Comparison of the effect of topical application of human milk and dry cord care on the bacterial colonization of umbilical cord in newborn infants

AUTHORS

Fatemeh Abbaszadeh 1 , zanab Hajizadeh 2 , Mahboobeh Kafaei Atrian 3 , * , Azam Bagheri 1 , Nahid Sarafraz 1

AUTHORS INFORMATION

1 Dept. of Midwifery, Faculty of Nursing and Midwifery, Kashan University of Medical Science, Kashan, Iran

2 Shahid Beheshti Hospital, Kashan University of Medical Science, Kashan, Iran

3 Dept. of Midwifery, Kashan University of Medical Sciences, Dept. of Health Promotion, Fcaulty of Health, Iran University of Medical Sciences, International Branch, Kashan, Iran

How to Cite: Abbaszadeh F, Hajizadeh Z, Kafaei Atrian M, Bagheri A , Sarafraz N. Comparison of the effect of topical application of human milk and dry cord care on the bacterial colonization of umbilical cord in newborn infants, J Kermanshah Univ Med Sci. 2014 ; 18(1):e74269. doi: 10.22110/jkums.v18i1.1342.

ARTICLE INFORMATION

Journal of Kermanshah University of Medical Sciences: 18 (1); e74269
Published Online: April 29, 2014
Article Type: Research Article
Received: September 29, 2013
Accepted: February 25, 2014
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Abstract

Background: Breast milk contains significant amounts of compounds that act as natural antimicrobial agents. This study was conducted to compare the effect of topical application of human milk and dry cord care on bacterial colonization in the umbilical cord of newborn infants.

Methods: This clinical trial study was carried out on 174 infants in Kashan.  The newborns were randomized to mother's milk group and dry cord care group from the birth. In group 1, the mother rubbed her own milk on the cord stump every 12 hours from 3 hours after birth to 2 days after the umbilical cord separation. In group 2, the mother was recommended not to use any material on the cord. Then, the cord samples were taken four times; 3hours after birth, at days 3 and 7, and 2 days after the umbilical cord separation.

Results: The findings of the culture two days after umbilical cord separation indicated that low percentage of neonates in the breast milk (23.1%) and dry cord care (28.8%) groups had bacterial colonization. Moreover, no significant difference was found between the two groups in terms of growth of pathogenic organisms and normal flora of the skin (P>0.05).

Conclusion: Given the low prevalence of pathogenic microorganisms in the two groups, it seems using breast milk and dry cord care are equally effective methods of taking care of umbilical cord.

Keywords

topical application human milk dry cord care bacterial colonization cord care

© 2014, Journal of Kermanshah University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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