{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T20:02:55Z","timestamp":1791576175715,"version":"4.3.4"},"reference-count":35,"publisher":"Public Library of Science (PLoS)","issue":"11","license":[{"start":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T00:00:00Z","timestamp":1731542400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Cord care is one component of essential newborn care that reduces newborn morbidity and mortality. Poor cord care practice leads to a large amount of neonatal death due to infection. In Ethiopia, many women give birth at home, where neonates are exposed to unclean cord care practices or application of different traditional substances. Despite the severity of the problem, studies related to postnatal cord care practice are scarce. Hence, this study is aimed to assess umbilical cord care practices and associated factors in the postnatal period in Arba Minch town.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Objective<\/jats:title>\n<jats:p>To assess postnatal cord care practices and associated factors among mothers who gave birth in the last six months in Arba Minch Town, southern Ethiopia, 2019.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Methods<\/jats:title>\n<jats:p>Cross-sectional study design was conducted and using simple random sampling method 423 mothers who gave birth with in the last six months in Arba Minch town from November 11 to December 02, 2019, were selected. Data was collected using structured questionnaire administered by the interviewer. EpiData version 4.4 was used for data entry and SPSS version 25 was used for data analysis. Variables with p \u2264 0.25 in bivarible logistic regressions were considered as potential candidates for multivariable logistic regression analysis to control confounders. Adjusted Odds Ratio with 95% confidence interval was applied in multivariable logistic regression models, to identify variable, which has significant association.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Results<\/jats:title>\n<jats:p>The overall proportion of women who had good postnatal cord care was 67.1%. The maternal age group of 25 to 29 years (AOR = 2.51; 95% CI: 1.35\u20134.68), maternal educational status of secondary school and above (AOR = 4.19; 95% CI: 2.05\u20138.54), mothers with good knowledge of cord care (AOR = 1.77; 95% CI: 1.03\u20133.05), and health facility delivery (AOR = 2.60; 95%CI: 1.05\u20136.41) were independent factors associated with good cord care.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec005\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>The proportion of good cord-care practice reported in this study was relatively worthy. Maternal age group of 25\u201329 years, maternal educational status of secondary school and above, having good knowledge of cord care, and delivering at health facility were factors that increased good postnatal cord care practice. Therefore, investing in improving these factors would positively affect maternal postnatal cord care practice. In order to reduce neonatal morbidity and mortality, routine counseling of cord care practice to mothers would attain good knowledge about postnatal cord care practices. Community health education would also increase awareness and practice of postnatal cord care.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0313244","type":"journal-article","created":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T18:28:52Z","timestamp":1731608932000},"page":"e0313244","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":4,"title":["Postnatal cord care practices and associated factors in Arba Minch town, southern Ethiopia"],"prefix":"10.1371","volume":"19","author":[{"given":"Zinabu Birhan","family":"Teferi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kasahun Fikadu","family":"Tesema","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gebresilasea Gendisha","family":"Ukke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guesh Mebrahtom","family":"Tsegay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Freweyni Fisshatsion","family":"Yhdego","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8503-8611","authenticated-orcid":true,"given":"Goitom Girmay","family":"Gebremariam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,11,14]]},"reference":[{"key":"pone.0313244.ref001","doi-asserted-by":"crossref","first-page":"10","DOI":"10.3389\/fpubh.2018.00010","article-title":"Cord care practices: a perspective of contemporary African setting.","volume":"6","author":"TO Afolaranmi","year":"2018","journal-title":"Frontiers in public health."},{"key":"pone.0313244.ref002","author":"WHO Care of the umbilical cord WRMteG","year":"1998","journal-title":"A review of the evidence."