آيا مصرف موضعي شير مادر در بندناف نوزادان تازه متولد شده روي استقرار باكتري ها تاثير دارد؟

Dose topical application of breast milk affect on bacterial colonization in umbilical cord?

Introduction: The umbilical cord is an important site for bacterial colonization. Several agents have been used for umbilical neonatal cord care, and some of them have established bad effects for neonate. In respect to no clinical trial study about human milk effects on bacterial colonization in umbilical cord, we decided to compare the effect of topical application of breast milk and dry cord care on bacterial colonization and cord separation time in neonates. Materials and Methods: This is a randomized clinical trial which was done at Omolbanin hospital in Mashhad (Iran) in 2006. 118 neonates with 38-42 weeks gestational age, singleton and with ought congenital anomaly were chosen in base of interview and registration information from mother and her neonate, and they divided in two groups, Motherʹs milk for group I, and dry cord care for group 2. All mothers in two groups received an instructed one-to-one cord care education within 3 hours of birth. Group I was applied breast milk to the umbilical stump 3 hours after birth and continued every 12 hours until 2 days after umbilical cord separation. Nothing was applied to the umbilical stump of the dry cord care group. Three hours after birth and the third day of life, were obtained an umbilical swab either from the base of the cord or from the umbilicus if the cord was already sloughed. Rate of bacterial colonization were recorded in both groups Results: The most common cultured organisms were SʹEpidermidis, SAureus, ECo/i and Klebsiella Pneumoniae in the umbilical stump, there were significant differenees between two groups in colonization rate. Conclusion: Topical application of breast milk on umbilical cord care leads to reduced bacterial colonization and cord separation time and can be used as easy, cheep, non injury methods for umbilical cord care.