产前护理在帮助母亲为新生儿护理做好准备方面效果如何？对尼日利亚一个农村地区哺乳期妇女的探索性调查。
How effective is antenatal care in preparing mothers for newborn care? An exploratory survey of lactating women in a rural Nigerian district.
作者信息
Omotosho Adebola, Sodeinde Kolawole, Abolurin Olufunmilola, Adekoya Adesola, Abiodun Olumide
机构信息
Department of Community Medicine, Babcock University Teaching Hospital, Ilishan-Remo, Ogun State, Nigeria.
Department of Community Medicine, School of Clinical Sciences, Babcock University, Ilishan-Remo, Ogun State, Nigeria.
出版信息
Heliyon. 2022 Nov 14;8(11):e11650. doi: 10.1016/j.heliyon.2022.e11650. eCollection 2022 Nov.
BACKGROUND
Neonatal death rates are high in sub-Saharan Africa and the majority of these deaths are preventable. Antenatal care (ANC) is a good channel for the reduction of neonatal deaths. This study aimed to assess newborn care practices among lactating women in Nigeria and determine their relationship with ANC attendance.
METHODOLOGY
This was a cross-sectional survey involving 241 lactating mothers selected using the cluster sampling method. A structured interviewer-administered questionnaire was employed to obtain data. The Chi-square test was used to assess the associations between categorical variables. Logistic regression was used to determine the predictors of umbilical cord care, thermal care, and neonatal vaccination status. Good cord care was defined as having minimum of three appropriate practices concerning the use of clean instruments to tie the cord, use of clean instruments to cut the cord, and application of chlorhexidine, 70% alcohol, saltwater, or nothing on the cord), Results were presented as odds ratios (ORs). < 0.05 was taken as statistically significant.
RESULTS
The mean age of participants was 29.0 ± 5.5 years. Most participants reported that sterile instruments were used to cut their baby's umbilical cords; that their babies were dried immediately after placenta delivery and that their babies were fully vaccinated (91.0%, 90.5%, and 85.1% respectively). ANC visits (aOR = 8.0, p = 0.02) and place of delivery (aOR = 10.6, p = 0.01) were significantly associated with good umbilical cord care practices. However, none of the participants' sociodemographic characteristics were significantly associated with newborn thermal care and vaccination status.
CONCLUSION
The prevailing antenatal care services are ineffective in preparing mothers for newborn care. Place and frequency of ANC have positive associations with umbilical cord care. There is a need to implement quality ANC that will enhance maternal and neonatal outcomes and implement innovative interventions to enhance ANC attendance. The WHO positive pregnancy experience model should be implemented.
背景
撒哈拉以南非洲地区的新生儿死亡率很高，且这些死亡中的大多数是可预防的。产前保健（ANC）是降低新生儿死亡率的一个良好途径。本研究旨在评估尼日利亚哺乳期妇女的新生儿护理做法，并确定这些做法与产前保健就诊情况之间的关系。
方法
这是一项横断面调查，采用整群抽样方法选取了241名哺乳期母亲。使用结构化的访谈式问卷来获取数据。卡方检验用于评估分类变量之间的关联。逻辑回归用于确定脐带护理、体温护理和新生儿疫苗接种状况的预测因素。良好的脐带护理定义为至少有三种关于使用清洁器械结扎脐带、使用清洁器械剪断脐带以及在脐带上涂抹洗必泰、70%酒精、盐水或不涂抹任何东西的适当做法），结果以比值比（OR）表示。<0.05被视为具有统计学意义。
结果
参与者的平均年龄为29.0±5.5岁。大多数参与者报告说使用了无菌器械剪断婴儿的脐带；婴儿在胎盘娩出后立即被擦干，并且他们的婴儿都进行了全程疫苗接种（分别为91.0%、90.5%和85.1%）。产前保健就诊（调整后的比值比 = 8.0，p = 0.02）和分娩地点（调整后的比值比 = 10.6，p = 0.01）与良好的脐带护理做法显著相关。然而，参与者的社会人口学特征均与新生儿体温护理和疫苗接种状况无显著关联。
结论
现行的产前保健服务在让母亲为新生儿护理做好准备方面效果不佳。产前保健的地点和频率与脐带护理呈正相关。有必要实施高质量的产前保健，以改善孕产妇和新生儿结局，并实施创新干预措施以提高产前保健就诊率。应实施世界卫生组织的积极妊娠体验模式。
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