Effect of Alcohol in Care of Umbilical Cord for the Departure Time and Skin Flora: A Randomized Controlled Trial_Chinese Journal of Evidence-Based Medicine

Authors：

1. Department of Nursing, the Affiliated Hospital of Hainan Medical School, Haikou 571101, China; 2. Department of Gynaecology and Obstetrics, the Affiliated Hospital of Hainan Medical School, Haikkou 571101, China;

Corresponding author：

Keywords：

Alcohol sterile; Dry and clean; Omphalitis

DOI：

10.7507/1672-2531.20100471

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Objectives 　To compare umbilical cord daily care protocol in the current clinical setting in which 75% alcohol sterile is used daily for the umbilical and surrounding skins with the WHO-recommended method (dry and clean).
Methods 　A total of 283 full-term newborns were randomly divided into two groups: the trial group (n=181) receiving WHO “dry and clean” protocol that the umbilical cord was open to air (with losing clothes), cleaned by clear water instead of alcohol. The control group (n=102) used the traditional method that after the newborns’ bathing, the umbilical cord and surrounding skins were sterilized with 75% alcohol. The basic condition of the newborns, umbilical departure time and complications around the navel were assessed. And bacterial culture from the newborns’ skins was observed.
Results 　There were no significant differences in departure time of the umbilical cord (7.64±3.29 day vs. 8.50±3.45 days t=1.82, P gt;0.05), complications (6 patients with slight omphalitis in the trial group and 2 patients with slight omphalitis in the control group), and the skin flora culture between the two groups. The umbilical cord of the newborns dropped off safely. And no fever was found.
Conclusion 　This study does not support that 75% alcohol can prevent the umbilical cord from being infected. Keeping the umbilical cord and surrounding skins dry is important for infection control.

Citation： ZHANG Hongyu,MENG Liping,WANG Xiaohuan,WANG Qing. Effect of Alcohol in Care of Umbilical Cord for the Departure Time and Skin Flora: A Randomized Controlled Trial. Chinese Journal of Evidence-Based Medicine, 2010, 10(6): 661-664. doi: 10.7507/1672-2531.20100471 Copy

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1. Care in normal birth maternal and newborn health-Safe motherhood. Division of reproductive health World Health Organization. Geneva. WHO/FRH/MSM/96.24.
2. Care in Normal Birth (1999): A Practical Guide. Report of a Technical Working Group. WHO: Geneva. World Health Organization (WHO).
3. 郑修霞. 主编. 妇产科护理学. 北京: 人民卫生出版社, 2006: 61.
4. 王娅莉. 主编. 妇产科护理学. 北京: 高等教育出版社, 2004: 61.
5. 金汉珍. 主编. 实用新生儿学. 第3版. 北京: 人民卫生出版社, 2003: 354- 355.
6. 马泽康. 主编. 中华新生儿学. 南昌: 江西科学技术出版社, 1998: 695.
7. Trotter S. Management of the umbilical cord - a guide to best care. RCM Midwives Journal, 2003, 6(7): 308-311.
8. Barr J. The umbilical cord: to treat or not to treat? Midwives Chronicle and Nursing Notes, 1984, 97(1159): 224-226.
9. Zupan J, Garner P, Omari AAA. Topical umbilical cord care at birth. Cochrane Database of Systematic Reviews 2004, Issue 3. Art. No.: CD001057.
10. 姜梅, 宋莉莉. 不同断脐时间对脐部并发症及脐带脱落时间的影响. 现代护理, 2005, 11(8): 583-584.
11. 房欣, 张素芝. 气门芯断脐暴露法的效果观察. 黑龙江护理杂志, 1998, 4(12): 43-44.
12. 周荣. 快速断脐法1000例临床分析. 黑龙江医学, 2005, 29(3): 233.
13. 孙平, 姜卉, 陈艳秋. 两次断脐法预防新生儿脐部感染. 中华医院感染学杂志, 2004, 14(7): 787.
14. 孙帮琴. 气门芯结扎脐带人工剪除法的临床应用. 中华护理杂志, 1996, 31(4): 203.
15. 王华兰, 胡婉珍, 李乐华, 等. 新生儿剪脐时机的临床观察. 中华护理杂志, 1999, 34 (9): 523.
16. 史玲美. 脐带自然脱落法效果观察. 护理研究, 2006, 20(7): 1836.
17. 张妮, 姚岳梅. 二种断脐方法对比分析. 航天医药, 2003, 14(3): 168.

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Chinese Journal of Evidence-Based Medicine

Effect of Alcohol in Care of Umbilical Cord for the Departure Time and Skin Flora: A Randomized Controlled Trial

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