Abstract
While performing a vital role for survival of the fetus, after delivery the umbilical cord stump is a redundant feature of the term newborn. It does, however, receive attention and activity by maternity staff and concern by parents. As it is the only open area of the baby’s body, potentially problems can develop. In most societies there are routines for the care of the cord to facilitate drying and separation, and to prevent bacterial colonisation and infection, or cross-infection to others. Care of the cord is not a new concept and procedures for tying and wrapping it, followed by abdominal binding, have been meticulously described (Barrett 1851). Similarly, applications of chemicals to the cord are neither recent innovations nor simply responses to twentieth century medicine alone (Brown 1932).
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References
Alder V G, Burman D, Simpson R A, Fysh J, Gillespie W A 1980 Comparison of hexachlorophene and chlorhexidane powders in prevention of neonatal infection. Archives of Disease in Childhood 55: 277–80
American Academy of Pediatrics, Committee on the Fetus and Newborn 1974 Skin care of the newborn. Pediatrics 54(6): 682–83
American Academy of Pediatrics and the American College of Obstetricians and Gynaecologists 1988 Guidelines for perinatal care. Washington DC
Arad H, Eyal F, Farnmesser P 1981 Umbilical care and cord separation. Archives of Disease in Childhood 56: 887–88
Barr J 1984 The umbilical cord: to treat or not to treat? Midwives Chronicle 97(1159): 224–26
Barrett F F, Mason E O, Fleming D 1979 The effects of three core care regimes on bacterial colonization of normal newborn infants. Journal of Pediatrics 94(5): 796–800
Barrett T 1851 Advice on the management of children in early infancy. Binns and Goodwin, Bath
Bennett J V, Brachman P S 1986 Hospital infections (2nd edn): 490–1. Little Brown & Co, Boston, Toronto
Brown A 1932 The normal child: its care and feeding (3rd edn) McClelland and Stewart, Toronto
Coyer W F 1974 Phisohex versus topical gentamycin in the clinical control of Staphylococcus aureus colonization. Pediatric Research 8(423): 149
Coyer W F 1975 Neonatal skin care and the prevention of Staphylococcus aureus colonization. Pediatric Research 9: 339
Davies P A 1971 Bacterial infections in the fetus and newborn. Archives of Disease in Childhood 46: 1–27
Gezon H M, Thompson D J, Rogers K D, Hatch T F, Rycheck R R, Yee R B 1973 Control of staphylococcal infections and disease in the newborn through the use of hexachlorophene. Pediatrics 51(2): 331–43
Gladstone I M, Clapper I, Thorpe J W, Wright D I 1988 Randomized study of six cord care regimes. Clinical Pediatrics 27(3): 127–29
Harris M C, Polin R A 1983 Neonatal septicemia. Pediatric Clinics of North America 30(2): 243–58
Health and Welfare Canada 1987 Family-centred maternity and newborn care. National Guidelines, Ottawa
Hurwitz S 1981 Clinical pediatric dermatology. A textbook of skin disorders of childhood and adolescents. W B Saunders, Philadelphia
Jellard J 1957 Umbilical cord as a reservoir of infection in a maternity hospital. British Medical Journal 20: 925–28
Larson E 1987 Trends in neonatal infections. Journal of Obstetric, Gynecologic, and Neonatal Nursing 16: 404–09
Lawrence C 1982 Effect of two different methods of umbilical cord care on its separation time. Midwives Chronicle 95(1134): 204–05
Martin G, Streng J, Miller M 1983 Current bathing techniques in newborn nurseries in the United States. American Journal of Diseases of Children 137: 529–30
Meberg A, Schøyen R 1985 Bacteriological colonization and neonatal infections. Acta Paediatrica Scandinavica 74: 366–71
Mugford M, Somchiwong M, Waterhouse I L 1986 Treatment of umbilical cords: a randomised trial to assess the effect of treatment methods on the work of midwives. Midwifery 2: 177–86
Murray M, Zentner J 1975 Nursing concepts for health promotion. Prentice Hall, New Jersey
Pildes R S, Ramamurthy R S, Vidyasagar D 1973 Effect of triple dye on staphylococcal colonization in the newborn infant. Pediatrics 82(6): 987–90
Rush J 1986 Routine newborn bathing as a means of reducing staphylococcus aureus colonization rates: a randomized trial. Birth 13: 18–22
Rush J, Chalmers I, Enkin M 1989 Care of the new mother and baby. In Chalmers I, Enkin M, Kierse M (eds) Effective care in pregnancy and childbirth. Oxford University Press, Oxford
Salariya E M, Kowbus N M 1988 Variable cord care. Midwifery 4: 70–6
Schuman A J, Oksol B A 1985 The effect of isopropyl alcohol and triple dye on umbilical cord separation time. Military Medicine 150(1): 49–50
Smith D H 1979 Epidemics of infectious diseases in newborn nurseries. Clinics in Obstetrics and Gynaecology 22(2): 409–23
Speck W T, Driscoll J M, Polin R A, O’Neill J, Rosenkranz H S 1977 Staphylococcal and streptococcal colonization of the newborn infant. American Journal of Diseases of Children 131: 1005–08
Speck W T, Driscoll J M, O’Neill J, Rosenkranz H S 1980 Effect of antiseptic cord care on bacterial colonization in the newborn infant. Chemotherapy 26: 372–76
Stroud C E 1982 A pediatrician’s view of the newborn and its epidemics. Current Medical Research and Opinion 7(Supplement 2): 29–32
Wang E L, Elder D, Mishkel N 1987 Staphylococcal colonization and infection after discharge from a term newborn nursery. Infection Control 8(Supplement 1): 30–3
Wilson C B, Ochs H D, Almquist J, Dassel S, Nauseth R, Ochs U H 1985 When is umbilical cord separation delayed? Journal of Pediatrics 107(2): 292–94
Youmans G P, Patterson P Y, Sommers H M 1975 The bacteriological and clinical bases of infectious disease. W B Saunders, Philadelphia, Toronto
Further reading
Goldman D A 1981 Bacterial colonization and infection in the neonate. In Dixon R E (ed) Nosocomial infections. York Medical Books, Atlanta
Knapp R G 1978 Basic statistics for nurses. John Wiley, New York
Rush J, Chalmers I, Enkin M 1989 Care of the new mother and baby. In Chalmers I, Enkin M, Kierse M (eds) Effective care in pregnancy and childbirth. Oxford University Press, Oxford
Sackett D L, Haynes R B, Tugwell P 1985 Clinical epidemiology: a basic science for clinical medicine. Little, Brown & Co, Boston, Toronto
Young D 1982 Changing childbirth. Childbirth Graphics, Rochester NY
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© 1990 Janet Rush
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Rush, J. (1990). Care of the Umbilical Cord. In: Alexander, J., Levy, V., Roch, S. (eds) Postnatal Care. Midwifery Practice. Palgrave, London. https://doi.org/10.1007/978-1-349-21082-4_5
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DOI: https://doi.org/10.1007/978-1-349-21082-4_5
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