Determinants of essential newborn care for institutional births in Bangladesh: Findings from the 2019 MICS Survey

Global pediatrics Pub Date : 2025-02-04 DOI:10.1016/j.gpeds.2025.100246

Syeda Sumaiya Efa , Syed Nafi Mahdee , Md Fuad Al Fidah

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Abstract

Background

Millions of newborns die globally during the neonatal period. Essential newborn care (ENC) is designed to lower neonatal morbidity and mortality. The current study investigated the association between sociodemographic, antenatal, and delivery care factors that may impact ENC practices for institutional birth in Bangladesh.

Methods

The current study utilized publicly available, nationally representative data. A total of 404 participants were considered for analysis. A logistic regression model was developed, with significant variables identified by chi-square tests. A p-value <0.05 was considered statistically significant (α=0.05).

Results

Almost half of the participants were <20 years old (241, 59.7 %), half had secondary level education (205, 50.7 %), and one-third were from the poorest wealth quintile (123, 30.4 %). The prevalence of proper ENC was 57 (14.1 %). In 383 (94.8 %) cases, instruments were utilized to cut the umbilical cord, with 271 (67.1 %) showing no application of substances to the cord stump. Following birth, 396 (98.0 %) newborns underwent drying, while 294 (72.8 %) were immediately wrapped. Delayed bathing was observed in 131 (32.4 %) cases, with 359 (89.9 %) initiating breastfeeding. Proper ENC was associated with assistance by skilled birth attendant (SBA) (p = 0.004) and residence (p = 0.047). Higher odds of proper ENC were found among those who received assistance by SBA (AOR: 2.39; 95 % CI: 1.32–4.32; p = 0.004) and belonging to the middle class (AOR: 2.90; 95 % CI: 1.26–6.68; p-value=0.012).

Conclusion

Proper ENC in institutional birth is not widely practiced in Bangladesh. Targeted health promotional activities and policies, especially assistance by a SBA and raising awareness among mothers of the poorest families, can help to improve ENC practices during institutional birth.

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孟加拉国机构分娩基本新生儿护理的决定因素：2019年多指标类集调查的结果

全球有数百万新生儿在新生儿期死亡。新生儿基本护理（ENC）旨在降低新生儿发病率和死亡率。目前的研究调查了社会人口统计学、产前和分娩护理因素之间的关系，这些因素可能影响孟加拉国机构分娩的ENC实践。方法目前的研究使用了公开的、具有全国代表性的数据。总共有404名参与者被考虑进行分析。建立了逻辑回归模型，通过卡方检验确定了显著变量。p值<；0.05认为有统计学意义（α=0.05）。结果几乎一半的参与者年龄在20岁（241,59.7%），一半受过中等教育（205,50.7%），三分之一来自最贫穷的五分之一（123,30.4%）。适当ENC的患病率为57例（14.1%）。在383例（94.8%）病例中，使用仪器切断脐带，271例（67.1%）显示没有在脐带残端应用物质。出生后，396（98.0%）新生儿接受干燥，294（72.8%）立即包裹。131例（32.4%）延迟洗澡，359例（89.9%）开始母乳喂养。适当的ENC与熟练接生员的协助（p = 0.004）和居住地（p = 0.047）相关。在接受SBA援助的人群中，发现适当ENC的几率较高(AOR: 2.39；95% ci: 1.32-4.32；p = 0.004)，属于中产阶级(AOR: 2.90；95% ci: 1.26-6.68；假定值= 0.012)。结论在孟加拉国，机构分娩中适当的ENC并未广泛实施。有针对性的健康促进活动和政策，特别是小企业管理局的援助和提高最贫困家庭母亲的认识，可以帮助改进机构分娩期间的ENC做法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Global pediatrics Perinatology, Pediatrics and Child Health

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