care

In a more recent hospital based study from Haryana, there was no statistical difference in the babies who received dry cord care and those who in the chlorhexidine group with regard to umbilical infection and probable sepsis though there was a significant reduction in blood culture proven sepsis.

The results of the univariate analysis of risk factors showed that although there was proportionally increased mortality associated with lack of maternal immunization and antenatal care, delivery at home, delivery assistance by untrained TBAs, poor cord care, there was no significant difference in mortality between survivors and deceased (Data not shown).

It is recommended particularly for low and middle-income countries, for use in hospital and home deliveries, the aim to reduce the number of newborns that are likely to die from infection of the cord.The need for proper cord care cannot be overemphasised, Dr Kimani told DN2.

Whereas, mothers reported to have a poor knowledge about 4% chlorhexidine gel and its use in cord care.

Among women who delivered alive baby in the period 1 to 7 months prior to data collection found that exclusive breastfeeding was 87.6%, wrapping the baby before delivery of the placenta 82.3%, and dry cord care 65.2%.

A higher proportion of the latter preferred dry cord care. No Slovenian maternity hospital used antibiotics, in contrast to particular Croatian maternity hospitals.

KEY WORDS: Neonatal tetanus; cord care; risk factors; Neonate; Tetanus toxoid.

Maternal and child health workers conducted home visits on days 1, 4, 10 and 28 postpartum, and instructed mothers of infants in the intervention group to apply 4% chlorhexidine solution to the umbilical stump once per day until three days after cord separation; mothers of infants in the control group were instructed to provide dry cord care. Poisson regression models and Cox survival regression models were used to compare neonatal mortality and umbilical stump infection (omphalitis) across groups.

The fourth group was advised to practice the standard dry cord care procedures recommended by the World Health Organisation.

Objectives: The best umbilical cord care after birth is a controversial issue.

A meta-analysis of these studies indicated that chlorhexidine, when used against dry cord care, soap and water or hand washing, delivered a 23% reduction in all-cause new-born mortality.

Young, widely considered the best in the world for Spinal Cord Care, presented scientific data to support why the trial would be successful in America.

Unhygienic cord care (63.4%), prelacteal feeding (73.6%), and early bath (52%) of neonates were observed.

These include regular antenatal checkup of pregnant mothers and delivering with the help of a skilled health worker, enhancing new born resuscitation skills of health care providers such as helping babies breathe, keeping newborns warm, ensuring umbilical cord care and supporting early initiation of exclusive breast feeding."