Assessment of skin-to-skin contact (SSC) during the postpartum stay and its determinant factors among mothers at public health institutions in Ethiopia

Bedaso, Asres; Kebede, Emnet; Adamu, T.

doi:10.1186/s13104-019-4176-5

Cited by 22 publications

(38 citation statements)

References 17 publications

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“…The practice of KMC among mothers who gave birth in the health facilities was 1808 (62.1%), 95% CI (60,3, 63.9).The others 1102(37.9%), 95%CI(36.1, 39.7) of mothers did not practiced KMC while they were in health facilities, although they gave birth in a health facilities too. The current study's level of KMC practice is higher than studies that reported 41.9% KMC (26), 46.4% KMC, 54.15% KMC (27), and 28.1% KMC (28). The difference might be as a result of study population difference, sample size difference, eligibility criteria, and socio-demographic difference.…”

Section: Discussioncontrasting

confidence: 75%

Health Professional Assisted Kangaroo Mother Care Practice in Ethiopian Health Facilities: Evidence from the 2016 Ethiopian Demographic and Health Survey Data

Mw¹,

Am²,

Bb³

et al. 2020

Preprint

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Background Worldwide, 15 million babies born prematurely every year and over one million babies died because of premature birth complications. However, three-fourths of deaths from preterm birth complications are preventable without intensive care units. One of the prevention methods is Kangaroo Mother Care, which is a method of holding a small neonate in skin-to skin contact, upright prone position on the maternal chest. An evidence stated that KMC can prevent up to half of all deaths in babies weighing <2000 gm at birth. Ethiopian guidelines also mentioned that all LBW babies need to receive KMC. The aim of this study was to assess health professional assisted Kangaroo mother care practice and association among mothers who gave birth in a health facility in Ethiopia.Methods This study produced from the 2016 Ethiopian Demographic and Health Survey data (EDHS). The 2016 EDHS used a stratified two stage sampling method to select a representative sample for the country, Ethiopia. According to the 2016 EDHS data, all the regions were stratified into urban and rural areas. The study sample refined from EDHS and used in this secondary analysis is 2,760 mother-child pairs. A logistic regression model was used to assess the associations with the size of a child at birth. Results mothers who gave birth in a health facility and practiced kangaroo mother care were 1808 (62.1%), 95% CI (60,3, 63.9).The others 1102(37.9%), 95%CI(36.1, 39.7) of mothers did not practiced KMC, although they were gave birth in health facilities under the support of trained health professionals. In the multivariable logistic regression analysis, only wealth index, poorest ((AOR), (95%CI)), ((0.60), (0.43, 0.81)), and poorer ((0.62), (0.46, 0.86)) were associated with health professionals assisted KMC practice.Conclusions The prevalence of health professional assisted KMC practice was low, which was far lower than the expectation for mothers who gave birth in health facilities. Low socio-economic status was protective for not practicing KMC. The reason might be that mothers from higher income households might not initiate breast feeding, which might contribute for not practicing KMC. Thus, the minister of health or other researchers should study further why mothers from high income did not practicing KMC in considering the assumption of this author.

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Section: Discussioncontrasting

confidence: 75%

Health Professional Assisted Kangaroo Mother Care Practice in Ethiopian Health Facilities: Evidence from the 2016 Ethiopian Demographic and Health Survey Data

Mw¹,

Am²,

Bb³

et al. 2020

Preprint

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“…This result is higher than the SSC prevalence of previous studies in Tanzania and Ethiopia. Less than 1% of Tanzanian women reported early SSC [ 22 ], and the proportion of women in Ethiopia who had early SSC after childbirth was 9.2% and 28.1% [ 26 , 31 ]. However, the finding was low as compared to studies in high-income countries in which SSC practice rate was up to 99.0% [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

“…Independent variables: household wealth quintile: poorest, poorer, middle, richer, and richest, was computed by MICS in a conventional approach from population-based data using a set of household assets [ 29 , 30 ]; child sex: male vs. female; ethnicity: Mandinka, Wollof, Fula, Jola, Sarahule, other groups and non-Gambians; health insurance coverage: insured vs. not insured; educational level: pre-primary or none, primary, secondary+, functionality difficulty: has functional difficulty vs. has no functional difficulty; total children ever born: 1-2, 3-4, 5+; marital status: currently married/in union, formerly married/in union, never married/in union; residential status: urban vs. rural; age at first marriage/union: < 18 years, 18-20 years, 20+ years; estimation of overall happiness: very happy, somewhat happy, neither happy nor unhappy, somewhat unhappy, very unhappy; duration in residence: internal immigrant (lived in community < 5 years) vs. native (lived in community for 5+ years); maternal age (years): 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49; frequency of listening to radio or watching TV: not at all, less than once a week, at least once a week, almost every day; received ANC: yes vs. no; ANC visit initiation: early booking (within 1st trimester) vs. late booking (after 1st trimester); place of delivery: home vs. health facility; birth weight: low birthweight (< 2.5 kg) vs. normal weight (at least 2.5 kg); local government area: Banjul, Kanifing, Brikama, Mansakonko, Kerewan, Kuntaur, Janjanbureh, Basse. Some of these were selected as used by previous authors [ 31 ].…”

Section: Methodsmentioning

confidence: 99%

Prevalence and determinants of mother and newborn skin-to-skin contact in The Gambia: a secondary data analysis

