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Yenidoğan Umblikal Kord Özelliklerinin Göbek Düşme Süresine Etkisi

Year 2020, , 80 - 89, 31.05.2020
https://doi.org/10.46237/amusbfd.686990

Abstract

Amaç: Bu çalışma, yenidoğanın umblikal kord özelliklerinin göbek düşme süresine etkisini belirlemek amacı ile yapılmıştır.
Yöntem: Analitik nitelikte olan çalışma, 1 Eylül 2015 ile 1 Eylül 2016 tarihleri arasında, batıda yer alan bir üniversite hastanesinde, 90 anne ve yenidoğan ile yapılmıştır. Araştırmanın iki aşaması vardır. İlk aşamada doğum sonu dönem 0. günde anne ve yenidoğana ait özellikler değerlendirilmiştir. Araştırmanın ikinci aşaması ise birinci görüşmeden en az 15 gün sonra anneler ile telefonla görüşülerek tamamlanmıştır. Verilerin değerlendirilmesinde sayı, yüzde dağılımları belirlenmiş, t testi, Mann Whitney U analizi yapılmıştır.
Bulgular: Yenidoğanların %63.3’ü 38-41. gebelik haftası arasında, %86.7’si sezaryenle doğmuş olup, ortalama 3099±48 gr ağırlığında ve 49.85±2.42 cm boyunda, umblikal kord klemp mesafesi medyan değeri 2 cm, kord çevresi medyan değeri 1.5 cm olduğu bulunmuştur. Yenidoğanların göbeğinin düşme süresi ortalama 8.5 gün olarak tespit edilmiştir. Yenidoğanların %82.2’sinin göbek bakımı yapılmadığı ve kuru bırakıldığı, 14’ünde (%15.6) umblikal kord enfeksiyonu geliştiği tespit edilmiştir. Araştırmada yenidoğanların doğum şekli ve Rh uyuşmazlığı durumu ile göbek düşme süresi arasında istatistiksel olarak anlamlılık saptanmıştır (p<0.05). Umblikal kord klemp mesafesi ve kord çevresi uzunluğu ile yenidoğanın göbeğinin düşme süresi arasında ise istatistiksel olarak anlamlı ilişki saptanmamıştır (p>0.05).
Sonuç: Yenidoğanların göbek düşme süresi ile umblikal kord özellikleri (klemp mesafesi ve kord çevresi uzunluğu) arasında ilişki saptanmamıştır. Ayrıca sezaryen ile doğan yenidoğanlarda göbek düşme süresinin daha uzun, RH uyuşmazlığı sorunu yaşayan yenidoğanlarda ise daha kısa olduğu tespit edilmiştir.  

Supporting Institution

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Project Number

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Thanks

çalışmaya katılan tüm katılımcılara teşekkür ederiz.

