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Teknik Perawatan Umbilikus pada Neonatus
Teknik perawatan umbilicus atau tali pusat pada neonatus dilakukan setelah lahir dengan penundaan penjepitan tali pusat, perawatan secara bersih dan kering, dan menggunakan ASI.[4,6–11,36,37]
Persiapan Pasien
Persiapan pasien dimulai dari bayi baru lahir dengan menilai tone, breathing, dan term (TBT) untuk memutuskan penundaan penjepitan tali pusat. Bila bayi lahir tanpa perlu resusitasi atau pemberian positive pressure ventilation (PPV), penundaan penjepitan tali pusat minimal 1 menit perlu dilakukan.
Referensi
4. José Luis Leante Castellanos, Alejandro Pérez Muñuzuri, César W. Ruiz Campillo, et al. Recommendations for the care of the umbilical cord in the newborn, Anales de Pediatría (English Edition), Volume 90, Issue 6. 2019. Pages 401.e1-401.e5, ISSN 2341-2879, doi.org/10.1016/j.anpede.2019.01.009. https://www.sciencedirect.com/science/article/pii/S234128791930078X
5. Ministry of Health Eswatini. Neonatal Care Clinical Guidelines. UNICEF and WHO. 2018. https://www.unicef.org/eswatini/media/631/file/UNICEF-Sd-Neonatal-Guidelines-report-2018.pdf
6. Natalia, Devira & Sendra, Eny & Toyibah, Afnani & Wijayanti, Lumastari & Setyarini, Arika. The Correlation of the Open Dry Treatment to Umbilical Cord Separation Time on Newborns. Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery). 9. 079-083. 10.26699/jnk.v9i1.ART.p079-083. (2022). https://www.researchgate.net/publication/360290591_The_Correlation_of_the_Open_Dry_Treatment_to_Umbilical_Cord_Separation_Time_on_Newborns
7. López-Medina MD, Linares-Abad M, López-Araque AB, López-Medina IM. Dry care versus chlorhexidine cord care for prevention of omphalitis. Systematic review with meta-analysis. Rev. Latino-Am. Enfermagem. 2019;27:e3106. DOI: http://dx.doi.org/10.1590/1518-8345.2695.3106. https://www.scielo.br/j/rlae/a/fvbpc47LcnFTRQ8qf6WG9ZG/?lang=en&format=pdf
8. Al-Shehri H. The Use of Alcohol versus Dry Care for the Umbilical Cord in Newborns: A Systematic Review and Meta-analysis of Randomized and Non-randomized Studies. Cureus, 11(7), e5103. (2019). https://doi.org/10.7759/cureus.5103
9. Mukunya, D., Haaland, M.E.S., Tumwine, J.K. et al. “The cord is the child”: meanings and practices related to umbilical cord care in Central Uganda. BMC Pediatr 20, 105 (2020). https://doi.org/10.1186/s12887-020-2002-9
10. López-Medina, M. D., López-Araque, A. B., Linares-Abad, M., & López-Medina, I. M. Umbilical cord separation time, predictors and healing complications in newborns with dry care. PloS one, 15(1), e0227209. (2020). https://doi.org/10.1371/journal.pone.0227209
11. Chlorhexidine working group. Implementing the World Health Organization Revised Recommendations on Cord Care. WHO. 2018. https://www.healthynewbornnetwork.org/hnn-content/uploads/Final-for-translation_CWG-Country-Guidance_Jan-19-2018_EN.pdf
12. Santi M dan Sari IW. Perawatan Tali Pusat Terbuka pada Bayi Baru Lahir di Klinik Pratama Amanah Ayah Bunda Tahun 2021. Current Midwifery Journal e-ISSN 2776-625X Volume 02, Nomor 01 Tahun 2022. https://doi.org/10.25311/jkt/Vol2.Iss1.827
14. Sarah DM, Michael N, William E, Venu J, and Krista C. Guideline No. 424: Umbilical Cord Management in Preterm and Term Infants. Journal of Obstetrics and Gynaecology Canada. Joint SOGC-CPS Clinical Practice Guideline| Volume 44, ISSUE 3, P313-322.e1, March 2022. DOI https://doi.org/10.1016/j.jogc.2022.01.007
15. Pooja S, Prajwal JP, and Pradip G. A Study on Adverse Drug Reaction of Chlorhexidine Gel for Umbilical Cord Care in Newborns. World Journal of Pharmacy and Pharmaceutical Sciences. Vol 9, Issue 8, 2020 page 1532-15. DOI: 10.20959/wjpps20208-16527. 2020. https://www.academia.edu/76832563/A_Study_on_Adverse_Drug_Reaction_of_Chlorhexidine_Gel_for_Umbilical_Cord_Care_in_Newborns
16. Paediatric Specialty Team. Umbilical Cord Care Guidelines v2.0. NHS. June 2018. https://www.northdevonhealth.nhs.uk/wp-content/uploads/2018/07/Umbilical-Cord-Care-Guidelines-June-18-v2.0.pdf
18. Awopileda, M. What is the Effect of Topical Breast Milk Application on Umbilical Cord Separation among Healthy Newborn Babies in the Middle East?. Vanderbilt Undergraduate Research Journal, 12(1), 25-30. (2022). https://doi.org/10.15695/vurj.v12i1.5273
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28. Salwa Y. Alhazmi et al. The effectiveness of alcohol swab in umbilical cord care in Taif city, Saudi Arabia. World Family Medicine. 2020; 18(12): 34-40 DOI: 10.5742/MEWFM.2020.93906.
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35. Peraturan Menteri Kesehatan Republik Indonesia Nomor 53 Tahun 2014 Tentang Pelayanan Kesehatan Neonatal Esensial. Permenkes, 2014.
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41. The American College of Obstetricians and Gynecologists (ACOG). Optimizing Postpartum Care. Presidential Task Force on Redefining the Postpartum Visit, Committee on Obstetric Practice. Number 736 (Replaces Committee Opinion Number 666, June 2016. Reaffirmed 2021). https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2018/05/optimizing-postpartum-care
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