Abstract
Objectives:The best umbilical cord care after birth is a controversial issue. Aim of this research was to compare the effect of topical application of human milk and chlorhexidin on cord separation time in newborns.Methods:One hundred seventy four neonates attending from hospitals affiliated to Kashan University of Medical Sciences were included. Newborns from birth were randomized to two groups. In group mother’s milk, mother will rub her own milk to cord stump two times a day. chlorhexidin (group 2) were applied to the umbilical stump every 12 hours. The time to umbilical cord separation and any discomfort such as infection, hemorrhage, and discharge and odor were documented. Data was analyzed by SPSS software. Independent Samples t-Test, χ2, Fisher were used in this study.Results:Results showed a significant statistical difference between cord separation time in two groups and the mean cord separation time in the human milk group (7.15±2.15days) was shorter than the chlorhexidin group (13.28±6.79 days). In addition, a significant correlation was found between Signs of infection (discharge, redness, swelling and odor) in both groups.Conclusions:Topical application of breast milk on umbilical cord care leads to quick cord separation time and can be used as easy, cheep, non injury methods for umbilical cord care.
Highlights
After delivery, the umbilical cord serves no purpose
Since the main consequence of prolonged rupture of membrane is infection, and the first culture of the cord stump taken within the first three hours after birth showed no significant difference between the groups, it seems unlikely that this factor has a significant effect on the study results
The present research is the first study to compare the effect of topical application of human milk and chlorhexidin on umbilical cord stump separation time
Summary
The necrotic tissue of the umbilical cord is a potential site for infection[1] immediately after birth by bacterial contaminants.[2] The umbilical cord. 1. Fatemeh Abbaszadeh, Department of Midwifery, 2. Zanab Hajizadeh, BS of Midwifery, Beheshti Hospital, 3. Mohammad Jahangiri, Neonatologist, Department of Pediatrics and Neonatology, 1-3: Kashan University of Medical Science, Kashan, Iran
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