Effects of Essential Newborn Care Training on Fresh Stillbirths and Early Neonatal Deaths by Maternal Education.
Effects of Essential Newborn Care Training on Fresh Stillbirths and Early Neonatal Deaths by Maternal Education.
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DOI：
10.1159/000447421
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发表时间：
2017
期刊：
影响因子：
2.5
通讯作者：
First Breath Study Group
中科院分区：
文献类型：
--
作者：
Chomba E;Carlo WA;Goudar SS;Jehan I;Tshefu A;Garces A;Parida S;Althabe F;McClure EM;Derman RJ;Goldenberg RL;Bose C;Krebs NF;Panigrahi P;Buekens P;Wallace D;Moore J;Koso-Thomas M;Wright LL;First Breath Study Group
受教育程度较低的妇女所生的婴儿围产期死亡风险较高。我们探讨了培训助产士和孕妇在基本新生儿护理（ENC）计划的影响，新鲜死产（FSB）和早期（7天）新生儿死亡（END）的母亲教育水平在发展中国家。在六个国家（阿根廷、刚果、危地马拉、印度、巴基斯坦和赞比亚）的农村社区，与当地教员一起采用了培训员培训模式。使用前-后活性基线对照研究设计收集数据。共有57，643名婴儿/母亲入组。7日龄随访率为99.2%。在未调整模型和调整混杂因素的模型中，在ENC前和ENC后期间，0- 7年级教育的母亲发生FSB和END的风险高于≥ 8年级的母亲。ENC的效果不同的FSB（交互p=0.041）的母亲教育的功能，没有证据表明ENC的效果不同的母亲教育的功能结束。基于模型的FSB风险估计值在受教育年限为0-7年的母亲中降低（ENC前为19.7/1000例活产，CI 16.3，23.0 vs. ENC后为12.2/1000例活产，CI 16.3，23.0，p < 0.001），但对于≥ 8年级的母亲则无显著差异。母亲受教育程度低与FSB和END的风险较高相关。ENC培训在降低低教育程度母亲的FSB方面更有效。
Infants of women with lower education levels are at higher risk for perinatal mortality. We explored the impact of training birth attendants and pregnant women in the Essential Newborn Care (ENC) program on fresh stillbirths (FSB) and early (7-day) neonatal deaths (END) by maternal education level in developing countries. A train-the-trainer model was used with local instructors in rural communities in six countries (Argentina, Democratic Republic of Congo, Guatemala, India, Pakistan, and Zambia). Data were collected using a pre-post active baseline controlled study design. A total of 57,643 infant/mothers were enrolled. The follow up rate at 7 days of age was 99.2%. The risk for FSB and END was higher for mothers with 0–7th grade education vs. ≥8th grade during both the pre-ENC and post-ENC periods in unadjusted models and in models adjusted for confounding. The effect of ENC differed as a function of maternal education for FSB (interaction p=0.041) without evidence that the effect of ENC differed as a function of maternal education for END. The model-based estimate of FSB risk was reduced among mothers with 0–7 years of education (19.7/1000 live births pre-ENC, CI 16.3, 23.0 vs. 12.2/1000 live births post-ENC, CI 16.3, 23.0, p < 0.001) but was not significantly different for mother with ≥8th grade, respectively. A low level of maternal education was associated with higher risk for FSB and END. ENC training was more effective in reducing FSB among low education mothers.
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影响因子：
158.5
作者：
Jokhio, AH;Winter, HR;Cheng, KK
通讯作者：
Cheng, KK
影响因子：
3.4
作者：
Bauserman, Melissa;Lokangaka, Adrien;Bose, Carl L.
通讯作者：
Bose, Carl L.
影响因子：
2.9
作者：
Weiner, E. A.;Billamay, S.;Martinez, A. M.
通讯作者：
Martinez, A. M.
DOI：
10.1016/j.ambp.2008.04.006
发表时间：
2008-09-01
期刊：
AMBULATORY PEDIATRICS
影响因子：
--
作者：
Chomba, Elwyn;McClure, Elizabeth M.;Harris, Hillary
通讯作者：
Harris, Hillary
影响因子：
3.3
作者：
Antai, Diddy
通讯作者：
Antai, Diddy