Impact of clean delivery-kit use on newborn umbilical cord and maternal puerperal infections in Egypt.
This cross-sectional cohort study explored the impact of the use of clean delivery-kit (CDK) on morbidity due to newborn umbilical cord and maternal puerperal infections. Kits were distributed from primary-care facilities, and birth attendants received training on kit-use. A nurse visited 334 women...
| Publicado en: | Journal of Health, Population & Nutrition Vol. 27; no. 6; pp. 746 - 755 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
BioMed Central
Dec2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105298299&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105298299 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 16060997 HII jtl: Journal of Health, Population & Nutrition issn: 16060997 maglogo: N pubinfo: dt: Dec2009 vid: 27 iid: 6 pid: 24147 pub: BioMed Central artinfo: ui: 105298299 105298299 NLM20099758 2010542448 NLM20099758 105298299 ppf: 746 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Impact of clean delivery-kit use on newborn umbilical cord and maternal puerperal infections in Egypt. aug: au: Darmstadt GL Hassan M Balsara ZP Winch PJ Gipson R Santosham M Darmstadt, Gary L Hassan, Mohamed Balsara, Zohra P Winch, Peter J Gipson, Reginald Santosham, Mathuram affil: International Center for Advancing Neonatal Health, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, 615 North Wolfe Street, Baltimore, MD, USA sug: subj: Delivery, Obstetric Equipment and Supplies Puerperal Infection Prevention and Control Sepsis Prevention and Control Umbilical Cord Microbiology Vascular Diseases Prevention and Control Adolescence Adult Prospective Studies Allied Health Personnel Cross Sectional Studies Delivery, Obstetric Standards Egypt Female Surveys Human Infant, Newborn Infant, Newborn, Diseases Prevention and Control Logistic Regression Male Midwifery Pregnancy Questionnaires Sepsis Blood Young Adult Adolescent: 13-18 years Adult: 19-44 years Infant, Newborn: birth-1 month Female Male ab: This cross-sectional cohort study explored the impact of the use of clean delivery-kit (CDK) on morbidity due to newborn umbilical cord and maternal puerperal infections. Kits were distributed from primary-care facilities, and birth attendants received training on kit-use. A nurse visited 334 women during the first week postpartum to administer a structured questionnaire and conduct a physical examination of the neonate and the mother. Results of bivariate analysis showed that neonates of mothers who used a CDK were less likely to develop cord infection (p = 0.025), and mothers who used a CDK were less likely to develop puerperal sepsis (p = 0.024). Results of multiple logistic regression analysis showed an independent association between decreased cord infection and kit-use [odds ratio (OR) = 0.42, 95% confidence interval (CI) 0.18-0.97, p = 0.041)]. Mothers who used a CDK also had considerably lower rates of puerperal infection (OR = 0.11, 95% CI 0.01-1.06), although the statistical strength of the association was of borderline significance (p = 0.057). The use of CDK was associated with reductions in umbilical cord and puerperal infections. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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