Umbilical cord care in pre-term babies

Bain, Jill

doi:10.7748/ns.8.15.32.s40

Cited by 12 publications

(7 citation statements)

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“…5 In this study dry cord care was performed from the first nappy change cleansing the UC with sterile saline solution (NaCl 90%), using a sterile gauze twice a day, and left without any dressing upon it as well. The research, confirming data shown in other trials conducted in healthy term infants born in high-income or middle-income hospital setting, 2,[15][16][17] found no difference in occurrence of UC AEs between the two groups, that also did not have statistically significant differences in percentages distribution of baseline characteristics of newborns (type of delivery, birth weight, parenthood order, sex, breastfeeding at discharge and at home) and of mothers (age, education).…”

Section: Resultssupporting

confidence: 77%

Umbilical Cord Care After the First Day From Birth: A Case Control Study in a Northeastern Italian Hospital

Gallina¹,

Tina²,

Basso³

et al. 2016

Pediatr Neonatal Nurs Open J

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Background: Recently the use of antibacterial agents to clean and dry the stump of the newborns' umbilical cord (UC) after birth has been abandoned by many neonatal units. Aim of this study was to compare the occurrence of adverse events (AEs), time to UC separation and caregivers' satisfaction among newborns treated with dry cord care versus 70% alcohol after one day from birth in an Italian Hospital. Methods: From June 2014 to September 2014, 100 infants were enrolled for the study. Soon after birth, all the newborns were treated in the same way: their UC was cleansed with 70% alcohol, using a sterile gauze. One day after the birth, in the control group the UC was regularly cleansed with 70% alcohol twice a day, while in the case group, from the first nappy change, dry cord care was performed cleansing the UC with sterile saline solution (NaCl 90%), using a sterile gauze twice a day. In all cases UC was left without any dressing upon it as well. The time to UC separation and any AEs (local and systemic infections, haemorrhage, granuloma formation) were reported by mothers. Carers' perception regarding the two procedures were collected by a questionnaire between 6 and 24 hours after birth, and 1 month later. Results: We found a significant difference in the mean cord separation time between the two groups [dry cord care: 9.1 days (standard deviation (SD)=3.1] versus 70% alcohol: 11.3 days (SD=4.6); p<0.01], while no significant AEs and carers' satisfaction on the procedures resulted. Instead, change of treatment at home was more frequent in dry cord care group (23.9% versus 6.1%; p<0.01). Conclusions: This study confirms that dry cord care is an easy, accepted and safe method of handling the UC in healthy newborn infants born in a high-income hospital setting.

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Section: Resultssupporting

confidence: 77%

Umbilical Cord Care After the First Day From Birth: A Case Control Study in a Northeastern Italian Hospital

Gallina¹,

Tina²,

Basso³

et al. 2016

Pediatr Neonatal Nurs Open J

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“…2–10 Studies which applied nothing to the cord had mean separation times of about 9 days. 14,24,25 Meta-analysis of 4 studies with alcohol as the comparator showed a trend toward cord separation being significantly prolonged in the alcohol group but there was no significant difference in cord separation, 1 while the present study showed a statistical difference between the 2 groups: in DCC the mean UC separation time was about 2 days before of control group 1 (10 days vs 12 days). The clinical impact of delays of cord separation is unknown, but it has social and cost implications: delay makes mothers anxious, and it increases the number of domiciliary midwife visits to the home.…”

Section: Discussioncontrasting

confidence: 51%

“…It confirms data shown in other trials conducted in healthy term infants born in high-income or middle-income hospital setting. 2,15,16 …”

Section: Discussionmentioning

confidence: 99%

70% Alcohol Versus Dry Cord Care in the Umbilical Cord Care

et al. 2016

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Recently the use of antibacterial agents to clean and dry the stump of the newborns’ umbilical cord (UC) after birth has been abandoned by many neonatal units in favor of dry cord care. Aim of this study was to compare the occurrence of adverse events (AEs) and time to cord separation among newborns treated with dry cord care versus 70% alcohol in an Italian Academic Hospital (AH).From December 2014 to March 2015, 239 infants were born at the AH. The number of eligible infants was 200 and they were equally assigned to either case group (dry cord care) or control group (70% alcohol, standard procedure). Standard cord care consisted in 1 application of 70% alcohol at birth followed by other 2 times a day, while experimental dry cord care procedure was executed by the only application of a sterile gauze around the base of the UC at the 1st day of life and after the cord has been exposed to air off the diaper edge. The time to UC separation and any AEs such as local and systemic infections, hemorrhage, and granuloma formation were reported by mothers.We found a significant difference in the mean cord separation time between the 2 groups (dry cord care: 10.1 days [standard deviation, SD = 4.0] vs 70% alcohol: 12.0 days [SD = 4.2]; P < 0.001), while no significant AEs resulted. Incidence rate of granuloma was 0.67 × 1000 days of life in dry cord care group.Dry cord care is an easy, straight-forward, and safe method of handling the UC in healthy newborn infants born in a high-income hospital setting.

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“…A thorough hand-washing constitutes an important measure in the prevention of cord stump contamination [2,3], but the tendency of medical and paramedical attendants to perform this simple hygienic procedure is notoriously low [4,5]. This is the reason why several authors recommend the application of an antiseptic on the UC [6][7][8]. Although the American Academy of Pediatrics considers no antiseptic treatment to be superior to any other, they confirm its utility [9].…”

Section: Introductionmentioning

confidence: 99%

Umbilical Cord Care: The Effect of Eight Different Cord-Care Regimens on Cord Separation Time and Other Outcomes

Pezzati¹,

Biagioli²,

Martelli³

et al. 2002

Neonatology

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In this study we evaluate the effect of eight cord-care regimens on cord separation time and other secondary outcomes: omphalitis, sepsis, death, cord bleeding, compliance, satisfaction or dissatisfaction with regard to the type of treatment, umbilical cord colonization – in 1,535 healthy term infants. The eight cord-care regimens studied were: 70% alcohol, natural drying, salicylic sugar powder, triple dye, micronized green clay powder, colloid silver-benzyl-peroxide powder, neomycin-bacitracin powder, 1% basic fuchsine. None of the newborns developed sepsis or died and we found only sporadic cases of omphalitis. With regard to cord separation time the best results were obtained with salicylic sugar powder (5.6 ± 2.3 days) and green clay powder (6.7 ± 2.2 days). Both forms of treatment proved to be more effective (p < 0.05) than all the others. We found that salicylic sugar powder allows for early cord detachment resulting in excellent parent treatment compliance and reduction of their concern, notwithstanding higher percentages of cord bleeding. The rate of positive umbilical swabs was low and was significantly higher only than the results obtained with neomycin-bacitracin powder treatment. This study demonstrates that, in hospital nurseries of developed countries, salicylic sugar powder can be effectively and safely used for umbilical cord care of healthy term infants.

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Umbilical cord care in pre-term babies

Cited by 12 publications

References 0 publications

Umbilical Cord Care After the First Day From Birth: A Case Control Study in a Northeastern Italian Hospital

Umbilical Cord Care After the First Day From Birth: A Case Control Study in a Northeastern Italian Hospital

70% Alcohol Versus Dry Cord Care in the Umbilical Cord Care

Umbilical Cord Care: The Effect of Eight Different Cord-Care Regimens on Cord Separation Time and Other Outcomes

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