Topical Umbilical Cord Care

2013 ◽  
Vol 32 (7) ◽  
pp. 801-802
Author(s):  
Jamlick Karumbi ◽  
Mercy Mulaku ◽  
Jalemba Aluvaala ◽  
Mike English ◽  
Newton Opiyo
Keyword(s):  
Umbilical Cord ◽  
Cord Care ◽  
Umbilical Cord Care

scholarly journals Chlorhexidine for facility-based umbilical cord care: EN-BIRTH multi-country validation study

2021 ◽  
Vol 21 (S1) ◽  
Author(s):  
Sojib Bin Zaman ◽  
◽  
Abu Bakkar Siddique ◽  
Harriet Ruysen ◽  
Ashish KC ◽  
...  
Keyword(s):  
Umbilical Cord ◽  
Health Management ◽  
Qualitative Interviews ◽  
Public Hospitals ◽  
World Health ◽  
Health Management Information System ◽  
Cord Care ◽  
National Policies ◽  
Exit Survey ◽  
Umbilical Cord Care

Abstract Background Umbilical cord hygiene prevents sepsis, a leading cause of neonatal mortality. The World Health Organization recommends 7.1% chlorhexidine digluconate (CHX) application to the umbilicus after home birth in high mortality contexts. In Bangladesh and Nepal, national policies recommend CHX use for all facility births. Population-based household surveys include optional questions on CHX use, but indicator validation studies are lacking. The Every Newborn Birth Indicators Research Tracking in Hospitals (EN-BIRTH) was an observational study assessing measurement validity for maternal and newborn indicators. This paper reports results regarding CHX. Methods The EN-BIRTH study (July 2017–July 2018) included three public hospitals in Bangladesh and Nepal where CHX cord application is routine. Clinical-observers collected tablet-based, time-stamped data regarding cord care during admission to labour and delivery wards as the gold standard to assess accuracy of women’s report at exit survey, and of routine-register data. We calculated validity ratios and individual-level validation metrics; analysed coverage, quality and measurement gaps. We conducted qualitative interviews to assess barriers and enablers to routine register-recording. Results Umbilical cord care was observed for 12,379 live births. Observer-assessed CHX coverage was very high at 89.3–99.4% in all 3 hospitals, although slightly lower after caesarean births in Azimpur (86.8%), Bangladesh. Exit survey-reported coverage (0.4–45.9%) underestimated the observed coverage with substantial “don’t know” responses (55.5–79.4%). Survey-reported validity ratios were all poor (0.01 to 0.38). Register-recorded coverage in the specific column in Bangladesh was underestimated by 0.2% in Kushtia but overestimated by 9.0% in Azimpur. Register-recorded validity ratios were good (0.9 to 1.1) in Bangladesh, and poor (0.8) in Nepal. The non-specific register column in Pokhara, Nepal substantially underestimated coverage (20.7%). Conclusions Exit survey-report highly underestimated observed CHX coverage in all three hospitals. Routine register-recorded coverage was closer to observer-assessed coverage than survey reports in all hospitals, including for caesarean births, and was more accurately captured in hospitals with a specific register column. Inclusion of CHX cord care into registers, and tallied into health management information system platforms, is justified in countries with national policies for facility-based use, but requires implementation research to assess register design and data flow within health information systems.

scholarly journals Cost and consequences of using 7.1% chlorhexidine gel for newborn umbilical cord care in Kenya

2021 ◽  
Author(s):  
Lecia Brown ◽  
Alan Martin ◽  
Christopher Were ◽  
Nandita Biswas ◽  
Alexander Liakos ◽  
...  
Keyword(s):  
Umbilical Cord ◽  
Direct Cost ◽  
Cost Savings ◽  
Cost Of Care ◽  
World Health ◽  
Healthcare Sector ◽  
Cord Care ◽  
Outpatient Visits ◽  
Umbilical Cord Care ◽  
Bed Days

