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Umbilical Cord Seperation Time and Related Factors

Yıl 2022, Cilt: 8 Sayı: 1, 47 - 54, 25.02.2022

Nazan Gürarslan Baş Nilgün Söylemez Gülnaz Karatay

https://doi.org/10.19127/mbsjohs.1021568
Cited By: 1

Öz

Objective: The aim of the study is to determine the methods used in umbilical care, the separation time of the umbilical cord, and the factors affecting it.
Methods: A quantitative longitudinal observational analytical study was conducted between May 2018-May 2019 in an obstetrics clinic of a state hospital in eastern Turkey. The study consisted of a sample of 345 newborns and their mothers. Necessary permissions were obtained before the research data were collected. The data were collected through face-to-face interviews and via telephone. The data obtained were evaluated by percentage distribution, Independent Samples t-test, ANOVA, and Mann-Whitney U test.
Results: The average gestational age of the newborns is 39.11 ± .71 week. 42.6% of the mothers stated that they performed umbilical cord care. The mean separation time of the umbilical cord in newborns was calculated as 7.55 ± 2.64 days. It was observed that the umbilical cord of the babies whose mothers put some application to the umbilical cord fell off in an average of 8.27 ± 2.97 days, while those who did not practice fell off in 7.01 ± 2.22 days (p <0.05).
Conclusion: According to the findings of the study, keeping the umbilical cord open and dry without any application to it shortens the time of umbilical cord falling off.

Anahtar Kelimeler

Cord practice Midfiwery Newborn Nursing Umbilical cord

Destekleyen Kurum

Yok

Proje Numarası

Yok

Teşekkür

Çalışmaya destek sunan annelere teşekkürlerimizi sunarız.

