Social Aspects in Management of Umbilical Stump

Abstract

background:Omphalitis defined as either pus discharge with erythema of the abdominal skin or severe redness (>2 cm extension from the cord stump) with or without pus (1).The study is across sectional description study  would be done on a neonate who presented with umbilical infection or discharge and who attained the pediatric department at tikrit teaching hospital  during the period  from first June to last of septemper 2017.  
Aim: 
1. To clarify the prevalence of umbilical infection among study neonate.            
2.To identify the age,sex,residence,maturity, among the study cases. 
3.To clarify the methods of diagnosis of umbilical infection. 
4.To idenfy the lines of treatment among the Study cases with it's duration. 
5.To evaluate the response of treatment according to differentiate lines. 
6.To assess the present practices of umbilical cord care in the newborn Patient  and Methods: A prospective study done on neonate attained to pediatric  department  at  Tikrit  teaching  hospital  and  neonate  care  unit department.  
Results: two hundred neonates randomly selected and examined.The age  of neonates ranged between  
(1-30 )days.The  males   were  (59%)   and  females  (41%)  .No  significant association between neonatal sepsis and omphalitis.Only pus discharge was significantly associated with positive blood culture (2). 
Conclusion:  presence  of  wide  varieties  in  the  methods  of  the  umbilical cord.Keeping  umbilical  cord  clean seemed  to be effective and clean.The practices of cleaning  care  The main goals in every delivery and health program for the umbilical cord involving the whole country. High prevalence of omphalitis  recorded in Tikrit neonatal care unit in hospital and majority of them presented with redness and the most effective substances in prevention and treatment.