An Experiment to Assess the Efficacy of Lukewarm Water for Umbilical Cord Care Among Newborns in Chosen Hospitals in Akola

Volume: 10 | Issue: 01 | Year 2024 | Subscription
International Journal of Obstetrics, Perinatal and Neonatal Nursing
Received Date: 01/05/2024
Acceptance Date: 03/28/2024
Published On: 2024-03-31
First Page: 17
Last Page: 29

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By: J. Gnanadhinahari and P. Shema


The study’s conceptual framework, methodology, and tools were developed based on a review of relevant literature, drawing upon Ludwig von Bertalanffy’s general systems theory. The research was conducted across three settings: Orbit Multispeciality Hospital and Deshmukh Multispeciality Hospital in Akola. Employing an experimental single-group post-test design, the study focused on mothers with newborns. The study employed a method of random sampling to choose participants. The finds are that majority, 17 (56.6%) of experimental group had no infection. Least number of experimental groups 3 (30%) had moderate infection whereas none reported severe level of infection. Majority, 13 (43.33%) of control group had a mild infection. Least number, 3 (30%) had moderate infection in control group and 3 (30%) of control group had severe infection.

Keywords: Single-group post-test design, newborns, experimental group, mothers, severe infection



How to cite this article: J. Gnanadhinahari and P. Shema, An Experiment to Assess the Efficacy of Lukewarm Water for Umbilical Cord Care Among Newborns in Chosen Hospitals in Akola. International Journal of Obstetrics, Perinatal and Neonatal Nursing. 2024; 10(01): 17-29p.

How to cite this URL: J. Gnanadhinahari and P. Shema, An Experiment to Assess the Efficacy of Lukewarm Water for Umbilical Cord Care Among Newborns in Chosen Hospitals in Akola. International Journal of Obstetrics, Perinatal and Neonatal Nursing. 2024; 10(01): 17-29p. Available from:


  1. Alan G, Richard. A textbook of children and young’s people’s nursing. London: Churchill living stone; 2006.
  2. Adele P, Pillteri. Maternal and child health nursing. 5th edition. Philadelphia: Lippincott Williams; 2009.
  3. Assuma T. Textbook of Paediatric Nursing. Haryana: Elsevier; 2009.
  4. Barbara F, Sheila. Paediatric Nursing. 3rd edition. London: ELBS;1991.
  5. Baswanthappa BT. Nursing Research. 3rd edition. New Delhi: Jaypee Publications; 2003.
  6. Chiris M. Mayes’s Midwifery. 13th edition. Bailliere Tindall; 2003.
  7. Data, P. Pediatric Nursing. 2nd edition. New Delhi: Jaypee Publications; 2009.
  8. Dennise F, Cheryl T. Nursing research principles and method. 7th edition. New York: Lippincott Williams and Wilkins; 2007.
  9. Emily S, Susan. Maternal and child health nursing. 2nd Philadelphia: Elsevier; 2005.
  10. Ghai OPO. Essential of paediatrics. 6th edition. New Delhi: CBS; 2007.
  11. Unar-Munguía M, González de Cosío T, Escalante-Izeta EI, Ferré-Eguiluz I, Sachse-Aguilera M, Herrera C. Evaluating the effect of the initiative ‘caring for the newborn and the mother at home’ in Mexico. Public Health Nutr. Jan 2021; 24(1): 157–168. DOI: 10.1017/S1368980020003948.
  12. Chamnanvanakij S, Decharachakul K, Rasamimaree P, Vanprapar N. A randomized study of 3 umbilical cord care regimens at home in Thai neonates: comparison of time to umbilical cord separation, parental satisfaction, and bacterial colonization. J Med Assoc Thai. Jul 2005; 88(7): 967–972.
  13. Vural G, Kisa S. Umbilical cord care: A pilot study comparing topical human milk, povidone-iodine, and dry care. J Obstet Gynecol Neonatal Nurs. Jan–Feb 2006; 35(1): 123–8. DOI: 10.1111/j.1552-6909.2006.00012.x.
  14. Ford LA, Ritchie JA. Maternal perceptions of newborn umbilical cord treatments and healing. J Obstet. Gynecol. Neonatal Nurs. Sep–Oct 1999; 28(5): 501–6. DOI: 10.1111/j.1552-6909.1999.tb02023.x.
  15. Satishchandra DM, Naik VA, Wantamutte AS, Mallapur MD. Impact of training of traditional birth attendants on the newborn care. Indian J Pediatr. Jan 2009; 76(1): 33–36. DOI: 10.1007/s12098-008-0229-9.
  16. Seema Chapadiya, Ponmani P, Jeenath Justin Doss. K. A study to assess the effectiveness of structured teaching programme on knowledge regarding umbilical cord stem cell banking among antenatal mothers in selected hospital, at Rajkot. Asian J. Nursing Education and Research. 2020; 10(1): 60–62. DOI: 10.5958/2349-2996.2020.00014.2.
  17. Pillay T, Nightingale P, Owen S, Kirby D, Spencer A. Neonatal nurse staffing and delivery of clinical care in the SSBC Newborn Network. Arch Dis Child Fetal Neonatal Ed. May 2012; 97(3): F174–178. DOI: 10.1136/adc.2011.300224.
  18. World Health Organization. Pocketbook of hospital care for children: Guidelines for the management of common childhood illnesses. 2nd edition. Geneva; 2013. Problems of the neonate and young infant. [Online] Available from:
  19. (1999). Standard of midwifery practice for safe motherhood. Who publication. [Online] Available from:
  20. Guala A, Pastore G, Garipoli V, et al. The time of umbilical cord separation in healthy full-term newborns: A controlled clinical trial of different cord care practices. Eur. J Pediatr. 2003; 162: 350–351. [Online] Available from:
  21. Smith CK. Some traditional umbilical cord care practices in developing countries. Midwifery Today Int Midwife. 2009 Autumn; (91): 12–3.
  22. Alam MA, Ali NA, Sultana N, Mullany LC, Teela KC, Khan NU, Baqui AH, El Arifeen S, Mannan I, Darmstadt GL, Winch PJ. Newborn umbilical cord and skin care in Sylhet District, Bangladesh: implications for the promotion of umbilical cord cleansing with topical chlorhexidine. J Perinatol. 2008 Dec; 28 (Suppl 2): S61–S68. DOI: 10.1038/jp.2008.164.
  23. Ahmadpour-Kacho M, Zahedpasha Y, Hajian K, Javadi G, Talebian H. The effect of topical application of human milk, ethyl alcohol 96%, and silver sulfadiazine on umbilical cord separation time in newborn infants. Arch Iran Med. 2006 Jan; 9(1): 33–38.
  24. Barclay L, Harrington A, Conroy R, Royal R, LaForgia J. A comparative study of neonates’ umbilical cord management. Aust J Adv Nurs. 1994 Mar–May; 11(3): 34–40. Erratum in: Aust J Adv Nurs. 1994 Sep–Nov; 12(1): 35.
  25. Malá K, Stranák Z. Osetrování pupecního pahýlu u donosených novorozenců [Umbilical stump care in full-term neonates]. Ceska Gynekol. 2004 Dec; 69 Suppl 1: 105–7. Czech.
  26. Mullany LC, Darmstadt GL, Tielsch JM. Safety and impact of chlorhexidine antisepsis interventions for improving neonatal health in developing countries. Pediatr Infect Dis J. 2006 Aug; 25(8): 665–75. DOI: 10.1097/01.inf.0000223489.02791.70.
  27. Asiedu SSO, Apatu NAA, Tetteh R, Hodgson A. Neonatal Cord Care Practices among Mothers and Caregivers in the Volta Region of Ghana. Int J MCH AIDS. 2019; 8(1): 63–69. DOI: 10.21106/ijma.272. PMID: 31321147.
  28. Mullany LC, Darmstadt GL, Khatry SK, Katz J, LeClerq SC, Shrestha S, Adhikari R, Tielsch JM. Topical applications of chlorhexidine to the umbilical cord for prevention of omphalitis and neonatal mortality in southern Nepal: a community-based, cluster-randomised trial. Lancet. 2006 Mar 18; 367(9514): 910–18. DOI: 10.1016/S0140-6736(06)68381-5