T Akter1, A Dawson1, D Sibbritt1. 1. Faculty of Health, University of Technology, Sydney, NSW, Australia.
Abstract
OBJECTIVE: To assess the impact of essential newborn care (ENC) practices on the mortality of neonates delivered at home in Bangladesh. STUDY DESIGN: This study used cross-sectional data from the 2011 Bangladesh Demographic and Health Survey. Adjusted logistic regression model was used to examine the effect of ENC practices on neonatal mortality based on 3190 live-born infants. RESULT: Delayed bathing (72 h after delivery) significantly contributed to reducing neonatal mortality. A significant but counterintuitive relation was observed between the dry cord care and neonatal deaths. CONCLUSION: Neonatal mortality may be reduced through emphasizing delayed bathing. Specific guidelines on the cleanliness of the fabric used to dry and wrap newborns, as well as emphasizing the use of clean delivery kits and initiation of immediate and exclusive breastfeeding, may improve neonatal outcomes. Further, the ENC guidelines in Bangladesh should include the application of topical antiseptics to the cord stump.
OBJECTIVE: To assess the impact of essential newborn care (ENC) practices on the mortality of neonates delivered at home in Bangladesh. STUDY DESIGN: This study used cross-sectional data from the 2011 Bangladesh Demographic and Health Survey. Adjusted logistic regression model was used to examine the effect of ENC practices on neonatal mortality based on 3190 live-born infants. RESULT: Delayed bathing (72 h after delivery) significantly contributed to reducing neonatal mortality. A significant but counterintuitive relation was observed between the dry cord care and neonatal deaths. CONCLUSION: Neonatal mortality may be reduced through emphasizing delayed bathing. Specific guidelines on the cleanliness of the fabric used to dry and wrap newborns, as well as emphasizing the use of clean delivery kits and initiation of immediate and exclusive breastfeeding, may improve neonatal outcomes. Further, the ENC guidelines in Bangladesh should include the application of topical antiseptics to the cord stump.
Authors: A H Baqui; H E Rosen; A C C Lee; J A Applegate; S El Arifeen; S M Rahman; N Begum; R Shah; G L Darmstadt; R E Black Journal: J Perinatol Date: 2013-08-15 Impact factor: 2.521
Authors: David Osrin; Kirti M Tumbahangphe; Dej Shrestha; Natasha Mesko; Bhim P Shrestha; Madan K Manandhar; Hilary Standing; Dharma S Manandhar; Anthony M de L Costello Journal: BMJ Date: 2002-11-09
Authors: Hannah Blencowe; Simon Cousens; Luke C Mullany; Anne C C Lee; Kate Kerber; Steve Wall; Gary L Darmstadt; Joy E Lawn Journal: BMC Public Health Date: 2011-04-13 Impact factor: 3.295
Authors: Sulochana Dhakal; Glyn N Chapman; Padam P Simkhada; Edwin R van Teijlingen; Jane Stephens; Amalraj E Raja Journal: BMC Pregnancy Childbirth Date: 2007-09-03 Impact factor: 3.007
Authors: Emily R Smith; Lindsey M Locks; Karim P Manji; Christine M McDonald; Roland Kupka; Rodrick Kisenge; Said Aboud; Wafaie W Fawzi; Christopher P Duggan Journal: J Pediatr Date: 2017-12 Impact factor: 4.406
Authors: Emily Bryce; Luke C Mullany; Subarna K Khatry; James M Tielsch; Steven C LeClerq; Joanne Katz Journal: BMC Pregnancy Childbirth Date: 2020-09-16 Impact factor: 3.007