Ekholuenetale

Onikan²,

Ekholuenetale

2020

J. Egypt. Public. Health. Assoc.

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Background Skin-to-skin contact (SSC) between mother and the newborn brings many benefits including its potential to promote the survival of the newborn. Nevertheless, it is a practice that is underutilized in many resource-constrained settings including The Gambia where a high rate of maternal and child mortality has been reported. In this study, we examined the prevalence and determinants of mother and newborn SSC in The Gambia. Methods We used secondary data from The Gambia Multiple Indicator Cluster Survey (MICS)—2018. Data from 9205 women between 15-49 years who gave birth within 5 years of the survey was extracted for the analysis. Percentages and chi-square test were used for analyses. The significant variables from chi-square test were included in the multivariable binary logistic regression model to calculate the adjusted odds ratios (with corresponding 95% CI) of the factors associated with mother and newborn SSC. Results The results of this study showed that the national prevalence of mother and newborn SSC was 35.7%. Across local government areas; Mansakonko (47.8%) and Kerewan (44.2%) had the highest prevalence, while Basse (28.5%) and Brikama (26.5%) had the least prevalence of mother and newborn SSC in The Gambia. Based on results from the logit model, normal weight (at least 2.5 kg) children were 1.37 times as likely to have mother and newborn SSC, compared with the low birthweight (< 2.5 kg) children (OR = 1.37; 95% CI: 1.05, 1.78). In addition, there was 38% increase in the odds of rural women who reported mother and newborn SSC, compared with urban women (OR = 1.38; 95% CI: 1.06, 1.79). Women who delivered at health facility were 3.35 times as likely to have mother and newborn SSC, compared with women who delivered at home (OR = 3.35; 95% CI: 2.37, 4.75). Furthermore, women who initiated antenatal care (ANC) after the first trimester had 21% reduction in the odds of mother and newborn SSC, compared with women who initiated ANC within the first trimester (OR = 0.79; 95% CI: 0.68, 0.93). Conclusion The prevalence of mother and newborn SSC was low. In addition, geographical residence, birth weight, urban-rural residential status, place of delivery, and timing to ANC initiation were associated with mother and newborn SSC. There is a need to promote institutional based delivery using skilled birth attendance, promote early ANC initiation and healthy fetal growth.

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“…Yılmaz-Esencan ve arkadaşlarının (2018), özel ve devlet hastanesinde gebe eğitim okuluna katılmış ve eğitim almış gebelerin doğum şekli, ilk emzirme zamanı ve TTT uygulamalarını değerlendirdikleri çalışmalarında kadınların %53.3'ünde TTT'nin sağlanmadığı saptanmıştır 15 . Etiyopya da yürütülen araştırmada da postpartum dönemde ten temasının uygulanma oranı %28.1 olarak belirtilmiştir 17 . Annelerin sürece hazır olmaması, uygulama konusundaki bilgi yetersizliği TTT'nin gerçekleştirilmesini engelleyebilmektedir.…”

Section: Discussionunclassified

“…Araştırmada primipar gebelerin TTT uygulamasının gerçekleştirilmesinde anlamlı düzeyde başarılı oldukları saptanmıştır. Ancak Bedaso ve arkadaşlarının yapmış olduğu araştırmada paritenin TTT uygulamasının gerçekleştirilmesinde bir etkisinin olmadığı belirtilmiştir 17 . Bu durum kadınların kişisel özelliklerine göre değişiklik gösterebilmektedir.…”

Section: Discussionunclassified

Vajinal Doğum Yapan Annelerin Ten Tene Temas ile İlgili Bilgi, Uygulama ve Engelleri

Mete

Güler²,

Akbağ

2021

Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi

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Bu araştırmanın amacı, vajinal doğum yapan kadınların yenidoğan ile ten tene temasları (kanguru anne bakımı) hakkında bilgilerini, uygulamalarını ve engellerini belirlemektir. Gereç ve Yöntem: Tanımlayıcı araştırmanın örneklemini bir kamu ve bir üniversite hastanesinde vajinal doğum yapan 108 kadın oluşturmuştur. Araştırmacılar tarafından oluşturulan veri formu kadınların tanıtıcı bilgilerini ve ten tene temas kavramı konusunda bilgi, uygulamalarına ve engellerine ilişkin verileri içermektedir. Veriler SPSS 15.0 programı kullanılarak değerlendirilmiş ve verilerin analizinde tanımlayıcı istatistikler ve kikare testi kullanılmıştır. Bulgular: Kadınlar doğumdan ortalama 32.74±25.61 dakika sonra bebeklerini kucaklarına aldıklarını ifade etmişlerdir. %13.0'ının ten tene temas uyguladığı belirlenmiştir. Kadınların ten tene temas tanımı ve yararları konusunda on üzerinden 1.07 puan ortalaması ile düşük düzeyde bilgiye sahip oldukları saptanmıştır. Kadınların %67.8'si ten tene temasın uygulanmasındaki engelin nedeni olarak ilk sırada bebeğinin giyinik olmasını belirtmişlerdir. Sonuç: Antenatal dönemde gebeler bilgilendirilmeli ve gebelerin farkındalıkları arttırılmalıdır. Bebeklerin giysileri olmadan bebeğin teninin anne tenine değmesi gerektiği anlatılmalı ve uygulamaları desteklenmelidir.

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Assessment of skin-to-skin contact (SSC) during the postpartum stay and its determinant factors among mothers at public health institutions in Ethiopia

Cited by 22 publications

References 17 publications

Health Professional Assisted Kangaroo Mother Care Practice in Ethiopian Health Facilities: Evidence from the 2016 Ethiopian Demographic and Health Survey Data

Health Professional Assisted Kangaroo Mother Care Practice in Ethiopian Health Facilities: Evidence from the 2016 Ethiopian Demographic and Health Survey Data

Prevalence and determinants of mother and newborn skin-to-skin contact in The Gambia: a secondary data analysis

Vajinal Doğum Yapan Annelerin Ten Tene Temas ile İlgili Bilgi, Uygulama ve Engelleri

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