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IRCT201010285038N1 IRCT 2012-10-25 Kashan University of Medical Sciences The effect of topical application of human milk ,chlorhexidinon on umbilical cord of newborn Comparison of the effect of topical application of human milk ,chlorhexidin and dry cord care on the cord-separation time and bacterial colonization of cord of newborn 2010-12-14 anticipated 261 Complete https://irct.ir/trial/5379 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention. N/A Certain conditions originating in the perinatal period. Intervention 1: Intervention GROUP:In group topical application of human milk of all mothers will be advised after washing hands with soap and water, she will rub its own milk to cord stump from three hours after birth every 12 hours (2 times a day) to 2 days after the umbilical cord separation and allow the milk of the cord is completely dry. Intervention 2: Intervention GROUP:In group chlorhexidine mother will wet a cotton swab by placing it on the mouth of the chlorhexidine bottle 4% (30 ml bottle) and inverting the bottle. Then gently will rub the abdominal skin around the base and cord stump thoroughly, ensuring that the entire area was covered with solution. A second cotton swab will similarly moistened and used to cleanse the tip of the cord (if not yet separated) or the middle of the cord stump (if separation had occurred). she will rub its from three hours after birth every 12 hours (2 times a day) to 2 days after the umbilical cord separation. Intervention 3: In group dry cord(control group ), mother will recommend that is not used any material on cord.
public Fatemeh Abbaszadeh
5th of Qotb –e Ravandi Blvd. P.O.Box: 87155.154, Kashan, IRAN
kashan Iran (Islamic Republic of) +98 36 1555 0021 abbaszadehs@yahoo.com kashan University of Medical Sciences scientific Fatemeh Abbaszadeh
5th of Qotb –e Ravandi Blvd. P.O.Box: 87155.154, Kashan, IRAN
kashan Iran (Islamic Republic of) +98 36 1555 0021 abbaszadehs@yahoo.com kashan University of Medical Sciences Iran (Islamic Republic of) Criteria for Inclusion: Newborns with gestational age 42-37 weeks; Apgar score higher than 7 at minute 1; rupture of membranes for no longer than 12 hours; The cord cut in sterile condition in the delivery room and don't use antiseptic agent on the stump. criteria for excluded: Infants with perinatal asphyxia, respiratory distress, metabolic disease, and any other problems that requiring immediate refer to neonatal Intensive Care Unit ; Infants with immediate need of evaluation and treatment; Newborns with any congenital disorder or disease; Infants of mothers with postpartum fever, mastitis, Urogenital infection; If the mother does not live in the city of Kashan(live in Rural); If the mother is the Afghani. no limit 1 year Both P38 Omphalitis of newborn with or without mild haemorrhage Other Other Other Intervention GROUP:In group topical application of human milk of all mothers will be advised after washing hands with soap and water, she will rub its own milk to cord stump from three hours after birth every 12 hours (2 times a day) to 2 days after the umbilical cord separation and allow the milk of the cord is completely dry Intervention GROUP:In group chlorhexidine mother will wet a cotton swab by placing it on the mouth of the chlorhexidine bottle 4% (30 ml bottle) and inverting the bottle. Then gently will rub the abdominal skin around the base and cord stump thoroughly, ensuring that the entire area was covered with solution. A second cotton swab will similarly moistened and used to cleanse the tip of the cord (if not yet separated) or the middle of the cord stump (if separation had occurred). she will rub its from three hours after birth every 12 hours (2 times a day) to 2 days after the umbilical cord separation In group dry cord(control group ), mother will recommend that is not used any material on cord Umbilical cord separation time. Timepoint: from birth to Cord separation time. Method of measurement: Researcher observed. Infection Umbilical cord. Timepoint: the first three hours after birth , days 3 and 7 after intervention ,2 days after umbilical cord separation. Method of measurement: Culture of samples. Complications and problems such as leakage of blood, discharge and granuloma tissue. Timepoint: the first three hours after birth , days 3 and 7 after intervention ,2 days after umbilical cord separation. Method of measurement: Observed by the researcher and visited by neonatologist if there is any cord related adverse events. Kashan University of Medical Sciences Approved 2010-09-14 Research Deputy of kashan University of Medical Sciences 5th of Qotb –e Ravandi Blvd. P.O.Box: 87155.154, Kashan, IRAN kashan Iran (Islamic Republic of)