The umbilical cord is an essential lifeline between the mother and fetus. The cord contains two arteries and a vein, is connected to the placenta and provides oxygen and nutrient-rich blood to the fetus in-utero. Though parents are informed during discharge on how to perform dry care for the umbilical cord until it falls off approximately within one to two weeks, care for the cord begins in the hospital setting following the delivery. The main implication for umbilical cord care is to prevent infectious conditions of the cord such as: omphalitis which is clinically manifested as inflammation with fever and drainage from the umbilical stump. This infection can turn deadly and lead to sepsis. Traditionally, a number of antiseptic and …show more content…
In the third edition of the guideline, AWHONN discourages the routine use of isopropyl alcohol, topical antimicrobial/antibacterial agents and triple dye for umbilical cord care. The new recommendation for treating the umbilical cord is natural drying, which involves “keeping the cord area clean and dry, without the routine application of topical agents.” (AWHONN, 2013, p. 31) Studies have shown a statistically significant difference in the amount of time that it would take for the cord to separate, with natural drying taking a short time than the use of antiseptics thus leading to a decreased chance of opportunistic infections within the time difference of 8.1 days vs 9.6 days. (AWHONN, 2013, p. 31). Though the natural drying intervention has its disadvantages such as an increased amount of exudate, odor and had a higher colonization rate with microorganisms, a study conducted by Janssen, Selwood, Dobson, Peacock, & Thiessen in 2003 found there was no link to the intervention causing an increase of infections due to these disadvantages. (as cited by AWHONN, 2013, p. 31) The association is the forerunner as a primary or secondary reference for textbooks and hospital policies due to their reputable sources and evidence based practice.
In order to experience the treatment of umbilical cord postnatally we observed nurses at Saint Peter’s University Hospital in New Brunswick as they followed the hospital policy and implement the recommended intervention. We were able
After the delivery, the heat from the mom’s body can warm the baby and maintains the baby’s body temperature. For instance, when nursing students were at the operating room at Saint Peter’s Hospital during the C-section delivery, as soon as the baby was out, the doctor placed the newborn on the mother’s chest. When the mother was alert and awake during the C-section made it possible for the baby to stay on her chest on the first hours after the birth. It was one of the most beautiful moments in life. Nevertheless, there was another C-section birth of diabetic mother. She was not fully awake during the C-section and the doctor only did not promote skin-to-skin mother and the newborn. The doctors and nurses at Saint Peter’s Hospital support and encourage skin-to-skin for mother and newborn right after the birth if there is no complication on mother or baby or when the condition is possible. Saint Peter’s Hospital has policy for vaginal delivery, “all infants that meet the criteria for initiate skin-to-skin care shall have skin-to-skin care implemented as the standard of care immediately after birth and as needed thereafter regardless of feeding preference”. They promote skin-to-skin contact between mother and baby immediately after delivery. However, mothers and babies have a physiologic need to be together during the minutes, hours, and days following birth, and this time together significantly improves maternal and newborn outcomes.
Vacuum assisted deliveries are a method to help facilitate a vaginal birth even if the mother is becoming to exhausted to push or if the baby has reached a difficult position during labor and is prevented from progressing. While the vacuum may be helpful for the labor it runs the risk of causing a subgaleal hemorrhage (SHG) in newborns this condition is a result of the connection between the sinuses of the scalp and the veins of the brain have been ruptured which causes bleeding and swelling of the head and can lead to severe hypovolemia and death (Davis, 2001). SGH occurrences after vacuum delivery are in the range of 26 to 45 per 1000 vaginal deliveries (Modanlou, 2010). In order to treat and correct SGH nurses are
There will be a task force to put the new practice into place. The leaders of the task force will be the surgical director and the nursery director. The directors will plan the task force meetings. They will act as resources for the rest of the team. The directors will recruit nurse leaders to participate in facilitating the change to skin to skin. The directors will make sure the staff gets the appropriate training for the skin to skin conversion. There will be at least two registered nurses from the Labor and Delivery unit attending the task force. These nurses will already have experience with infants being skin to skin immediately after delivery. The nurses can help train the operating room staff and perform check-offs of staff for the conversion. The directors will consult with the employee educator for appropriate competency training. An anesthesiologist will also attend the task force meetings. The
"When caring for your babies cord stump, make sure your hands are always clean. You don't have to do anything special for the cord stump other than make sure it stays dry and clean. Expose the cord stump to air to help dry out the base. Keep the front of your baby's diaper folded down to avoid covering the stump. Let the cord fall off on its own, don't pull at it "
