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EnglishUmbilical cord care can be a stressful practice for parents. Complications of cord care can increase neonatal morbidity and mortality. The extracts of Arnica montana (AM) have been reported to possess antibacterial, anti-inflammatory, antifungal, and immunomodulatory activities. We aim to demonstrate the efficacy of AM on cord detachment and parents’ stress level induced by cord medication in healthy full-term newborns. We enrolled full-term infants with a birth weight ≥ 2500 g in healthy conditions. Cord stumps of infants in the PRE-group were cleaned and dried, while cord stumps of infants in the POST-group were cleaned, dried, and medicated with a natural topic dermo-protective powder containing AM. After discharge, we interviewed parents on the stump status during follow-up visits in a pediatric office at 7 and 14 days of life, or by phone calls after follow-up visits. Long-rank test showed that time of cord separation of newborns in the PRE-group was significantly higher compared to that in the POST-group (p < 0.001). Parents of newborns in the PRE-group were significantly more stressed during cord medication compared to parents in the POST-group (2.0 (1.2 to 2.1) vs 1.0 (0.8 to 1.3), p = 0.011). Multivariate analysis showed a significantly linear relation with group assignment for cord separation (p < 0.001) and parents’ stress during the medication (p = 0.033). Conclusion: The use of a natural topic dermo-protective powder containing AM reduces the time of cord separation, improves parents’ stress level, and reduces the risk of complications.
Umbilical cord medication in healthy full-term newborns: a before-after uncontrolled quality improvement study / Coscia, A; Boscarino, G; Di Chiara, M; Faccioli, F; Pedicino, R; Onestà, E; Giancotti, A; Di Donato, V; Ronchi, B; Zantonelli, F; Russo, A; Mezzapiastra, C; Terrin, G.. - In: EUROPEAN JOURNAL OF PEDIATRICS. - ISSN 0340-6199. - 180:2(2020), pp. 505-511. [10.1007/s00431-020-03889-w]
| Titolo: | Umbilical cord medication in healthy full-term newborns: a before-after uncontrolled quality improvement study | |
| Autori: | ||
| Data di pubblicazione: | 2020 | |
| Rivista: | ||
| Citazione: | Umbilical cord medication in healthy full-term newborns: a before-after uncontrolled quality improvement study / Coscia, A; Boscarino, G; Di Chiara, M; Faccioli, F; Pedicino, R; Onestà, E; Giancotti, A; Di Donato, V; Ronchi, B; Zantonelli, F; Russo, A; Mezzapiastra, C; Terrin, G.. - In: EUROPEAN JOURNAL OF PEDIATRICS. - ISSN 0340-6199. - 180:2(2020), pp. 505-511. [10.1007/s00431-020-03889-w] | |
| Handle: | http://hdl.handle.net/11573/1465955 | |
| Appartiene alla tipologia: | 01a Articolo in rivista |
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| Coscia_Umbilical-cord-medication_2020.pdf | Versione editoriale (versione pubblicata con il layout dell'editore) |  | Open Access Visualizza/Apri |
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