在低资源环境中低出生体重婴儿中,袋鼠母亲护理的决定因素
Temitayo Victor Lawal1,2, Damilola Israel Lawal1, Oluwafemi John Adeleye1
1Department of Epidemiology and Medical Statistics, Faculty of Public Health, University of Ibadan, Ibadan, Nigeria.
PLOS global public health
|September 12, 2023
概括
袋鼠母亲护理 (KMC) 的普及率在资源较低的环境中很低. 诸如直接母乳养和母乳教育等因素影响KMC的使用,强调需要提高对这一至关重要的婴儿护理实践的认识和支持.
科学领域:
- 全球健康 全球健康
- 新生儿护理 新生儿护理
- 孕产妇健康 孕产妇健康
背景情况:
- 袋鼠母亲护理 (KMC) 是一种护理早产和低出生体重婴儿的方法,涉及皮肤与皮肤的接触.
- KMC提供了显著的好处,包括温度调节,改善母乳养,增强生长,以及婴儿与护理人员之间的更强的联系.
- 采用KMC仍然是一个挑战,特别是在资源较低的国家,需要了解相关因素.
研究的目的:
- 探索影响低收入和中等收入国家的低出生体重婴儿接受袋鼠母婴护理的因素.
- 确定与KMC实践相关的人口,社会经济和医疗保健相关的因素.
主要方法:
- 对34个低收入和中等收入国家的57,223名儿童的横截面人口和健康调查数据的分析.
- 使用分层多变量分析来确定与KMC皮肤接触相关的因素.
- 统计学意义被设定为5%的值.
主要成果:
- 肯米克的患病率差异很大,从11.04%到84.36%,贝宁,塔吉克斯坦和乌干达的患病率最高.
- 较高的KMC几率与立即母乳养,低出生体重 (≥1.5kg),正常分娩,设施分娩,母体媒体暴露,高产前护理访问,母体教育和较年轻的母体年龄有关.
- 诸如母亲文盲和生活在中低收入地区等因素与较高的KMC赔率有关,而区域差异 (欧洲,撒哈拉以南非洲等) 与此相关. 显示了较低的赔率.
结论:
- 该研究强调,在资源有限的环境中,袋鼠母亲护理的吸收率令人担忧.
- 提高KMC意识,教育和支持母亲和医疗保健提供者的干预措施至关重要.
- 加强KMC实践可以显著改善新生儿结果,并减少脆弱人群中的新生儿死亡率.
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