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Health  2023 

Umbilical Cord Care Practices and Cord Care Education of Mothers Attending Health Care (Pakistan Prospect)

DOI: 10.4236/health.2023.151002, PP. 20-32

Keywords: Knowledge, Mothers, Newborns, Practices, Umbilical Cord Care

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Neonatal mortality is of global concern, it is the death in the first month of life. According to WHO, 2.4 million children died globally in the first month of life2. Globally the neonatal mortality rate declined slowly from 28/100 live births in 2000 to 17.9/100 live births in 2019. It is a major challenge for the low socioeconomic group of countries. Most neonatal deaths occurred in south Asia and African countries, in 2019 out of 2.4 million death 81% occurred in the Southeast Asia. Objective: To evaluate and improve cord care practices of mothers to reduce the risk of cord related infections. Methodology: The mixed method will be used in this research, questionnaire is used for data collection, total collected sample is 391. Results: 354 (91.0%) of the 394 patients analyzed obtained prenatal care (ANC) in both traditional and nontraditional settings. Among these, 288 (72.3%) got cord care health education, whereas 106 (27.7%) did not. The overall documentation of the instructions for the use of metabolized spirits alone included 116 (48.9%) teaching institutions and 103 (43.5%) private hospitals. the average results show the age of the baby 1 - 7 days, the average age of the mother is 18 - 25 years. The average education of the mothers is primary. Participation of health centers is average. Most of the participants has 1 child. Conclusion: This research concludes the poor umbilical cord practices and knowledge. Those with information used it better. Raise awareness about umbilical cord care and improper behaviors, including using mentholated balms. Before women leave the hospital, they should learn cord care. Mothers must clean wires. Several healthcare organizations don’t provide cord care instruction, and what they provide isn’t research-based.


