East-West Nursing Research Institute, College of Nursing Science Kyung Hee University, Seoul, Republic of Korea.
School of Nursing, Yonsei University, Seoul, Republic of Korea.
Front Public Health. 2024 Aug 9;12:1305255. doi: 10.3389/fpubh.2024.1305255. eCollection 2024.
Our goal in this study to investigate the impacts of using safe delivery kits, along with education on their appropriate use, has on preventing newborn and maternal infection.
A cross-sectional study.
Participants, and Interventions: we conducted the study on 23 sites across a rural district in Oromia Region, Ethiopia. Safe delivery kits were distributed by health extension workers. Participants comprised 534 mothers between the ages of 17 and 45 years, who were given a safe delivery kit at 7 months' pregnancy for use during their subsequent delivery. Data collection was performed by the trained interviewers in rural Ethiopian communities.
Multiple logistic regression analyses showed an independent association between using the cord tie provided in the kits and decreased newborn infection. Specifically, newborns whose mothers used the cord tie were 30 times less likely to develop cord infection than those not using the cord tie in the kits. Further, mothers who received education regarding safe delivery kit use had lower rates of puerperal infection.
Single-use delivery kits, when combined with education regarding the appropriate means of using the kit, can decrease the likelihood of maternal infection.
Nurses and health extension workers in low and middle-income countries should educate mothers on safe delivery kits by providing information regarding their usefulness and the importance of correct and consistent use. Implications for Health Policy: our findings emphasize the need for further interventions in vulnerable countries designed to increase the rate of hygienic birthing practices for deliveries outside health-care facilities.
本研究旨在探讨使用安全分娩套件并对其正确使用进行教育对预防新生儿和产妇感染的影响。
横断面研究。
我们在埃塞俄比亚奥罗米亚地区的一个农村地区的 23 个地点进行了这项研究。由健康推广工作者分发安全分娩套件。参与者为 534 名年龄在 17 至 45 岁之间的母亲，她们在怀孕 7 个月时获得了一个安全分娩套件，以便在随后的分娩中使用。数据收集由在埃塞俄比亚农村社区接受过培训的访谈员进行。
多变量逻辑回归分析显示，套件中提供的脐带结扎带的使用与新生儿感染减少之间存在独立关联。具体而言，使用套件中脐带结扎带的新生儿发生脐带感染的可能性比不使用的新生儿低 30 倍。此外，接受安全分娩套件使用教育的母亲发生产褥期感染的比率较低。
一次性使用的分娩套件，结合有关正确使用套件的教育，可以降低产妇感染的可能性。
中低收入国家的护士和健康推广工作者应通过提供有关套件有用性和正确一致使用重要性的信息，向母亲提供安全分娩套件的教育。对卫生政策的影响：我们的研究结果强调需要在脆弱国家进一步开展干预措施，以提高非医疗保健设施分娩的卫生接生做法的比率。
