Comparison of the effectiveness of breast milk, dry-keeping, and use of chlorhexidine in umbilical cord care
This research was conducted as a randomized study with the objective of determining the effects of breast milk, dry-keeping, and chlorhexidine methods used in umbilical cord care on the time of umbilical cord separation and on omphalitis and bacterial flora development. The study was carried out...
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2024-01-01
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| Series: | Acta Clinica Croatica |
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| Online Access: | https://hrcak.srce.hr/file/465408 |
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| author | Emine Ela Küçük Dilek Küçük Alemdar Kürşad Yapar Şahin Direkel Nejla Ömerbeyoğlu Ülker Başak |
| author_facet | Emine Ela Küçük Dilek Küçük Alemdar Kürşad Yapar Şahin Direkel Nejla Ömerbeyoğlu Ülker Başak |
| author_sort | Emine Ela Küçük |
| collection | DOAJ |
| description | This research was conducted as a randomized study with the objective of
determining the effects of breast milk, dry-keeping, and chlorhexidine methods used in umbilical
cord care on the time of umbilical cord separation and on omphalitis and bacterial flora development.
The study was carried out in 97 newborns divided into three groups, as follows: breast milk was
used for umbilical cord care in group 1 of 32 newborns, dry-keeping was applied in group 2 of 35
newborns, and chlorhexidine was applied in group 3 of 30 newborns. Infants were assigned to three
subgroups through randomization performed using a computer program. Swabs for culture were
obtained from umbilical cord on postnatal day 2 and day 5. While difference in the results of the care
methods applied was notsignifi cant on day 2, significant difference in the results was found on day
5. It was determined that there was no bacterial growth in 46.7% of the chlorhexidine group, while
maximum bacterial growth was recorded in the dry-keeping group. In the chlorhexidine group, timing
of umbilical cord separation was significantly shorter than in other groups. Study results indicated
that the most effective method was the use of chlorhexidine. Dry-keeping can be risky since it was
inefficient in preventing umbilical colonization, and in cases where the cost of chlorhexidine is an
issue, the use of breast milk can be recommended. |
| format | Article |
| id | doaj-art-25cabf35bfa3413bbb47734777df2583 |
| institution | OA Journals |
| issn | 0353-9466 1333-9451 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj-art-25cabf35bfa3413bbb47734777df25832025-08-20T02:05:32ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512024-01-0163.1112210.20471/acc.2024.63.01.2Comparison of the effectiveness of breast milk, dry-keeping, and use of chlorhexidine in umbilical cord careEmine Ela Küçük0Dilek Küçük Alemdar1Kürşad Yapar2Şahin Direkel3Nejla Ömerbeyoğlu4Ülker Başak5Giresun University, Faculty of Health Sciences, Nursing Department, Giresun,TurkeyOrdu University, Faculty of Health Sciences, Nursing Department, Ordu,TurkeyGiresun University, Faculty of Medicine, Pharmacology Department, Giresun,TurkeyMalatya Turgut Özal University, Faculty of Medicine, Microbiology Department, Malatya,TurkeyGiresun Education and Research Hospital, Giresun,TurkeyGiresun Education and Research Hospital for Obstetrics and Gynecology, Giresun,TurkeyThis research was conducted as a randomized study with the objective of determining the effects of breast milk, dry-keeping, and chlorhexidine methods used in umbilical cord care on the time of umbilical cord separation and on omphalitis and bacterial flora development. The study was carried out in 97 newborns divided into three groups, as follows: breast milk was used for umbilical cord care in group 1 of 32 newborns, dry-keeping was applied in group 2 of 35 newborns, and chlorhexidine was applied in group 3 of 30 newborns. Infants were assigned to three subgroups through randomization performed using a computer program. Swabs for culture were obtained from umbilical cord on postnatal day 2 and day 5. While difference in the results of the care methods applied was notsignifi cant on day 2, significant difference in the results was found on day 5. It was determined that there was no bacterial growth in 46.7% of the chlorhexidine group, while maximum bacterial growth was recorded in the dry-keeping group. In the chlorhexidine group, timing of umbilical cord separation was significantly shorter than in other groups. Study results indicated that the most effective method was the use of chlorhexidine. Dry-keeping can be risky since it was inefficient in preventing umbilical colonization, and in cases where the cost of chlorhexidine is an issue, the use of breast milk can be recommended.https://hrcak.srce.hr/file/465408Bacterial colonizationUmbilical cord careCord separation timeBreast milkKeeping dryChlorhexidine |
| spellingShingle | Emine Ela Küçük Dilek Küçük Alemdar Kürşad Yapar Şahin Direkel Nejla Ömerbeyoğlu Ülker Başak Comparison of the effectiveness of breast milk, dry-keeping, and use of chlorhexidine in umbilical cord care Acta Clinica Croatica Bacterial colonization Umbilical cord care Cord separation time Breast milk Keeping dry Chlorhexidine |
| title | Comparison of the effectiveness of breast milk, dry-keeping, and use of chlorhexidine in umbilical cord care |
| title_full | Comparison of the effectiveness of breast milk, dry-keeping, and use of chlorhexidine in umbilical cord care |
| title_fullStr | Comparison of the effectiveness of breast milk, dry-keeping, and use of chlorhexidine in umbilical cord care |
| title_full_unstemmed | Comparison of the effectiveness of breast milk, dry-keeping, and use of chlorhexidine in umbilical cord care |
| title_short | Comparison of the effectiveness of breast milk, dry-keeping, and use of chlorhexidine in umbilical cord care |
| title_sort | comparison of the effectiveness of breast milk dry keeping and use of chlorhexidine in umbilical cord care |
| topic | Bacterial colonization Umbilical cord care Cord separation time Breast milk Keeping dry Chlorhexidine |
| url | https://hrcak.srce.hr/file/465408 |
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