Umbilical Cord Care Procedures in the Newborn: A Systematic Review
DOI:
https://doi.org/10.30827/ars.v57i1.4380Keywords:
Infant/newborn, umbilical cord, anti-infective agentAbstract
Objectives: This paper presents a review of the scientific evidence about the recommended care for newborn umbilical wound in order to establish the best care possible.
Methodology: The search was conducted in May 2015, following the PRISMA criteria of scientific literature searches and completed with a manual review. We used the tool «Critical Reading Sheets» of OSTEBA Service for Health Technology Assessment of the Basque Government for the scientific evaluation of the selected works.
Results: We included 9 articles in this s review: 5 of them were previous revisions and 4 randomized controlled clinical trials. Most of them compared the use of an antiseptic (mainly clorhexidine) versus dry care.
Conclusions: Accordingly to the scientific evidence summarized In this manuscript about the care of newborn’s umbilical cord, the method to recommend will differ depending on whether we are in a developed country or in a developing one.
Downloads
References
Fraser N, Davies BW , Cusack J. Neonatal omphalitis: a review of its serious complications. Acta Paediatr Oslo Nor 2006;199:519–22.
Ponnusamy V, Venkatesh V, Clarke P. Skin antisepsis in the neonate: what should we use? Curr Opin Infect Dis 2014; 27: 244–50
Imdad A, Mullany LC, Baqui AH, Arifeen SE, Tielsch JM, Khatry SK, Shah R, Cousens S, Black RE, Bhutt ZA. The effect of umbilical cord cleansing with chlorhexidine on omphalitis and neonatal mortality in community settings in developing countries: a meta-analysis. BMC Public Health. 2013; 13 Suppl 3: S15
Moher D, Liberati A, Tetzlaff J, Altman D. G. & PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol. 2009; 62: 1006–12
OSTEBA, Servicio de Evaluación de Tecnologías Sanitarias. Departamento de Salud, Gobierno Vasco, España. Fichas de Lectura Crítica. Plataforma Web 2.0. Disponible en: http://www.lecturacritica.com/es/
Gathwala G, Sharma D, Bhakhri B, kiran. Effect of topical application of chlorhexidine for umbilical cord care in comparison with conventional dry cord care on the risk of neonatal sepsis: a randomized controlled trial. J Trop Pediatr . 2013; 59: 209–13
Sharma D , Gathwala G. Impact of chlorhexidine cleansing of the umbilical cord on cord separation time and neonatal mortality in comparison to dry cord care - a nursery-based randomized controlled trial. J Matern.-Fetal Neonatal Med . 2014; 27: 1262–65
Kapellen TM, Gebauer C.M, Brosteanu O, Labitzke B, Vogtmann C, Kiess W. Higher rate of cord-related adverse events in neonates with dry umbilical cord care compared to chlorhexidine powder. Results of a randomized controlled study to compare efficacy and safety of chlorhexidine powder versus dry care in umbilical cord care of the newborn. Neonatology. 2009;96: 13–18
Temprano MM, García C F. Mejora en el cuidado del cordón umbilical del recien nacido. Revista Enfermería CyL. 2011;2: 15–18
Peinado-Jaén R. Cuidados del Cordón Umbilical: Revisión de la evidencia. (2014). Disponible en: http://tauja.ujaen.es/handle/10953.1/1349
Imdad A1, Bautista RM, Senen KA, Uy ME, Mantaring JB 3rd, Bhutta ZA. Umbilical cord antiseptics for preventing sepsis and death among newborns. Cochrane Database Syst.2013; Rev.5, CD008635
Sánchez Luna M, Pallás Alonso CR, Botet Mussons F, Echániz Urcelay I, Castro Conde JR, Narbona E. Recomendaciones para el cuidado y atención del recién nacido sano en el parto y en las primeras horas después del nacimiento. An. Pediatría. 2009;71:349–361
Sinha ., Sazawal S, Pradhan A, Ramji S, Opiyo N. Chlorhexidine skin or cord care for prevention of mortality and infections in neonates. Cochrane Database Syst. 2015; Rev 3, CD007835
Zupan J, Garner P, Omari AAA. Topical umbilical cord care at birth (Review). The Cochrane Database of Systematic Reviews (2013). Disponible en: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001057.pub2/pdf
Ayyildiz T, Kulakci H, Niyazi Ayoglu F, Kalinci N, Veren F. The effects of two bathing methods on the time of separation of umbilical cord in term babies in Turkey. Iran. Red Crescent Med. J.2015;17
Downloads
Published
How to Cite
Issue
Section
License
The articles, which are published in this journal, are subject to the following terms in relation to the rights of patrimonial or exploitation:
- The authors will keep their copyright and guarantee to the journal the right of first publication of their work, which will be distributed with a Creative Commons BY-NC-SA 4.0 license that allows third parties to reuse the work whenever its author, quote the original source and do not make commercial use of it.
b. The authors may adopt other non-exclusive licensing agreements for the distribution of the published version of the work (e.g., deposit it in an institutional telematic file or publish it in a monographic volume) provided that the original source of its publication is indicated.
c. Authors are allowed and advised to disseminate their work through the Internet (e.g. in institutional repositories or on their website) before and during the submission process, which can produce interesting exchanges and increase citations of the published work. (See The effect of open access).