Take a second to imagine you are a father, who has an infant admitted to the neonatal intensive care unit (NICU) for the first time. How are you feeling? Afraid? Confused, even? If your baby is admitted to the NICU, your first question probably will be: What is this place? With equipment intended for infants and medical staff specially qualified in newborn care, the NICU is an intensive care unit created for sick newborns who require specialized treatment. A common example for parent’s
Parents of premature infants are also provided the opportunity to participate in Kangaroo Care – a form of skin-to-skin contact that encourages bonding, interaction and cuddling between parents and small babies. In addition to the emotional and psychological benefits of Kangaroo Care, this technique encourages breastfeeding, helps baby to sleep better and contributes to being released from hospital earlier. At Sharp Mary Birch’s hospital the NICU has a multidisciplinary team which consists of lactation specialists, neonatal nurse practitioners, nurses, nutritionists, occupational and physical therapists, physicians, respiratory care practitioners and social workers. Whether a baby was born prematurely is with other complications, this specialty care unit is a place where babies can grow, heal, and receive the highest quality medical care and attention. The Maternal Infant Services (MIS) Unit at Sharp Mary Birch provides care for women after their delivery of their babies. They monitor the mothers and babies physical recoveries and provide education and practice in caring for the new baby. Sharp Mary Birch has some of the best combination of technology, medical services and the healing arts programs for their patients, which also include cord blood banking. Sharp HealthCare has partnered
Since the beginning of time a bond between a parent and child has been special. The child is considered part of them in many ways. The child is literally half of you in a biological way. Half of the child’s genes are yours and the other half is your partners. This is when paternal or maternal instincts are activated. When the child is born you take on responsibilities of being a parent. Whether you raise them on your own or with some help, they are still your responsibility no matter what.
Premature birth occurs in 11.7% of pregnancies in the United States. With the introduction of new technology in the neonatal intensive care unit (NICU), premature infants are now kept alive at lower birth weights, with more severe diagnoses, and a greater likelihood of surviving to discharge to be cared for by parents.( Brady E. Hamilton; Joyce A. Marti; Stephanie J. Ventura 2012 p.305) An important role to neonatal nursing includes consultation, research, and education of families and staff.
Evidence has shown what mothers and newborns need after birth, each other. There are many opportunities for skin-to-skin care and breastfeeding. Nurses and healthcare professionals must support the physiological need that mothers and newborns have for each other after the birthing process. It is crucial that the nurses recognize the short- and longterm health benefits for the mothers and newborns that result from skin-to-skin care. Therefore, as healthcare professionals it is important to educate the patients and prevent separation of a mother and her newborn as a healthy birth
At delivery, the umbilical cord will be clamped with a plastic clip and cut close to the baby's
In article, Immediate and Delayed Cord Clamping in Infants Born Between 24 and 32 Weeks: A Pilot Randomized Controlled Trial, Mercer reported possible issues regarding methodological assessment of the preceding research involving the capability to perform a meta-analysis of the seven studies. However, a pilot randomized controlled trial (RCT) aggregates on the present day literature on cord clamping by considering the feasibility, recruitment strategies, and key outcomes of the possible increases in blood volume as a result of delayed cord clamping (DCC) (Mercer et al., 2003). In the pilot RCT, Mercer and the team wanted to assess credibility of DCC and the study protocol in the authors’ institution. In addition, they wanted to test and generate hypotheses in order to set up the groundwork for funding for a larger RCT. The first hypothesis stated that DCC in very low-birth-weight (VLBW) infants would have an outcome of higher mean blood pressure after reaching the neonatal intensive care unit (NICU). The second hypothesis stated that VLBW infants would have higher hematocrits, fewer clinical acuity indicated by fewer days of ventilation and fewer days of oxygen use when compared to ICC (Mercer et al., 2003). The focus of the study was to establish feasibility of a protocol for DCC against ICC at preterm birth and, also to inspect its outcomes on initial blood pressure and other events. This kind of study was the first one to observe the outcomes of DCC in
In the case of the CNM who delivered a 35 week breeched infant, several factors need
Even though I didn’t have a chance to see the live birth, but I saw how the nurse did postpartum assessments on the mother, and initial care for the newborn. She put erythromycin ointment in the newborn’s eye to prevent gonorrhea and chlamydia virus, administrated vitamin K for blood coagulation, and checked the newborn blood glucose.
The nurse must be mindful of each intervention initiated and the possible benefits of the intervention against its potential harmful effects for both mother and fetus. Not providing basic comfort measures for the mother can cause serious physical and emotional problems and could lead to possible fatigue and feelings of failure from the mother. The priority of this nursing intervention is to provide the mother and fetus with the least discomfort as possible and
Prepared from human umbilical cords obtained automatically at delivery. The human umbilical vein grafts (HUVG) reported to be more resistant to thrombus formation than either synthetic grafts (Dacron, PTEF) (Kester, 2005).