The Effects of Two Bathing Methods on the Time of Separation of Umbilical Cord in Term Babies in Turkey (original) (raw)
Related papers
Iris Publishers LLC, 2019
Umbilical cord infections donate to the increased morbidity and mortality in neonates of developing countries, where neonates are exposed to unhygienic practices. The aim of the study was to monitor the effect of topical application of breast milk compared to distilled water and alcohol on separation time of umbilical cord stump among neonates. Methods: This research was a randomized clinical trial done on 90 mature neonates that were placed randomly in the three groups of study. The umbilical cord separation time was compared in the three groups. Results: Mean time of cord separation in human milk application group (6.72±1.66) was significantly shorter than distilled water and alcohol groups. Moreover, the bleeding continuation after separation (day) was significantly shorter (p<0.001) among breast milk group than distilled water group and majority of neonates among the 3 groups didn't have any signs of umbilical cord infection. Conclusion: Topical application of human milk on the remaining part of the cord reduces the cord separation time and it can be used as an easy and cheap way for cord care.
IP innovative publication pvt. ltd, 2019
Introduction: In order to prevent bacterial colonization and cross infection tropical antimicrobial agent is applied to the umbilical stump at birth and for the first few days. Among those, cleaning with breast milk is one of an avenue for cord care which can be performed anywhere, requires no special equipment, which is also cost effective. Breast milk is full of mother’s antibody that preventively helps babies develop immunity to illness. Breast milk contains live antibodies that fight bacteria. It is therefore a naturally existing antibacterial agent. The aim of the study was to find the effect of breast milk & natural drying modalities on cord separation time and signs of infection among neonates. An evaluative approach with post – test only design with control group was used for the study. The sample consisted of 60 neonates’ selected using purposive sampling method and randomized into two groups. The findings revealed that the mean score of group 1(20±0.00), who had been treated with breast milk was more than the group 2(18.60± 0.932) on day seven. Among the two groups, group I had the highest F-ratio i.e 607.501. And the mean score of group 1 from day 2 to day 7(14.13± 0.346, 17.50± 0.960, 19.20± 0.997, 20± 0.00, 20± 0.00, 20± 0.00 respectively) was more than group 2(12± 0.830, 13.77± 0.504, 15.07± 0.365, 16.70± 0.535, 18.17± 0.648, 18.60± 0.932 respectively). This finding reveals that treatment I was found to be more effective in cord separation time. No significant association was found between treatment I and selected demographic variables whereas significant association was found between treatment II and type of delivery. Conclusion: Application of breast milk hastens the cord separation time and there were no signs of infection in any of the groups. Hence breast milk is a cost effective method for umbilical cord care. Keywords: Breast milk, Natural drying, Cord separation time, Signs of infection, Neonates.
Topical Umbilical Cord Care for Prevention of Infection and Neonatal Mortality
The Pediatric Infectious Disease Journal, 2013
Umbilical cord care varies often reflecting community or health-worker beliefs. We undertook a review of current evidence on topical umbilical cord care. Study quality was assessed using the Grading of Recommendations, Assessment, Development and Evaluation system, and a metaanalysis was conducted for comparable trials. Available moderate-quality to high-quality evidence indicate that cord cleansing with 4% chlorhexidine may reduce the risk of neonatal mortality and sepsis (omphalitis) in low-resource settings. Keywords cord care; chlorhexidine; neonatal mortality; sepsis; neonates Annually about 3.3 million neonatal deaths occur around the world; 1 of these, more than 30% are caused by infections. 2,3 Some of these infections start as umbilical cord infection. The umbilical cord area supports growth of some innocuous or beneficial microorganisms (commensals) whereas others are harmful (eg, Clostridium tetani). Sources of these bacteria include the mother's birth canal, the environment in which the neonate is delivered and hands of the person assisting with the delivery. Cord infection may be localized to the umbilical cord (omphalitis) or, after entry into the blood stream, become systemic (eg, neonatal sepsis). Data on the incidence of omphalitis in low-income countries is generally scarce, the available data estimate the risk to range between 2 and 77 per 1000 live births in hospital settings, with fatality rates of between 1% and 15% depending on the definition of
Topical Breastmilk Fasten the Process of Umbilical Cord Separation and Prevent Infection on Babies
IOSR Journal of Nursing and Health Science, 2017
Umbilical cord infection is one of the highest causes of baby's deathin developing countries with high infant mortality rate. The umbilical cord may become the site for bacteria colonization that can cause infections such as omphalitis and neonatal sepsis. Umbilical cord care using milk containing anti-infective and anti-inflammatory topical can accelerate the separationtime of the umbilical cord and prevent infection in neonatal period. The purpose of this study to determine the effectiveness of breast milk topical administration compared to dry treatment in terms of the duration of umbilical cord separation.This study is a clinical trial with a randomized clinical trial design. The subjects were all newborns who met the inclusion criteria. The number of samples in this study was 64 newborns who were divided into two groups, 32 newborns in treatment group and 32 newborns in control group. Randomization was performed by using the technique of random allocation of block 6.Data analysis used univariate, bivariate test using independent t-test, and multivariate linear regression, with a confidence interval of 95% and a significance level of p <0.05.The result of this study shows that there are differences between the average amount of release time of the umbilical cord for those treated with topical ASI, which takes shorter length of time (5.69 days) compared to using dry treatment (7.06 days), with coefficient-2.11 and R2 value is 0.67 (67%). Multivariate analysis of umbilical cord care with incidence of local infection has a significant correlation that could be seen from-2,51sd CI =-1.71 and p = 0:00. It can be concluded that the use of topical breast milk on umbilical cord care may accelerate its separation and lower the incidence of infection compared to the dry treatment method.
