Maternal and child factors associated with late neonatal bathing practices in Nigeria: evidence from a national survey

Reproductive Health

Research

Andrews Ohene Darteh¹  Justice Ofosu Darko Fenteng¹  Kingsley Boakye²  Patience Ansomah Ayerakwah³  Kenneth Setorwu Adde⁴  Tarif Salihu⁴  Francis Appiah⁵  Edward Kwabena Ameyaw⁶ 

[1] Berekum College of Education, Berekum, Bono Region, Ghana;Department of Epidemiology and Biostatistics, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ashanti Region, Ghana;Department of Optometry, University of Cape Coast, Cape Coast, Central Region, Ghana;Department of Population and Health, College of Humanities and Legal Studies, University of Cape Coast, Cape Coast, Central Region, Ghana;Department of Population and Health, College of Humanities and Legal Studies, University of Cape Coast, Cape Coast, Central Region, Ghana;Berekum College of Education, Berekum, Bono Region, Ghana;School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ashanti Region, Ghana;School of Public Health, Faculty of Health, University of Technology Sydney, Sydney, Australia;L & E Research Consult Ltd, Wa, Upper West Region, Ghana;

关键词: Late neonatal bathing;    Maternal and child factors;    Nigerian Demographic and Health Survey;    Neonatal health;    Reproductive health;   

DOI  :  10.1186/s12978-023-01676-y

 received in 2022-02-20, accepted in 2023-08-24,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundTwohundred and seventy out of every thousand live births died in Nigeria in 2019. These deaths were attributable to infections, complications of preterm birth, and intrapartum-related conditions. The World Health Organization recommends withholding bathing of neonates until 24 h after birth or until their vital signs become stable to prevent hypothermia. Despite the link between neonatal bathing and thermal control, the subject is understudied in Nigeria. This study aimed at investigating the factors associated with late neonatal bathing practices in Nigeria.MethodsThe study adopted a cross-sectional design and extracted data from the women’s file of the 2018 Nigerian Demographic and Health Survey. The unit of analysis was limited to 12,972 women who had complete data for the study. We applied chi-square test of independence to ascertain the association between the outcome variable and explanatory variables. At 95% confidence interval, two logistic regression models were built with Model I consisting of only maternal factors whilst Model II contained both maternal and child factors, and results were presented in adjusted odds ratio.ResultsDescriptively, 12% (CI = 0.122–0.134) of the women bathed their neonates after 24 h of delivery. Inferentially, women with secondary/higher education [AOR = 1.30, CI = 1.05–1.61], the rich [AOR = 1.24, CI = 1.03–1.50], those with access to mass media [AOR = 131, CI = 1.15–1.50], women that professed other religions [AOR = 9.28, CI = 4.24–17.56], those who delivered in a health facility [AOR = 1.93, CI = 1.66–2.25], whose child was small in size at birth [AOR = 1.46, CI = 1.21–1.77] and delivered by caesarean section [AOR = 2.50, CI = 1.97–3.18] had higher odds of bathing their neonates 24 h after birth.ConclusionsThe proportion of women who practised late neonatal bathing was generally low. To improve the practice of late neonatal bathing, much-concerted effort should be directed to women’s education and approaches to increasing receptivity of late neonatal bathing among pregnant women through the media. The Nigerian Ministry of Health should incorporate routine counselling on the risks of bathing newborns prematurely into antenatal and postnatal care services.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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