Kaynakça

  • 1. Akpinar F, Gocmen I. Skin care in newborn. Maltepe Medical Journal 2014;6(2): 1-3.
  • 2. Mir F, Tikmani SS, Shakoor S, Warraich HJ, Sultana S, Ali SA, et al. Incidence and etiology of omphalitis in Pakistan: A community-based cohort study. Journal of Infection in Developing Countries 2011;5(12): 828-33.
  • 3. Soofi S, Cousens S, Imdad A, Bhutto N, Ali N, Bhutta ZA. Topical application of chlorhexidine to neonatal umbilical cords for prevention of omphalitis and neonatal mortality in a rural district of Pakistan: A community-based, cluster-randomised trial. The Lancet. 2012;379(9820):1029-36.
  • 4. Stewart D, Benitz W, Watterberg KL, Cummings JJ, Benitz WE, Eichenwald EC, et al. Umbilical cord care in the newborn infant. Pediatrics. 2016;138(3).
  • 5. López-Medina MD, López-Araque AB, Linares-Abad M, López-Medina IM. Umbilical cord separation time, predictors and healing complications in newborns with dry care. PLOS ONE. 2020;15(1):e0227209.
  • 6. Silfeler I, Genens M, Canbak Y, Guler S, Isik R, Konukoglu R, ve ark. Skin burn in two term newborn due to Use of 70% alcohol for umbilical care: Case report. The Journal of Kartal Training and Research Hospital. 2011;22(2):75–8.
  • 7. Turyasiima M, Nduwimana M, Andres SM, Kiconco G, Egesa WI, Maren BM, et al. Neonatal Umbilical Cord Infections: Incidence, Associated Factors and Cord Care Practices by Nursing Mothers at a Tertiary Hospital in Western Uganda. Open Journal of Pediatrics. 2020;10(02):288-301.
  • 8. WHO | Newborn deaths decrease but account for higher share of global child deaths. (2011). WHO. World Health Organization (WHO). Newborns: improving survival and well-being. Newborns: Improving Survival and Well-Being. 2018.
  • 9. Karumbi J, Mulaku M, Aluvaala J, English M, Opiyo N. Topical umbilical cord care for prevention of infection and neonatal mortality. In Pediatric Infectious Disease Journal. 2013; 32(1):78–83.
  • 10. Uysal G, Sonmez Duzkaya D. Umbilical Cord Care and Infection Rates in Turkey. JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2017;46(3): e118–e124.
  • 11. Demirtola A, Ozen IO. The Anomalies of the Umbilicus and the Umbilical Cord. STED. 2005;14(3): 47-9.
  • 12. Herlihy JM., Shaikh A, Mazimba A, Gagne N, Grogan C, Mpamba C, et al. Local perceptions, cultural beliefs and practices that shape umbilical cord care: A qualitative study in Southern Province, Zambia. PLoS ONE. 2013;8(11): e79191.
  • 13. Walsh S, Norr K, Sankar G, Sipsma H. Newborn cord care practices in Haiti. Global Public Health. 2015;10(9): 1107-17. 14. Abbaszadeh F, Hajizadeh Z, Seraji P, Sadat Z. Comparing the impacts of topical chlorhexidine and dry cord care on umbilical cord separation time among neonates. Nursing and Midwifery Studies. 2018;7(2): 62.
  • 15. Arifeen S. El Mullany LC, Shah R, Mannan I, Rahman SM, Talukder MRR, et al. The effect of cord cleansing with chlorhexidine on neonatal mortality in rural Bangladesh: a community-based, cluster-randomised trial. The Lancet. 2012;379(9820):1022-8.
  • 16. Darmstadt GL, Dinulos JG. Neonatal skin care. Pediatric Clinics of North America. 2000;47(4):757-82.
  • 17. Khairuzzaman M, Rouf M, Sarker M, Hossain I, Matin A, Mowla G, et al. Chlorhexidine Cleansing of the Umbilical Cord for Prevention of Umbilical Infection: A Hospital based Study in Bangladesh. Bangladesh Journal of Child Health. 2018;42(1): 4-8.
  • 18. Roba AA, Tefera M, Worku T, Dasa TT, Estifanos AS, Assefa N. Retracted Article: Application of 4% chlorhexidine to the umbilical cord stump of newborn infants in lower income countries: a systematic review and meta-analysis. Maternal Health, Neonatology and Perinatology. 2019;5(16). https://doi.org/10.1186/s40748-019-0111-y.
  • 19. Udosen IE, Olaoye T, Esienumoh EE, Udosen GE, Amaechi D. Practice of Nursing Mothers towards Umbilical Cord Care in Calabar Metropolis, Cross River State. In Journal of Medical Principles and Clinical Practice. 2019;2(2):1-12.
  • 20. Imdad A, Bautista RMM, Senen KAA, Uy MEV, Mantaring JB, Bhutta ZA. Umbilical cord antiseptics for preventing sepsis and death among newborns. In Cochrane Database of Systematic Reviews 2013;31(5):CD008635.
  • 21. Oishi T, Iwata S, Nonoyama M, Tsuji A, Sunakawa K. Double-blind comparative study on the care of the neonatal umbilical cord using 80% ethanol with or without chlorhexidine. Journal of Hospital Infection 2004;58(1):34-7.
  • 22. Mullany LC, Darmstadt GL, Khatry SK, LeClerq SC, Katz J, Tielsch JM. Impact of umbilical cord cleansing with 4.0% chlorhexidine on time to cord separation among newborns in Southern Nepal: A cluster-randomized, community-based trial. Pediatrics. 2006; 118(5):1864-71.
  • 23. Ozdemir H, Bilgen H, Topuzoglu A, Coskun S, Soyletir G, Bakir M, ve ark. Impact of different antiseptics on umbilical cord colonization and cord separation time. Journal of Infection in Developing Countries 2017;11(2):152-7.
  • 24. Quattrin R, Iacobucci K, De Tina AL, Gallina L, Pittini C, Brusaferro S. 70% Alcohol Versus Dry Cord Care in the Umbilical Cord Care. Medicine (United States) 2016;95(14): e320726.
  • 25. WHO | WHO recommendations on postnatal care of the mother and newborn. (2014). World Health Organization. Geneva, Switzerland: WHO Press. http://www.who.int/maternal_child_adolescent/documents/postnatal-care-recommendations/en/
  • 26. Guen CG, Le Caille A, Launay E, Boscher C, Godon N, Savagner C, et al. Dry care versus antiseptics for umbilical cord care: A cluster randomized trial. Pediatrics. 2017;139(1): e20161857.
  • 27. Mullany LC, Shah R, El Arifeen S, Mannan I, Winch PJ, Hill A, et al. Chlorhexidine cleansing of the umbilical cord and separation time: A cluster-randomized trial. Pediatrics. 2013;131(4):708-15.
  • 28. Ayyildiz T, Kulakci H, Ayoglu FN, Kalinci N, Veren F. The effects of two bathing methods on the time of separation of umbilical cord in term babies in Turkey. Iranian Red Crescent Medical Journal. 2015;17(1):1-5

