scholarly journals Prevalence and factors associated with skin-to-skin contact (SSC) practice: findings from a population-based cross-sectional survey in 10 selected districts of Bangladesh

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nazia Binte Ali ◽  
Sabrina Sharmin Priyanka ◽  
Bal Ram Bhui ◽  
Samantha Herrera ◽  
Md. Rashidul Azad ◽  
...  
Keyword(s):  
Birth Outcome ◽  
Multivariable Analysis ◽  
Positive Association ◽  
Facility Delivery ◽  
Public Facility ◽  
Significant Positive Association ◽  
Factors Associated ◽  
Skin Contact ◽  
Birth Attendance ◽  
Skin To Skin

Abstract Background Skin-to-skin contact (SSC) practice improves newborn survival and child development through preventing hypothermia in newborns, improving early initiation of breastfeeding practice, and strengthening mother-child bonding. Despite having numerous benefits, it is one of the least practiced interventions in low and middle-income countries (1 to 74%). In Bangladesh, the prevalence of SSC was 26% in 2014. In this study, we aimed to estimate the prevalence of SSC in the study districts and identify factors that facilitate or inhibit SSC practice so that context-specific recommendations can be made to advance the use of this intervention. Methods We used baseline household survey data of USAID’s MaMoni MNCSP project conducted in 10 districts of Bangladesh in 2019. Our analysis included 13,695 recently delivered women (RDW) with a live birth outcome. Our primary outcome was the mother’s reported practice of SSC. We examined various antepartum, intrapartum, newborn, and sociodemographic factors associated with SSC using a multivariable generalized linear model. Our findings were reported using adjusted Prevalence Risk Ratios (aPRRs) and 95% Confidence Intervals (CIs). Results Overall, 28% of RDW reported practicing SSC across the 10 surveyed districts. Our multivariable analysis showed that public facility delivery (aPRR 2.01; 95%CI: 1.80, 2.26), private facility delivery (aPRR 1.23; 95%CI: 1.06, 1.42) and ≥ 4 antenatal care (ANC) visits at least one from a medically trained provider (MTP) (aPRR 1.17; 95%CI: 1.03, 1.26) had a significant positive association with SSC practice. Caesarean section (aPRR 0.64; 95%CI: 0.56, 0.73) had a significant negative association with SSC practice compared to vaginal births. We also found a significant positive association of SSC practice with mothers’ who perceived the birth size of their baby to be small, mothers with a higher education level (≥10 years), and mothers from households in the highest wealth quintile. Conclusions The prevalence of SSC is very low in the surveyed districts of Bangladesh. Considering the factors associated with SSC, relevant stakeholders need to increase their efforts on improving ANC and facility delivery coverages as well as improving SSC practice in the facilities especially after caesarean deliveries. Countries with a high burden of home deliveries, also need to emphasize community-based interventions and increasing coverage of skilled birth attendance for improving this life-saving intervention.

scholarly journals Prevalence and factors associated with skin-to-skin contact (SSC) practices: findings from a population-based cross-sectional survey in 10 selected districts of Bangladesh

2021 ◽  
Author(s):  
Nazia Binte Ali ◽  
Sabrina Sharmin Priyanka ◽  
Bal Ram Bhui ◽  
Samantha Herrera ◽  
Md. Rashidul Azad ◽  
...  
Keyword(s):  
Multivariable Analysis ◽  
Newborn Care ◽  
Positive Association ◽  
Facility Delivery ◽  
Public Facility ◽  
Significant Positive Association ◽  
Essential Newborn Care ◽  
Factors Associated ◽  
Skin Contact ◽  
Skin To Skin

