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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Use of A Clean Delivery Kit and Factors Associated with Cord Infection and Puerperal Sepsis in Mwanza, Tanzania
Journal of Midwifery and Women's Health, Volume 52, No. 1, Year 2007
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Description
Our objective was to determine the effectiveness of an intervention that incorporated education about the "six cleans" with the use of a clean delivery kit in preventing cord infection and puerperal sepsis. A stepped-wedge, cross-sectional study was conducted in 10 surveillance sites across two rural districts of Mwanza Region, Tanzania. A total of 3262 pregnant women between the ages of 17 and 45 years were enrolled in the study. Village health workers administered questionnaires to each mother at 5 days postpartum and inspected the infants' umbilical cord stumps for signs of infection. Newborns whose mothers used the delivery kit were 13.1 times less likely to develop cord infection than infants whose mothers did not use the kit. Furthermore, women who used the kit for delivery were 3.2 times less likely to develop puerperal sepsis than women who did not use the kit. Women who bathed before delivery were 2.6 times less likely to develop puerperal sepsis than women who did not bathe, and their infants were 3.9 times less likely to develop cord infection. Single-use delivery kits, when combined with education about clean delivery, can have a positive impact on the health of women and their newborns by significantly decreasing the likelihood of developing puerperal sepsis or cord infection. © 2007 American College of Nurse-Midwives.
Authors & Co-Authors
Winani, Samson
Unknown Affiliation
Wood, Siri K.
Unknown Affiliation
Coffey, Patricia S.
Unknown Affiliation
Chirwa, Tobias Freeman
Unknown Affiliation
Mosha, Frank F.
Unknown Affiliation
Changalucha, John M.
Unknown Affiliation
Statistics
Citations: 82
Authors: 6
Identifiers
Doi:
10.1016/j.jmwh.2006.09.004
ISSN:
15269523
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Randomised Control Trial
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Tanzania
Participants Gender
Female