Survey of umbilical cord care practices and separation time in healthy new-born in Maiduguri, Nigeria

This study aimed at assessing the umbilical cord care practices and separation time in healthy new-born in Maiduguri, Borno State, Nigeria. A descriptive survey design was adopted for the study. A total of 365 women attending child welfare clinic were selected through systematic random sampling technique from three health care facilities in Maiduguri Metropolis. A self-developed and validated questionnaire was used to collect information from the women on common cord care practices and knowledge of standard umbilical cord care practices. The questionnaire was pretested in State Specialist Hospital Maiduguri, Borno State and the correlation coefficient of 0.87 determined. The result of the study revealed that common cord care practices among women in Maiduguri include the use of methylated spirit, hot compress, charcoal, Vaseline and table salt. Others were mixture of methylated spirit with traditional concoctions, toothpaste and cow dung were also found to be commonly used by the mothers. The mean umbilical cord separation time of 3.5 days (± 0.397) was observed with the unorthodox treatment of the cord. Although there was a good knowledge among the respondents with regards to standard umbilical cord care practice, there was however no commensurate practice. Therefore, there is an urgent need for cultural re-orientation most especially of women with regard and unhygienic traditional cord care practices on the new born.

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Impact of different antiseptics on umbilical cord colonization and cord separation time

The Journal of Infection in Developing Countries ◽

10.3855/jidc.7224 ◽

2017 ◽

Vol 11 (02) ◽

pp. 152-157 ◽

Cited By ~ 5

Author(s):

Hulya Ozdemir ◽

Hulya Bilgen ◽

Ahmet Topuzoglu ◽

Senay Coskun ◽

Guner Soyletir ◽

...

Keyword(s):

Umbilical Cord ◽

Delivery Room ◽

Single Application ◽

Cord Care ◽

Separation Time ◽

Care Groups ◽

Significant Difference ◽

Umbilical Cord Care ◽

Care Practices ◽

Group 1

Introduction: There is still some uncertainty on cord care practices all around the world, especially in developing countries. The aim of our study was to investigate the effects of six different umbilical cord care practices on the rate of colonization and cord separation time. Methodology: A total of 516 newborns were randomly allocated to the following six umbilical cord care groups: group 1 received dry care; groups 2–4 received a single application of 70% alcohol, 4% chlorhexidine, or povidon-iodine in the delivery room, respectively, which were discontinued thereafter; groups 5 and 6 received a single application of 70% alcohol or 4% chlorhexidine, respectively, starting in the delivery room and continuing every six hours until discharge. Umbilical cords were examined on the second and third days and between the fifth and seventh day for signs of omphalitis. Swab cultures were taken on the second or third day from all cases. Results: Cord separation time (median [interquartile range]) was the shortest for group 1 (7 [6–7] days) and the longest for group 3 (10 [7–12] days) and group 6 (10 [8–12] days) (p < 0.001). The cord colonization in the swab cultures was significantly lower in groups 3 and 6 (p < 0.001). Omphalitis was detected in eight (1.5%) patients among the study population, and there was no significant difference between the groups. Conclusions: Our study showed that chlorhexidine application was the most effective agent in decreasing colonization, though it increased cord separation time significantly in both groups.

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Assessment of knowledge and cord care practices among pregnant women in selected PHCs in Jos metropolis, Plateau state

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20201422 ◽

2020 ◽

Vol 7 (4) ◽

pp. 1215

Author(s):

Amina Mohammed ◽

Esther Awazzi Envuladu ◽

Ize Anuoluwapo Osagie ◽

Joshua A. Difa

Keyword(s):

Umbilical Cord ◽

Tertiary Education ◽

Newborn Care ◽

Care Practice ◽

P Value ◽

Cord Care ◽

Essential Newborn Care ◽

Umbilical Cord Care ◽

Care Practices ◽

Chlorhexidine Gel

Background: Umbilical cord care is an essential newborn care practice which determines newborn survival. Knowledge on cord care influences the choice of cord care practices. This study was therefore conducted to determine the umbilical cord care practices among mothers in Jos metropolis.Methods: A cross sectional study involving 119 study respondents who were selected by cluster sampling technique. Data was collected using a self-administered questionnaire and analyzed using SPSS version 23.0. At 95% confidence interval, a p value of <0.05 was considered statistically significant.Results: Thirty-nine (35.1%) of the respondents had poor knowledge of cord care while 48 (43.3%) and 24 (21.6%) had fair and good knowledge respectively. Majority of the respondents used methylated spirit for the last delivery 54 (76.1%), 5 (6.9%) used chlorhexidine gel while 11 (15%) used substances such as salt and vaseline. Respondents with tertiary education were more likely than those with secondary and primary education to use aseptic cord care (OR 0.07; 95%CI 0.008-0.740) and (OR 0.15; 95%CI 0.047-0.507) respectively. The mean cord separation time among respondents who used chlorhexidine gel was 6.6±2.8 days, this was longer than those who used other substances (4.8±1.5 days).Conclusions: More respondents used aseptic cord care practices, however, a good number used a combination of septic and aseptic methods which could still pose a risk of infection to the neonate. There is need for health interventions to increase the awareness of mothers on using single aseptic cord care practices in order to prevent neonatal sepsis and mortality.

