Methods of Applying Breast Milk for Umbilical Cord Care and Its Impact on the Speed of Umbilical Cord Detachment in Newborns

Authors

  • Nurhamida Fithri STIKes Senior Medan, Kota Medan, 20141 Sumatera Utara, Indonesia https://orcid.org/0000-0002-4786-1989
  • Pratiwi Lumbantobing STIKes Senior Medan, Kota Medan, 20141 Sumatera Utara, Indonesia
  • Herlina Simanjuntak STIKes Senior Medan, Kota Medan, 20141 Sumatera Utara, Indonesia
  • Susi Amenta Br. Peranginangin STIKes Senior Medan, Kota Medan, 20141 Sumatera Utara, Indonesia
  • Afrida Yelni STIKes Senior Medan, Kota Medan, 20141 Sumatera Utara, Indonesia
  • Faradita Wahyuni Institut of Health Medistra Lubuk Pakam, Deli Serdang, 20512 Sumatera Utara, Indonesia

DOI:

https://doi.org/10.31674/mjn.2024.v16i02.022

Abstract

Background: In Indonesia, the infant mortality rate due to tetanus is still high; generally, more than 50% of babies affected by tetanus will end up dying. To reduce infant mortality due to tetanus attacks, umbilical cord care is needed. Effective umbilical cord care methods speed up umbilical cord spreading and reduce the frequency of infections. There are different methods of umbilical cord care. One of them is the traditional method of applying breast milk to the umbilical cord of the newborn. The aim of this study is to evaluate the effect of umbilical cord care using the breast milk application method on umbilical cord acceleration in newborns. Methods: The research method used was a single non-equivalent post-test control group with a sample size of 38 children. Results: Based on the results of this study, it was found that in the intervention group for rapid umbilical cord release there were 16 babies (84.2%) and there were 3 normal babies (15.8%); in the control group for rapid umbilical cord release there were 7 babies (36.8%) and normal as many as 12 babies (63.2%). The results of the Chi-square test analysis show that there is an effect of umbilical cord care using the method of applying breast milk to the acceleration of umbilical cord detachment with a value of p = 0.027. Conclusion: Umbilical cord care using breast milk application is safe, effective and efficient and can protect the baby from infection because breast milk contains immunoglobulins A, G, and M, and breast milk also contains lactoferrin and lysozyme as anti-bacterial, anti-viral and anti-microbial.

Keywords:

Acceleration of Umbilical Cord Removal, Breast Milk Application, Umbilical Cord Card

Downloads

Download data is not yet available.

References

Allam, N. A., Wafa, A., & Talat, A. M. (2015). The effect of topical application of mother milk on separation of umbilical cord for newborn babies. American Journal of Nursing Science, 4(5), 288-296. https://doi.org/10.11648/j.ajns.20150405.16

Astari, R., & Nurazizah, D. (2019). Comparison of the colostrum method and the open method against the length of cord release in newborns. Faletehan Health Journal, 6(3), 91-98. https://doi.org/10.33746/fhj.v6i3.64

Astuti, D. W. (2020). pengetahuan dan sikap ibu terhadap perawatan tali pusat pada bayi baru lahir [Mother's knowledge and attitudes towards umbilical cord care in newborn babies]. Citra Delima Scientific Journal of Citra Internasional Institute, 4(1), 17-21. https://doi.org/10.33862/citradelima.v4i1.99

Elliott, S., & Williams, J. (2022). Omphalitis and bladder rupture. In Comparative Veterinary Anatomy (pp. 845-850). Academic Press, US. https://doi.org/10.1016/B978-0-323-91015-6.00069-8

Elsobky, F. A. A., Emam, A. M. M., Elmenim, S. O. A., & Shahin, M. A. (2017). Effect of topical application of mother milk on umbilical cord stump separation time compared to ethanol in healthy newborn. International Journal Novel Research in Healthcare and Nursing [Internet], 4(1), 1-11. https://www.noveltyjournals.com/issue/IJNRHN/Issue-1-January-2017-April-2017. Accessed on 6th July, 2023.

Golshan, M., & Hossein, N. (2013). Impact of ethanol, dry care and human milk on the time for umbilical cord separation. JPMA. The Journal of the Pakistan Medical Association, 63(9), 1117–1119. https://eprints.ssu.ac.ir/8715/1/4.pdf. Accessed on 25th November, 2023.

Harahap, R. F., Ramadani, D. S., Yusnidar, C., & Jesse, D. D. Z. (2022). The effectiveness of umbilical cord care with topical breast milk on the length of umbilical cord detachment in newborns at the yusniar clinic pangkalan berandan in 2022. Science Midwifery, 10(5), 3910-3916. https://doi.org/10.35335/midwifery.v10i5.942

Hartono, A., & Purwanto, N. H. (2016). Comparison effectiveness breast milk and dry sterile gauze to treatment umbilical cord. Open Journal of Nursing, 6(02). http://dx.doi.org/10.4236/ojn.2016.62010

Helmy, A.A., Ahmed, S.I., & Ayed, M.M.A (2021). Effect of colostrum application versus dry method on cord falling and healing: An evidence-based practice. Egyptian Journal of Nursing and Health Sciences, 2(2), 277-297. https://journals.ekb.eg/article_196030_73314ed8911184792c8d05847f7520ac.pdf. Accessed on 9th March, 2023.

