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The application of olive oil is one of the traditional practices used in umbilical cord care in Turkey. The study was conducted experimentally, so as to compare microbiologically the efficacy of olive oil use and keeping the stump dry. Data were obtained using a personal information form and an omphalitis follow-up form, as well as from cultures ta...
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Citations
... Na Uganda, as mulheres usam ervas, cinza, pó, saliva, manteiga, entre outros (Byaruhanga et al., 2011). O uso do óleo de oliva, cinza, leite materno e café são práticas e050212 comuns na Turquia (Erenel, et al., 2010). Já na Tanzânia, as mulheres usam ervas com óleo, cinza, leite materno, fluido de flor de abóbora a as vezes, esterco de vaca (Mrisho et al., 2008). ...
Care provided to the umbilical cord stump differs greatly depending on the country, region, culture, and caregivers. This care normally occurs at home and is usually provided by women in the family or close friends while the knowledge grounding such care is not always based on scientific evidence but on beliefs transmitted from generation to generation. Many of these cultural care practices conflict with those based on scientific knowledge as inappropriate substances or procedures expose newborns to a high risk of neonatal tetanus and infection. Hence, this study’s objective was to identify care practices provided to the umbilical cord stump by mothers who delivered in the Lucrécia Paim Hospital. A qualitative study was conducted, and the study setting was Lucrécia Paim Hospital, Luanda, Angola. A total of 29 mothers participated in the study. Data were collected through semi-structured interviews, which were recorded and transcribed verbatim. Sample size was determined by reaching data saturation. Thematic analysis was used to analyze data. The results reveal three themes: 1) How to care for a umbilical cord stump; 2) The objectives of providing care to the umbilical cord stump; and 3) People to whom mothers turn for guidance. The mothers use alcohol and other substances/products, in accordance with folk knowledge, to facilitate disinfection and to cause the umbilical cord stump to drop off more quickly. Most mothers learn how to care for the umbilical cord stump within their families, also learning from folk knowledge as disseminated in the society. Such knowledge is highly valued by these mothers; only a few learned how to provide care from healthcare workers. The results also show that healthcare professionals do not provide guidance on how mothers should care for the newborn’s umbilical cord stump.
... In a study conducted in our country on this topic, olive oil applied to the umbilical cord shortened the period of navel prolapse compared to dry care. However, no significant difference was observed in terms of colonization (Erenel et al., 2010). In another study, the umbilicus of 95.6% of newborns fell spontaneously without any intervention, while 17.8% of them had alcohol, patina, olive oil, etc. in the umbilicus. ...
Purpose:
This study aims to determine the impact of umbilical cord care education given to primiparous mothers on cord separation time.
Design and methods:
This randomized controlled trial was conducted according to the Consolidated Standards of Reporting Trials (CONSORT) guidelines. The mothers constituting the research sample were divided into two groups, the control group and the education group, and cord care and cord separation times were measured.
Results:
The mean age of the mothers was 28.72 ± 4.86 years (min. 20 years, max. 40 years). There was no difference in age, gestational week of the baby, birth weight of the baby, gender of the baby and mode of delivery of the mother between the mothers in the control and education groups. While the cord separation time was 10.97 ± 0.320 days in the babies in the control group, it was 6.60 ± 0.177 days in the babies in the education group. A statistically significant difference was found between the duration of cord separation of the babies in the control and education groups.
Conclusions:
This study showed that giving umbilical cord care education to primiparous mothers reduces umbilical cord separation time.
Practice implications:
It is recommended that pediatric nurses provide education on umbilical cord care and the goals and methods of application of care practices, especially to primiparous mothers.
Clinical registration:
This study was registered at the U.S. National Library of Medicine Clinical Trials (code: NCT05573737).
... They showed that the average time was 9.46 days (olive oil: 9.1 days; dry care: 9.8 days), with no significant difference. Bacterial culture was seen in 35.9% in the olive oil group and 33.5% in the dry care group (15). ...
Background: Sepsis is the third cause of death in the first month of life, and the umbilical cord is an important source for sepsis Objectives: We compared the effects of bathing or not bathing on bacterial colonization and cord separation time. Methods: A quasi-experimental study assessed term newborns at Golestan hospital, Tehran, Iran, from 2019 to 2020 in three groups. Bath (B) group included neonates who were bathed with tub water every two days (n = 90). Clean product (CP) group neonates were bathed with cleaners every two days (n = 87). Dry care cord (D) group neonates were not bathed during the first 10 days (n = 63). Periumbilical cord swabs were collected on the 10th day and cultured in blood agar and Eosin methylene blue agar. Bacterial sensitivity tests were done by disk diffusion. Results: The average time to cord separation was 8.2 ± 1.74 days (group B: 9.1 ± 2.1 days, group CP: 8.7 ± 1.82 days, group D: 6.8 ± 1.3 days), which was shorter in group D (P= 0.048). The positive culture rates were 77.8% in group B, 78.1% in group CP, and 74.6% in group D, which were not significantly different between the groups (P = 0.073). Staphylococcus aureus was the most common isolated species. Staphylococcus epidermis and Escherichia coli were the other most common species. Conclusions: Bathing with or without cleaners is safe. Non-bathing does not increase the umbilical positive culture. Therefore, in the first week, if a mother does not believe in bathing her baby, she should not be denounced and told that she did something wrong with cord hygiene.
