Impact of Clean Delivery-kit use on Newborn Umbilical Cord and Maternal Puerperal Infections in Egypt
This cross-sectional cohort study explored the impact of the use of clean delivery-kit (CDK) on morbidity due to newborn umbilical cord and maternal puerperal infections. Kits were distributed from primary-care facilities, and birth attendants received training on kit-use. A nurse visited 334 women...
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Veröffentlicht in: | Journal of health, population and nutrition population and nutrition, 2009-12, Vol.27 (6), p.746-754 |
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description | This cross-sectional cohort study explored the impact of the use of clean delivery-kit (CDK) on morbidity due to newborn umbilical cord and maternal puerperal infections. Kits were distributed from primary-care facilities, and birth attendants received training on kit-use. A nurse visited 334 women during the first week postpartum to administer a structured questionnaire and conduct a physical examination of the neonate and the mother. Results of bivariate analysis showed that neonates of mothers who used a CDK were less likely to develop cord infection (p=0.025), and mothers who used a CDK were less likely to develop puerperal sepsis (p=0.024). Results of multiple logistic regression analysis showed an independent association between decreased cord infection and kit-use [odds ratio (OR)=0.42, 95% confidence interval (CI) 0.18-0.97, p=0.041)]. Mothers who used a CDK also had considerably lower rates of puerperal infection (OR=0.11, 95% CI 0.01-1.06), although the statistical strength of the association was of borderline significance (p=0.057). The use of CDK was associated with reductions in umbilical cord and puerperal infections. |
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Kits were distributed from primary-care facilities, and birth attendants received training on kit-use. A nurse visited 334 women during the first week postpartum to administer a structured questionnaire and conduct a physical examination of the neonate and the mother. Results of bivariate analysis showed that neonates of mothers who used a CDK were less likely to develop cord infection (p=0.025), and mothers who used a CDK were less likely to develop puerperal sepsis (p=0.024). Results of multiple logistic regression analysis showed an independent association between decreased cord infection and kit-use [odds ratio (OR)=0.42, 95% confidence interval (CI) 0.18-0.97, p=0.041)]. Mothers who used a CDK also had considerably lower rates of puerperal infection (OR=0.11, 95% CI 0.01-1.06), although the statistical strength of the association was of borderline significance (p=0.057). The use of CDK was associated with reductions in umbilical cord and puerperal infections.</description><identifier>ISSN: 1606-0997</identifier><identifier>EISSN: 2072-1315</identifier><identifier>PMID: 20099758</identifier><language>eng</language><publisher>Bangladesh: ICDDR,B: Centre for Health and Population Research</publisher><subject>Adolescent ; Adult ; Bacterial infections ; Bivariate analysis ; Care and treatment ; Cohort Studies ; Community Health Workers ; Confidence intervals ; Cross-Sectional Studies ; Death ; Delivery, Obstetric - instrumentation ; Delivery, Obstetric - standards ; Egypt ; Female ; Health care delivery ; Health Surveys ; Humans ; Infant, Newborn ; Infant, Newborn, Diseases - prevention & control ; Infants ; Infection ; Infections ; Logistic Models ; Male ; Maternal & child health ; Medical equipment ; Medical examinations ; Midwifery ; Morbidity ; Mothers ; Newborn babies ; Newborns ; Nurses ; Original Papers ; Patient outcomes ; Physiological apparatus ; Pregnancy ; Prevention ; Puerperal fever ; Puerperal infection ; Puerperal Infection - prevention & control ; Risk factors ; Sepsis ; Sepsis - blood ; Sepsis - prevention & control ; Statistics ; Studies ; Surveys and Questionnaires ; Umbilical cord ; Umbilical Cord - microbiology ; Vascular Diseases - prevention & control ; Young Adult</subject><ispartof>Journal of health, population and nutrition, 2009-12, Vol.27 (6), p.746-754</ispartof><rights>Copyright © 2009 International Centre for Diarrhoeal Disease Research</rights><rights>COPYRIGHT 2009 BioMed Central Ltd.</rights><rights>Copyright Intenational Centre for Diarrhoeal Disease Research, Bangladesh Dec 2009</rights><rights>INTERNATIONAL CENTRE FOR DIARRHOEAL DISEASE RESEARCH, BANGLADESH 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/23499785$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/23499785$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,315,728,781,785,804,886,12851,31004,31005,53796,53798,58022,58255</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20099758$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Darmstadt, Gary L.</creatorcontrib><creatorcontrib>Hassan, Mohamed</creatorcontrib><creatorcontrib>Balsara, Zohra P.</creatorcontrib><creatorcontrib>Winch, Peter J.