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Trends in newborn umbilical cord care practices in Sokoto and Bauchi States of Nigeria: the where, who, how, what and the ubiquitous role of traditional birth attendants: a lot quality assurance sampling survey

BMC Pregnancy and Childbirth ◽

10.1186/s12884-017-1551-x ◽

2017 ◽

Vol 17 (1) ◽

Cited By ~ 4

Author(s):

Dele Abegunde ◽

Nosa Orobaton ◽

Katherine Beal ◽

Amos Bassi ◽

Moyosola Bamidele ◽

...

Keyword(s):

Quality Assurance ◽

Umbilical Cord ◽

Traditional Birth Attendants ◽

Cord Care ◽

Birth Attendants ◽

Lot Quality Assurance Sampling ◽

Umbilical Cord Care ◽

Care Practices ◽

Sampling Survey

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Standardization of Haridradi churna- physicochemical assay and HPTLC profile

The Journal of Phytopharmacology ◽

10.31254/phyto.2017.6303 ◽

2017 ◽

Vol 6 (3) ◽

pp. 167-170

Author(s):

Soumya Priyadarshini.V ◽

◽

Chethan Kumar V.K ◽

Keyword(s):

Quality Control ◽

Umbilical Cord ◽

Curcuma Longa ◽

Cord Care ◽

Alcohol Extract ◽

New Born ◽

Geographical Variations ◽

Umbilical Cord Care ◽

Rf Values ◽

Symplocos Racemosa

Haridradi churna, a polyherbal preparation containing Haridra (Curcuma longa Linn.), Devadaru (Cedrus deodar Roxb), Lodhra (Symplocos racemosa Roxb), Priyangu (Callicarpa macrophylla Vahl) and Yastimadhu (Glycyrrhiza glabra Linn.) has been mentioned in Ayurveda texts for umbilical cord care in new born baby. Since the therapeutic values and efficacy of the herbals depend on many factors such as geographical variations, seasons of collection and method of preparation, a physicochemical assay and HPTLC analysis of the above formulation has been taken up in the present study. Standard protocols for AYUSH drugs have been followed in the study. The HPTLC profile of the alcohol extract of the drug revealed the presence of thirteen photochemical with Rf values ranging from 0.04 to 0.95. The results are useful in quality control and standardization of Haridradi churna formulation.

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Chlorhexidine Cleansing of the Umbilical Cord and Cord Separation Time: A Hospital Based Study in Bangladesh

Journal of Science Foundation ◽

10.3329/jsf.v13i2.27929 ◽

2016 ◽

Vol 13 (2) ◽

pp. 27-30 ◽

Cited By ~ 2

Author(s):

Md. Khairuzzaman ◽

MA Mannan ◽

Abdul Matin ◽

Mst. Monjuman Ara Sarker ◽

Nihar Ranjan Sarker ◽

...

Keyword(s):

Umbilical Cord ◽

Care Group ◽

Cord Care ◽

Maternal Acceptance ◽

Separation Time ◽

Umbilical Cord Care ◽

The Mean ◽

The Impact ◽

To Receive ◽

Level Hospital

Background: Cord separation time has evolved as an important justification for recommending against the topical use of chlorhexidine on the cord. Objective: This present study was undertaken to determine the impact of cord cleansing with chlorhexidine on cord separation time and maternal acceptance of chlorhexidine in umbilical cord care. Methods: Between April 2013 to July 2014, 340 newborns were randomly assigned within a tertiary level hospital in Bangladesh to receive 1 of 2 cord care regimens: clean and dry cord care (control) and single cord cleansing with 4% chlorhexidine. Results: The mean cord separation time in newborns of chlorhexidine group was significantly longer than dry cord care group (p < 0.001). Mother of newborns in chlorhexidine group more frequently reported longer than usual cord separation time. Overall satisfaction of mother with cord separation time was high (95.9%). Conclusion: Topical chlorhexidine significantly increased cord separation time.Journal of Science Foundation, 2015;13(2):27-30DOI: http://dx.doi.org/10.3329/jsf.v13i2.27929

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