Umbilical Cord Seperation Time and Related Factors

Yıl 2022, Cilt: 8 Sayı: 1, 47 - 54, 25.02.2022

Nazan Gürarslan Baş Nilgün Söylemez Gülnaz Karatay

https://doi.org/10.19127/mbsjohs.1021568
Cited By: 1

Öz

Objective: The aim of the study is to determine the methods used in umbilical care, the separation time of the umbilical cord, and the factors affecting it.
Methods: A quantitative longitudinal observational analytical study was conducted between May 2018-May 2019 in an obstetrics clinic of a state hospital in eastern Turkey. The study consisted of a sample of 345 newborns and their mothers. Necessary permissions were obtained before the research data were collected. The data were collected through face-to-face interviews and via telephone. The data obtained were evaluated by percentage distribution, Independent Samples t-test, ANOVA, and Mann-Whitney U test.
Results: The average gestational age of the newborns is 39.11 ± .71 week. 42.6% of the mothers stated that they performed umbilical cord care. The mean separation time of the umbilical cord in newborns was calculated as 7.55 ± 2.64 days. It was observed that the umbilical cord of the babies whose mothers put some application to the umbilical cord fell off in an average of 8.27 ± 2.97 days, while those who did not practice fell off in 7.01 ± 2.22 days (p <0.05).
Conclusion: According to the findings of the study, keeping the umbilical cord open and dry without any application to it shortens the time of umbilical cord falling off.

