Topical Umbilical Cord Care for Prevention of Infection and Neonatal Mortality

Karumbi, Jamlick; Mulaku, Mercy; Aluvaala, Jalemba; English, Mike; Opiyo, Newton

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Topical Umbilical Cord Care for Prevention of Infection and Neonatal Mortality

Journal article published in 2013 by Jamlick Karumbi, Mercy Mulaku, Jalemba Aluvaala

, Mike English, Newton Opiyo

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Abstract

Umbilical cord care varies often reflecting community or health-worker beliefs. We undertook a review of current evidence on topical umbilical cord care. Study quality was assessed using the Grading of Recommendations, Assessment, Development and Evaluation system, and a meta-analysis was conducted for comparable trials. Available moderate-quality to high-quality evidence indicate that cord cleansing with 4% chlorhexidine may reduce the risk of neonatal mortality and sepsis (omphalitis) in low-resource settings.