title: Noninstitutional births and newborn care practices among adolescent mothers in Bangladesh.
abstract: OBJECTIVE
  To describe home-based newborn care practices among adolescent mothers in Bangladesh and to identify sociodemographic, antenatal care (ANC), and delivery care factors associated with these practices.
  
  
  METHODS
  The 2007 Bangladesh Demographic Health Survey, conducted from March 24 to August 11, 2007.
  
  
  METHODS
  Selected urban and rural areas of Bangladesh.
  
  
  METHODS
  A total of 580 adolescent women (aged 15-19 years) who had ever been married with noninstitutional births and having at least one child younger than 3 years of age.
  
  
  METHODS
  Outcomes included complete cord care, complete thermal protection, initiation of early breastfeeding, and postnatal care within 24 hours of birth. Descriptive statistics and multivariate logistic regression methods were employed in analyzing the data.
  
  
  RESULTS
  Only 42.8% and 5.1% newborns received complete cord care and complete thermal protection. Only 44.6% of newborns were breastfed within 1 hour of birth. The proportion of the newborns that received postnatal care within 24 hours of birth was 9%, and of them 11% received care from medically trained providers (MTP). Higher level of maternal education and richest bands of wealth were associated with complete thermal care and postnatal care within 24 hours of birth but not with complete cord care and early breastfeeding. Use of sufficient ANC and assisted births by MTP were significantly associated with several of the newborn care practices.
  
  
  CONCLUSIONS
  The association between newborn care practices of the adolescent mothers and sufficient ANC and skilled birth attendance suggest that expanding skilled birth attendance and providing ANC may be an effective strategy to promote essential and preventive newborn care.
authors.affiliation: Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, Bangladesh. swaponru_2000@yahoo.com
authors.forename: Mosiur
authors.initials: M
authors.lastname: Rahman
authors.forename: Syed Emdadul
authors.initials: SE
authors.lastname: Haque
authors.forename: Sarwar
authors.initials: S
authors.lastname: Zahan
authors.forename: Ohidul
authors.initials: O
authors.lastname: Islam
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology; D001294:Attitude to Health; D001459:Bangladesh / Q000453:epidemiology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006700:Home Childbirth / Q000706:statistics & numerical data*; D006801:Humans; D007224:Infant Care / Q000379:methods / Q000706:statistics & numerical data*; D007231:Infant, Newborn; D008880:Midwifery / Q000379:methods; D009035:Mothers / Q000706:statistics & numerical data*; D011181:Postnatal Care / Q000379:methods / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors