Abstract
Background: Neonatal thermal care is a vital intervention as newborns are susceptible to hypothermia than adults for certain reasons such as having a large body surface area, thin skin, little insulating fat, and overwhelmed thermoregulation mechanisms. Many newborn complications develop because of hypothermia due to thermal care malpractices. The leading thermal practice by women of developing countries is early bathing which predisposes newborns for life-threatening situations, such as low blood sugar levels, respiratory distress, abnormal clotting, jaundice, pulmonary hemorrhage and increased risk of developing infections. Hence, this research is aimed to provide substantial evidence regarding the women’s practices of newborn bath and the factors that determine early (<24hr) bathing. Objective: The study aimed to assess the early newborn bath and its associated factors among parturient women who gave birth in the last month in the Harar region, Eastern Ethiopia, 2017. Methods: The study applied an institutional-based cross-sectional study design by recruiting 433 women. The data collectors interviewed study participants face to face at the baby immunization ward from two hospitals and four health centers. The author calculated the sample size using a double population proportion formula. A systematic sampling technique from the women’s medical registration frame was used to select the final study participants. The data collectors gathered the data using a structured questionnaire adapted from different literature, checking its consistency, reliability and validity by a pretest. Results: The response rate of this study was 99.8%. The early newborn bathing practice was found in 153 (35.4% with 95% (CI): (30.3%, 40.3%) women. Uneducated (AOR=3.12 95% CI: (2.12-5.3), no knowledge of hypothermia (AOR=4.95 95% CI: (3.10-12.2), being Primi para (AOR=3.5 95% CI: (2.5-5.6) and no utilization of newborn bed net (AOR=6.2 95% CI: (3.3-45) were statistically significant factors determining early newborn bathing practice. Conclusion: The study revealed that although the ministry implemented a good deal of awareness promotion activities, women still practice early newborn bathing. Maternal illiteracy, giving birth for the first time, knowledge deficiency related to hypothermia and newborn bed net application were among the factors which demand improvement to solve the problem.
Highlights
Neonatal thermal care is a vital intervention as newborns are susceptible to hypothermia, even in hot climates
The study revealed that the ministry implemented a good deal of awareness promotion activities, women still practice early newborn bathing
The Open Public Health Journal, 2020, Volume 13 197 after birth to prevent heat loss. This is because newborns have a large body surface area, thin skin, little insulating fat, and overwhelmed thermoregulation mechanisms compared to adults
Summary
Neonatal thermal care is a vital intervention as newborns are susceptible to hypothermia, even in hot climates. The Open Public Health Journal, 2020, Volume 13 197 after birth to prevent heat loss This is because newborns have a large body surface area, thin skin, little insulating fat, and overwhelmed thermoregulation mechanisms compared to adults. When cultural reasons prohibit the intervention, women must postpone newborn bathing for at least 6 hours to minimize the risk of neonatal hypothermia. Neonatal thermal care is a vital intervention as newborns are susceptible to hypothermia than adults for certain reasons such as having a large body surface area, thin skin, little insulating fat, and overwhelmed thermoregulation mechanisms. The leading thermal practice by women of developing countries is early bathing which predisposes newborns for life-threatening situations, such as low blood sugar levels, respiratory distress, abnormal clotting, jaundice, pulmonary hemorrhage and increased risk of developing infections. This research is aimed to provide substantial evidence regarding the women’s practices of newborn bath and the factors that determine early (
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