El proceso de caída del cordón umbilical mediante cura seca en los recién nacidos de la provincia de Jaén

  1. LÓPEZ MEDINA, MARÍA DOLORES
Dirigida por:
  1. Manuel Linares Abad Director
  2. Isabel María López Medina Codirectora

Universidad de defensa: Universidad de Jaén

Fecha de defensa: 30 de abril de 2020

Tribunal:
  1. Genoveva Granados Gámez Presidente/a
  2. Carmen Álvarez Nieto Secretaria
  3. Antonio Jesús Ramos Morcillo Vocal
Departamento:
  1. ENFERMERÍA

Tipo: Tesis

Teseo: 647596 DIALNET lock_openRUJA editor

Resumen

Object: to compare the effect of dry care and the application of chlorhexidine to the umbilical cord in the prevention of omphalitis and to explore umbilical cord separation with dry cord care. Method: systematic review with meta-analysis and a quantitative longitudinal observational analytical study. Results: chlorhexidine umbilical cord care did not reduce the risk of omphalitis in hospital births (RR=0.82), in countries with a low infant mortality rate (RR=0.8) or at chlorhexidine concentrations <4% (RR=0.55). Chlorhexidine 4% acted as a protective factor (RR=0.58), applied in cases of home births (RR=0.57), countries with a high infant mortality rate (RR=0.57). The mean umbilical separation time: 6.61 days, incidence of omphalitis: 3.7%. Separation time predictors were wetting recurrence, birth weight, peripartum antibiotics, birth season, and Apgar <9. High satisfaction with care: 90.5%. Conclusion: dry umbilical cord cares is a safe practice in our environment; chlorhexidine 4% is recommended in unfavorable hygienic conditions.