Disposable clean delivery kits and prevention of neonatal tetanus in the presence of skilled birth attendants
作者： Syed A. Raza , Bilal I. Avan
DOI: 10.1016/J.IJGO.2012.07.030
关键词:
摘要: OBJECTIVE: To determine whether the use of disposable clean delivery kits (CDKs) is effective in reducing neonatal tetanus (NNT) infection regardless skills birth attendants resource-poor settings. METHODS: A secondary analysis was conducted on data from a matched case-control study Karachi Pakistan involving 140 NNT cases and 280 controls between 1998 2001. Conditional logistic regression performed to assess independent effect CDKs skilled (SBAs). RESULTS: After adjustment for socioeconomic factors both (adjusted odds ratio [mOR] 2.0; 95% confidence interval [CI] 1.3-3.1) SBAs mOR 1.7; CI 1.1-2.7) were independently associated with NNT. The association remained significant when additionally adjusted (mOR 1.0-3.9; P=0.05). population attributable risk lack CDK 24% setting. CONCLUSION: In context settings low-income countries poor coverage toxoid immunization seems be an strategy irrespective skill levels attendants. Approximately one-quarter could prevented populations CDKs. Copyright (c) 2012 International Federation Gynecology Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
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sci-hub.se 参考文章(23)
Hua Jz, Current status of maternal health care in China. Chinese Medical Journal. ,vol. 107, pp. 388- 390 ,(1994)
Bilal Iqbal Avan, M H Rahbar, S A Raza, H Hamza, S Akhtar, A matched case-control study of risk factors for neonatal tetanus in Karachi, Pakistan Journal of Postgraduate Medicine. ,vol. 50, pp. 247- 252 ,(2004)
Gary L. Darmstadt, Mohamed Hassan Hussein, Peter J. Winch, Rachel A. Haws, Mohsen Lamia, Mohsen A. El-Said, Reginald F. Gipson, Mathuram Santosham, Neonatal home care practices in rural Egypt during the first week of life Tropical Medicine & International Health. ,vol. 12, pp. 783- 797 ,(2007) , 10.1111/J.1365-3156.2007.01849.X
John B. McKinlay, From "promising report" to "standard procedure": seven stages in the career of a medical innovation. Milbank Quarterly. ,vol. 59, pp. 374- 411 ,(1981) , 10.2307/3349685
Vanora A. Hundley, Bilal I. Avan, David Braunholtz, Ann E. Fitzmaurice, Wendy J. Graham, Lessons regarding the use of birth kits in low resource countries. Midwifery. ,vol. 27, ,(2011) , 10.1016/J.MIDW.2010.10.003
Trevor Duke, Julian Kelly, Martin Weber, Mike English, Harry Campbell, Hospital care for children in developing countries: clinical guidelines and the need for evidence. Journal of Tropical Pediatrics. ,vol. 52, pp. 1- 2 ,(2006) , 10.1093/TROPEJ/FMK006
Hamid Hassan, Abdul Hakeem Jokhio, Heather Winter, Christine MacArthur, Safe delivery and newborn care practices in Sindh, Pakistan: a community-based investigation of mothers and health workers Midwifery. ,vol. 28, pp. 466- 471 ,(2012) , 10.1016/J.MIDW.2011.06.012
Harry Campbell, Trevor Duke, Martin Weber, Mike English, Susanne Carai, Giorgio Tamburlini, Pediatric Hospital Improvement Group, None, Global initiatives for improving hospital care for children: state of the art and future prospects. Pediatrics. ,vol. 121, ,(2008) , 10.1542/PEDS.2007-1395
Artur M. Galazka, Control of neonatal tetanus. Indian Journal of Pediatrics. ,vol. 52, pp. 329- 341 ,(1985) , 10.1007/BF02806614
Abdul Hakeem Jokhio, Heather R. Winter, Kar Keung Cheng, An intervention involving traditional birth attendants and perinatal and maternal mortality in Pakistan. The New England Journal of Medicine. ,vol. 352, pp. 2091- 2099 ,(2005) , 10.1056/NEJMSA042830