Abdi Genat Balcha, Alemu Bekalu Kassie, KassaYizengaw Tensae, Hussein Beker Ahmed
Arsi University, Department of Midwifery, Asella, Ethiopia.
Debre Markos University, Department of Midwifery, Debre Markos, Ethiopia.
Heliyon. 2024 Dec 13;11(1):e41133. doi: 10.1016/j.heliyon.2024.e41133. eCollection 2025 Jan 15.
Cord care is the series of steps applied to handle the umbilical cord after delivery of the newborn. Despite increasing the number of primary health facilities, unhygienic cord care remains persist.
To assess umbilical cord care practices and associated factors among mothers who gave birth in the last six months in Hetosa district, Arsi zone, Ethiopia, 2021.
A mixed-type cross-sectional study design was conducted in the Hetosa district of Arsi zone, from April 15 to May 15, 2021, with 550 mothers using a systematic random sampling technique for quantitative study. Quantitative Data were collected using a structured pretested questionnaire, entered into EpiData version 3.1, and then exported to SPSS version 25 for analysis. Factors associated with outcome variables were identified using logistic regression analysis. Qualitative data was collected through twelve in-depth interviews and analyzed thematically.
Overall good cord care practice was 53.4 % [95%CI, 49, 58]. Being in age group ≤ 24years (AOR = 4.55, 95 % CI; 2.08, 9.98) and 24-32years (AOR = 3.70, 95 % CI; 1.98, 6.94), among those who attend primary school (AOR = 5.26, 95 % CI: 2.50, 11.04) and secondary and above (AOR = 3.63, 95 % CI: 1.61, 8.18), health facility delivery (AOR = 5.09, 95 % CI; 2.95, 8.78), and having good knowledge about cord care(AOR = 8.58, 95 % CI; 5.09, 14.46) were statically significantly associated with good umbilical cord care practice. Participants believed that applying fresh butter around the stump could protect the baby.
and recommendation: The study found that the percentage of mothers practicing good cord care was low. To improve this, policies and strategies should focus on women's education, encouraging institutional delivery and family planning use among aged mothers, and health education during ANC visits and addressing community beliefs through culturally sensitive health promotion strategies particularly focusing on older mothers and traditional birth attendants to improve cord care practices.
脐带护理是新生儿出生后处理脐带的一系列步骤。尽管初级卫生设施数量不断增加，但不卫生的脐带护理现象仍然存在。
评估2021年在埃塞俄比亚阿尔西地区赫托萨区过去六个月内分娩的母亲的脐带护理做法及相关因素。
2021年4月15日至5月15日，在阿尔西地区赫托萨区采用混合型横断面研究设计，对550名母亲使用系统随机抽样技术进行定量研究。定量数据通过结构化的预测试问卷收集，录入EpiData 3.1版本，然后导出到SPSS 25版本进行分析。使用逻辑回归分析确定与结果变量相关的因素。通过12次深入访谈收集定性数据并进行主题分析。
总体良好的脐带护理做法为53.4%[95%置信区间，49,58]。年龄≤24岁（比值比=4.55，95%置信区间；2.08,9.98）和24 - 32岁（比值比=3.70，95%置信区间；1.98,6.94）、上过小学（比值比=5.26，95%置信区间：2.50,11.04）和中学及以上（比值比=3.63，95%置信区间：1.61,8.18）、在卫生机构分娩（比值比=5.09，95%置信区间；2.95,8.78）以及对脐带护理有良好认知（比值比=8.58，95%置信区间；5.09,14.46）与良好的脐带护理做法在统计学上显著相关。参与者认为在残端周围涂抹新鲜黄油可以保护婴儿。
研究发现，实施良好脐带护理的母亲比例较低。为改善这一情况，政策和策略应侧重于妇女教育，鼓励高龄母亲进行机构分娩和使用计划生育，在产前检查期间开展健康教育，并通过具有文化敏感性的健康促进策略解决社区观念问题，尤其关注高龄母亲和传统助产士，以改善脐带护理做法。