Abstract Background: Umbilical-cord infection (omphalitis) is a major cause of neonatal mortality in Kenya. Chlorhexidine 7.1% digluconate gel, (CHX), delivering 4% chlorhexidine was identified as a life-saving commodity for newborn cord care by the United Nations and is included on the World Health Organization and Kenyan Essential Medicines Lists. Methods: We employed a cost-consequence model to assess resource saving and breakeven price of implementing CHX for neonatal umbilical cord care versus dry cord care (DCC) in a Kenyan birth cohort. Firstly, the number of omphalitis cases and cases avoided by healthcare sector were estimated. Economic outcomes associated with omphalitis cases avoided were then determined, including direct, indirect and total cost of care associated with omphalitis, resource use (outpatient visits and bed days) and societal impact (caregiver workdays lost). Treatment effect inputs were calculated from a Cochrane meta-analysis of randomised clinical trials (RCTs) (base case) and 2 other RCTs. Costs and other inputs were sourced from the literature and supplemented by expert clinical opinion/informed inputs, making assumptions as necessary. Reports: The model estimated that, over 1 year, ~23,000 omphalitis cases per 500,000 births could be avoided through CHX application versus DCC, circumventing ~13,000 outpatient visits, ~43,000 bed days and preserving ~114,000 workdays. CHX was associated with annual direct cost savings of ~590,000 US dollars (USD) versus DCC (not including drug-acquisition cost), increasing to ~2.5 million USD after including indirect costs (productivity, notional salary loss). The most-influential model parameter was relative risk of omphalitis with CHX versus DCC. Breakeven analysis identified a budget-neutral price for CHX use of 1.18 USD/course when accounting for direct cost savings only, and of 5.43 USD/course when also including indirect cost savings. The estimated breakeven price was robust to parameter input changes. DCC does not necessarily represent standard of care in Kenya; other, potentially harmful, approaches may be used, meaning cost savings may be understated. Conclusions: Estimated healthcare cost savings and potential health benefits provide compelling evidence to implement CHX for umbilical cord care in Kenya. We encourage comprehensive data collection to make future models and estimates of the impacts of upscaling CHX use more robust.

Comparison of Olive Oil and Dry-Clean Keeping Methods in Umbilical Cord Care as Microbiological

2009 ◽  
Vol 14 (6) ◽  
pp. 999-1004 ◽  
Author(s):  
Ayten Şentürk Erenel ◽  
Gülşen Vural ◽  
Şengül Yaman Efe ◽  
Semiha Özkan ◽  
Selda Özgen ◽  
...  
Keyword(s):  
Olive Oil ◽  
Umbilical Cord ◽  
Cord Care ◽  
Umbilical Cord Care

EDUCATIONAL PROGRAM FOR WOMEN ABOUT NEWBORN UMBILICAL CORD CARE AT AL-HODEIDA GOVERNORATE (YEMEN)

2018 ◽  
Vol 5 (3) ◽  
pp. 95-106
Author(s):  
Noman Alhatemi ◽  
Hoda Ibrahim ◽  
Neama Al-Magrabi ◽  
Nagla Abd El-aty
Keyword(s):  
Umbilical Cord ◽  
Educational Program ◽  
Cord Care ◽  
Umbilical Cord Care

Umbilical Cord Care in the Newborn Infant

2019 ◽  
pp. 33-37
Author(s):  
Dan Stewart ◽  
William Benitz ◽  
Keyword(s):  
Umbilical Cord ◽  
Newborn Infant ◽  
Cord Care ◽  
Umbilical Cord Care

Umbilical Cord Care and Infection Rates in Turkey

2017 ◽  
Vol 46 (3) ◽  
pp. e118-e124 ◽  
Author(s):  
Gülzade Uysal ◽  
Duygu Sönmez Düzkaya
Keyword(s):  
Umbilical Cord ◽  
Infection Rates ◽  
Cord Care ◽  
Umbilical Cord Care

scholarly journals Umbilical Cord Care in the Newborn Infant

PEDIATRICS ◽  
2016 ◽  
Vol 138 (3) ◽  
pp. e20162149-e20162149 ◽  
Author(s):  
D. Stewart ◽  
W. Benitz ◽  
Keyword(s):  
Umbilical Cord ◽  
Newborn Infant ◽  
Cord Care ◽  
Umbilical Cord Care
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