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The Umbilical Cord Is An Essential Lifeline Between The Mother And Fetus

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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

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