Each twelvemonth about one million neonates world-wide die from infection caused by bacteriums that enter the organic structure via umbilical cord. WHO estimates that four million kids die during the neonatal period each twelvemonth, with most decease happening in developing states due to assorted jobs. It is estimated that 3,00,000 babies die yearly from lockjaw and a farther 4,60.000 dice because of terrible bacterial infections of umbilical cord.
Necrotic tissue of the umbilical cord is an first-class medium for bacterial growing and becomes quickly colonized with bacteriums from the maternal venereal piece of land and from the environment instantly after birth.
Human chest milk is considered as the ideal nutrient for newborn babies. It is a unrecorded food, comparable with blood, with no similar replacement. Progresss have occurred in the scientific cognition of the benefits of chest milk in recent old ages. Some surveies have documented anti-inflammatory effects of human milk in animate being
topics. Colostrum contains a assortment of immunologic stuffs against the bacterium, viruses and Fungis which are present in the environment of female parents and their new born babes.
The purpose of the survey was to measure the effectivity of topical application of chest milk versus dry cord attention on umbilical cord wellness position between experimental and control group neonates.
The methodological analysis of survey was quasi experimental research ( After merely design ) . The scene was postpartum ward in Government Medical College Hospital, Asarippallam at Kanyakumari District. The sample size was 60 neonates, in which 30 neonates in experimental group and 30 neonates in control group.
The aims of the survey were:
To measure the effectivity of dry cord attention on umbilical cord wellness position among neonates of control group.
To measure the effectivity of topical application of chest milk on umbilical cord wellness position among neonates of experimental group.
To compare the umbilical cord wellness position between the experimental and control group among neonates.
To tie in the umbilical cord wellness position of newborn among experimental and control group with their demographic variables.
The research hypothesis formulated were:
H1 There is a important difference in cord wellness position between experimental and control group neonates.
H2 There is a important association in cord wellness position between experimental and control group neonates with their demographic variables.
The premises of the survey were
Umbilical cord is an of import site for bacterial colonisation.
Umbilical cord infection contributes to neonatal morbidity and mortality in developing states.
The most common causative beings for umbilical stump infection are S.Epidermidis, S.Aureus, E.Coli and Klebsiella Pneumoniae.
Application of Breast milk on their umbilical cord tends to cut down bacterial colonisation and better cord separation clip.
The reappraisal of literature related surveies which provided a strong foundation for the survey
Section A: Reappraisal of literatures related to Prevalence of umbilical cord
Section B: Reappraisal of literatures related to umbilical cord attention
Section C: Reappraisal of literatures related to breast milk application on umbilical cord attention.
Section D: Reappraisal of literatures related to dry cord attention.
Section Tocopherol: Reappraisal of literatures related to complications of improper
umbilical cord attention.
The conceptual model of this survey was based on Modified Wiedenbachaa‚¬a„?s assisting art of clinical nursing theory and it provided a complete model for accomplishing the cardinal intent of the survey.
The research design was quasi experimental design ( after merely design ) .
Researcher selected the full term newborn, by utilizing non chance convenient trying technique.
The content cogency of the tool was established by five experts from the kid wellness nursing section.
Pilot survey was conducted in station natal ward in Krishna Maternity Home and Pediatric Centre at Tirunelveli and the findings revealed that the tool was executable, dependable and operable to continue with the chief survey.
The chief survey was conducted in station natal ward of Government Medical College Hospital, Asarippallam at Kanyakumari District.
Samples of 60 neonates were selected by non chance convenient trying technique. The gathered information was analyzed and interpreted based on nonsubjective utilizing descriptive and illative statistics.
The findings of the survey revealed that there was a important difference on umbilical cord wellness position among experimental and control group. There was no important association of topical application of chest milk versus dry cord attention on umbilical cord wellness position between experimental and control group with selected demographic variables. ( Sex, Parity, gestational age, birth weight, maternal complications during gestation, type of bringing, apgar mark ) . But, there was important association among para and umbilical cord falls off yearss in experimental group. Newborns of para I female parents had lengthier twenty-four hours of falls off than the neonates of multipara female parents. In regard to dry cord group there was no association among the cord falls of twenty-four hours with para.
This survey assessed the effectivity of topical application chest milk versus dry cord attention for bettering umbilical cord wellness position. Topical application of chest milk on umbilical cord attention group had shorter cord separation clip, decreased umbilical cord infection and decreased bacterial colonisation rate than dry cord attention group.
Research worker has derived from the survey that the undermentioned deductions are of critical concern in the field of nursing pattern, nursing instruction and nursing disposal and nursing research.
Nurses should be equipped with updated cognition bar of umbilical cord infection.
Pediatric nurses need to take up the duty create consciousness among the female parents of newborn babes sing cord attention.
Nurse should utilize broad assortment of intercession prevent umbilical cord infections.
Nurses and wellness attention suppliers play a critical function in actuating the female parents to maintain cord clean and dry ever.
Nursing pattern in the community should concentrate on bar of cord infection and publicity of normal healing.
Nurses should form wellness instruction compaign to community about bar of cord infection in newborn and importance of maintaining the cord clean and dry.
Develop accomplishments in be aftering nursing attention for effectual direction and decrease of minor infection and promote satisfaction.
The Nurse pedagogue should stress wellness instruction on bar of cord infection.
Students should be encouraged to place the marks and symptoms of omphalitis, to learn the female parents of newborn babes.
The Nurse pedagogues should set up for the in-service instruction programme ( seminars, workshops ) for pupil nurses sing cord attention and its bar of infection
The Nurse pedagogue can supply an chance for pupils to actively take part in execution of cord attention.
Collaborate with the regulating organic structures every bit good as the infirmary disposal to explicate standard protocols and policy to stress nursing attention.
Nursing disposal ensures that the execution of nursing intercession which is research based and clinically effectual in advancing the wellness and to present grounds based pattern based on the research determination.
The Nursing decision makers should concentrate on periodical conductivity of refresher classs to update the cognition of nurses and in-service instruction in cord attention.
Nurse research worker should circulate the findings of the surveies through conference, seminar and publication in professional diaries to the paediatric staff.
As there is a limited survey on this country, nursing research worker should promote and carry on farther research workers related to topical application chest milk for umbilical cord attention.
The findings of the research survey will assist in edifice and beef uping the organic structure of cognition.
Evidenced based nursing pattern must takes in order to increase the cognition about non aa‚¬ ” pharmacological intercessions in umbilical cord attention among neonates.
Based on the findings of the present survey the undermentioned recommendations are made:
Similar survey can be replicated on a big sample.
Survey can be conducted to measure the effectivity of human milk, dry cord attention and providone I.
The Study can be conducted to measure the effectivity of antiseptics and dry cord attention.
Survey can be conducted in pre-term neonates.
A comparative survey can be conducted by utilizing different intercession such as dry cord attention versus chlorhexidine or dry cord attention versus application of intoxicant and chest milk etc.
survey could be replicated in similar and different puting with big sample to formalize the determination.
During the period of survey the restrictions faced by the research worker were as follows,
The survey was limited to the little sample.
The research worker had trouble in roll uping survey stuff for reappraisal from the Indian context.
Generalization could be better if big samples are included.
The sample size was excessively little. Hence the generalisation must be done with cautiousness.