Abstract Background: Skin-to-skin contact (SSC) is one of the eight proven Essential Newborn Care (ENC) practices that improve newborn survival. Despite having myriads of benefits, it is one of the least used ENC interventions especially in the low and middle-income countries (1% to 74%). In Bangladesh, the prevalence of SSC practices was 26% in 2014. To advance the use of this intervention, it is important to assess its prevalence within the population and to identify factors that facilitate or inhibit SSC practices in Bangladesh. Methods: We used baseline household survey data of USAID’s MaMoni MNCSP project conducted in 10 districts of Bangladesh in 2019. Our analysis included 13,695 recently delivered women (RDW) with a live birth outcome. Our primary outcome was the mother’s reported SSC practice. We examined various antepartum, intrapartum, newborn, and sociodemographic factors associated with SSC using a multivariable generalized linear model. Our findings were reported using adjusted Prevalence Risk Ratios (aPRRs) and 95% Confidence Intervals (CIs). Results: Overall, 28% of RDW reported practicing SSC across the 10 surveyed districts. Our multivariable analysis showed that public facility delivery (aPRR 2.01; 95%CI: 1.80, 2.26), private facility delivery (aPRR 1.23; 95%CI: 1.06, 1.42) and 4 antenatal care (ANC) visits at least one from a medically trained provider (MTP) (aPRR 1.17; 95%CI: 1.03, 1.26) had a significant positive association with SSC practices. Caesarean section (aPRR 0.64; 95%CI: 0.56, 0.73) had a significant negative association with SSC practices. We also found a significant positive association of SSC practices with mothers’ who perceived the birth size of their baby to be small, mothers with a higher education level (≥10 years), and mothers from households in the highest wealth quintile. Conclusions: The prevalence of SSC is very low in the surveyed districts of Bangladesh. Considering the factors associated with SSC, relevant stakeholders need to increase their efforts on improving ANC and facility delivery coverages as well as improving SSC practices in the facilities especially after caesarean deliveries. Countries with a high burden of home deliveries also need to emphasize community-based interventions and increasing coverage of skilled birth attendance for improving this life-saving intervention.

scholarly journals The influence of type of delivery, skin-to-skin contact and maternal nationality on breastfeeding rates at hospital discharge in a baby-friendly hospital in Italy

2019 ◽  
Vol 41 (1) ◽  
Author(s):  
Mauro Cinquetti ◽  
Anna Maria Colombari ◽  
Emanuela Battisti ◽  
Pierpaolo Marchetti ◽  
Giorgio Piacentini
Keyword(s):  
Cesarean Section ◽  
Hospital Discharge ◽  
Vaginal Delivery ◽  
Large Population ◽  
Positive Association ◽  
Skin Contact ◽  
Breastfeeding Practices ◽  
Foreign Nationality ◽  
Skin To Skin ◽  
Type Of Delivery

The aim of this epidemiological study is to evaluate how type of delivery, skin-to-skin contact and maternal nationality influence breastfeeding practices of newborns at discharge in a large population of babies born in the Baby-Friendly Hospital of San Bonifacio, Verona, Italy. Data were collected for all healthy newborns consecutively born over a period of three years, regarding type of delivery, feeding at hospital discharge, skin-to-skin procedure, and for a smaller group maternal nationality was recorded as well. The rate of exclusive breastfeeding in a group of 6017 newborns was 82.1%, higher among babies born by vaginal delivery than in those born by cesarean section (84.9% vs 65%; P<0.001). It was higher in those who had skin-to-skin contact than in those who did not, in both vaginal delivery (85.3% vs 69.2%; P<0.001) and cesarean section (67.7% vs 55.1%; P=0.009). Also, it was found to be higher in babies born to immigrant mothers than in those born to Italian mothers (89.9% vs 79.5%). Vaginal delivery, skin-to-skin contact and maternal foreign nationality have a positive association with breastfeeding at hospital discharge.

Attitudinal Factors Associated with Individual Faculty Research Productivity in Academic Dentistry

1993 ◽  
Vol 76 (3_suppl) ◽  
pp. 1191-1198 ◽  
Author(s):  
James E. Jones ◽  
Gerald C. Preusz
Keyword(s):  
Research Productivity ◽  
Response Rate ◽  
Positive Association ◽  
Full Time ◽  
Significant Positive Association ◽  
Factors Associated ◽  
Associate Dean ◽  
Attitudinal Factors ◽  
Faculty Research Productivity ◽  
Conducting Research

