TOPICAL BREAST MILK IN UMBILICAL CORD CARE FOR CORD STUMP SEPARATION TIME OF UMBILICAL AND PREVENT INFECTION IN NEWBORN BABIES: CASE STUDY
TOPICAL BREAST MILK DALAM PERAWATAN TALI PUSAT PADA BAYI A UNTUK MEMPERCEPAT PELEPASAN TALI PUSAT DAN MENCEGAH INFEKSI: STUDI KASUS
Keywords:
Topical breast milk, Bayi baru lahir, Tali pusatAbstract
Infant mortality due to tetanus neonatorum infection is 77 per-1,000 live births. The effect of applying topical breast milk method in cord care can accelerate cord detachment and prevent infection compared to other methods. The purpose of applying topical breast milk is to accelerate cord detachment and prevent infection. The method used is a case study with the inclusion criteria of newborns of full term, normal birth weight, being inpatient with the mother and APGAR score of at least seven or more. The number of respondents in this application amounted to one baby, the time of implementation of the application was carried out three days twice a day (morning and evening), observations were made with observation sheets for signs of infection, and umbilical cord release. The results of the application after three days of treatment showed a change in the umbilical cord, the cord turned blackish in colour with a dry texture and no signs of infection. Conclusion The application of cord care using topical breast milk can accelerate the process of cord detachment and prevent infection.Downloads
References
Anggeriani, R., & Lamdayani, R. (2021). Pengaruh Perawatan Tali Pusat Secara Terbuka dengan Lamanya Pelepasan Tali Pusat pada Bayi Baru Lahir di BPM Lismarini. Cendekia Medika, 6(2), 126–132. https://doi.org/10.52235/cendekiamedika.v6i2.96
Badan Pusat Statistik (BPS). (2020). Angka Kematian Bayi/AKB (Infant Mortality Rate/IMR). https://www.bps.go.id/id/statistics-table/1/MjIxNiMx/angka-kematian-bayi-akb--infant-mortality-rate-imr--menurut-provinsi---1971-2020.html
Clark, H., Coll-Seck, A. M., Banerjee, A., Peterson, S., Dalglish, S. L., Ameratunga, S., Balabanova, D., Bhan, M. K., Bhutta, Z. A., Borrazzo, J., Claeson, M., Doherty, T., El-Jardali, F., George, A. S., Gichaga, A., Gram, L., Hipgrave, D. B., Kwamie, A., Meng, Q., … Costello, A. (2020). A future for the world’s children? A WHO-UNICEF-Lancet Commission. The Lancet, 395(10224), 605–658. https://doi.org/10.1016/S0140-6736(19)32540-1
Damanik, S. (2021). Perbandingan metode topikal ASI dan teknik terbuka terhadap pelepasan tali pusat pada bayi baru lahir di Klinik Bersalin Hj Nirmala Sapni Krakatau. Jurnal Pionir, 3(2), 6.
Dessalegn, N., Dagnaw, Y., Seid, K., & Wolde, A. (2022). Umbilical Cord Care Practices and Associated Factor Among Mothers of Neonates Visiting Mizan-Tepi University Teaching Hospital Southwest Ethiopia 2021. Pediatric Health, Medicine and Therapeutics, Volume 13(June), 227–234. https://doi.org/10.2147/phmt.s363252
Faizah, M. N., Kabuhung, E. I., & Mariana, F. (2024). Pemberian Topikal Asi Terhadap Pelepasan Tali Pusat Bayi Baru Lahir di PMB Wilayah Kerja Puskesmas Kasarangan. Jurnal Kesehatan Tradisional, 2(1).
