Newborn Umbilical Cord Care in Parakou in 2013: Practices and Risks

作     者：Joseph Agossou Marcelline Hounnou-d’Almeïda Julien Didier Adédémy Alphonse Noudamadjo Doué Yasmine Gounou N’gobi Blaise Ayivi Joseph Agossou;Marcelline Hounnou-d’Almeïda;Julien Didier Adédémy;Alphonse Noudamadjo;Doué Yasmine Gounou N’gobi;Blaise Ayivi

作者机构：Department of Mother and Child Faculty of Medicine University of Parakou Parakou Benin Department of Mother and Child Faculty of Health Sciences University of Aboomey-Calavi Cotonou Benin 

出 版 物：《Open Journal of Pediatrics》 (儿科学期刊（英文）)

年 卷 期：2016年第6卷第1期

页      面：124-135页

学科分类：07[理学] 0701[理学-数学] 070101[理学-基础数学] 

主　　题：Umbilical Care Practices Risks Newborn Parakou Benin 

摘      要：Objective: The objective was to study umbilical care practices and risks in Parakou (North Benin). Patients and method: It was a cross-sectional and descriptive study carried out within a community from June 1 to August 31, 2013. It focused on all the infants born at the maternity of Parakou Health Center and their mothers. Results: Two hundred and ten newborns were included i.e. 101 boys and 109 girls. In 80.9% of cases, inappropriate substances had been applied to umbilical cord. Umbilical cord care quality was adjudged as poor, acceptable and good in 58.6%, 31.9% and 9.5% of cases respectively. A bacterial umbilical infection had been noted in 59.5% of newborns. Only 4.8% had sterile umbilical wound. The commonest bacteria were: Staphylococcus aureus (58.1%), Staphylococcus saprophiticus (53.3%), Escherichia coli (44.8%) and Pseudomonas aeruginosa (14.3%). The factors associated with umbilical infection were: low educational status of mother (p = 0.026), low-income occupation of mother (p = 0.021), customary practices to accelerate umbilical cord fall off (p = 0.007), short time to cord falling off lower than 6 days (p = 0.015). Conclusion: Umbilical cord care involves high risk for bacterial infection in our context. Strong actions must be taken within the community in order to reduce that risk.