Research Wing, Bibliophile, Dhaka, Bangladesh.
Research Wing, Bibliophile, Dhaka, Bangladesh
BMJ Paediatr Open. 2023 Nov;7(1). doi: 10.1136/bmjpo-2023-002163.
To curb neonatal deaths, practices such as skin-to-skin contact (SSC) and early initiation of breast feeding (EIBF) can play an important role. Despite being effective, globally only 48% of newborns receive EIBF, and SSC is practised at varying prevalence (1%-74%) among low-income and middle-income countries.
The objective of the current study was to estimate the level of SSC and EIBF practice in Bangladesh and examine factors associated with SSC and EIBF.
The cross-sectional study used data from the Multiple Indicator Cluster Survey, Bangladesh (2019). Women of reproductive age with live birth during the last 2 years were included in the analysis (n=8854). A p<0.05 as considered statistically significant (significance level of α=0.05).
The prevalence of SSC and EIBF was 16.4% and 70.4%, respectively. Higher secondary or more level of education (AOR 1.43; 95% CI 1. 07 to 1.90; p=0.016), skilled birth attendant's (SBA) assistance at birth (AOR 2.04, 95% CI 1.60 to 2.61; p<0.001) and receiving antenatal care (AOR 1.40; 95% CI 1.15 to 1.70; p<0.001) had higher odds of practising SSC. Having institutional delivery (AOR 0.35; 95% CI 0.28 to 0.43; p<0.001) and belonging to the richest category (AOR 0.78; 95% CI 0.65 to 0.94; p=0.008) had lower odds of practising EIBF. SSC and EIBF did not have a statistically significant association in the study.
The prevalence of SSC in Bangladesh is quite low. However, EIBF prevalence can be considered as 'good'. Targeted interventions such as antenatal care, and assistance by SBA during birth can help in promoting SSC. To promote EIBF practice, interventions should focus on institutes providing delivery support and the richer strata of the society.
为了遏制新生儿死亡，皮肤接触（SSC）和早期母乳喂养（EIBF）等做法可以发挥重要作用。尽管这些做法非常有效，但全球只有 48%的新生儿接受 EIBF，而 SSC 在低收入和中等收入国家的普及程度差异很大（1%-74%）。
本研究旨在评估孟加拉国 SSC 和 EIBF 实践的水平，并探讨与 SSC 和 EIBF 相关的因素。
这项横断面研究使用了孟加拉国多指标类集调查（2019 年）的数据。将过去 2 年内有活产的育龄妇女纳入分析（n=8854）。统计学显著性水平设为α=0.05（p<0.05）。
SSC 和 EIBF 的流行率分别为 16.4%和 70.4%。接受过高等中学或以上教育（AOR 1.43；95%CI 1.07 至 1.90；p=0.016）、由熟练接生员（SBA）协助分娩（AOR 2.04，95%CI 1.60 至 2.61；p<0.001）和接受产前护理（AOR 1.40；95%CI 1.15 至 1.70；p<0.001）的妇女，其 SSC 实践的可能性更高。选择机构分娩（AOR 0.35；95%CI 0.28 至 0.43；p<0.001）和属于最富有类别（AOR 0.78；95%CI 0.65 至 0.94；p=0.008）的妇女，其 EIBF 实践的可能性较低。SSC 和 EIBF 在本研究中没有统计学上的显著关联。
孟加拉国 SSC 的流行率相当低。然而，EIBF 的流行率可以被认为是“良好”的。针对产前护理和 SBA 在分娩时提供的援助等目标干预措施，有助于促进 SSC。为了促进 EIBF 实践，干预措施应侧重于提供分娩支持的机构和社会的富裕阶层。