References

  • 1. Genç Koyucu, R., Tosun, Y., & Çınar, F. (2017). Yenidoğan göbek bakımında klorheksidin, iyot ve alkolün karşılaştırılması. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 20(1), 8-16.
  • 2. Ozdemir, H., Bilgen, H., Topuzoglu, A., Coskun, S., Soyletir, G., Bakir, M., et al. (2017). Impact of different antiseptics on umbilical cord colonization and cord separation time. The Journal of Infection in Developing Countries, 11(02), 152-157.
  • 3. Lyngdoh, D., Kaur, S., Kumar, P., Gautam, V., & Ghai, S.(2018). Effect of topical application of human breast milk versus 4% chlorhexidine versus dry cord care on bacterial colonization and clinical outcomes of umbilical cord in preterm newborns. Journal of Clinical Neonatology, 7(1), 25.
  • 4. DSÖ World Health Statistics 2018 https://www.tuseb.gov.tr/enstitu/tacese/yuklemeler/istatistik/9789241565585_eng.pdf (Erişim Tarihi: 9 Şubat 2020).
  • 5. UNICEF 2018 http://www.un.org.tr/unicef-dunya-yenidogan-bebekleri-yuzustu-birakiyor/ (Erişim Tarihi: 9 Şubat 2020).
  • 6. Oladokun, R. E., Orimadegun, A.E., & Olowu, J. A. (2005). Umbilical Cord Separation Time in Healthy Nigerian Newborns Niger. J Paediatr, 32(1), 19-25.
  • 7. WHO. (2020). World Health Organization (2013). WHO recommendations on “Postnatal care of the mother and newborn”. http://apps. who.int/iris/bitstream/10665/97603/1/9789241506649_eng.pdf (Erişim tarihi: 9 Şubat 2020).
  • 8. Hsu, W. C., Yeh, L. C., Chuang, M. Y., Lo, W. T, Cheng, S. N., & Huang, C. F. (2010). Umbilical separation time delayed by alcohol application. Annals of Tropical Paediatrics, 30(3), 219-223.
  • 9. Soğukpınar, N., Karaca, S. B., & Kuru Oktay. A. (2013). Yenidoğanların göbek düşme süresi ve etkileyen etmenler. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 16(1), 1-7.
  • 10. Abhulimhen-Iyoha, B. I., Ibadin, M. O. (2011). Umbilical cord separation time among infants seen at the immunisation clinic of the university of benin teaching hospital, Nigeria. East African Medical Journal, 88(1), 28-32.
  • 11. Cohen, J. (1988). Statistical Power Analysis For The Behavioral Sciences, 2nd Edition, Hillside, NJ: Erlbaum.
  • 12. Karumbi, J., Mulaku, M., Aluvaala, J., English, M., & Opiyo, N. (2013). Topical umbilical cord care for prevention of infection and neonatal mortality. The Pediatric Infectious Disease Journal, 32(1), 78.
  • 13. Ahn, S. Y., Chang, Y. S., Kim, S. Y., Sung, D. K., Kim, E. S., Rime, S. Y., et al. (2013). Long-term (postnatal day 70) outcome and safety of intratracheal transplantation of human umbilical cord blood-derived mesenchymal stem cells in neonatal hyperoxic lung injury. Yonsei Medical Journal, 54(2), 416-424.
  • 14. Nourian, M., Allaii, F., & Heidari, A. (2009). Comparison of the effect of alcohol 70% versus dry cord care on cord bacterial colonization and cord separation time among newborns. Pak J Med Sci, 25(1), 103-107.
  • 15. Karaçam, Z., Çoban, A., Taşpınar, A. (2018). Temel Ebelik Uygulamaları Rehberler ve Değerlendirme, Ankara Nobel Tıp Kitapevi, Ankara, 313.
  • 16. Duchowska, A., & Azsukowski, P. (2012). Remarks on the length of umbilical arteries in human umbilical cord. A preliminary report. Archives of Perinatal Medicine, 18(3), 169-172.
  • 17. Abbaszadeh, F., Hajizadeh, Z., & Jahangiri, M. (2016). Comparing the impact of topical application of human milk and chlorhexidine on cord separation time in newborns. Pakistan Journal Of Medical Sciences, 32(1), 239.
  • 18. Golshan, M., & Hossein, N. (2013). Impact of ethanol, dry care and human milk on the time for umblical cord seperation. Journal of Pakistan Medical Association, 63(9), 1117-1119.
  • 19. Aghamohammadi, A., Zafari, M., & Moslemi, L. (2012). Comparing the effect of topical application of human milk and dry cord care on umbilical cord separation time in healthy newborn infants. Iranian Journal of Pediatrics, 22(2), 158.

Effects of Newborn Umblical Cord Properties on the Cord Separation Time

Year 2020, , 80 - 89, 31.05.2020
https://doi.org/10.46237/amusbfd.686990

Abstract

Objective: This study was carried out to determine the effect of newborn umbilical cord properties on cord separation time.
Methods: The analytical study was conducted in a western university hospital with 90 mothers and newborns between September 1, 2015 and September 1, 2016. The research has two stages. At the first stage, maternal and newborn characteristics were evaluated at postpartum period day 0. At the second stage of the research, the mother was called at least 15 days after the first interview and the cord separation time form was filled. Number and percentage distributions were determined, and t test, Mann Whitney U analysis are utilized.
Results: 63.3% of newborns are born between 38-41th gestational week. 86.7% of them were born with caesarean section and they were found to have a mean weight of 3099 ± 48 gr and a length of 49.85 ± 2.42 cm. The umbilical cord clamp median distance was 2 cm, and the cord periphery median was 1.5 cm. The cord separation time was 8.5 days on average. 82.2% of the newborns were found to have no umbilical care and were left dry, and 14 (15.6%) developed umbilical cord infections. Statistical significance was determined between the birth type of the newborns, the Rh disagreement status and the umbilical cord separation time (p <0.05). There was no statistically significant relationship between the umbilical cord clamp distance, the cord periphery and the cord separation time (p> 0.05).
Conclusion: No relation was found between the umbilical cord characteristics (clamp distance and cord circumference length) of the newborns and the cord separation time. But in newborns born with caesarean section, the cord separation time is longer, and in newborns with RH dispute problems, it is shorter.

