Impact of clean delivery-kit use on newborn umbilical cord and maternal puerperal infections in Egypt
Darmstadt, G.L.; Hassan, M.; Balsara, Z.P.; Winch, P.J.; Gipson, R.; Santosham, M.
Journal of Health Population and Nutrition 27(6): 746-754
2009
ISSN/ISBN: 1606-0997 PMID: 20099758 DOI: 10.3329/jhpn.v27i6.4326Document Number: 212932
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.