, and gestational age at birth were significantly associated with skin-to-skin contact practice. Safe cord care should be strengthened and intensified to reduce neonatal mortality due to avoidable umbilical cord infections. Furthermore, skin-to-skin contact practice should be strengthened to enhance the survival of at-risk neonates.
尽管产后妇女安全脐带护理和皮肤接触的实施水平对于降低新生儿死亡至关重要，但有限的数据显示实施情况不佳。因此，本研究的目的是确定埃塞俄比亚东部公立医院产后妇女安全脐带护理和皮肤接触的实施水平及影响因素。
在埃塞俄比亚东部哈拉里地区州的公立医院开展了一项基于机构的横断面研究。研究纳入了820名产后妇女的随机样本。通过面对面访谈，使用预先测试和结构化的问卷收集数据。使用STATA 14版进行数据分析。采用双变量和多变量逻辑回归分析来确定自变量和结果变量之间的关联。
安全脐带护理的实施水平为71.7%（95%置信区间（CI）：64.5，81.7）。而皮肤接触的实施水平为53.2%（95%CI：43.6，58.8）。年龄在20 - 29岁之间[调整优势比（AOR）= 2.93，95%CI：1.24，6.96]、接受高等教育[AOR = 1.83，95%CI（1.08，3.13）]以及对安全脐带护理有良好认知[AOR = 11.3，95%CI：（7.49，17.18）]是安全脐带护理实施的影响因素。而年龄在20 - 29岁、30 - 39岁和40岁以上的母亲[分别为（AOR = 11.17，95%CI：4.71，26.5；AOR = 4.1，95%CI：1.77，9.55，以及AOR = 14.3，95%CI：7.2，28.6）]、已婚[AOR = 3.70，95%CI（1.58，8.70）]、是商人或个体经营者[分别为（AOR = 0.55，95%CI：0.34，0.87）和（AOR = 0.49，95%CI：0.27，0.86）]、对皮肤接触有良好认知[AOR = 2.11，95%CI：（1.53，2.92）]、在孕37 - 42周分娩[AOR = 1.82，95%CI（1.31，2.5）]以及多胎妊娠（AOR = 2.83，95%CI（1.90，4.21））与皮肤接触显著相关。
安全脐带护理和皮肤接触的实施水平较高。在本研究中，母亲的年龄、教育状况以及产后妇女对安全脐带护理的认知是安全脐带护理实施的影响因素。而母亲的年龄、婚姻状况、职业状况、母亲的认知以及出生时的孕周与皮肤接触实施显著相关。应加强安全脐带护理以降低因可避免的脐带感染导致的新生儿死亡率。此外，应加强皮肤接触实施以提高高危新生儿的存活率。