... Desde 1998 y hasta la actualidad, la OMS promueve el manejo seco del cordón umbilical, aunado al lavado de manos y correcta higiene, en neonatos nacidos en centros de salud y en comunidades con baja mortalidad neonatal y baja incidencia de onfalitis. Por otro lado, se mantiene que en países en vías de desarrollo, con alta prevalencia de partos caseros y casos frecuentes por esta patología se recomienda el uso tópico de antisépticos con el fin de reducir el riesgo infeccioso (12,13). ...
... Además de las medidas de cuidados generales se han utilizado distintos antisépticos con fines preventivos. Entre ellos, sobresale el alcohol de 70 grados y la clorhexidina al 4% por ser los más utilizados y estudiados; otros corresponden al tinte triple (verde brillante, hemisulfato de proflavina y cristal violeta en una solución acuosa) y antibióticos tópicos como sulfadiazina de plata, tertraciclinas o neomicina (12,14). Sin embargo, se ha demostrado que tanto el tinte triple como los antibióticos tópicos presentan absorción local, especialmente en neonatos prematuros, con posible efecto tóxico sistémico y carcinogénico (5,12). ...
... Entre ellos, sobresale el alcohol de 70 grados y la clorhexidina al 4% por ser los más utilizados y estudiados; otros corresponden al tinte triple (verde brillante, hemisulfato de proflavina y cristal violeta en una solución acuosa) y antibióticos tópicos como sulfadiazina de plata, tertraciclinas o neomicina (12,14). Sin embargo, se ha demostrado que tanto el tinte triple como los antibióticos tópicos presentan absorción local, especialmente en neonatos prematuros, con posible efecto tóxico sistémico y carcinogénico (5,12). Asimismo, en países en vías de desarrollo es frecuente el uso de ungüentos y mezclas caseras como aceite de oliva (por su efecto antifúngico), mezcla de hierbas, ceniza, leche materna u otros, no obstante, algunos han demostrado un aumento en el riesgo para infección por Clostridium tetani y se desalienta su uso (12,14). ...
La onfalitis corresponde a una de las principales causas de mortalidad neonatal en países en vías de desarrollo. Se define como el proceso infeccioso asociado al muñón umbilical, tejido circundante y estructuras adyacentes. Actualmente el manejo adecuado del cordón umbilical permanece controversial, sin embargo, la Organización Mundial de la Salud sugiere el manejo en seco del cordón umbilical en situaciones de bajo riesgo social y el empleo de antisépticos en poblaciones con alta mortalidad neonatal y prevalencia de partos caseros. Tras el diagnóstico, el manejo oportuno consiste en la pronta instauración de antibioticoterapia parenteral con el fin de mitigar posibles eventos adversos.
... Olive oil has a long history of use as a pharmaceutical and home remedy for minor ailments such as burns (Zahmatkesh & Manesh., 2015), cord separation and skin disorders (Erenel et al., 2010). In addition, it is a natural and nongreasy lubricant (Waterman & Lockwood, 2007). ...
This study compares the effective of of topical application of olive and calendula ointments on childrens' diaper dermatitis (DD). This triple‐blind clinical trial was conducted on 73 healthy children under the age of 2 years with non‐severe and not infected DD, referred to a pediatric healthcare center in Tabriz, Iran. The children were assigned to 1.5% olive ointment (n = 37) and 1.5% calendula ointment (n = 39) using a random block method with the ratio of 2:2. The severity of DD in both groups was measured and compared on a six‐point scale on days 0 (before the intervention) and 3, 5, and 7 after interventions. The findings releaved there was not significant stastistical difference between the olive oil and calendula groups in terms of severity of DD in the third, fifth and seventh days. No adverse effect was reported from either of the medications in this study. The external validity and consequently the ability to generalize the findings may be diminished as this study was conducted at a single site. Owing to olive ointment and calendula ointment providing the same results in the healing of DD, olive ointment can be used as an alternative case to DD.
... milyon yenidoğanın %36'sının ölümünden neonatal enfeksiyonlar sorumlu tutulmaktadır (Bulut ve ark. 2005;Lawn, Cousens ve Zupan 2005;Mullany, Darmstadt ve Tielsch 2003). Bu enfeksiyonlar arasında 460.000 yenidoğanın ölümüne neden olan göbek kordonu enfeksiyonu sonucunda gelişen şiddetli bakteriyel enfeksiyonlar yer almaktadır (Mullany ve ark. 2003;Erenel ve ark. 2010). Nepal'de 17.198 yenidoğanın incelendiği bir çalışmada 954 yenidoğanın (%5.5) göbek kordonu enfeksiyonu tanısı aldığı saptanmıştır (Mullany ve ark. 2007). Türkiye'de neonatal dönem ölüm nedenlerinin araştırıldığı bölgesel bir çalışmada, neonatal ölümlerin %15.9'unun enfeksiyonlar nedeni ile olduğu bildirilmiştir (Gunay, Kılıç, Keskinog ...
