Umbilical Cord Separation Time Research Articles

O-157 The Effects Of Two Bathing Methods On The Time Of Separation Of The Umbilical Cord In Term Babies

Purpose This quasi-experimental research was conducted in order to evaluate the influence of bathtub and swabing methods on umbilical cord separation time in full term babies. Methods One-hundred full-term babies (49 bathtub, 51 swab) who were born at a state hospital between 14.03.2013 and 18.05.2013 with gestational age of 38–42 weeks, weighing 2500 gr and above and who met the selection cirteria consisted the study sample. Two booklets were prepared about bathtub and swab baths. Mothers were instructed about bathtub and swab baths, umbilcal cord care in prenatal and postnatal periods. The first postnatal visit was done 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 assessment of data. Results The difference between groups was found statistically significant when cord separation times were compared according to bath type (p Conclusion Since wetting of the umbilical cord during tub bathing delays the separation of umbilical cord, sponge bathing is recommended for newborns until the umbilical cord falls off.

Eau de Dalibour vs. Alcohol for Umbilical Cord Care

This study was conducted to compare the effects of Eau de Dalibour and ethanol on preventing omphalitis and also on umbilical cord separation time in neonates. In this clinical trial, 178 randomly selected, healthy term neonates were investigated. To disinfect the umbilical cords, Eau de Dalibour was used for 84 infants (case group) and ethanol for 94 infants (control group). No cases of omphalitis were observed in either group. Umbilical cord separation time was significantly shorter in the Eau de Dalibour group than in the ethanol group: 4.04 ± 1.61 days vs. 6.3 ± 1.82 days, p = 0.001. This study revealed that although Eau de Dalibour and ethanol were equally effective in preventing the incidence of omphalitis in neonates, Eau de Dalibour induced the separation of umbilical cord significantly quicker in the infants. Thus, Eau de Dalibour could be used as a suitable replacement for ethanol in neonates' umbilical cord care.

YENİDOĞANLARIN GÖBEK DÜŞME SÜRESİ VE ETKİLEYEN ETMENLER

Amac: Yenidoganda gobegin dusme suresi ortalamasinin belirlenmesi ve gobegin dusmesine etki eden faktorlerin incelenmesidir. Yontem: Tanimlayici nitelikte olan calisma; Mayis 2006-Mayis 2007 tarihleri arasinda 53 yenidogan ile yapilmistir. Gobegin dusmesine etki edebilecek her turlu girisimi minimize etmek icin vajinal yoldan dogan tum yenidoganlara “Yenidoganin Gobegini Kesme ve Baglama Ogrenim Rehberi” ve “Gobek Bakim Ogrenim Rehberi”ne gore standart bir uygulama yapilmistir. Ayrica, anneler gobeklerin dustugu gunu telefon araciligi ile iletmislerdir. Veriler SPSS 13.0’da kodlanmis, sayi, yuzde dagilimlari belirlenmis, Kruskal Wallis Varyans analizi ve Fisher’in Kesin χ2 testi yapilmistir. Bulgular: Gobegin dusme suresi ortalama 9.0 gun±3.35 olarak bulunmustur. Gobek dusme suresi ile; travay suresi (K-WF=7.45, p=0.02) arasinda istatistiksel olarak anlamlilik saptanmistir. Sonuc: Yenidoganlarin gobek dusme suresi; travay suresinden etkilenmektedir

1287 Does Cord Seperation Time has an Effect on Omphalitis?

Background and AimThere is still controversy regarding the optimal umbilical cord care and the relationship between cord separation and omphalitis. The aim of our study is to investigate the impact...

