Acta Scientific Paediatrics (ISSN: 2581-883X)

Research Article Volume 4 Issue 12

Cord Care Practices in Newborns - Fresh Look into Old Problem

Saima Pirzada, Zahid Anwar*, Fouzia Ishaq, Muhammad Azhar Farooq, Nazia Iqbal, Rafia Gul and Fatimah Noor

Department of Paediatrics, Fatima Memorial Hospital, Lahore, Pakistan

*Corresponding Author: Zahid Anwar, Department of Paediatrics, Fatima Memorial Hospital, Lahore, Pakistan.

Received: October 25, 2021; Published: November 17, 2021

Abstract

Background: Safe cord care practices in newborns reduce neonatal infections and deaths. We conducted this study to document the frequency of different cord care practices.

Methods: It was a questionnaire-based study done over 6 months in 3 tertiary care hospital of Lahore namely Fatima Memorial Hospital, Mayo Hospital and Sir Ganga Ram Hospital. Doctors interviewed mothers and female attendants of the newborns during rounds and neonatal OPD visits. The answers recorded data about socio-demographic characteristics and cord care practices.

Result: A total of 3115 females participated. The socio-demographic data shows mean age of 32.08 + 8.1 years. 38.3% had no education, 31.4% had few to 9 years of education and 32.3% had 10 or more years of education. 68.1% of the female resided in Lahore or other cities. 52.7% had no prior experience of newborn care, 13.9% being unmarried and remaing having no or 1st child in hospital. 62.2% were house wives.

79.9% would apply something, commonest being methylated spirit (41.7%) and ghee or oil (17.4%). 13.6% did not know of any practise. Antimicrobial agents were used by 61.2%. Few adopted dry cord care (7.3%) and chlorhexidine (0.1%).

Medical personnel (doctors, nurses and lady health workers) advised 55.3%, whereas grandmothers and close relatives influenced 15.3% females. 28.2% declined any knowledge.

Conclusion: We need to educate our medical personnel as well as all available family members in an effort to propagate safe cord care practices.

Keywords: Newborn Care; Cord Care; Chlorhexidine; Methylated Spirit; Umbilical Cord

References

  1. Meshram II., et al. “Trends in the prevalence of undernutrition, nutrient and food intake and predictors of undernutrition among under five-year tribal children in India”. Asia Pacific Journal of Clinical Nutrition4 (2012): 568-576.
  2. “Newborn care”. UNICEF DATA (2021).
  3. “Neonatal mortality”. UNICEF DATA (2021).
  4. Blencowe H., et al. “Clean birth and postnatal care practices to reduce neonatal deaths from sepsis and tetanus: a systematic review and Delphi estimation of mortality effect”. BMC Public Health3 (2011): S11.
  5. Esteves Mills J., et al. “Determinants of clean birthing practices in low- and middle-income countries: a scoping review”. BMC Public Health (2020).
  6. Stewart D., et al. “Umbilical Cord Care in the Newborn Infant”. Paediatrics3 (2016).
  7. Mir F., et al. “Incidence and etiology of omphalitis in Pakistan: a community-based cohort study”. Journal of Infection in Developing Countries12 (2011): 828-833.
  8. Fraser N., et al. “Neonatal omphalitis: a review of its serious complications”. Acta paediatric Oslo Norway5 (2006): 519-522.
  9. “Chlorhexidine 7,1% digluconate (CHX) aqueous solution or gel (10ml): Reports of serious eye injury due to errors in administration” (2021).
  10. “Sample Size Calculator” (2021).
  11. Gul S., et al. “Newborn care knowledge and practices among mothers attending pediatric outpatient clinic of a hospital in Karachi, Pakistan”. International Journal of Health Sciences2 (2014): 167-175.
  12. Ayaz A and Saleem S. “Neonatal Mortality and Prevalence of Practices for Newborn Care in a Squatter Settlement of Karachi, Pakistan: A Cross-Sectional Study”. PLOS ONE11 (2010): e13783.
  13. Al-Shehri H. “The Use of Alcohol versus Dry Care for the Umbilical Cord in Newborns: A Systematic Review and Meta-analysis of Randomized and Non-randomized Studies”. Cureus7 (2021).
  14. Afolaranmi TO., et al. “Cord Care Practices: A Perspective of Contemporary African Setting”. Front Public Health 6 (2018).
  15. Chingle MP., et al. “Knowledge and Practice of Healthy Cord Care Among Mothers in Angwanrukuba”. Social Science Research Network (2019).
  16. Edwards K. “New Twist on an Old Favorite: Gentian Violet and Methylene Blue Antibacterial Foams”. Advance Wound Care1 (2016): 11-18.
  17. Sathiyamurthy S., et al. “Antiseptic use in the neonatal intensive care unit - a dilemma in clinical practice: An evidence-based review”. World Journal of Clinical Paediatrics2 (2016): 159-171.
  18. Sinha A., et al. “Chlorhexidine skin or cord care for prevention of mortality and infections in neonates”. Cochrane Database of Systematic Reviews 3 (2015): CD007835.
  19. Shariff JA., et al. “Neonatal mortality and topical application of chlorhexidine on umbilical cord stump: a meta-analysis of randomized control trials”. Public Health 139 (2016): 27-35.
  20. Gelano TF., et al. “Effect of chlorhexidine cord application on prevention of neonatal sepsis in developing countries: Systematic review and meta-analysis”. International Journal of Health Sciences1 (2019): 40-51.
  21. Karumbi J., et al. “Topical Umbilical Cord Care for Prevention of Infection and Neonatal Mortality”. The Pediatric Infectious Disease Journal1 (2013): 78-83.
  22. Soofi S., et al. “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 Lancet9820 (2012): 1029-1036.
  23. Khanal V., et al. “Factors associated with the introduction of prelacteal feeds in Nepal: findings from the Nepal Demographic and Health Survey 2011”. International Breastfeeding Journal1 (2013): 9.

Citation

Citation: Zahid Anwar., et al. “ Cord Care Practices in Newborns - Fresh Look into Old Problem”. Acta Scientific Paediatrics 4.12 (2021): 26-30.

Copyright

Copyright: © 2021 Zahid Anwar., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days
Impact Factor0.951

Indexed In




News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is January 15, 2022.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of “Best Article of the Issue”.
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.
  • Contact US