},{"issue":"3","key":"pone.0313244.ref003","volume":"138","author":"D BW Stewart","year":"2016","journal-title":"AA P COMMITTEE ON FETUS AND NEWBORN. Umbilical Cord Care in the Newborn Infant Pediatrics"},{"issue":"3","key":"pone.0313244.ref004","first-page":"104","article-title":"Cord care practicesamong mothers attending immunization clinic at the of Benin Teaching Hospital, Benin City.","volume":"38","author":"B. I. Abhulimhen-Iyoha AO","year":"2011","journal-title":"Nigeria Journal Paediatrics"},{"key":"pone.0313244.ref005","article-title":"CSACEa.","author":"ICF","year":"2016","journal-title":"Ethiopia Demographic and Health Survey"},{"issue":"8","key":"pone.0313244.ref006","article-title":"Assessment of the newborn practices in home deliveries among urban slums of Meerut, UP India.","volume":"2","author":"S Ahmad","year":"2012","journal-title":"Community Medicine & Health Educafion."},{"key":"pone.0313244.ref007","article-title":"with support from Mark Hereward and Yanhong Zhang(UNICEF) on behalf of the United Nations Inter-agency Group for Child Mortality Estimation (UN IGME)","author":"Hug DSaDY Lucia","year":"2019"},{"key":"pone.0313244.ref008","article-title":"for the Child Health Epidemiology Reference Group of WHO and UNICEF; Published Online.,","author":"HLJ Li Liu","year":"2012"},{"issue":"2","key":"pone.0313244.ref009","first-page":"203","article-title":"risk factors for umbilical cord infection among new borns of south","volume":"165","author":"DG Mullany LC","year":"2008","journal-title":"Nepal. NIH Public Access"},{"key":"pone.0313244.ref010","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1097\/INF.0b013e3182783dc3","article-title":"Topical Umbilical Cord Care for Prevention of Infection and Neonatal Mortality.","volume":"32","author":"MM Karumbi J","year":"2013","journal-title":"Pediatr Infect Dis J"},{"key":"pone.0313244.ref011","unstructured":"P\u00e9rez MM BH. Clinical and epidemiological characterization of omphalitis in a neonatology service. Medicentro Electr\u00f3nica [Internet]. Available from: http:\/\/scielosldcu\/scielophp. 2015 19(3):157\u20139."},{"key":"pone.0313244.ref012","doi-asserted-by":"crossref","first-page":"828","DOI":"10.3855\/jidc.1229","article-title":"Incidence and etiology of omphalitis in Pakistan: a community based cohort study.","volume":"5","author":"TS Mir F","year":"2011","journal-title":"J Infect Dev Ctries"},{"issue":"10","key":"pone.0313244.ref013","first-page":"210","article-title":"Septicemia among neonates with tetanus","volume":"3","author":"EF Antai TE","year":"2009","journal-title":"J Trop Pediatr"},{"issue":"5","key":"pone.0313244.ref014","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1097\/01.AOG.0000215000.65665.dd","article-title":"The use of vaginally administered chlorhexidine during labor to improve pregnancy outcomes\u2013a systematic review.","volume":"107","author":"RL Goldenberg","year":"2006","journal-title":"Obstet Gynecol."},{"issue":"2","key":"pone.0313244.ref015","first-page":"203","article-title":"Tielsch Risk Factors for Umbilical Cord Infection among Newborns of Southern Nepal","volume":"165","author":"C. Luke","year":"2007","journal-title":"Am J Epidemiol"},{"key":"pone.0313244.ref016","article-title":"WHO, World Bank, AHPSR and participants in the Ethiopia multi stakeholder policy review.","author":"Ministry of Health Ethiopia P,","year":"2015","journal-title":"Success Factors for Women\u2019s and Children\u2019s Health: Ethiopia"},{"issue":"1","key":"pone.0313244.ref017","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1186\/1471-2393-10-9","article-title":"Poor newborn care practices-a population based survey in eastern Uganda.","volume":"10","author":"P Waiswa","year":"2010","journal-title":"BMC pregnancy and childbirth."},{"issue":"9","key":"pone.0313244.ref018","first-page":"6","article-title":"ASSESSMENT OF NEWBORN CARE PRACTICES OF MOTHERS IN MEREB LEKE.","volume":"3","author":"Gerezgiher Buruh Abera Hmb, Haftom Gebrehiwot","year":"2016","journal-title":"Europian jornal of pharmaceutical and medical research available in wwweipmrcom."