</creatorcontrib><creatorcontrib>Gipson, Reginald</creatorcontrib><creatorcontrib>Santosham, Mathuram</creatorcontrib><title>Impact of Clean Delivery-kit use on Newborn Umbilical Cord and Maternal Puerperal Infections in Egypt</title><title>Journal of health, population and nutrition</title><addtitle>J Health Popul Nutr</addtitle><description>This cross-sectional cohort study explored the impact of the use of clean delivery-kit (CDK) on morbidity due to newborn umbilical cord and maternal puerperal infections. Kits were distributed from primary-care facilities, and birth attendants received training on kit-use. A nurse visited 334 women during the first week postpartum to administer a structured questionnaire and conduct a physical examination of the neonate and the mother. Results of bivariate analysis showed that neonates of mothers who used a CDK were less likely to develop cord infection (p=0.025), and mothers who used a CDK were less likely to develop puerperal sepsis (p=0.024). Results of multiple logistic regression analysis showed an independent association between decreased cord infection and kit-use [odds ratio (OR)=0.42, 95% confidence interval (CI) 0.18-0.97, p=0.041)]. Mothers who used a CDK also had considerably lower rates of puerperal infection (OR=0.11, 95% CI 0.01-1.06), although the statistical strength of the association was of borderline significance (p=0.057). The use of CDK was associated with reductions in umbilical cord and puerperal infections.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Bacterial infections</subject><subject>Bivariate analysis</subject><subject>Care and treatment</subject><subject>Cohort Studies</subject><subject>Community Health Workers</subject><subject>Confidence intervals</subject><subject>Cross-Sectional Studies</subject><subject>Death</subject><subject>Delivery, Obstetric - instrumentation</subject><subject>Delivery, Obstetric - standards</subject><subject>Egypt</subject><subject>Female</subject><subject>Health care delivery</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Newborn, Diseases - prevention & control</subject><subject>Infants</subject><subject>Infection</subject><subject>Infections</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Maternal & child health</subject><subject>Medical equipment</subject><subject>Medical examinations</subject><subject>Midwifery</subject><subject>Morbidity</subject><subject>Mothers</subject><subject>Newborn babies</subject><subject>Newborns</subject><subject>Nurses</subject><subject>Original Papers</subject><subject>Patient outcomes</subject><subject>Physiological apparatus</subject><subject>Pregnancy</subject><subject>Prevention</subject><subject>Puerperal fever</subject><subject>Puerperal infection</subject><subject>Puerperal Infection - prevention & control</subject><subject>Risk factors</subject><subject>Sepsis</subject><subject>Sepsis - blood</subject><subject>Sepsis - prevention & control</subject><subject>Statistics</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Umbilical cord</subject><subject>Umbilical Cord - microbiology</subject><subject>Vascular Diseases - prevention & control</subject><subject>Young Adult</subject><issn>1606-0997</issn><issn>2072-1315</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkttu1DAQhiMEotvCI4AskEBcBPkQJ_FNpWopsFI5COi15TjjXS-JHWKnZd8eL1ugQUjIF7b--eaf0YzvZAuKK5oTRvjdbEFKXOZYiOooOw5hizEVuKb3syOK9yqvFxms-kHpiLxByw6UQ6-gs1cw7vKvNqIpAPIOvYfrxo8OXfaN7axWHVr6sUXKteidijC6pHycYBxgTK-VM6Cj9S4g69D5ejfEB9k9o7oAD2_uk-zy9fmX5dv84sOb1fLsIl8XVR1zw42oGgqFrkouBDeqrRtdKm5YWSuuiKaMFVXVtI3SjJgCG40xg4a0TJdEs5Ps9OA7TE0PrQYXU0dyGG2vxp30ysp5xNmNXPsrSQWtCaHJ4PmNwei_TRCi7G3Q0HXKgZ-CFESIUvCa_JesGCspFVwk8slf5NZP-5kFSdNGRInFvvDTA7RWHUjrjE_96b2lPKOk5qnBok7Uy39Q6bTQW-0dGJv0WcKLWUJiInyPazWFIFefP83ZZ7fYDaguboLvpp-rnIOPb0_593h__aoEPDoA2xD9-CfOihSvOfsBYm3Q7Q</recordid><startdate>20091201</startdate><enddate>20091201</enddate><creator>Darmstadt, Gary L.</creator><creator>Hassan, Mohamed</creator><creator>Balsara, Zohra P.</creator><creator>Winch, Peter J.</creator><creator>Gipson, Reginald</creator><creator>Santosham, Mathuram</creator><general>ICDDR,B: Centre for Health and Population Research</general><general>BioMed Central Ltd</general><general>BioMed Central</general><general>International Centre for Diarrhoeal Disease Research, Bangladesh</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>ISR</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7QL</scope><scope>7RQ</scope><scope>7RV</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>88J</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20091201</creationdate><title>Impact of Clean Delivery-kit use on Newborn Umbilical Cord and Maternal Puerperal Infections in Egypt</title><author>Darmstadt, Gary L. ; Hassan, Mohamed ; Balsara, Zohra P. ; Winch, Peter J. ; Gipson, Reginald ; Santosham, Mathuram</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g478t-f5f97b2e4c765995fad8bc6a5f368a5a1c233477bdbac31f40fc003eb1d3c61c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Bacterial