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Amaç: Bu çalışma, yenidoğanın umblikal kord özelliklerinin göbek düşme süresine etkisini belirlemek amacı ile yapılmıştır. Yöntem: Analitik nitelikte olan çalışma, 1 Eylül 2015 ile 1 Eylül 2016 tarihleri arasında, batıda yer alan bir üniversite hastanesinde, 90 anne ve yenidoğan ile yapılmıştır. Araştırmanın iki aşaması vardır. İlk aşamada doğum sonu dönem 0. günde anne ve yenidoğana ait özellikler değerlendirilmiştir. Araştırmanın ikinci aşaması ise birinci görüşmeden en az 15 gün sonra anneler ile telefonla görüşülerek tamamlanmıştır. Verilerin değerlendirilmesinde sayı, yüzde dağılımları belirlenmiş, t testi, Mann Whitney U analizi yapılmıştır. Bulgular: Yenidoğanların %63.3’ü 38-41. gebelik haftası arasında, %86.7’si sezaryenle doğmuş olup, ortalama 3099±48 gr ağırlığında ve 49.85±2.42 cm boyunda, umblikal kord klemp mesafesi medyan değeri 2 cm, kord çevresi medyan değeri 1.5 cm olduğu bulunmuştur. Yenidoğanların göbeğinin düşme süresi ortalama 8.5 gün olarak tespit edilmiştir. Yenidoğanların %82.2’sinin göbek bakımı yapılmadığı ve kuru bırakıldığı, 14’ünde (%15.6) umblikal kord enfeksiyonu geliştiği tespit edilmiştir. Araştırmada yenidoğanların doğum şekli ve Rh uyuşmazlığı durumu ile göbek düşme süresi arasında istatistiksel olarak anlamlılık saptanmıştır (p<0.05). Umblikal kord klemp mesafesi ve kord çevresi uzunluğu ile yenidoğanın göbeğinin düşme süresi arasında ise istatistiksel olarak anlamlı ilişki saptanmamıştır (p>0.05). Sonuç: Yenidoğanların göbek düşme süresi ile umblikal kord özellikleri (klemp mesafesi ve kord çevresi uzunluğu) arasında ilişki saptanmamıştır. Ayrıca sezaryen ile doğan yenidoğanlarda göbek düşme süresinin daha uzun, RH uyuşmazlığı sorunu yaşayan yenidoğanlarda ise daha kısa olduğu tespit edilmiştir.
Purpose: This study was carried out with the aim of determining the impact of the emblematic cord properties of the newborn on the time of abdominal fall. Method: The study in analytical quality was conducted between 1 September 2015 and 1 September 2016 at a university hospital in the West, with 90 mothers and newborns. There are two stages of research. In the first stage, the end period of birth was assessed by the mother and the newborn in the 0th day. The second phase of the study was completed by telephone conversations with the mothers 15 days after the first conversation. In the assessment of the data, the number, the percentage distribution were determined, the t test, the Mann Whitney U analysis was done. Results: 63.3 percent of newborns were born between 38-41 weeks of pregnancy, 86.7 percent were born with Caesarine, with an average weight of 3099±48 grams and 49.85±2. 42 cm long, the umblikal cord clamp distance was found to be 2 cm of median value, 1.5 cm of median value around the cord. The time of falling in the abdomen of the newborn is 8.5 days. 82.2% of newborns were not carried out stomach care and left dry, and 14 (15.6%) were diagnosed with embryonic cord infection. The study identified a statistical significance between the form of birth and the state of Rh disagreement and the time of abdominal decline (p<0.05). There is no statistically meaningful relationship between the momental cord clamp distance and the length of the cord circle and the falling time of the newborn’s abdomen (p>0.05). The result: there is no relationship between the time of abdominal fall of newborns and the umblikal cord characteristics (clamp distance and cord surrounding length). It has also been found that newborns born with Caesarine have a longer time of abdominal failure, while newborns with RH discompatibility have a shorter time.
Objective: This study was carried out to determine the effect of newborn umbilical cord properties on cord separation time. Methods: The analytical study was conducted in a western university hospital with 90 mothers and newborns between September 1, 2015 and September 1, 2016. The research has two stages. At the first stage, maternal and newborn characteristics were evaluated at postpartum period day 0. At the second stage of the research, the mother was called at least 15 days after the first interview and the cord separation time form was filled. Number and percentage distributions were determined, and t test, Mann Whitney U analysis are utilized. Results: 63.3% of newborns are born between 38-41th gestational week. 86.7% of them were born with caesarean section and they were found to have a mean weight of 3099 ± 48 gr and a length of 49.85 ± 2.42 cm. The umbilical cord clamp median distance was 2 cm, and the cord periphery median was 1.5 cm. The cord separation time was 8.5 days on average. 82.2% of the newborns were found to have no umbilical care and were left dry, and 14 (15.6%) developed umbilical cord infections. Statistical significance was determined between the birth type of the newborns, the Rh disagreement status and the umbilical cord separation time (p <0.05). There was no statistically significant relationship between the umbilical cord clamp distance, the cord periphery and the cord separation time (p> 0.05). Conclusion: No relation was found between the umbilical cord characteristics (clamp distance and cord circumference length) of the newborns and the cord separation time. But in newborns born with caesarean section, the cord separation time is longer, and in newborns with RH dispute problems, it is shorter.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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