新生儿脐带护理实践中产妇在农村尼日利亚当代设置

Oluchukwu Loveth Obiora, P. Ezenduka, E. Ndie, C. Umeonwuka, Juliet Onyinyechukwu Nwachukwu-Umeonwuka
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引用次数: 1

摘要

背景:尽管近几十年来在减少全球儿童死亡人数方面取得了进展,但许多新生儿继续死于新生儿感染等可预防的疾病,特别是在尼日利亚等发展中国家。脐带残余物为传染性生物的增殖提供了良好的场所,可导致新生儿在出生后的第一个月内死亡。因此,本研究探讨了新生儿脐带护理的做法,产妇和促成这种做法的因素。方法:本研究对过去一年内分娩的产妇进行描述性横断面调查。采用多阶段抽样技术,在选定的社区招募受访者。获得了伦理许可,同时获得了研究参与者的知情同意。结果:该研究的主要发现是,相当大比例(12.2%)的受访者没有在任何医疗机构分娩。有证据表明,在答复者中存在潜在有害的新生儿脐带护理做法,例如在新生儿脐带上使用草药和牙膏(分别为12%和5.2%),8%的人使用热软膏加速脐带分离。15%的答复者表示,他们注意到婴儿脐带感染的迹象,而分娩地点影响了他们的新生儿脐带护理做法。结论:因此,有必要针对农村居民开展良好的新生儿脐带护理实践的公众启蒙活动。关键词:新生;脐带护理做法;临产的妇女;尼日利亚东南部。
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NEW BORN CORD CARE PRACTICES AMONG PARTURIENT WOMEN IN A RURAL CONTEMPORARY NIGERIA SETTING
Background : Despite the progress made in recent decades to reduce the number of child deaths globally, many new-borns continue to die preventable deaths from conditions such as neonatal infections, especially in developing countries such as Nigeria. The umbilical cord remnants provide a good site for proliferation of infectious organisms which can lead to the death of new-born babies in their first month of life. Hence this study explored the new-born cord care practices of parturient women and the factors that contribute to such practices. Method: This study was a descriptive, cross-sectional survey of parturient women, who gave birth in the past one year. A Multi-stage sampling technique, was used to recruit respondents across selected communities. Ethical clearance was obtained, while informed consent was obtained from the study participants. A total of 400 volunteering respondents were consecutively recruited while a self-developed and validated questionnaire was used to collect data Result: The major findings of the study were that a significant percentage (12.2%) of the respondents did not deliver their babies in any health facility. There were evidences of potentially harmful new-born cord care practices among the respondents such as application of herbs and tooth-pastes to new-born’s umbilical cord (12% and 5.2% respectively) and 8% applied hot balms to hasten cord separation. Fifteen percent of the respondents indicated that they noticed signs of infection on the baby’s cord while place of delivery influenced their new born cord care practices. Conclusion: Therefore, there is need for public enlightenment programs specifically tailored for rural dwellers on good new-born cord care practices. Keywords: New-born; cord care practices; parturient women; South Eastern Nigeria.
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