The purpose of this study was to examine attitudinal factors associated with increased research productivity of individual clinical faculty in 66 United States and Canadian schools of dentistry. Thirteen variables, evaluating the subjects perceptions of their research background, work environment, attitude and outcome effects from publishing, and the use of colleagues in conducting research, were evaluated. The 833 respondents represented a response rate of 64.9% (833/1200) from a 50% stratified random sample of faculty who (1) had full-time appointments and held at least the D.M.D. or D.D.S. degree or the foreign equivalent, (2) taught in a clinical department of the dental school, and (3) were not departmental chairpersons or administrators (assistant dean, associate dean, or dean). Respondents reported a mean of 10.3 yr. (range = 1 to 45, SD = 7.3) in full-time dental education (career age) and a mean of 10.1 career publications (range = 0 to 110, SD = 13.8). Analysis of variance for mean number of career publications, by increasing agreement in response to each attitudinal variable, yielded a significant positive association for each of the 13 attitudinal variables. Implications of the findings were discussed with respect to strategies for improving research productivity of individual faculty.

scholarly journals Determinants of early initiation of breastfeeding in Papua New Guinea: a population-based study using the 2016-2018 demographic and health survey data

2020 ◽  
Vol 78 (1) ◽  
Author(s):  
Abdul-Aziz Seidu ◽  
Bright Opoku Ahinkorah ◽  
Ebenezer Agbaglo ◽  
Louis Kobina Dadzie ◽  
Justice Kanor Tetteh ◽  
...  
Keyword(s):  
Papua New Guinea ◽  
Survey Data ◽  
New Guinea ◽  
Lower Odds ◽  
Factors Associated ◽  
Early Initiation Of Breastfeeding ◽  
Skin Contact ◽  
Health Survey Data ◽  
Skin To Skin ◽  
Initiation Of Breastfeeding

Abstract Background Initiation of breastfeeding after birth comes with a wide range of benefits to the child. For example, it provides the child with all essential nutrients needed for survival within the first six months of birth. This study sought to determine the prevalence and factors associated with early initiation of breastfeeding (EIB) in Papua New Guinea. Methods We utilized the Demographic and Health Survey data of 3198 childbearing women in Papua New Guinea. We employed descriptive and binary logistic regression analyses. We presented the results as Crude Odds Ratios (COR) and Adjusted Odds Ratios (AOR), with 95% confidence intervals (CI) signifying level of precision. Level of statistical significance was set at p < 0.05. Results Women aged 20–29 [AOR = 1.583, CI = 1.147–2.185] and those aged 30+ [AOR = 1.631, CI = 1.140–2.335] had higher odds of EIB, compared to those aged 15–19. Women from the Islands region had lower odds [AOR = 0.690, CI = 0.565–0.842] of EIB, compared to those in Southern region. Women who delivered through caesarean section had lower odds of EIB, compared to those who delivered via vaginal delivery [AOR = 0.286, CI = 0.182–0.451]. Relatedly, women who delivered in hospitals had lower odds of EIB [AOR = 0.752, CI = 0.624–0.905], compared to those who delivered at home. Women who practiced skin-to-skin contact with the baby [AOR = 1.640, CI = 1.385–1.942] had higher odds of EIB, compared to those who did not. Women who read newspaper or magazine at least once a week had lower odds of EIB [AOR = 0.781, CI = 0.619–0.986], compared to those who did not read newspaper at all. Conclusion The prevalence of EIB in Papua New Guinea was relatively high (60%). The factors associated with EIB are age of the women, region of residence, mode of delivery, place of delivery, practice of skin-to-skin contact with the baby, and exposure to mass media (newspaper). To increase EIB in Papua New Guinea, these factors ought to be considered in the implementation of policies and measures to strengthen existing policies. Health providers should educate mothers on the importance of EIB.

scholarly journals Coverage and factors associated with mother and newborn skin-to-skin contact in Nigeria: a multilevel analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Michael Ekholuenetale ◽  
Amadou Barrow ◽  
Faith Owunari Benebo ◽  
Ashibudike Francis Idebolo
Keyword(s):  
Formal Education ◽  
Statistical Significance ◽  
Study Data ◽  
Reproductive Age ◽  
High Rate ◽  
Outcome Variable ◽  
Factors Associated ◽  
Skin Contact ◽  
Individual Household ◽  
Skin To Skin