Javadian, S., Yekani, R., Zafari, M., & Aghamohammadi, A. (2024). The incidence of PCOS among infertile females at a fertility clinic in Sari during the period of 2019-2020. Tabari Biomedical Student Research Journal, 6(1), 44-53. http://dx.doi.org/10.22034/6.1.44

Kasiati, K., Santoso, B., Yunitasari, E., & Nursalam, N. (2013). Topical breastmilk: Nursing care of newborn umbilical cord model. Jurnal Ners, 8(1), 9-16. https://media.neliti.com/media/publications/115749-ID-none.pdf. Accessed on 14th August, 2023.

Kemenkes, R. I. (2013). Riset kesehatan dasar; RISKESDAS (Basic health research; RISKESDAS). Jakarta: Balitbang Kemenkes RI, 2013, 110–119. https://layanandata.kemkes.go.id/katalog-data/riskesdas/ketersediaan-data/riskesdas-2013. Accessed on 14th August, 2023.

Kemenkes, R. I. (2019). Panduan orientasi kader posyandu (Posyandu cadre orientation guide). Kemenkes RI, 53(9). https://ayosehat.kemkes.go.id/buku-panduan-orientasi-kader-posyandu. Accessed on 16th July, 2023.

Letari,Y. (2021). The correlation of knowledge and attitude of mother towards activities hands washing in the of infant umbilical cord care. Jurnal Medika Hutama, 2, 456-468. https://www.jurnalmedikahutama.com/index.php/JMH/article/view/111. Accessed on 16th July, 2023.

Madian, A. A. E. A., & Ouda, M. M. A. (2019). The effect of topical application of mother breast milk versus distilled water and alcohol on separation time of umbilical cord stump among neonates. Iris Journal of Nursing & Care, 1, 2643-6892. http://dx.doi.org/10.33552/IJNC.2019.01.000513

Obeagu, E. I., & Obeagu, G. U. (2024). An update on factors affecting umbilical cord care among mothers: A review. Medicine, 103(28), e38945. https://doi.org/10.1097/MD.0000000000038945

RI, K. (2017). Profil Kesehatan Indonesia, Kemenkes RI (Indonesian Health Profile, Indonesian Ministry of Health). Jakarta. https://scholar.unair.ac.id/ws/portalfiles/portal/68383046/Human_Resources_For_Health_Country_Profiles_Indonesia.pdf. Accessed on 24th January, 2024

Sari, F., Nurdiati, D. S., Astuti, D. A., Kebidanan, A., & Husada, M. (2017). Perawatan Kering Terhadap Lama Pelepasan Tali Pusat Bayi [Dry Treatment Against the Delay of Baby's Umbilical Cord]. Jurnal AFIYAH, 4(2), 90–94. https://digilib.unisayogya.ac.id/2295/1/12-febriana%20sari%20-final.pdf. Accessed on 11th June, 2023.

Sari, L. P., Salimo, H., & Budihastuti, U. R. (2017). Optimizing the combination of oxytocin massage and hypnobreastfeeding for breast milk production among post-partum mothers. Journal of Maternal and Child Health, 2(1), 20-29. https://doi.org/10.26911/thejmch.2017.02.01.03

Subiastutik, E. (2015). Efektifitas Pemberian Topikal Asi Dibanding Perawatan Kering Terhadap Kecepatan Waktu Lepas Tali Pusat Di Puskesmas Sumbersari Jember [Effectiveness of Topical Administration of Breast Milk Compared to Dry Care on The Speed of Cum Delivery at the Sumbersari Jember Health Center]. Jurnal Ilmu Kesehatan Masyarakat, 8(1). https://jurnal.unej.ac.id/index.php/IKESMA/article/view/1106. Accessed on 10th August, 2023

Umrah, A. S. (2017). Pengaruh pemberian topikal asi terhadap waktu perawatan tali pusat pada bayi baru lahir di puskesmas angkona kecamatan angkona kabupaten luwu timur [The effect of topical breastfeeding on umbilical cord care time in newborn babies at the angkona community health center, angkona district, east luwu regency]. Voice of Midwifery, 6(08), 38–48. https://journal.umpalopo.ac.id/index.php/VoM/article/view/22. Accessed on 19th June, 2023.

Uruakpa, F. O., Ismond, M. A. H., & Akobundu, E. N. (2002). Colostrum and its benefits: a review. Nutrition Research, 22(6), 755-767. https://doi.org/10.1016/S0271-5317(02)00373-1

Vural, G., & Kisa, S. (2006). Umbilical cord care: A pilot study comparing topical human milk, povidone‐iodine, and dry care. Journal of Obstetric, Gynecologic & Neonatal Nursing, 35(1), 123-128. https://doi.org/10.1111/j.1552-6909.2006.00012.x

World Health Organization. (2015). World Health Statistics 2015. World Health Organization. https://www.who.int/docs/default-source/gho-documents/world-health-statistic-reports/world-health-statistics-2015.pdf. Accessed on 9th May, 2016.

Published

25-10-2024

How to Cite

Fithri, N., Lumbantobing, P. ., Simanjuntak, H., Br. Peranginangin, S. A. ., Yelni, A., & Wahyuni, F. (2024). Methods of Applying Breast Milk for Umbilical Cord Care and Its Impact on the Speed of Umbilical Cord Detachment in Newborns. The Malaysian Journal of Nursing (MJN), 16(2), 220-229. https://doi.org/10.31674/mjn.2024.v16i02.022

Metrics