... A literature review conducted prior to the study identified 3 studies that investigated the use of topical oils on term newborn babies. One study considered olive oil (24) but the outcome under investigation was detachment of the umbilical cord stump, rather than dry skin. The other studies considered skincare; both being randomized controlled trials (RCTs) (25)(26)(27). ...
Topical oils on baby skin may contribute to development of childhood atopic eczema. A pilot, assessor-blinded, randomized controlled trial assessed feasibility of a definitive trial investigating their impact in neonates. One-hundred and fifteen healthy, full-term neonates were randomly assigned to olive oil, sunflower oil or no oil, twice daily for 4 weeks, stratified by family history of atopic eczema. We measured spectral profile of lipid lamellae, trans-epidermal water loss (TEWL), stratum corneum hydration and pH and recorded clinical observations, at baseline, and 4 weeks post-birth. Recruitment was challenging (recruitment 11.1%; retention 80%), protocol adherence reasonable (79-100%). Both oil groups had significantly improved hydration but significantly less improvement in lipid lamellae structure compared to the no oil group. There were no significant differences in TEWL, pH or erythema/skin scores. The study was not powered for clinical significance, but until further research is conducted, caution should be exercised when recommending oils for neonatal skin.
... Many a times it takes longer to fall, which is a cause of worry for the family. The stump separation depends on various factors as gestational age of the baby [1], application of rectified spirit or gentian violet [2], sponge bathed or head bathed [3,4] or any application of salicylic sugar powder [1,4] or topical breast milk [1,5]. This study is undertaken to find out the variability of day of falling of umbilical stump in a newborn who has received intravenous antibiotics for sepsis and compare it with normal healthy newborns. ...
Objective: To study the variation of separation of umbilical stump in newborns who received intravenous antibiotics and compare it with healthy newborns.
Method: Two groups of newborns were taken, each comprising of 100 newborns. One group had received intravenous antibiotics for sepsis and the other group comprised of healthy newborns. On follow ups, the day of separation of umbilical stump was asked to the mothers and was noted and analyzed.
Results: Newborns who received antibiotics had a delay in separation of umbilical stump (mean=18.26 days), whereas the healthy newborns had early cord separation (mean of 8.68 days).
Conclusion: Delay in umbilical stump separation in antibiotics received newborns is due to decreased infiltration by bacteria and thus leucocytes and delayed digestion by bacteria. The family members can be counselled accordingly to allay their anxiety.
... 118 2011). Moreover, olive oil (Olea europaea) has been recently found as effective as dry-clean method in the umbilical cord care ( Erenel et al., 2010). Portulaca oleracea Analgesic ( Chan et al., 2000), anti-inflammatory ( Chan et al., 2000), antimicrobial (Elkhayat et al., 2008) Oral Weaning ...
Exploring the realm of sciences and challenging the ideas, traditional medicine has always been a medium for developing medical purposes, relieving illnesses and improving quality of life. Hakim Jorjani (1042- 1137 AD) compiled his comprehensive 750,000-word textbook of medicine, Zakhireyei Khwarazmshahi (The Treasure of Khwarazm Shah) which is considered as the oldest medical encyclopedia written in Persian. Written in circa 1112 AD, the Treasure has been ranked along with Avicenna's the Canon of Medicine and Haly Abbas's the Liber Regalis. Six chapters of the Treasure (third book) include notes on neonatal care and breastfeeding. The present article is a review of the Jorjani's teachings on the neonatal care, breastfeeding, weaning and teething along with comparisons between the Treasure and modern medicine in this regard.
... 118 2011). Moreover, olive oil (Olea europaea) has been recently found as effective as dry-clean method in the umbilical cord care (Erenel et al., 2010). Table 1. ...
Exploring the realm of sciences and challenging the ideas, traditional medicine has always been a medium for developing medical purposes, relieving illnesses and improving quality of life. Hakim Jorjani (1042-1137 AD) compiled his comprehensive 750,000-word textbook of medicine, Zakhireyei Khwarazmshahi (The Treasure of Khwarazm Shah) which is considered as the oldest medical encyclopedia written in Persian. Written in circa 1112 AD, the Treasure has been ranked along with Avicenna's the Canon of Medicine and Haly Abbas's the Liber Regalis. Six chapters of the Treasure (third book) include notes on neonatal care and breastfeeding. The present article is a review of the Jorjani's teachings on the neonatal care, breastfeeding, weaning and teething along with comparisons between the Treasure and modern medicine in this regard.