Survey of Umbilical Cord care and Separation time in Healthy Newborns in Kano

Background: The interval between delivery and umbilical cord separation varies worldwide. Some maternal, foetal and perinatal factors includingcord care practices are known to affect this interval. Objectives: To establish the mean umbilical cord separation time and the effect of maternal and infant characteristics, perinatal factors and cord care practices on this time among healthy babies in northern Nigeria. Methods : An interviewer questionnaire was administered on mothers of healthy babies at Child Welfare Clinics of a tertiary and secondary level hospital in Kano.In each case, information was obtained about mother's parity, place of antenatal care and delivery, gestational age, birth weight, time of umbilical cord separation after birth and cord treatment practices. Results: Five hundred and seventy seven (96.2 percent) of 600 mothers interviewed, took part in the study, four of these mothers had twin gestation. Responses showed that cord separation time ranged from 2 -14 days (4.20 1.70)Three hundred and forty nine (60.9. percent ) mothers applied methylated spirit, 145 (25.3 percent) used hot compress, while50 (8.7 percent) applied toothpaste on the cord. Twenty (3.5 percent)others applied herbs, while nine (1.6 percent) applied dusting powder to the umbilical stump. Cord s epa r a t ion t ime wa s significantly shorter among babies whose mothers were of high parity, unbooked, and of low educational status. In addition, the use of razor blade, thread, hot compress or application of herbal preparations or toothpas te s igni f icant ly shortened the separation time (P<0.05). Conclusions: Cord separation time and cord care practices varied. Nigerian mothers often use unorthodox interventions to shorten cord separation time; however, therisk of omphalitis that may result from this is real. We recommendthat each centre should adopt and teach mothers a standard hygieniccord care practice while discouraging the use of herbs and untested materials.Keywords: Umbilical cord, Separation time, Cord care, Kano

Umbilical separation time delayed by alcohol application

To compare the effects on time of umbilical cord separation of cleaning with 95% alcohol and natural drying in a high-humidity subtropical country. One hundred and fifty neonates were randomly assigned to two groups, 75 in each. For the control group, umbilical cleansing with 95% alcohol was performed after daily bathing; natural drying without a topical regimen was used for the trial group. Complete information was obtained for 71 neonates in the control group and 71 in the trial group. At 1 month after delivery, no enrolled neonate had developed omphalitis or skin infection. Cord separation time was significantly reduced for the natural-drying group compared with the alcohol-cleansing group (p=0.014). In both groups, separation time was longer for newborns delivered by caesarean section than for those delivered vaginally (p=0.001). Nine mothers in the trial group and five in the control group complained of discharge from the umbilicus. Separation time was not influenced by gender, gestational age, birthweight or length, gravidity, meconium staining, maternal age or presence of discharge. Cleaning with 95% alcohol did not reduce umbilical cord separation time. This traditional method is not necessary for routine cord management, even in a subtropical country.

Umbilical cord separation time in healthy Nigerian newborns

Umbilical cord separation time in healthy Nigerian newborns

Perinatal Factors and Separation Time of the Umbilical Cord

Sir .—With regard to the statement by Novack et al 1 that they are unaware of any study in developed countries on the effects of perinatal factors on the time of umbilical cord separation, we wish to point out that we have already published such a study. 2 Our study was carried out on a group of 911 infants born in the Netherlands. The perinatal factors we studied included the sex of the infant, its gestational age and birth weight, and the method of delivery, whether by cesarean section, vaginal delivery with the aid of forceps or ventouse, or unassisted vaginal delivery. We also studied the effects of the presence or absence of septicemia or other infections necessitating treatment with antibiotics and the presence or absence of jaundice in the newborn that required treatment with phototherapy. The effects of other various medical neonatal problems that necessitated admission to the Special

The Effect of Isopropyl Alcohol and Triple Dye on Umbilical Cord Separation Time

The Effect of Isopropyl Alcohol and Triple Dye on Umbilical Cord Separation Time

667 THE EFFECT OF TRIPLE DYE ON SHEDDING OF THE UMBILICAL CORD

Triple dye is commonly applied to the umbilical cord of newborns to decrease the incidence of bacterial infection and colonization. We examined the time of umbilical cord separation in 100 full term infants and 52 premature infants whose cords had been treated with a single application of triple dye. The preterm infants' mean birthweight was 1856 gm. and mean gestational age 33.5 wks. The umbilical cords had not been manipulated for a procedure. There were no anomalies of the umbilical cord in this series. In the term infants the mean age of cord separation for males was 12.2 days and for females was 11.9 days. In the premature group the mean age for both males and females was 11.5 days. Several previous studies have shown that in the absence of triple dye use, 80% of the umbilical cords were shed on or before the 8th day of life. Less than 5% of the cords were shed beyond 10 days. 56% of our full term infants and 63% of the preterm infants shed the umbilical cord beyond 10 days. A recent study (Hayward A et al, Lancet 1979 1:1099) reported delayed separation of the umbilical in association with defective neutrophil mobility. This data suggests that triple dye may prevent bacterial colonization and perhaps remove the antigenic stimulation for neutrophil chemotaxis to the umbilical cord.