[1]  Wang, H., Bhutta, Z., Coates, M., Coggeshall, M., Dandona, L., Diallo, K., et al. (2016) Global, Regional, National, and Selected Subnational Levels of Stillbirths, Neonatal, Infant, and under-5 Mortality, 1980-2015: A Systematic Analysis for the Global Burden of Disease Study 2015. The Lancet, 388, 1725-1774.
[2]  WHO (2020) Newborns: Improving Survival and Well-Being.
[3]  Lawn, J.E., Blencowe, H., Oza, S., You, D., Lee, A.C., Waiswa, P., et al. (2014) Every Newborn: Progress, Priorities, and Potential Beyond Survival. The Lancet, 384, 189-205.
[4]  Coffey, P.S. and Brown, S.C. (2017) Umbilical Cord-Care Practices in Low- and Middle-Income Countries: A Systematic Review. BMC Pregnancy and Childbirth, 17, Article No. 68.
[5]  Ozmeral Odabasi, I. and Bulbul, A. (2020) Neonatal Sepsis. SiSli Etfal Hastanesi Tip Bulteni/The Medical Bulletin of Sisli Hospital, 54, 142-158.
[6]  WHO (2013) Recommendations on Postnatal Care of the Mother and Newborn.
[7]  Imdad, A., Bautista, R.M.M., Senen, K.A.A., Uy, M.E.V., Mantaring III, J.B. and Bhutta, Z.A. (2013) Umbilical Cord Antiseptics for Preventing Sepsis and Death among Newborns. Cochrane Database of Systematic Reviews, 2013, Article No. CD008635.
[8]  Soofi, S., Cousens, S., Imdad, A., Bhutto, N., Ali, N. and Bhutta, Z. (2012) Topical Application of Chlorhexidine to Neonatal Umbilical Cords for Prevention of Omphalitis and Neonatal Mortality in a Rural District of Pakistan: A Community-Based, Cluster-Randomised Trial. The Lancet, 379, 1029-1036.
[9]  Agrawal, P.K., Agrawal, S., Mullany, L.C., Darmstadt, G.L., Kumar, V., Kiran, U., et al. (2012) Clean Cord Care Practices and Neonatal Mortality: Evidence from Rural Uttar Pradesh, India. Journal of Epidemiology and Community Health, 66, 755-758.
[10]  Mull, D.S., Anderson, J.W. and Mull, J.D. (1990) Cow Dung, Rock Salt, and Medical Innovation in the Hindu Kush of Pakistan: The Cultural Transformation of Neonatal Tetanus and Iodine Deficiency. Social Science & Medicine, 30, 675-691.
[11]  Wang, H., Abbas, K., Abbasifard, M., Abbasi-Kangevari, M., Abbastabar, H., Abd-Allah, F., et al. (2020) Global Age-Sex-Specific Fertility, Mortality, Healthy Life Expectancy (HALE), and Population Estimates in 204 Countries and Territories, 1950-2019: A Comprehensive Demographic Analysis for the Global Burden of Disease Study 2019. The Lancet, 396, 1160-1203.
[12]  Kamal, A. and Shakeel, A (2021) Differentials and Determinants of Neonatal Mortality in Pakistan: A Cross Sectional Analysis (PDHS 2017-18). Journal of the Pakistan Medical Association, 71, 900-904.
[13]  Atif, M., Zia, R., Malik, I., Ahmad, N. and Sarwar, S. (2021) Treatment Outcomes, Antibiotic Use and Its Resistance Pattern among Neonatal Sepsis Patients Attending Bahawal Victoria Hospital, Pakistan. PLOS ONE, 16, e0244866
[14]  Zhou, B., Liu, X., Wu, J., Jin, B. and Zhang, Y. (2016) Clinical and Microbiological Profile of Babies Born with Risk of Neonatal Sepsis. Experimental and Therapeutic Medicine, 12, 3621-3625.
[15]  Camargo, J.F.D., Caldas, J.P.D.S. and Marba, S.T.M. (2022) Early Neonatal Sepsis: Prevalence, Complications and Outcomes in Newborns with 35 Weeks of Gestational Age or More. Revista Paulista de Pediatria, 40, e2020388.
[16]  Sayed, M.A., Kamal, A.M., Abdel Hakim, M.A. and Hassan, R.R. (2019) Prognostic Value of Neutrophil CD64 in Low Birth Weight Neonates with Sepsis. Annals of Neonatology Journal, 1, 13-25.
[17]  Mangu, C.D., Rumisha, S.F., Lyimo, E.P., Mremi, I.R., Massawe, I.S., Bwana, V.M., et al. (2021) Trends, Patterns and Cause-Specific Neonatal Mortality in Tanzania: A Hospital-Based Retrospective Survey. International Health, 13, 334-343.
[18]  Dirirsa, D.E., Dibaba Degefa, B. and Gonfa, A.D. (2021) Determinants of Neonatal Sepsis among Neonates Delivered in Southwest Ethiopia 2018: A Case-Control Study. SAGE Open Medicine, 9, Article ID: 205031212110270.
[19]  Bhutta, Z.A., Darmstadt, G.L., Hasan, B.S. and Haws, R.A. (2005) Community-Based Interventions for Improving Perinatal and Neonatal Health Outcomes in Developing Countries: A Review of the Evidence. Pediatrics, 115, 519-617.
[20]  Sacks, E., Moss, W.J., Winch, P.J., Thuma, P., van Dijk, J.H. and Mullany, L.C. (2015) Skin, Thermal and Umbilical Cord Care Practices for Neonates in Southern, Rural Zambia: A Qualitative Study. BMC Pregnancy and Childbirth, 15, Article No. 149.
[21]  Gilani, I. and Kayani, Z.A. (2014) Household Practices of Mothers Regarding Neonatal Care in Rural & Urban Settings of the Capital District of Azad Jammu & Kashmir. Rural Remote Health, 14, Article No. 2503.
[22]  Chizoma, N., Fisayo, O. and Abimbola, O.O. (2020). Umbilical Cord Care Knowledge and Practices of Mothers attending Selected Primary Health Care Centres in Ibadan, Nigeria. International Journal of Caring Sciences, 13, 143-151.
[23]  Abhulimhen-Iyoha, B.I. and Ibadin, M.O. (2012) Determinants of Cord Care Practices among Mothers in Benin City, Edo State, Nigeria. Nigerian Journal of Clinical Practice, 15, 210-213.
[24]  Pakenham-Walsh, N. and Bukachi, F. (2009) Information Needs of Health Care Workers in Developing Countries: A Literature Review with a Focus on Africa. Human Resources for Health, 7, Article No. 30.


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