Abstract Background Mother and newborn skin-to-skin contact (SSC) is an immediate postpartum intervention known to improve the health of newborn and mothers alike. Albeit, there is paucity of data that explored the coverage or factors associated with SSC in Nigeria. Therefore, we aimed to explore the coverage and hierarchical nature of the factors associated with SSC among women of reproductive age in Nigeria. Methods The 2018 Nigeria Demographic and Health Survey (NDHS) data was used for this study. Data on 29,992 women who had ever given birth were extracted for analysis. SSC was the outcome variable as determined by women’s report. A multivariable multilevel logistic regression model was used to estimate the fixed and random effects of the factors associated with SSC. Statistical significance was determined at p< 0.05. Results The coverage of SSC was approximately 12.0%. Educated women had higher odds of SSC, when compared with women with no formal education. Those who delivered through caesarean section (CS) had 88% reduction in SSC, when compared with women who had vaginal delivery (OR= 0.12; 95%CI: 0.07, 0.22). Women who delivered at health facility were 15.58 times as likely to practice SSC, when compared with those who delivered at home (OR= 15.58; 95%CI: 10.64, 22.82). Adequate ANC visits and low birth weight significantly increased the odds of SSC. Women from richest household were 1.70 times as likely to practice SSC, when compared with women from poorest household (OR= 1.70; 95%CI: 1.04, 2.79). There was 65% reduction in SSC among women with high rate of community non-use of media, when compared with women from low rate of community non-use of media (OR= 0.35; 95%CI: 0.20, 0.61). Conclusion SSC coverage was low in Nigeria. Moreover, individual, household and community level factors were associated with SSC. More enlightenment should be created among women to bring to limelight the importance of SSC specifically to newborn’s health.

scholarly journals Factors associated with poor outcome in tuberculous meningitis; study from a tertiary care referral Centre from South India

2021 ◽  
Vol 9 (3) ◽  
pp. 146-153
Author(s):  
Neeharika L Mathukumalli ◽  
◽  
Sruthi Reddy Kola ◽  
Meena A Kanikannan ◽  
Suryaprabha Turaga ◽  
...  
Keyword(s):  
South India ◽  
Tertiary Care ◽  
Multivariable Analysis ◽  
Positive Association ◽  
Radiological Findings ◽  
Referral Centre ◽  
Significant Positive Association ◽  
Duration Of Symptoms ◽  
Poor Outcome ◽  
Spine Imaging

Introduction: Tuberculosis (TB) remains a worldwide burden with a large majority of new activecases occurring in underdeveloped and developing countries. This study is an attempt to look intovarious aspects of the disease that can be associated with the outcome, to promote a timely referralto an appropriate centre. Purpose: To identify various clinical, lab, CSF and radiological variablesassociated with poor outcome of TBM at the time of discharge. Material & Methods: Demographicdata, duration of symptoms before diagnosis, clinical presentation, staging of the disease at the timeof admission of all the TBM patients who presented to our centre between December, 2015 and May2018 were noted. Results of biochemical investigations and brain and spine imaging were retrieved.Outcome at the time of discharge as measured by MRC and mRS grades was correlated to clinicalprofile, lab, CSF and radiological findings. Results: A total of 100 patients were included. 15patients died. Subjects with MRC and mRS grades of 2 or more at admission constituted 65% and93% respectively. At discharge, MRC and mRS grades of 2 or more were found in 29.63% and 39%respectively. Multivariable analysis showed a significant positive association of MRC stage atdischarge with MRC stage (p = 0.001) and mRS score (p = 0.001) at admission and Vellorehydrocephalus grade (p < 0.001) when hydrocephalus first identified. Conclusion: Stage of thedisease (MRC) and functional status of the patient (mRS) at admission are the two most importantindependent factors determining the outcome of TBM patients at the time of discharge.

scholarly journals Metabolic Syndrome in Arab Adults with Low Bone Mineral Density