infections</topic><topic>Bivariate analysis</topic><topic>Care and treatment</topic><topic>Cohort Studies</topic><topic>Community Health Workers</topic><topic>Confidence intervals</topic><topic>Cross-Sectional Studies</topic><topic>Death</topic><topic>Delivery, Obstetric - instrumentation</topic><topic>Delivery, Obstetric - standards</topic><topic>Egypt</topic><topic>Female</topic><topic>Health care delivery</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Newborn, Diseases - prevention & control</topic><topic>Infants</topic><topic>Infection</topic><topic>Infections</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Maternal & child health</topic><topic>Medical equipment</topic><topic>Medical examinations</topic><topic>Midwifery</topic><topic>Morbidity</topic><topic>Mothers</topic><topic>Newborn babies</topic><topic>Newborns</topic><topic>Nurses</topic><topic>Original Papers</topic><topic>Patient outcomes</topic><topic>Physiological apparatus</topic><topic>Pregnancy</topic><topic>Prevention</topic><topic>Puerperal fever</topic><topic>Puerperal infection</topic><topic>Puerperal Infection - prevention & control</topic><topic>Risk factors</topic><topic>Sepsis</topic><topic>Sepsis - blood</topic><topic>Sepsis - prevention & control</topic><topic>Statistics</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>Umbilical cord</topic><topic>Umbilical Cord - microbiology</topic><topic>Vascular Diseases - prevention & control</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Darmstadt, Gary L.</creatorcontrib><creatorcontrib>Hassan, Mohamed</creatorcontrib><creatorcontrib>Balsara, Zohra P.</creatorcontrib><creatorcontrib>Winch, Peter J.</creatorcontrib><creatorcontrib>Gipson, Reginald</creatorcontrib><creatorcontrib>Santosham, Mathuram</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Gale In Context: Science</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of health, population and nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Darmstadt, Gary L.</au><au>Hassan, Mohamed</au><au>Balsara, Zohra P.</au><au>Winch, Peter J.</au><au>Gipson, Reginald</au><au>Santosham, Mathuram</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of Clean Delivery-kit use on Newborn Umbilical Cord and Maternal Puerperal Infections in Egypt</atitle><jtitle>Journal of health, population and nutrition</jtitle><addtitle>J Health Popul Nutr</addtitle><date>2009-12-01</date><risdate>2009</risdate><volume>27</volume><issue>6</issue><spage>746</spage><epage>754</epage><pages>746-754</pages><issn>1606-0997</issn><eissn>2072-1315</eissn><abstract>This cross-sectional cohort study explored the impact of the use of clean delivery-kit (CDK) on morbidity due to newborn umbilical cord and maternal puerperal infections. Kits were distributed from primary-care facilities, and birth attendants received training on kit-use. A nurse visited 334 women during the first week postpartum to administer a structured questionnaire and conduct a physical examination of the neonate and the mother. Results of bivariate analysis showed that neonates of mothers who used a CDK were less likely to develop cord infection (p=0.025), and mothers who used a CDK were less likely to develop puerperal sepsis (p=0.024). Results of multiple logistic regression analysis showed an independent association between decreased cord infection and kit-use [odds ratio (OR)=0.42, 95% confidence interval (CI) 0.18-0.97, p=0.041)]. Mothers who used a CDK also had considerably lower rates of puerperal infection (OR=0.11, 95% CI 0.01-1.06), although the statistical strength of the association was of borderline significance (p=0.057). The use of CDK was associated with reductions in umbilical cord and puerperal infections.</abstract><cop>Bangladesh</cop><pub>ICDDR,B: Centre for Health and Population Research</pub><pmid>20099758</pmid><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Bacterial infections Bivariate analysis Care and treatment Cohort Studies Community Health Workers Confidence intervals Cross-Sectional Studies Death Delivery, Obstetric - instrumentation Delivery, Obstetric - standards Egypt Female Health care delivery Health Surveys Humans Infant, Newborn Infant, Newborn, Diseases - prevention & control Infants Infection Infections Logistic Models Male Maternal & child health Medical equipment Medical examinations Midwifery Morbidity Mothers Newborn babies Newborns Nurses Original Papers Patient outcomes Physiological apparatus Pregnancy Prevention Puerperal fever Puerperal infection Puerperal Infection - prevention & control Risk factors Sepsis Sepsis - blood Sepsis - prevention & control Statistics Studies Surveys and Questionnaires Umbilical cord Umbilical Cord - microbiology Vascular Diseases - prevention & control Young Adult |
title | Impact of Clean Delivery-kit use on Newborn Umbilical Cord and Maternal Puerperal Infections in Egypt |
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