Umbilical Cord Care in the Newborn Infant.

TitleUmbilical Cord Care in the Newborn Infant.
Publication TypeJournal Article
Year of Publication2016
AuthorsStewart D, Benitz W
Corporate AuthorsCommittee on fetus and newborn
JournalPediatrics
Volume138
Issue3
Date Published2016 Sep
ISSN1098-4275
KeywordsAnti-Infective Agents, Local, Bacterial Infections, Humans, Infant, Newborn, Rooming-in Care, Sepsis, Skin, Umbilical Cord
Abstract

Postpartum infections remain a leading cause of neonatal morbidity and mortality worldwide. A high percentage of these infections may stem from bacterial colonization of the umbilicus, because cord care practices vary in reflection of cultural traditions within communities and disparities in health care practices globally. After birth, the devitalized umbilical cord often proves to be an ideal substrate for bacterial growth and also provides direct access to the bloodstream of the neonate. Bacterial colonization of the cord not infrequently leads to omphalitis and associated thrombophlebitis, cellulitis, or necrotizing fasciitis. Various topical substances continue to be used for cord care around the world to mitigate the risk of serious infection. More recently, particularly in high-resource countries, the treatment paradigm has shifted toward dry umbilical cord care. This clinical report reviews the evidence underlying recommendations for care of the umbilical cord in different clinical settings.

DOI10.1542/peds.2016-2149
Alternate JournalPediatrics
PubMed ID27573092