Journal of Obstetric, Gynecologic & Neonatal Nursing
RESEARCHNoninstitutional Births and Newborn Care Practices Among Adolescent Mothers in Bangladesh
Section snippets
Data Sources
We used data from the 2007 Bangladesh Demographic Health Survey (BDHS), conducted by the NIPORT of the Ministry of Health and Family Welfare of Bangladesh from March 24 to August 11, 2007. Data collection procedures for the BDHS were approved by the ORC Macro Institutional Review Board. The BDHS sample was drawn from all Bangladeshi adults who reside in private dwellings. A stratified, multistage cluster sample of 361 Primary Sampling Units (PSUs), 134 in urban areas and 227 in rural areas, was
Complete Cord Care
In the adjusted model, frequency of mass media exposure of watching television regularly (OR=1.5, 95% CI [1.22, 2.93]) was the only sociodemographic factor found to be associated with complete cord care. Complete cord care was associated with receiving sufficient ANC (OR=1.7, 95% CI [1.23, 2.76]) and birth assisted by MTP (OR=1.7, 95% CI [1.11, 2.26]; Table 4).
Complete Thermal Protection
Mothers with secondary educational level (OR=2.5, 95% CI [1.58, 2.68]) and those belonging to the richest quintile index (OR=1.7, 95% CI
Discussion
Findings indicated that only 42.8% of adolescent mothers reported complete cord care practices of their newborn. Sufficient ANC and births assisted by MTP improved complete cord care practices among these adolescent mothers. A study in rural India also reported that ANC and skilled attendances at birth were significantly associated with clean cord care (Baqui et al., 2007). It was expected that ANC visits would have a positive effect on newborn care practices. With adequate counseling during
Conclusions
The majority of the adolescent mothers in Bangladesh with home deliveries practiced many unsafe essential and preventive newborn care behaviors, such as use of untrained attendants, unsafe cord care, and immediate bathing of the baby. Higher levels of maternal education and higher socioeconomic status were associated with complete thermal protection and postnatal care within the recommended time, but not with complete cord care and early breastfeeding. The most promising findings of the present
Acknowledgments
The authors acknowledge the MEASURE DHS for providing the data set and all individuals and institutions in Bangladesh involved in the implementation of the 2007 BDHS.
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