Practice of Nursing Mothers towards Umbilical Cord Care in Calabar Metropolis, Cross River State
Asian Journal of Medical Principles and Clinical Practice,
Aim: This study determined how Nigerian nursing mothers deal with umbilical cord care.
Methods: This was a descriptive cross sectional study on 388 Nigerian nursing mothers. Study population was randomly selected using multistage sampling technique. A validated semi-structured questionnaire was performed and data was analyzed using the statistical package for social science (SPSS).
Results: Most mothers (380 (97.9%)) cleaned babies’ cord. It was 59 (15.2%) mothers who did not clean the cord at every time of changing the diaper. Regarding hand hygiene, only 88 (22.7%) washed their hands with soap. Only 217 (55.9%) cleaned the base of the cord first before the cleaning the surrounding skin. A razor was used to cut the cord in 186 (47.9%). Cord was clamped in 373 (96.1%), and cord clamp was made by tying the cord. A few mothers (131 (22.8%)) used chlorhexidine to the cord disinfaction, while 116 (29.9%) still used herbs. There was a significant relationship between levels of education, income, number of children on cord care practice (P=0.00, 0.00, 0.019).
Conclusion: Many women in this area dealt with the cord in their own way and the incidence of chlorhexidine use, which is a recommended disinfection, was very low. Safety cord procedure/disinfection should be urgently educated. The present data may be useful to further making health policy strategy regarding cord hygiene in this area. This data may be also generalizable to any other developing countries.
- nursing mothers
- umbilical cord and care.
How to Cite
Association of Women’s Health, Obstetric and Neonatal Nurses. Evidence based clinical practice guideline: Cord care. Neonatal Skin Care: Evidence-Based clinical Practice Guideline (2nd ed); 2007.
McKinney ES, James SR, Murray SS, Ashwill JW. Maternal – Child Nursing (3rd ed). St. Louis: Elsevier; 2009.
Abba KT. Management of Puberty and Child Birth. Philadelphia: Saunders. 2008; 25-38.
Evens K, George J, Angst D, Schweig L. Does umbilical cord care in preterm infants influence cord bacterial colonization or detachment? Journal of Perinatology. 2004;24:100-104.
McConnell TP, Lee CW, Couillard M, Sherrill WW. Trends in umbilical cord care: Scientific evidence from practice. Newborn and Infant Nursing ReviewsI. 2004;4:211-222.
Suliman A. Triple dye plus alcohol versus triple dye alone for newborn umbilical cord care. Pennsylvania State Milton S. Hershey Medical Center, Clinical Trials.gov Identifier. 2007;NCT00127699.
Trotter S. Care of the newborn: Proposed new guidelines. British Journal of Midwifery. 2004;12(3):152-157.
Vural G, Kisa S. Umbilical cord care: A pilot study comparing topical human milk, povidone - iodine, and dry care. Journal of Obstetrics, Gynecology and Neonatal Nursing. 2006;35.
Zupan J, Garner P, Omari A. Topical umbilical cord care at birth. Cochrane Database of Systematic Reviews. 2004;3.
Bemor F, Uta D. Saving newborn lives in Nigeria: Integrated health strategy. Global Journal. 2011;74(6):21-26.
Obuekwe TR, Obuekwe E. Identifying indigenous health technology used by women in a rural community in Nigeria on the stumps of newborns: An increase in cord infection and neonatal tetanus. Clinical Pediatr. 2008;36:648-652.
Moyer CA, Aborigo RA, Logonia G, Affah G, Rominski S, Adongo PB, Williams J, Hodgson A, Engmann C. Clean delivery practices in rural northern Ghana: A qualitative study of community and provider knowledge, attitudes, and beliefs. BMC Pregnancy Childbirth; 2012.
Eregie CO, Ofovwe G. Cluster survey on neonatal tetanus mortality in Nigeria: Observation on some clinical aspects. Journal of Tropical Pediatrics. 1993;39(6): 372-3.
Andrews JY, Dalal K. Umbilical cord-cutting practices and place of delivery in Bangladesh. International Journal Gynae-cology and Obstetrics. 2011;114(1):43-6.
Osuchukwu EC, Ijeoma IL, Ezeruigbo CS. Umbilical cord care and management outcome among mothers in Calabar south local government area, Cross river state, Nigeria. 2018;4:1-11.
Saraswati Sharma, Paudyal. Knowledge and practice of postnatal mothers on newborn care at hospital setting. ARC Journal of Nursing and Healthcare (AJNH). 2016;2:25-30.
Jamila Abuidhail. Rural Jordanian mothers; beliefs, knowledge and practices of postnatal care. Quality in Primmary Care. 2004;22(6):285-9.
Mueller H, Johnson M. Avoiding neonatal deaths: An intervention study of umbilical cord management. Journal of Tropical Pediatrics. 2009;23(4):50–54.
Yadav MK. A study to assess the knowledge, practices and attitude of primigravida mothers on newborn care at JJR maternity centre. Karnataka, Bangalore, India. M.Sc Thesis; 2013.
Opara PI, Jaja T, Dotimi AD, Alex Hart BA. Newborn cord care practices amongst mothers in Yenogoa local governmental Area, Bayelsa State, Nigeria. International Journal of Clinical Medicine. 2011;22-27.
Mukhtar-Yola M, Iliyasu Z, Wudil BJ. Survey of umbilical cord care and separation time in healthy newborns in Kano. Nigerian Journal of Paediatrics. 2011;38:4.
Mullany LC, Darmstadt GL, Katz J, Khatry SK, LeClerq SC, Adhikari RK. Risk of mortality subsequent to umbilical cord infection among new-borns of southern Nepal: Cord infection and mortality. The Pediatric Infectious Disease Journal. 2009; 28:17-20.
Ambe J, Bello M, Yahaya S, Omotora B. Umbilical cord practices in Konduga local government area of Bornu State, North East Nigeria. Journal of Tropical Medicine. 2010;9(6):87–92.
World Health Organization. Review of evidence on cord care practices; 2007.
Available:http://www.who.int Accessed Jan 18. 2010
Sreeramaraddy CT, Josh I, Sreekumaran Giri. Newborn care among urban women in western Nepal. Clinical Pediatr. 2006; 19(71):34–38.
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