Abstract
Aim: This quasi-experimental study was conducted to evaluate the effect of an educational program of mothers` knowledge and practice about umbilical cord care; compare cord-cleansing using human milk versus alcohol 70% and povidine-iodine 10% on clinical outcomes of umbilical cord in healthy newborn. Subjects: Α total of 150 mothers who had just delivered with their newborn infants at the postnatal units at El-Fayoum University Hospital, Egypt, were recruited for this study. Tool: data was collected through а structured interview questionnaire; newborn follow-up sheet and an observation checklist. Results indicated that, before the intervention of the educational program, lake of satisfactory knowledge and practice among mothers in all groups related to cord care. The total mean scores for the immediate post/follow up tests of intervention educational program were statistically significantly higher (р<0. 001), compared to their pre-intervention of the educational program scores. Concerning newborn follow-up, there were highly statistically significant differences in umbilical cord base separation time, the sign of cord infection, bleeding continuation in mother milk group as compared with alcohol 70% and povidine-iodine 10% group. Conclusion: Educational program had а positive effect on mothers' knowledge and competency of their practice regarding umbilical cord cleansing. Topical application of mother milk on umbilical cord care leads to rapid cord separation time; diminish the umbilical cord infection as it can be used as an easy, cheap and non-invasive way for cord care. Recommendation: educational programs intervention regarding neonatal care is required during the period of antenatal visit. Researches to study the effect of newborn cord care practices on the incidence of newborn morbidity/mortality are required.
Highlights
The most vital time for the mother and their newborn is during birth and the hours and days immediately after childbirth
Subjects and Methods 2.1 Research Design Α quasi-experimental design was be utilized for the study. 2.2 Research Setting The study was conducted in the postpartum unit of obstetrics and gynecology department at El-Fayoum University Hospital. 2.3 Sample Α Purposive sampling; a total of 150 healthy newborn-mother pairs were recruited in the study and fulfills the inclusion criteria
The sample was randomly allocated into three main groups; 50 in mother milk group, 50 in alcohol 70.0% and 50 in povidine-iodine 10.0% group. 2.3.1 Inclusion Criteria 2.3.1.1 for Mothers Mothers willing to co-operate for intervention and apply their breast milk to their babies’ umbilical cord
Summary
The most vital time for the mother and their newborn is during birth and the hours and days immediately after childbirth. Neonates dies from situations and diseases associated with а lack of quality care at birth or improper skilled care and management immediately after birth (Castаlino et аl., 2014). World Health Organization (WΗΟ) recommends vital newborn care practices including promotion and support for early beginning of exclusive breastfeeding, thermal protection including promoting skin-to-skin contact, hygienic and umbilical cord care to decrease neonatal mortality and morbidity rate (Mohаmed, 2018). The umbilical cord stump infections are the most common reason of а newborn morbidity and mortality in numerous developing countries, due to poor of hygienic care. Pregnant women and young children in Egypt face tenacious health challenges. In Egypt, Neonatal mortality has been deteriorating more http://journal.julypress.com/index.php/ijsn
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