Iranian journal of pediatrics, 2012
Comparing the effect of topical human milk application and dry cord care on cord separation time. This research was a randomized clinical trial study on 130 singleton and mature newborns. Newborns were placed randomly in groups of topical application of human milk and dry cord care. The umbilical separation time was compared in the two groups. Data was analyzed by SPSS software. Independent Samples t-Test, χ(2), Fisher were used in this study. Median time of cord separation in human milk application group (150.95±28.68 hours) was significantly shorter than dry cord care group (180.93±37.42 hours) (P<0.001). Topical application of human milk on the remaining part of the cord reduces the cord separation time and it can be used as an easy, cheap and non invasive way for cord care.
2020
Introduction: Neonatal death due to infections is still a great concern worldwide. Umbilical cord related infections play significant role in the neonatal mortality specially in very low birth weight infants, mother chorioamnionitis and premature rupture of membranes. It is associated with umbilical colonization, delayed separation and poor hygiene. In the current study, effect of topical breast milk usage with dry cord care on separation time, complications and colonization were compared. Methods This is a randomized clinical-trial on 150 very low birth weight neonates in 2016-18. Patients' were divided in two groups; Group-M (N = 73) (3–4 drops of maternal breast milk were dropped on the umbilical cord stump within eight hours of birth and went on every eight hours until 48-hours after cord separation) and Group-D (N = 77) (the umbilical cord was drought gradually in open air). Umbilical cord culturing was performed from cord stump within 2–4 hours after delivery, three days a...
The Effect of Topical Application of Mother Milk on Separation of Umbilical Cord for Newborn Babies
American Journal of Nursing Science, 2015
Global policy regarding optimal umbilical cord care to prevent neonatal illness is an active discussion among researchers and policy makers. The objective of the study is to identify the best available evidence regarding newborn umbilical cord care through, assessing the knowledge of mothers regarding best practice of umbilical cord care and monitoring the effect of both methods of topical mother milk application versus dry method on quickly separation time of umbilical cord stump of newborn babies. The study method is an experimental design. The study result showed that topical application of mother milk on the remaining part of the cord reduces the cord separation time and it can be used as an easy, cheap and noninvasive way for cord care.
OBJECTIVE: The purpose of the present study was to compare alcohol versus natural drying for umbilical cord care in preterm infants and to examine its effects on bacterial colonization and cord detachment. STUDY DESIGN AND METHODS: Eligible infants <34 weeks gestation admitted to the NICU were randomized to receive either umbilical cleansing with 70% isopropyl alcohol at each diaper change or natural drying. Umbilical stump cultures were performed at 12 to 24 hours, 72 hours, 7 days, and 14 days of age. RESULTS: A total of 109 infants were enrolled; 102 completed the study. Analyses revealed that the median cord detachment time was significantly shorter in the natural drying group compared to the alcohol group (13.0 versus 16.0 days; p ¼ 0.003). There were no cases of local umbilical infection in either group. CONCLUSION: Based on the present study, it appears that natural drying is a safe and effective means of umbilical cord care in preterm infants.
Journal of Health, Population and Nutrition, 2010
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.