Vural Gulsen, Kisa Sezer
Gazi University School of Nursing, Besevler, Ankara, Turkey.
J Obstet Gynecol Neonatal Nurs. 2006 Jan-Feb;35(1):123-8. doi: 10.1111/j.1552-6909.2006.00012.x.
To compare the incidence of omphalitis among three groups, each using a different type of newborn cord care: povidone-iodine, dry care, and topical human milk.
Case control.
A large urban university hospital in Turkey and participant homes after discharge.
150 healthy, full-term newborns and their mothers.
Umbilical cord care consisted of one of three methods: topical application of povidone-iodine twice daily, topical application of mother's milk twice daily, or dry care (keeping the cord dry and clean).
Outcome was measured in terms of the presence or absence of omphalitis and the number of days elapsed before cord separation. An ongoing questionnaire was administered by telephone every other day after the participants left the hospital. In addition to demographic information, the cord separation day and any signs of omphalitis were recorded in the questionnaire.
There were no significant differences between the three groups in terms of omphalitis occurrence. Two cases of omphalitis were observed (one in the human milk group, one in the povidone-iodine group). Interestingly, babies in the dry care or topical human milk group had shorter cord separation times than those in the povidone-iodine group.
The cultural practice of applying human milk to the umbilical cord stump appears to have no adverse effects and is associated with shorter cord separation times than are seen with the use of antiseptics.
比较三组新生儿脐炎的发生率，每组采用不同类型的新生儿脐带护理方法：聚维酮碘、干燥护理和局部涂抹人乳。
病例对照研究。
土耳其一家大型城市大学医院及出院后参与者家中。
150名健康足月新生儿及其母亲。
脐带护理采用三种方法之一：每日两次局部涂抹聚维酮碘、每日两次局部涂抹母乳或干燥护理（保持脐带干燥清洁）。
根据是否发生脐炎以及脐带脱落前经过的天数来衡量结果。参与者出院后每隔一天通过电话进行一次问卷调查。除人口统计学信息外，问卷中还记录了脐带脱落日期和任何脐炎迹象。
三组在脐炎发生率方面无显著差异。观察到两例脐炎（一例在人乳组，一例在聚维酮碘组）。有趣的是，干燥护理组或局部涂抹人乳组的婴儿脐带脱落时间比聚维酮碘组的婴儿短。
在脐带残端涂抹人乳的文化习俗似乎没有不良影响，并且与使用防腐剂相比，脐带脱落时间更短。