Nutrients ◽  
2019 ◽  
Vol 11 (6) ◽  
pp. 1405 ◽  
Author(s):  
Kaiser Wani ◽  
Sobhy M. Yakout ◽  
Mohammed Ghouse Ahmed Ansari ◽  
Shaun Sabico ◽  
Syed Danish Hussain ◽  
...  
Keyword(s):  
Risk Factors ◽  
Bone Mineral Density ◽  
Metabolic Syndrome ◽  
Bone Loss ◽  
Central Obesity ◽  
Positive Association ◽  
Mineral Density ◽  
Significant Positive Association ◽  
Factors Associated ◽  
T Score

There are discrepancies in the reports on the association of metabolic syndrome (MetS) and its components with bone mineral density (BMD) and hence more population-based studies on this subject are needed. In this context, this observational study was aimed to investigate the association between T-scores of BMD at lumbar L1–L4 and full MetS and its individual components. A total of 1587 participants (84.7% females), >35 years and with risk factors associated with bone loss were recruited from February 2013 to August 2016. BMD was done at L1–L4 using dual-energy X-ray absorptiometry (DXA). T-Scores were calculated. Fasting blood samples and anthropometrics were done at recruitment. Fasting lipid profile and glucose were measured. Screening for full MetS and its components was done according to the National Cholesterol Education Programme Adult Treatment Panel III (NCEP ATP III) criteria. Logistic regression analysis revealed that the odds of having full MetS increased significantly from the lowest T-score tertile to the highest one in both sexes (OR, odd ratio (95% CI, confidence interval) of tertile 2 and 3 at 1.49 (0.8 to 2.8) and 2.46 (1.3 to 4.7), p = 0.02 in males and 1.35 (1.0 to 1.7) and 1.45 (1.1 to1.9), p < 0.01 in females). The odds remained significant even after adjustments with age, body mass index (BMI), and other risk factors associated with bone loss. Among the components of MetS, only central obesity showed a significant positive association with T-score. The study suggests a significant positive association of T-score (spine) with full MetS irrespective of sex, and among the components of MetS this positive association was seen specifically with central obesity.

scholarly journals Time to surgery following chronic subdural hematoma: post hoc analysis of a prospective cohort study

2019 ◽  
Vol 1 (1) ◽  
pp. e000012
Author(s):  
Sara Venturini ◽  
Daniel M Fountain ◽  
Laurence J Glancz ◽  
Laurent J Livermore ◽  
Ian C Coulter ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Subdural Hematoma ◽  
Multivariable Analysis ◽  
Chronic Subdural Hematoma ◽  
Positive Association ◽  
Multivariable Logistic Regression Analysis ◽  
Significant Positive Association ◽  
Time To Surgery ◽  
Factors Influencing ◽  
The Impact

BackgroundChronic subdural hematoma (CSDH) is a common neurological condition; surgical evacuation is the mainstay of treatment for symptomatic patients. No clear evidence exists regarding the impact of timing of surgery on outcomes. We investigated factors influencing time to surgery and its impact on outcomes of interest.MethodsPatients with CSDH who underwent burr-hole craniostomy were included. This is a subset of data from a prospective observational study conducted in the UK. Logistic mixed modelling was performed to examine the factors influencing time to surgery. The impact of time to surgery on discharge modified Rankin Scale (mRS), complications, recurrence, length of stay and survival was investigated with multivariable logistic regression analysis.Results656 patients were included. Time to surgery ranged from 0 to 44 days (median 1, IQR 1–3). Older age, more favorable mRS on admission, high preoperative Glasgow Coma Scale score, use of antiplatelet medications, comorbidities and bilateral hematomas were associated with increased time to surgery. Time to surgery showed a significant positive association with length of stay; it was not associated with outcome, complication rate, reoperation rate, or survival on multivariable analysis. There was a trend for patients with time to surgery of ≥7 days to have lower odds of favorable outcome at discharge (p=0.061).ConclusionsThis study provides evidence that time to surgery does not substantially impact on outcomes following CSDH. However, increasing time to surgery is associated with increasing length of stay. These results should not encourage delaying operations for patients when they are clinically indicated.

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