O-157 The Effects Of Two Bathing Methods On The Time Of Separation Of The Umbilical Cord In Term Babies (original) (raw)
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Iranian Red Crescent Medical Journal, 2015
Background: Umbilical cord infection developing subsequent to bacterial colonization is one of the outstanding reasons of newborn mortality and morbidity in underdeveloped and developing countries Objectives: This study aimed to evaluate the influence of sponge and tub bathing methods on umbilical cord separation time in full term babies in Turkey. Patients and Methods: This quasi-experimental and randomized controlled study was performed on 100 healthy term newborn babies and their mothers. One-hundred full-term babies (51 sponge bathing, 49 tub bathing) born at a state hospital between 14.03.2013 and 18.05.2013 with gestational age of 38-42 weeks, weighing 2500 grams and above and met the selection criteria were included as the study sample. Two booklets were prepared about sponge bathing and tub bathing. Mothers were instructed about sponge bathing and tub bathing, umbilical cord care in prenatal and postnatal periods. The first postnatal visit was performed at the hospital. Home visits and telephone calls were continued until the day of cord separation. Number, percent, mean and standard deviation values, qui-square and Mann-Whitney U tests were used for data assessment. Results: The time of separation of umbilical cord in babies who were given sponge bathing (6.1 ± 1.4) was shorter compared to those given tub bathing (8.3 ± 2.5) (P < 0.005). Conclusions: Since wetting of umbilical cord during tub bathing delays the separation of umbilical cord, sponge bathing is recommended for newborns until the umbilical cord falls off.
Recomendaciones para el cuidado del cordón umbilical en el recién nacido
Anales de Pediatría
The care of the umbilical cord until its detachment still remains controversial. The latest updated recommendations by the World Health Organisation advocate dry cord care in those countries with adequate obstetric care and low neonatal mortality rate. In recent years, new studies and reviews attribute some benefit to applying chlorhexidine on the umbilical stump. An analysis is presented here of the available evidence and results in the advisability of still recommending the dry cord care in the newborns in our setting.
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.
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.
Midwifery, 1986
T h e national code of practice for midwives practising in England and Wales defines duties during the postnatal period for the care of mothers and their babies. This period is a m i n i m u m of 10 days, and up to 28 days. Visits after the 10th day are at midwives' discretion, but a survey of heads of midwifery services suggests that most midwives would extend postnatal care beyond the 10th day if the baby's umbilicus was not healed. Methods used for routine t r e a t m e n t of the umbilical cord in the n e w b o r n babies v a r y widely. Previous studies suggest that the rate of healing depends on the treatment m e t h o d used. This, in turn, can affect the workload of midwives responsible for the care of newborn babies. Babies born in the Royal Berkshire Hospital in the s u m m e r of 1984 were allocated at r a n d o m to have their cords treated by one of four dusting powders, one of three cleansing methods and one of two frequencies of treatment, in a trial with a factorial design. T h e effect of t r e a t m e n t on the time to separation of the cord and the n u m b e r of midwives' visits was estimated. It was found that the treatment m e t h o d used could significantly affect the healing process and therefore the n u m b e r of visits m a d e by midwives after the 10th day, and that the choice of cord powder could significantly affect the midwifery workload in the district. T h e difference would be enough to account for the work of one whole-time equivalent c o m m u n i t y midwife for every 3000-5000 births.
During the intra-uterine life the umbilical cord serves as an only one source for nutrition, energy and growth of the fetus but, during extra uterine life the umbilical cord stump serves as a commonest site for the spread of infection due to warmth and blood circulation over it. The country like India having most area of lower economic status requires the easily available, cheap and convenient method which mothers themselves also can perform to prevent the occurrence of infection. Hence, this study was conducted to evaluate the effect of application of breastmilk on separation time of umbilical cord among newborn. Methodology: The Quasi experimental Posttest only control group design was used to do the pilot study using a quantitative approach. The study was conducted at Raj Nursing Home, Anand and Himalaya hospital, Anand. Convenient sampling technique was used to select 10 newborns in experimental group & control group (5 in each). The tool of data collection included validated checklist of neonatal bio-demographic variables and of physiological parameters of signs of cord separation. The data collection tool was divided in to 2 sections which are Observation checklist of Neonatal variables, existing condition of cord (at birth) and observation checklist on physiological parameters signs of cord separation. Results: The data was analyzed using descriptive and inferential statistics. The result shows there is reduction in umbilical cord separation time of experimental group (mean 4.8 days) as compare to control group (7.4 days).This shows there is a impact of topical application of breastmilk on umbilical cord separation time. Conclusion: There is significant reduction in umbilical cord separation time due to topic after the application al application of breastmilk on umbilical cord. Hence, topical application of breastmilk can be used as a cheapest, easily available natural therapy for reduction of umbilical cord separation time.
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.