From: Subject: JOGNN -- Abstracts: Dore et al. 27 (6): 621 Date: Tue, 20 Jul 2004 11:28:54 +0200 MIME-Version: 1.0 Content-Type: multipart/related; type="text/html"; boundary="----=_NextPart_000_0000_01C46E4C.BD895380" X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2800.1441 This is a multi-part message in MIME format. ------=_NextPart_000_0000_01C46E4C.BD895380 Content-Type: text/html; charset="Windows-1252" Content-Transfer-Encoding: quoted-printable Content-Location: http://jognn.awhonn.org/cgi/content/abstract/27/6/621 JOGNN -- Abstracts: Dore et al. 27 (6): 621
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Journal of Obstetric, Gynecologic, and Neonatal = Nursing, Vol=20 27, Issue 6 621-627, Copyright =A9 1998 by Association of Women's = Health,=20 Obstetric and Neonatal Nurses

ARTICLES

Alcohol versus natural drying for newborn cord care

S. Dore, D. Buchan, S. Coulas, L. Hamber, M. Stewart, D. = Cowan and L.=20 Jamieson
Hamilton Health Sciences = Corporation,=20 Ontario, Canada.=20

OBJECTIVE: To compare alcohol cleaning and natural drying of = newborn=20 umbilical cords. DESIGN: Prospective, randomized controlled trial. = SETTING: Tertiary-level university teaching hospital and = level II=20 community hospital. PARTICIPANTS: Of 1,876 singleton = full-term=20 newborns enrolled, 1,811 completed the study. INTERVENTIONS:=20 Newborns, from birth until separation of the cord, were = randomized to=20 either (a) umbilical cleansing with 70% isopropyl alcohol at = each=20 diaper change or (b) natural drying of the umbilical site = without=20 special treatment. MAIN OUTCOME MEASURES: Umbilical = infection, cord=20 separation time, maternal comfort, and cost. RESULTS: No = newborn in=20 either group developed a cord infection. Primary care = providers=20 obtained cultures for cord concerns in 32 newborns (1.8%), = with=20 colonization for normal flora, Staphylococcus aureus, and Group B=20 streptococcus proportionately equal in alcohol and air dry groups. = Cord separation time was statistically significantly = different=20 (alcohol group, 9.8 days; natural drying group, 8.16 days; t = =3D 8.9, p=20 =3D < .001). Mothers described similar comfort with cord = care and=20 relief with cord separation. Costs of alcohol drying while in = the=20 hospital were greater than those of natural drying. = CONCLUSIONS: (a)=20 Evidence does not support continued use of alcohol for = newborn cord=20 care; (b) health care providers should explain the normal = process of=20 cord separation, including appearance and possible odor; and = (c)=20 health care providers should continue to develop evidence to = support=20 or eliminate historic practices.

This article has been cited by other=20 articles:=20

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J. M.=20 Anderson and A. G.S. Philip
Management of the Umbilical = Cord:=20 Care Regimens, Colonization, Infection, and=20 Separation
NeoReviews, April 1, 2004; 5(4): = e155 -=20 e163.
[Ful= l=20 Text] [PDF]= =20
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L.=20 Weathers, J. Takagishi, L. Rodriguez, and P. = Janssen
Umbilical=20 Cord Care
Pediatrics, March 1, 2004; 113(3): = 625 -=20 626.
[Full=20 Text] [PDF] =
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M.=20 Pezzati, S. Rossi, M. Tronchin, C. Dani, L. Filippi, and F. F.=20 Rubaltelli
Umbilical Cord Care in Premature Infants: = The Effect=20 of Two Different Cord-Care Regimens (Salicylic Sugar Powder vs=20 Chlorhexidine) on Cord Separation Time and Other=20 Outcomes
Pediatrics, October 1, 2003; = 112(4): e275 -=20 275.
[Abstract]=20 [Full=20 Text] [PD= F]=20
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