{"id":3460,"date":"2019-03-26T17:23:55","date_gmt":"2019-03-26T16:23:55","guid":{"rendered":"https:\/\/cuidsalud.com\/?p=3460"},"modified":"2019-03-26T17:23:55","modified_gmt":"2019-03-26T16:23:55","slug":"umbilical-cord","status":"publish","type":"post","link":"https:\/\/cuidsalud.com\/en\/umbilical-cord\/","title":{"rendered":"The care of the umbilical cord in newborns"},"content":{"rendered":"<p><img decoding=\"async\" class=\"size-medium wp-image-3456 alignleft\" src=\"https:\/\/cuidsalud.com\/wp-content\/uploads\/2019\/03\/onfalitis-infecci\u00f3n-en-el-cordon-umbilical-300x164.png\" alt=\"\" width=\"300\" height=\"164\" srcset=\"https:\/\/cuidsalud.com\/wp-content\/uploads\/2019\/03\/onfalitis-infecci\u00f3n-en-el-cordon-umbilical-300x164.png 300w, https:\/\/cuidsalud.com\/wp-content\/uploads\/2019\/03\/onfalitis-infecci\u00f3n-en-el-cordon-umbilical-768x421.png 768w, https:\/\/cuidsalud.com\/wp-content\/uploads\/2019\/03\/onfalitis-infecci\u00f3n-en-el-cordon-umbilical.png 818w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><span style=\"font-size: 14pt;\">Omphalitis is defined as a periumbilical acute bacterial infection with induration, erythema, bad smell, pain, and presenting or not association with purulent exudate at the base of the navel. It is peculiar at the neonatal period, and the average age for its incidence is the third or fourth day of life.<\/span><\/p>\n<p><span style=\"font-size: 14pt;\">It is an important cause of neonatal mortality and its prevention is of great importance for public health. An investigation is being carried out, as a doctoral thesis project, on &#8220;The process of umbilical cord fall in newborns in the Andalusian public health system in the province of Ja\u00e9n&#8221; conducted by M\u00aa Dolores L\u00f3pez Medina, under the supervision of Prof. Manuel Linares and Prof. Isabel M\u00aa L\u00f3pez Medina. As a part os this study, they <\/span><span style=\"font-size: 14pt;\">have recently carried out a systematic review with meta-analysis to compare the effect of dry care and the application of chlorhexidine to the umbilical cord of newborns at risk of developing omphalitis.<\/span><\/p>\n<p><span style=\"font-size: 14pt;\">The joint analysis of the studies shows a significant decrease in the risk of omphalitis in the chlorhexidine group compared to the dry care group. However, in the analysis by subgroups, chlorhexidine umbilical cord care did not reduce the risk of omphalitis in hospital births in countries with a low infant mortality rate, or at chlorhexidine concentrations below 4%.<\/span><\/p>\n<p><span style=\"font-size: 14pt;\">Findings indicate that dry cord care is effective in countries with low infant mortality rate and in hospital births. However,<span style=\"color: #0000ff;\"> 4% chlorhexidine for umbilical cord care protects against omphalitis in home births, in countries with a high infant mortality rate.<\/span><\/span><\/p>\n<p><span style=\"font-size: 14pt;\">The full text is available at: L\u00f3pez-Medina MD, Linares-Abad M, L\u00f3pez-Araque AB, L\u00f3pez-Medina IM. <a href=\"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&amp;pid=S0104-11692019000100601&amp;lng=en&amp;tlng=en\" target=\"_blank\" rel=\"noopener noreferrer\">Dry care versus chlorhexidine cord care for prevention of omphalitis. Systematic review with meta-analysis<\/a>. Rev. Latino-Am. Enfermagem. 2019;27:e3106.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Omphalitis is defined as a periumbilical acute bacterial infection with induration, erythema, bad smell, pain, and presenting or not association with purulent exudate at the base of the navel. It is peculiar at the neonatal &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"The care of the umbilical cord in newborns\" class=\"read-more button\" href=\"https:\/\/cuidsalud.com\/en\/umbilical-cord\/#more-3460\" aria-label=\"Read more about The care of the umbilical cord in newborns\">Leer m\u00e1s &raquo;<\/a><\/p>\n","protected":false},"author":3,"featured_media":3456,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[209,2],"tags":[238,188],"class_list":["post-3460","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articulo-cientifico","category-news","tag-metaanalisis-en","tag-neonatos-en"],"acf":[],"_links":{"self":[{"href":"https:\/\/cuidsalud.com\/en\/wp-json\/wp\/v2\/posts\/3460","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cuidsalud.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cuidsalud.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cuidsalud.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/cuidsalud.com\/en\/wp-json\/wp\/v2\/comments?post=3460"}],"version-history":[{"count":0,"href":"https:\/\/cuidsalud.com\/en\/wp-json\/wp\/v2\/posts\/3460\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cuidsalud.com\/en\/wp-json\/wp\/v2\/media\/3456"}],"wp:attachment":[{"href":"https:\/\/cuidsalud.com\/en\/wp-json\/wp\/v2\/media?parent=3460"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cuidsalud.com\/en\/wp-json\/wp\/v2\/categories?post=3460"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cuidsalud.com\/en\/wp-json\/wp\/v2\/tags?post=3460"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}