Practical advice for treating newborns and toddlers. ‘Stumped’ by the Newborn Umbilical Cord
نویسنده
چکیده
The postnatal management for the newborn umbilical cord is surprisingly controversial. Numerous investigators have explored the optimal approach to cord care, whether it is performed during the first 24 hours of life, or in the first weeks of life until the cord spontaneously separates from the body. The average length of cord retention varies from 3 to 45 days, with a mean separation time of 13.9 days.1 During past comparative evaluations of several treatment options of the cord, a few options have been shown to prolong the separation of the cord. However, when compared with dry cord care, most treatments have been associated with a decreased risk for secondary infections. Initial options also vary widely from hospital to hospital; some initially apply triple dye, chlorhexidine, or povidone iodine, whereas others use no treatment. Recommendations for the posthospital management of the cord also range from daily applications of alcohol, to soap and water washings, to nontreatment.
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