Anahtar Kelimeler

Cord Practice Midwifery Newborn Nursing Umbilical Cord

Proje Numarası

Yok

Kaynakça

  • 1. Akpinar F, Gocmen I. Skin care in newborn. Maltepe Medical Journal 2014;6(2): 1-3.
  • 2. Mir F, Tikmani SS, Shakoor S, Warraich HJ, Sultana S, Ali SA, et al. Incidence and etiology of omphalitis in Pakistan: A community-based cohort study. Journal of Infection in Developing Countries 2011;5(12): 828-33.
  • 3. Soofi S, Cousens S, Imdad A, Bhutto N, Ali N, Bhutta ZA. Topical application of chlorhexidine to neonatal umbilical cords for prevention of omphalitis and neonatal mortality in a rural district of Pakistan: A community-based, cluster-randomised trial. The Lancet. 2012;379(9820):1029-36.
  • 4. Stewart D, Benitz W, Watterberg KL, Cummings JJ, Benitz WE, Eichenwald EC, et al. Umbilical cord care in the newborn infant. Pediatrics. 2016;138(3).
  • 5. López-Medina MD, López-Araque AB, Linares-Abad M, López-Medina IM. Umbilical cord separation time, predictors and healing complications in newborns with dry care. PLOS ONE. 2020;15(1):e0227209.
  • 6. Silfeler I, Genens M, Canbak Y, Guler S, Isik R, Konukoglu R, ve ark. Skin burn in two term newborn due to Use of 70% alcohol for umbilical care: Case report. The Journal of Kartal Training and Research Hospital. 2011;22(2):75–8.
  • 7. Turyasiima M, Nduwimana M, Andres SM, Kiconco G, Egesa WI, Maren BM, et al. Neonatal Umbilical Cord Infections: Incidence, Associated Factors and Cord Care Practices by Nursing Mothers at a Tertiary Hospital in Western Uganda. Open Journal of Pediatrics. 2020;10(02):288-301.
  • 8. WHO | Newborn deaths decrease but account for higher share of global child deaths. (2011). WHO. World Health Organization (WHO). Newborns: improving survival and well-being. Newborns: Improving Survival and Well-Being. 2018.
  • 9. Karumbi J, Mulaku M, Aluvaala J, English M, Opiyo N. Topical umbilical cord care for prevention of infection and neonatal mortality. In Pediatric Infectious Disease Journal. 2013; 32(1):78–83.
  • 10. Uysal G, Sonmez Duzkaya D. Umbilical Cord Care and Infection Rates in Turkey. JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2017;46(3): e118–e124.
  • 11. Demirtola A, Ozen IO. The Anomalies of the Umbilicus and the Umbilical Cord. STED. 2005;14(3): 47-9.
  • 12. Herlihy JM., Shaikh A, Mazimba A, Gagne N, Grogan C, Mpamba C, et al. Local perceptions, cultural beliefs and practices that shape umbilical cord care: A qualitative study in Southern Province, Zambia. PLoS ONE. 2013;8(11): e79191.
  • 13. Walsh S, Norr K, Sankar G, Sipsma H. Newborn cord care practices in Haiti. Global Public Health. 2015;10(9): 1107-17. 14. Abbaszadeh F, Hajizadeh Z, Seraji P, Sadat Z. Comparing the impacts of topical chlorhexidine and dry cord care on umbilical cord separation time among neonates. Nursing and Midwifery Studies. 2018;7(2): 62.
  • 15. Arifeen S. El Mullany LC, Shah R, Mannan I, Rahman SM, Talukder MRR, et al. The effect of cord cleansing with chlorhexidine on neonatal mortality in rural Bangladesh: a community-based, cluster-randomised trial. The Lancet. 2012;379(9820):1022-8.
  • 16. Darmstadt GL, Dinulos JG. Neonatal skin care. Pediatric Clinics of North America. 2000;47(4):757-82.
  • 17. Khairuzzaman M, Rouf M, Sarker M, Hossain I, Matin A, Mowla G, et al. Chlorhexidine Cleansing of the Umbilical Cord for Prevention of Umbilical Infection: A Hospital based Study in Bangladesh. Bangladesh Journal of Child Health. 2018;42(1): 4-8.
  • 18. Roba AA, Tefera M, Worku T, Dasa TT, Estifanos AS, Assefa N. Retracted Article: Application of 4% chlorhexidine to the umbilical cord stump of newborn infants in lower income countries: a systematic review and meta-analysis. Maternal Health, Neonatology and Perinatology. 2019;5(16). https://doi.org/10.1186/s40748-019-0111-y.
  • 19. Udosen IE, Olaoye T, Esienumoh EE, Udosen GE, Amaechi D. Practice of Nursing Mothers towards Umbilical Cord Care in Calabar Metropolis, Cross River State. In Journal of Medical Principles and Clinical Practice. 2019;2(2):1-12.
  • 20. Imdad A, Bautista RMM, Senen KAA, Uy MEV, Mantaring JB, Bhutta ZA. Umbilical cord antiseptics for preventing sepsis and death among newborns. In Cochrane Database of Systematic Reviews 2013;31(5):CD008635.
  • 21. Oishi T, Iwata S, Nonoyama M, Tsuji A, Sunakawa K. Double-blind comparative study on the care of the neonatal umbilical cord using 80% ethanol with or without chlorhexidine. Journal of Hospital Infection 2004;58(1):34-7.
  • 22. Mullany LC, Darmstadt GL, Khatry SK, LeClerq SC, Katz J, Tielsch JM. Impact of umbilical cord cleansing with 4.0% chlorhexidine on time to cord separation among newborns in Southern Nepal: A cluster-randomized, community-based trial. Pediatrics. 2006; 118(5):1864-71.
  • 23. Ozdemir H, Bilgen H, Topuzoglu A, Coskun S, Soyletir G, Bakir M, ve ark. Impact of different antiseptics on umbilical cord colonization and cord separation time. Journal of Infection in Developing Countries 2017;11(2):152-7.
  • 24. Quattrin R, Iacobucci K, De Tina AL, Gallina L, Pittini C, Brusaferro S. 70% Alcohol Versus Dry Cord Care in the Umbilical Cord Care. Medicine (United States) 2016;95(14): e320726.
  • 25. WHO | WHO recommendations on postnatal care of the mother and newborn. (2014). World Health Organization. Geneva, Switzerland: WHO Press. http://www.who.int/maternal_child_adolescent/documents/postnatal-care-recommendations/en/
  • 26. Guen CG, Le Caille A, Launay E, Boscher C, Godon N, Savagner C, et al. Dry care versus antiseptics for umbilical cord care: A cluster randomized trial. Pediatrics. 2017;139(1): e20161857.
  • 27. Mullany LC, Shah R, El Arifeen S, Mannan I, Winch PJ, Hill A, et al. Chlorhexidine cleansing of the umbilical cord and separation time: A cluster-randomized trial. Pediatrics. 2013;131(4):708-15.
  • 28. Ayyildiz T, Kulakci H, Ayoglu FN, Kalinci N, Veren F. The effects of two bathing methods on the time of separation of umbilical cord in term babies in Turkey. Iranian Red Crescent Medical Journal. 2015;17(1):1-5
Toplam 27 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makaleleri
Yazarlar

Nazan Gürarslan Baş 0000-0002-6546-192X

Nilgün Söylemez 0000-0002-5877-1655

Gülnaz Karatay 0000-0002-6488-0890

Proje Numarası Yok
Yayımlanma Tarihi 25 Şubat 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 8 Sayı: 1

Kaynak Göster

Vancouver Gürarslan Baş N, Söylemez N, Karatay G. Umbilical Cord Seperation Time and Related Factors. Middle Black Sea Journal of Health Science. 2022;8(1):47-54.

Cited By

The impact of umbilical cord care education given to Primiparous mothers on cord separation time: A randomized controlled study
Journal of Pediatric Nursing
https://doi.org/10.1016/j.pedn.2023.05.005
 Kapak Resmi İndir

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