FAKTOR YANG BERHUBUNGAN DENGAN LAMANYA PELEPASAN TALI PUSAT DI WILAYAH KERJA PUSKESMAS PAMENANG KABUPATEN MERANGIN
Abstract
Umbilical cord care is a crucial aspect of newborn health, as improper treatment can delay cord separation and increase the risk of infection. This study aimed to determine the factors associated with the duration of umbilical cord separation among newborns in the working area of Pamenang Public Health Center, Merangin Regency. This was a quantitative analytic study using a cross-sectional design, involving 50 mothers with newborns aged 15–30 days selected through total sampling. The variables examined included umbilical cord care practices, cord moisture, and environmental sanitation conditions. Data were collected using structured questionnaires and direct observations, then analyzed using the Chi-Square test with a significance level of 5%. The results showed significant relationships between the duration of cord separation and the three factors studied: cord care practices (p=0.000), cord moisture (p=0.000), and environmental sanitation (p=0.000). It can be concluded that proper cord care, keeping the cord dry, and maintaining a clean environment contribute to faster umbilical cord separation in newborns.
References
Aygun, C., Subaşi, A., & Küçüködük, S. (2005). Timing of umbilical cord separation and neonatal intensive care unit practices. American Journal of Perinatology, 22(5), 249–251. https://doi.org/10.1055/s-2005-870661
Basnet, R., Sunil Raja Manandhar, Anwesh Bhatta, Rakesh Kumar Shah, & Ritika Basnet. (2020). Effect of dry cord care versus chlorhexidine cord care on cord separation time in healthy newborns: A comparative study. Journal of Kathmandu Medical College, 9(2 SE-Original Research Article), 70–73. https://jkmc.com.np/ojs3/index.php/journal/article/view/876
Gürarslan Baş, N., Söylemez, N., & Karatay, G. (2022). Umbilical Cord Seperation Time and Related Factors TT - Umbilical Cord Seperation Time and Related Factors. Middle Black Sea Journal of Health Science, 8(1), 47–54. https://doi.org/10.19127/mbsjohs.1021568
Imdad, A., Mullany, L. C., Baqui, A. H., El Arifeen, S., Tielsch, J. M., Khatry, S. K., Shah, R., Cousens, S., Black, R. E., & Bhutta, Z. A. (2013). The effect of umbilical cord cleansing with chlorhexidine on omphalitis and neonatal mortality in community settings in developing countries: a meta-analysis. BMC Public Health, 13(3), S15. https://doi.org/10.1186/1471-2458-13-S3-S15
López-Medina, M. D., López-Araque, A. B., Linares-Abad, M., & López-Medina, I. M. (2020). Umbilical cord separation time, predictors and healing complications in newborns with dry care. PloS One, 15(1), e0227209. https://doi.org/10.1371/journal.pone.0227209
Novack, A. H., Mueller, B., & Ochs, H. (1988). Umbilical cord separation in the normal newborn. American Journal of Diseases of Children (1960), 142(2), 220–223. https://doi.org/10.1001/archpedi.1988.02150020122046
Sarwono, E., Disse, W. S., Ousdesluys-Murphy, H. M., Oosting, H., & De Groot, C. J. (1991). Umbilical cord: factors which influence the separation time. Paediatrica Indonesiana, 31(7–8), 179–184.
Sazawal, S., Dhingra, U., Ali, S. M., Dutta, A., Deb, S., Ame, S. M., Mkasha, M. H., Yadav, A., & Black, R. E. (2016). Efficacy of chlorhexidine application to umbilical cord on neonatal mortality in Pemba, Tanzania: a community-based randomised controlled trial. The Lancet. Global Health, 4(11), e837–e844. https://doi.org/10.1016/S2214-109X(16)30223-6
Unal, S., Demirel, N., Arslan, Z., Tokgoz-Cuni, B., Ulubas-Isik, D., & Bas, A. Y. (2022). Umbilical Cord Separation Time and Influencing Factors in Very-Low-Birth-Weight Preterm Neonates. American Journal of Perinatology, 39(15), 1682–1687. https://doi.org/10.1055/s-0041-1726035
