Document Detail


Impact of clean delivery kit use on clean delivery practices in Beni Suef Governorate, Egypt.
MedLine Citation:
PMID:  19587687     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: A major factor contributing to neonatal and maternal infections is unhygienic delivery practices. This study explores the impact of clean delivery kit (CDK) use on clean delivery practices during home and facility deliveries. DESIGN: Kits were distributed from primary care facilities and mothers and birth attendants received training on kit importance and use. The study was designed as a cross-sectional cohort study. Raedat (community health workers) visited 349 women during the postpartum period to administer a structured questionnaire. SETTING: The study was conducted from mid-March through mid-July 2001 in two rural areas of Ihnasia district in Beni Suef Governorate (Upper Egypt). RESULT: In bivariate analysis, CDK users in the home were more likely to report that the birth attendant had clean hands (P<0.001), washed/wiped the mother's perineum (P<0.001), used a sterile cord tie (P=0.001), applied antiseptic to the cord after cutting (P<0.001), and used a sterile cord cover (P<0.001) as compared with non-CDK users. CDK users at the facility were more likely to report that the birth attendant washed/wiped the mothers perineum (P=0.049) and used a sterile cord cover (P=0.030) as compared with non-CDK users. CONCLUSION: In settings in which unhygienic practices during home as well as facility deliveries are prevalent, use of inexpensive CDKs can promote clean delivery practices.
Authors:
Z P Balsara; M H Hussein; P J Winch; R Gipson; M Santosham; G L Darmstadt
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2009-07-09
Journal Detail:
Title:  Journal of perinatology : official journal of the California Perinatal Association     Volume:  29     ISSN:  1476-5543     ISO Abbreviation:  J Perinatol     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-09-28     Completed Date:  2010-01-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8501884     Medline TA:  J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  673-9     Citation Subset:  IM    
Affiliation:
International Center for Advancing Neonatal Health, Bloomberg School of Public Health, Department of International Health, The Johns Hopkins University, Baltimore, MD 21205, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Clinical Competence*
Community Health Services
Cross Infection / prevention & control*
Egypt
Female
Guideline Adherence
Health Care Surveys
Health Promotion
Home Childbirth*
Humans
Inservice Training
Maternal Health Services
Midwifery / education
Pregnancy
Puerperal Infection / prevention & control*
Rural Population
Sterilization
Surgical Equipment*
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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