},{"issue":"30","key":"pone.0313244.ref019","article-title":"Early days of life are crucial for child survival in Gamo Gofa zone","volume":"16","author":"AA Girma TS","year":"2016","journal-title":"Southern Ethiopia. BMC Pediatr"},{"key":"pone.0313244.ref020","year":"2019","journal-title":"Ath. statistics and information case team"},{"issue":"3","key":"pone.0313244.ref021","first-page":"57","article-title":"Knowledge of Standard Umbilical Cord Management among Mothers in Calabar South Local Government Area, Cross River State, Nigeria","volume":"7","author":"C. Easter","year":"2017","journal-title":"international journal of nursing science"},{"key":"pone.0313244.ref022","article-title":"Knowledge, attitudes and practices of mothers and knowledge of health workers regarding care of the newborn umbilical cord","author":"WF Musoke R","year":"2016"},{"key":"pone.0313244.ref023","article-title":"WHO","author":"WHO","year":"2017","journal-title":"Recommendation on newborn health guidelines approved by the WHO Guidelines review committee. updated MAY"},{"issue":"8","key":"pone.0313244.ref024","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1136\/jech-2011-200362","article-title":"Clean cord care practices and neonatal mortality: evidence from rural Uttar Pradesh, India.","volume":"66","author":"PK Agrawal","year":"2012","journal-title":"J Epidemiol Community Health"},{"issue":"1","key":"pone.0313244.ref025","article-title":"Practice Regarding Child Birth and basic Newborn Care among Urban Slums population,India.","volume":"3","author":"AC Manisha Khunt","year":"2014","journal-title":"IJSR, ISSN online:2319\u20137064."},{"issue":"1","key":"pone.0313244.ref026","first-page":"55","article-title":"A study to assess cord care practices among mothers of new borns in urban areas of Rohtak Haryana.","volume":"5","author":"B Bhatt","year":"2015","journal-title":"Int J Basic Appl Med Sci"},{"issue":"11","key":"pone.0313244.ref027","first-page":"1422","article-title":"Umbilical Cord Care Practices and Incidence of Febrile Illnesses in the First Month of Life amongNewborns,BJMMR,.","volume":"5","author":"Chidiebere EU Osuorah Donatus I","year":"2015"},{"issue":"01","key":"pone.0313244.ref028","doi-asserted-by":"crossref","first-page":"124","DOI":"10.4236\/ojped.2016.61019","article-title":"Newborn Umbilical Cord Care in Parakou in 2013: Practices and Risks.","volume":"6","author":"J Agossou","year":"2016","journal-title":"Open Journal of Pediatrics"},{"issue":"49","key":"pone.0313244.ref029","article-title":"Knowledge and practice of umbilical cord care among young mothers of neonates in Tabora region: Analytical cross-sectional study.","volume":"101","author":"NA Kalufya","year":"2022","journal-title":"Medicine."},{"issue":"1","key":"pone.0313244.ref030","first-page":"A1","article-title":"Knowledge and practices of umbilical cord care among mothers attending antenatal care in the health facilities in Sokoto Metropolis, Nigeria.","volume":"8","author":"UM Ango","year":"2021","journal-title":"International Journal of Contemporary Medical Research"},{"issue":"1","key":"pone.0313244.ref031","doi-asserted-by":"crossref","first-page":"63","DOI":"10.21106\/ijma.272","article-title":"Neonatal cord care practices among mothers and caregivers in the Volta region of Ghana","volume":"8","author":"SSO Asiedu","year":"2019","journal-title":"International Journal of Maternal and Child Health and AIDS"},{"key":"pone.0313244.ref032","doi-asserted-by":"crossref","first-page":"22","DOI":"10.4236\/ijcm.2012.31004","article-title":"Balafama Abinye Alex-Hart Newborn Cord Care Practices amongst Mothers in Yenagoa Local Government Area, Bayelsa State","volume":"3","author":"TJ Peace Ibo Opara","year":"2012","journal-title":"Nigeria. International Journal of Clinical Medicine"},{"issue":"2","key":"pone.0313244.ref033","doi-asserted-by":"crossref","first-page":"210","DOI":"10.4103\/1119-3077.97320","article-title":"Determinants of cord care practices among mothers in Benin City, Edo State, Nigeria.","volume":"15","author":"B Abhulimhen\u2011Iyoha","year":"2012","journal-title":"Nigerian journal of clinical practice"},{"issue":"3","key":"pone.0313244.ref034","doi-asserted-by":"crossref","first-page":"42","DOI":"10.3126\/jcmc.v3i1.8465","article-title":"factors affecting newborn care practices among tharu mothers in selected village development committees of chitwan district.","volume":"3","author":"DG Chaudhary J","year":"2013","journal-title":"chitwan J med coll."},{"key":"pone.0313244.ref035","article-title":"Newborn care practices among mothers in Rautahat District, Nepal.","volume":"19","author":"RC Sinha","year":"2013","journal-title":"JNEPHA."}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0313244","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T18:29:01Z","timestamp":1731608941000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0313244"}},"subtitle":[],"editor":[{"given":"Anteneh Mengist","family":"Dessie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,11,14]]},"references-count":35,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2024,11,14]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0313244","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,14]]}}}