Project Number

yok

References

  • 1. Genç Koyucu, R., Tosun, Y., & Çınar, F. (2017). Yenidoğan göbek bakımında klorheksidin, iyot ve alkolün karşılaştırılması. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 20(1), 8-16.
  • 2. Ozdemir, H., Bilgen, H., Topuzoglu, A., Coskun, S., Soyletir, G., Bakir, M., et al. (2017). Impact of different antiseptics on umbilical cord colonization and cord separation time. The Journal of Infection in Developing Countries, 11(02), 152-157.
  • 3. Lyngdoh, D., Kaur, S., Kumar, P., Gautam, V., & Ghai, S.(2018). Effect of topical application of human breast milk versus 4% chlorhexidine versus dry cord care on bacterial colonization and clinical outcomes of umbilical cord in preterm newborns. Journal of Clinical Neonatology, 7(1), 25.
  • 4. DSÖ World Health Statistics 2018 https://www.tuseb.gov.tr/enstitu/tacese/yuklemeler/istatistik/9789241565585_eng.pdf (Erişim Tarihi: 9 Şubat 2020).
  • 5. UNICEF 2018 http://www.un.org.tr/unicef-dunya-yenidogan-bebekleri-yuzustu-birakiyor/ (Erişim Tarihi: 9 Şubat 2020).
  • 6. Oladokun, R. E., Orimadegun, A.E., & Olowu, J. A. (2005). Umbilical Cord Separation Time in Healthy Nigerian Newborns Niger. J Paediatr, 32(1), 19-25.
  • 7. WHO. (2020). World Health Organization (2013). WHO recommendations on “Postnatal care of the mother and newborn”. http://apps. who.int/iris/bitstream/10665/97603/1/9789241506649_eng.pdf (Erişim tarihi: 9 Şubat 2020).
  • 8. Hsu, W. C., Yeh, L. C., Chuang, M. Y., Lo, W. T, Cheng, S. N., & Huang, C. F. (2010). Umbilical separation time delayed by alcohol application. Annals of Tropical Paediatrics, 30(3), 219-223.
  • 9. Soğukpınar, N., Karaca, S. B., & Kuru Oktay. A. (2013). Yenidoğanların göbek düşme süresi ve etkileyen etmenler. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 16(1), 1-7.
  • 10. Abhulimhen-Iyoha, B. I., Ibadin, M. O. (2011). Umbilical cord separation time among infants seen at the immunisation clinic of the university of benin teaching hospital, Nigeria. East African Medical Journal, 88(1), 28-32.
  • 11. Cohen, J. (1988). Statistical Power Analysis For The Behavioral Sciences, 2nd Edition, Hillside, NJ: Erlbaum.
  • 12. Karumbi, J., Mulaku, M., Aluvaala, J., English, M., & Opiyo, N. (2013). Topical umbilical cord care for prevention of infection and neonatal mortality. The Pediatric Infectious Disease Journal, 32(1), 78.
  • 13. Ahn, S. Y., Chang, Y. S., Kim, S. Y., Sung, D. K., Kim, E. S., Rime, S. Y., et al. (2013). Long-term (postnatal day 70) outcome and safety of intratracheal transplantation of human umbilical cord blood-derived mesenchymal stem cells in neonatal hyperoxic lung injury. Yonsei Medical Journal, 54(2), 416-424.
  • 14. Nourian, M., Allaii, F., & Heidari, A. (2009). Comparison of the effect of alcohol 70% versus dry cord care on cord bacterial colonization and cord separation time among newborns. Pak J Med Sci, 25(1), 103-107.
  • 15. Karaçam, Z., Çoban, A., Taşpınar, A. (2018). Temel Ebelik Uygulamaları Rehberler ve Değerlendirme, Ankara Nobel Tıp Kitapevi, Ankara, 313.
  • 16. Duchowska, A., & Azsukowski, P. (2012). Remarks on the length of umbilical arteries in human umbilical cord. A preliminary report. Archives of Perinatal Medicine, 18(3), 169-172.
  • 17. Abbaszadeh, F., Hajizadeh, Z., & Jahangiri, M. (2016). Comparing the impact of topical application of human milk and chlorhexidine on cord separation time in newborns. Pakistan Journal Of Medical Sciences, 32(1), 239.
  • 18. Golshan, M., & Hossein, N. (2013). Impact of ethanol, dry care and human milk on the time for umblical cord seperation. Journal of Pakistan Medical Association, 63(9), 1117-1119.
  • 19. Aghamohammadi, A., Zafari, M., & Moslemi, L. (2012). Comparing the effect of topical application of human milk and dry cord care on umbilical cord separation time in healthy newborn infants. Iranian Journal of Pediatrics, 22(2), 158.
There are 19 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research Articles
Authors

Ayden Çoban 0000-0002-2189-2488

Ayten Taşpınar 0000-0001-7918-2457

Seher Sarıkaya Karabudak 0000-0002-9039-5637

Hatice Karatepe This is me 0000-0002-2229-7269

Project Number yok
Publication Date May 31, 2020
Published in Issue Year 2020

Cite

APA Çoban, A., Taşpınar, A., Sarıkaya Karabudak, S., Karatepe, H. (2020). Yenidoğan Umblikal Kord Özelliklerinin Göbek Düşme Süresine Etkisi. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 4(2), 80-89. https://doi.org/10.46237/amusbfd.686990