Objective To investigate the feasibility and advantages of modified suture method for cutting edematous umbilical cord.
Methods Total 200 cases of live births according to their sequence in the delivery were divided into observation group and control group with 100 cases in each group.The improved suture ligation method was used in the observation group.The clinical data of two cases were analyzed retrospectively.The difficult of operation,operating time,umbilicus hemorrhage,infection,and time for umbilical cord stump to fall off were compared between the two groups.
Results The operating time was(15.0±0.3)s in the observation group and (11.0±0.4)s in the control group,there was no significant different about the technical difficulty and operating time between two groups;the time for umbilical cord stump to fall off in the observation group was 3-6 d in 25 cases,7-10 d in 64 cases,＞10 d in 11 cases,and in the control group was 3-6 d in 15 cases,7-10 d in 43 cases,＞10 d in 42 cases,the time of the observation group was significantly less than the control group,the difference was statistically significant (Chi-square value 24.754,
P＜0.05).The rate of complications in the control group was 46%,including 9 cases of umbilical bleeding,5 cases of knot-off,8 cases of omphalitis,5 cases who needed to cut the umbilical again,19 cases of granulomas and poor wound;while in the observation group was 11%,including 5 cases of omphalitis,1 case who needed to cut the umbilical again,5 cases of granulomas and poor wound,without umbilical bleeding and knot-off.The incidence of complications in the observation group was significantly less than that in the control group,and the difference was statistically significant (chi-square value of 34.149,
P＜0.05).
Conclusion Umbilical cord edema;Newborn;Improvement;Suture ligation for bleeding control;Prevention of bleeding
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