Impact of clean delivery-kit use on newborn umbilical cord and maternal puerperal infections in Egypt

Gary L. Darmstadt, Mohamed Hassan, Zohra P. Balsara, Peter J. Winch, Reginald Gipson, Mathuram Santosham

Research output: Contribution to journalArticle

Abstract

This cross-sectional cohort study explored the impact of the use of clean delivery-kit (CDK) on morbidity due to newborn umbilical cord and maternal puerperal infections. Kits were distributed from primary-care facilities, and birth attendants received training on kit-use. A nurse visited 334 women during the first week postpartum to administer a structured questionnaire and conduct a physical examination of the neonate and the mother. Results of bivariate analysis showed that neonates of mothers who used a CDK were less likely to develop cord infection (p=0.025), and mothers who used a CDK were less likely to develop puerperal sepsis (p=0.024). Results of multiple logistic regression analysis showed an independent association between decreased cord infection and kit-use [odds ratio (OR)=0.42, 95% confidence interval (CI) 0.18-0.97, p=0.041)]. Mothers who used a CDK also had considerably lower rates of puerperal infection (OR=0.11, 95% CI 0.01-1.06), although the statistical strength of the association was of borderline significance (p=0.057). The use of CDK was associated with reductions in umbilical cord and puerperal infections.

Original languageEnglish (US)
Pages (from-to)746-754
Number of pages9
JournalJournal of Health, Population and Nutrition
Volume27
Issue number6
StatePublished - Dec 1 2009

Keywords

  • Cohort studies
  • Cross-sectional studies
  • Delivery-kit
  • Egypt
  • Evaluation studies
  • Impact studies
  • Morbidity
  • Sepsis
  • Umbilical cord infections

ASJC Scopus subject areas

  • Food Science
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

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