Does cultural practice affects neonatal survival- a case control study among low birth weight babies in Aceh Province, Indonesia.
Does cultural practice affects neonatal survival- a case control study among low birth weight babies in Aceh Province, Indonesia.
复制标题
DOI：
10.1186/1471-2393-14-342
复制
发表时间：
2014-09-30
影响因子：
3.1
通讯作者：
Berkat S
中科院分区：
文献类型：
--
作者：
Sutan R;Berkat S
在提供妇幼保健服务时，文化习俗往往被忽视。低出生体重是世界上新生儿死亡的第二大原因，但在印度尼西亚等发展中国家，这是一个主要因素。本研究的目的是预测印度尼西亚亚齐省低出生体重儿的新生儿死亡率。利用2010年至2012年在印度尼西亚亚齐省8个选定地区的数据开展了一项无与伦比的病例对照研究。共获得500份样本。新生儿期死亡250例（病例组），存活250例（对照组）。研究了26个变量，并将其分为4个因素：新生儿因素、孕产妇因素、妇幼保健服务和新生儿护理做法。采用双变量logistic回归和多变量logistic回归对数据进行分析。在亚齐省发现的26个变量中有13个是低出生体重婴儿新生儿死亡率的决定因素。本研究发现的预测因子为：男孩（or1.80, 95% CI: 1.09-2.96）、中度低出生体重（or17.84, 95% CI: 6.20-51.35）、早产（or1.84, 95% CI: 1.07- 3.17）、母体疾病（or1.87, 95% CI: 1.06-3.30）、分娩间隔过短或过长（or1.80, 95% CI: 1.20-2.91）、不适当的产前护理（or2.29, 95% CI: 1.34-3.91）、不适当的新生儿就诊（or7.04, 95% CI: 3.67-13.49）、未实施袋鼠式母亲护理（or15.32, 95% CI: 1.07- 3.35）。2.85-82.56)，不使用温暖的奶瓶填塞（aOR20.70, 95% CI: 6.32-67.80），不实行“不大胆”（aOR4.33, 95% CI: 1.83-10.19），晚开始母乳喂养（aOR2.03, 95% CI: 1.09-3.80），丢弃初乳（aOR3.53, 95% CI: 1.93-6.43）和不实行纯母乳喂养（aOR5.58, 95% CI: 2.89-10.77）。亚齐人的文化习俗非常明显。不适当的产前护理和新生儿护理、较晚开始母乳喂养、丢弃初乳和不实行纯母乳喂养与文化习俗有关。使用袋鼠妈妈护理、温暖的奶瓶填充物和“不冒险”等方法提高知识保温以预防体温过低是降低新生儿死亡率的有效方法。加强筛查高危病例的保健服务，并根据文化习俗进行干预，对降低低出生体重新生儿死亡率具有重要意义。本文的在线版本（doi:10.1186/1471-2393-14-342）包含补充材料，可供授权用户使用。
Cultural practice have often overlooked when providing maternal and child health care services. Low birth weight is the second cause of neonatal mortality in the world but it is a major factor in a developing country such as Indonesia. The purpose of this study is to predict the neonatal mortality among low birth weight babies in Aceh Province Indonesia. Unmatched case control study was conducted using data from year 2010 to 2012 in 8 selected districts of Aceh Province Indonesia. A total of 500 samples were obtained. There were 250 of the samples died in neonatal period (case group) and 250 who were alive (control group). There were 26 variables studied and were grouped into 4 factors: neonatal factor, maternal factor, maternal and child health services and neonatal care practices. The data was analysed using bivariate logistic regression and multivariate logistic regression. There were 13 out of 26 variables found as determinant factors of neonatal mortality among low birth weight babies in Aceh Province. The predictors found in this study were: boy (aOR1.80, 95% CI: 1.09-2.96), moderate low birth weight (aOR17.84, 95% CI: 6.20-51.35), preterm (aOR1.84, 95% CI: 1.07- 3.17), presence of maternal illnesses (aOR1.87, 95% CI: 1.06-3.30), too short or too long birth interval (aOR1.80, 95% CI: 1.20-2.91), inappropriate antenatal care (aOR2.29, 95% CI: 1.34-3.91), inappropriate neonatal visit (aOR7.04, 95% CI: 3.67-13.49), not practicing kangaroo mother care (aOR15.32, 95% CI: 2.85-82.56), not using warm bottle padding (aOR20.70, 95% CI: 6.32-67.80), not practicing ‘didaring’ (aOR4.33, 95% CI: 1.83-10.19), late initiation of breastfeeding (aOR2.03, 95% CI: 1.09-3.80), discard colostrums (aOR3.53, 95% CI: 1.93-6.43) and not practicing exclusive breastfeeding (aOR5.58, 95% CI: 2.89-10.77). Cultural practices are strongly seen among Acehnese. Inappropriate antenatal care and neonatal care, late initiation of breastfeeding, discarding colostrums and not practicing exclusive breastfeeding were related to cultural practices. Improving knowledge heat preservation to prevent hypothermia using Kangaroo mother care, warm bottle padding and ‘didaring’ were proven methods to reduce neonatal mortality. Strengthening of health services in screening for high risk cases and anticipate intervention tailored to cultural practices are important to decrease neonatal mortality among low birth weight. The online version of this article (doi:10.1186/1471-2393-14-342) contains supplementary material, which is available to authorized users.
登录
查看更多内容
影响因子：
3.1
作者：
Alio AP;Lewis CA;Scarborough K;Harris K;Fiscella K
通讯作者：
Fiscella K
影响因子：
56.3
作者：
Eisele, Thomas P.;Larsen, David A.;Steketee, Richard W.
通讯作者：
Steketee, Richard W.
影响因子：
0.6
作者：
Aleman, J;Brannstrom, I;Steidinger, J
通讯作者：
Steidinger, J
影响因子：
3.8
作者：
Bergström, A;Byaruhanga, R;Okong, P
通讯作者：
Okong, P
影响因子：
3.1
作者：
Boerleider AW;Wiegers TA;Manniën J;Francke AL;Devillé WL
通讯作者：
Devillé WL