Jimoh, E., Ohaeri, B., Ojo, I., & Babarimis, O. (2022). Umbilical Cord Care: A Tool to Neonatal Morbidity and Mortality Prevention. International Journal of Academic Research in Business, Arts and Science (IJARBAS.COM), 4(3). https://doi.org/10.5281/zenodo.6814340
Kemenkes Direktur Jendral Pelayanan Kesehatan. (2022). Perawatan Tali Pusat Bayi Baru Lahir. Kemenkes Direktur Jendral Pelayanan Kesehatan. https://yankes.kemkes.go.id/view_artikel/58/perawatan-tali-pusat-bayi-baru-lahir
Liesmayani, E. E., Octaviana, L., & Naibaho, E. (2023). Pengaruh Perawatan Tali Pusat Metode Topikal ASI dan Kasa Kering Terhadap Waktu Pelepasan Tali Pusat Bayi Baru Lahir Persalinan Post SC. Jurnal Bidan Mandiri, 1(1), 1–11. https://doi.org/10.33761/jbm.v1i1.880
Lisnawati, Sapto Pramono, J., & Suryani, H. (2023). Perawatan Tali Pusat Topikal Asi Dan Teknik Terbuka Terhadap Waktu Pelepasan Tali Pusat Pada Neonatus. Avicenna?: Journal of Health Research, 6(2), 29–39. https://doi.org/10.36419/avicenna.v6i2.940
Lyngdoh, D., Kaur, S., Kumar, P., Gautam, V., & Ghai, S. (2018). Effect of topical application of human breast milk versus 4% chlorhexidine versus dry cord care on bacterial colonization and clinical outcomes of umbilical cord in preterm newborns. Journal of Clinical Neonatology, 7(1), 25. https://doi.org/10.4103/jcn.jcn_91_17
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(3), 1–11. https://doi.org/10.33552/ijnc.2019.01.000513
Mullany, L. C., Darmstadt, G. L., Katz, J., Khatry, S. K., Leclerq, S. C., Adhikari, R. K., & Tielsch, J. M. (2009). Risk of Mortality Subsequent To Umbilical Cord Infection Among Newborns Of Southern Nepal: Cord Infection and Mortalit. Pediatric Infectious Disease Journal, 28(1), 17–20. https://doi.org/10.1097/INF.0b013e318181fb4c
Novridhatami, & Rizona. (2021). Metode Perawatan Topikal dan Kaitannya dengan Lama Pelepasan Tali Pusat. Jurnal Kesehatan, 12(2), 182–193.
Nurbiantoro, D. A., Ratnasari, F., Nuryani, N., Qohar, A., Jaenuri, A., Supandi, D., Syaefullah, A., Muharom, F., Jaelani, J., Zendrato, J., Efendi, I., Novendra, I., Basri, M. H., Payumi, P., Solihin, S., & Suhandi, S. (2022). Perawatan Tali Pusat Neonatus dan Manfaat Tali Pusat Terbuka. Jurnal Kreativitas Pengabdian Kepada Masyarakat (Pkm), 5(2), 427–435. https://doi.org/10.33024/jkpm.v5i2.4644
Sodikin. (2019). Buku Saku Perawatan Tali Pusat. EGC.
Stewart, D., Benitz, W., Watterberg, K. L., Cummings, J. J., Benitz, W. E., Eichenwald, E. C., Poindexter, B. B., Stewart, D. L., Aucott, S. W., Goldsmith, J. P., Puopolo, K. M., Wang, K. S., Raju, T. N. K., Barfield, W. D., Keels, E. L., Lacaze, T., Mascola, M., & Couto, J. R. (2016). Umbilical cord care in the newborn infant. Pediatrics, 138(3). https://doi.org/10.1542/peds.2016-2149
Suherlin, I., Yulianingsih, E., & Porouw, H. S. (2023). Buku Ajar Asuhan Neonatus, Bayi, dan Balita (Z. A (ed.); 1st ed.). Penerbit Deepublish Digital.
Tumuhamye, J., Sommerfelt, H., Tumwine, J. K., Mukunya, D., Ndeezi, G., Namugga, O., Bwanga, F., Steinsland, H., & Nankabirwa, V. (2022). Umbilical Cord Stump Infections in Central Uganda?: Incidence , Bacteriological Profile , and Risk Factors.
Vanisree, R. (2016). Umbilical stump infections in neonates with special reference to MRSA. International Journal of Infectious Diseases, 45, 149. https://doi.org/10.1016/j.ijid.2016.02.360
WHO. (2024). Newborn mortality. https://www.who.int/news-room/fact-sheets/detail/newborn-mortality
Witkowska-Zimny, M., Kami?ska-El-Hassan, E., & Wróbel, E. (2019). Milk therapy: Unexpected uses for human breast milk. Nutrients, 11(5). https://doi.org/10.3390/nu11050944
Published
Issue
Section
Copyright (c) 2025 Visca Aridayanto, Suryani Manurung, Dorlan Natalina

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.