Collective memory of umbilical cord stump care: an educational experience

Abstract

Objective: To report the educational experience with pregnant women considering the recovery of collective memory inherited from the care for the umbilical cord stump provided by grandmothers. Method: This case study was based on collective memory and resulted from a workshop with 20 pregnant women from a Basic Health Unit in a city in the inland of Bahia. Results: The study showed that pregnant women’s grandmothers are significant in the stump care process because they transmit their memories pervaded by beliefs, myths and superstitions that, although should be respected by nurses and other health professionals, can sometimes contribute to the occurrence of omphalitis and neonatal tetanus. Final considerations: The results indicated the need for raising awareness and education of all persons involved in this care, especially grandmothers, so that they can reflect on the risks and damage that certain empirical knowledge can cause to the health of the umbilical cord.

Effect of educational video on newborn care for the knowledge of pregnant and postpartum women and their families

“…In this context, both mothers and caregivers must be guided about adequate care for the stump to preserve the newborn's health and prevent diseases. The present study shows that, before the intervention, a large part of the participants already had satisfactory knowledge about this care, and, after exposure to the video, they began to acquire the information that the cleaning of the umbilical stump should be carried out with the use of a sterile cotton swab or gauze, soaked in 70% alcohol, from the base to the end and leaving it dry (23)(24)(25) .…”

“…A study conducted with primiparous puerperal mothers found that, among all the care provided to the newborn, the second more evident doubt was the way to care for the umbilical stump (42.85%) (22) . Umbilical stump care is a practice that often reflects the popular knowledge acquired from other generations, in addition to being permeated by beliefs and myths that can compromise the health of the newborn, causing omphalitis and its complications (23)(24) . In this context, both mothers and caregivers must be guided about adequate care for the stump to preserve the newborn's health and prevent diseases.…”

“…The skin of the NB is characterized by being more fragile and sensitive and requires special care regarding products intended for hygiene and protection. Regarding the care of clothes, the recommendation is to separate the family's clothes from the NB's clothes for washing, use neutral soap, avoid the excessive use of laundry soap and softener because of the chemical properties of these products and their adhesion to the fabric that may cause allergies on the skin of the child (20)(21)(22)(23)(24)(25)(26) . Given the aforementioned care, after the intervention with the educational video, a higher number of participants correctly answered the questions about this issue since, in the pre-test answers, most informed that the ideal would be to use powdered soap or neutral and softening soap.…”

Maternal difficulties in home care for newborns

“…Em relação à limpeza do coto umbilical, pesquisa realizada em hospital público corrobora os achados deste estudo, no qual 62,0% das puérperas, tanto primigestas como multigestas, apresentaram desconhecimento sobre a higiene do coto e tinham receio de machucar o bebê (6) . Da mesma forma, estudo com primigestas e secundigestas evidenciou que o conhecimento sobre o cuidado adequado com o coto umbilical, o uso do álcool etílico 70% como recomendação para higienização e o tempo de mumificação foram as dificuldades evidenciadas nas falas das participantes (12) , corroborando os dados apresentados.…”

Research on the Influencing Factors of Problem-Driven Children’s Deep Learning

“…For children in the fast-growing period, deep learning is close to the effective scope of children’s recent development areas and is also an effective way to achieve meaningful learning ( Zhang, 2020 ). Deep learning for children is a kind of personal experience, which can be transformed into a process beyond the original experience under the appropriate questions of the teacher, and promotes the development of individuals to a higher level ( Linhares et al, 2019 ; Kroelinger et al, 2020 ).…”