Garner P, Lai D, Baea M, Edwards K, Heywood P
Papua New Guinea Institute of Medical Research, Madang.
J Trop Pediatr. 1994 Feb;40(1):24-8. doi: 10.1093/tropej/40.1.24.
During a study of pregnancy in a poor rural tropical area, a high prevalence of neonatal fever and umbilical cord infection was detected. Interim analysis showed that this was associated with subsequent development of neonatal sepsis. Therefore an intervention was introduced in two stages. In the first stage, acriflavine spirit and new razor blades were supplied to mothers, along with instructions for use, through antenatal clinics. In the second stage, when excessive cord bleeding was reported, umbilical cord clamps were added to the pack. The packs were associated with reduction of serious morbidity in the neonatal period. The study demonstrates the importance of umbilical cord care in the aetiology of life threatening neonatal morbidity in village births in a developing country and the effect of a simple intervention in reducing morbid episodes in the neonate.
在对一个贫穷的农村热带地区的孕期情况进行研究时，发现新生儿发热和脐带感染的发生率很高。中期分析表明，这与随后新生儿败血症的发生有关。因此，分两个阶段采取了一项干预措施。在第一阶段，通过产前诊所向母亲们提供了吖啶黄溶液和新的剃须刀片，并附上使用说明。在第二阶段，当报告有脐带出血过多的情况时，在包裹中增加了脐带夹。这些包裹与新生儿期严重发病率的降低有关。该研究证明了在发展中国家农村分娩中，脐带护理在危及生命的新生儿发病病因中的重要性，以及一项简单干预措施在减少新生儿发病事件方面的效果。
