Cord Care Practices Among Neonatal Tetanus Cases In the Community
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Cord care practice is one of the most important practice for prevention ofNeonatal Tetanus including other practices are safe delivery, mother’s immunization, early diagnosis and management of Neonatal Tetanus.In 2008, Bangladesh achieved “Maternal and Neonatal Tetanus” (MNT) elimination,but still cases of neonatal tetanus is being reported frequently. This study aims to assess the cord care practices among the neonatal tetanus cases and to assess further scopes of interventionto reduce its incidence.A cross-sectional descriptive type of study carried out atInfectious Disease Hospital(IDH), Dhaka duringJanuary 2004 to October 2005 A total number of sixty-threeneonatal tetanus caseswere assessed by interviewing mothers and examining cases. Among the cases of NNT 96% was home deliveries, 97% deliveries were by unskilled birth attendants, 78% of the mothers were not immunized against tetanus,77% of cases the umbilical cords were cut by unsterilized instruments, only 12% by attained sterile methods to tie the cord, 54% cases used nothing to the umbilical cord, but37% cases used the traditional unhealthy and unsterile methods to keep the cord clean.The respondents were both from the urban and rural settings, 38% and 62% respectively. The mean age of the neonate on the day of admission was approximately 10 days withcommonly reported symptoms of developingdifficulty in sucking (98%), convulsion (62%) and risussardonicus(46%). Only 35% of symptomatic cases were treated by doctors at the hospital with only discharge (38%) and with inflammation additional to discharge (35%) at the site of the umbilical stump and rest 65% were treated and referred by other than doctors. Establishing long-term elimination of neonatal tetanus requires the health care system to be yet more scrutinized to effectively encourage institutional delivery, improving immunization status of the mothers and to detect vulnerable households and mothers, so that, the unhealthy delivery and cord care practices can be prevented as a result, reduce exposure to tetanus.
Authors and Affiliations
Dr. Md Abdur Rouf, Dr. Md Mozibur Rahman, Dr. Hassanur Rashid, Dr. Rahat Bin Habib, Dr. M Matiur Rahman, Dr. Md Jahangir Chowdhury, Dr. Md. Shahidul Haque, Dr. M A Mannan, Dr. Tariq Hassan
Keywords
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- EP ID EP370868
- DOI 10.9790/0853-1704095458.
- Views 69
- Downloads 0
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