Omphalitis - Prevention

Prevention

Each hospital/birthing center has its own recommendations for care of the umbilical cord after delivery. Some recommend not using any medicinal washes on the cord. Other popular recommendations include triple dye, betadine, bacitracin, or silver sulfadiazine. There is little data to support any one treatment (or lack thereof) over another.

Certain conditions originating in the perinatal period / fetal disease (P, 760–779)
Maternal factors and
complications of pregnancy,
labour and delivery		 placenta: Placenta praevia · Placental insufficiency · Twin-to-twin transfusion syndrome chorion/amnion: Chorioamnionitis umbilical cord: Umbilical cord prolapse · Nuchal cord · Single umbilical artery
Length of gestation
and fetal growth		 Small for gestational age/Large for gestational age · Preterm birth/Postmature birth · Intrauterine growth restriction
Birth trauma scalp (Cephalhematoma, Chignon, Caput succedaneum, Subgaleal hemorrhage) · Brachial plexus lesion (Erb's palsy, Klumpke paralysis)
By system
Respiratory Intrauterine hypoxia · Infant respiratory distress syndrome · Transient tachypnea of the newborn · Meconium aspiration syndrome · pleural disease (Pneumothorax, Pneumomediastinum) · Wilson-Mikity syndrome · Bronchopulmonary dysplasia
Cardiovascular Pneumopericardium · Persistent fetal circulation
Haemorrhagic and
hematologic disease 		Vitamin K deficiency (Haemorrhagic disease of the newborn) HDN (ABO • Anti-Kell • Rh c • Rh D • Rh E) · Hydrops fetalis · Hyperbilirubinemia (Kernicterus, Neonatal jaundice) Velamentous cord insertion Intraventricular hemorrhage (Germinal matrix hemorrhage) Anemia of prematurity
Digestive Ileus · Necrotizing enterocolitis · Meconium peritonitis
Integument and
temperature regulation 		Erythema toxicum · Sclerema neonatorum
Nervous system Periventricular leukomalacia
Musculoskeletal Gray baby syndrome · muscle tone (Congenital hypertonia, Congenital hypotonia)
Infectious Perinatal infection (Congenital rubella syndrome, Neonatal herpes simplex) · Omphalitis · Neonatal sepsis (Group B streptococcal infection) · Neonatal conjunctivitis
Other Perinatal mortality (Stillbirth, Infant mortality) · Neonatal withdrawal

M: OBS

phys/devp/memb

mthr/fetu/infc, epon

proc, drug (2A/G2C)
Inflammation
Acute
Plasma derived mediators Bradykinin · complement (C3, C5a, MAC) · coagulation (Factor XII, Plasmin, Thrombin)
Cell derived mediators preformed: Lysosome granules · vasoactive amines (Histamine, Serotonin)
synthesized on demand: cytokines (IFN-γ, IL-8, TNF-α, IL-1) · eicosanoids (Leukotriene B4, Prostaglandins) · Nitric oxide · Kinins
Chronic Macrophage · Epithelioid cell · Giant cell · Granuloma
Processes Traditional: Rubor · Calor · Tumor · Dolor (pain) · Functio laesa
Modern: Acute-phase reaction/Fever · Vasodilation · Increased vascular permeability · Exudate · Leukocyte extravasation · Chemotaxis
Specific locations
Nervous CNS (Encephalitis, Myelitis) · Meningitis (Arachnoiditis) · PNS (Neuritis) · eye (Dacryoadenitis, Scleritis, Episcleritis, Keratitis, Choroiditis, Retinitis, Chorioretinitis, Blepharitis, Conjunctivitis, Iritis, Uveitis) · ear (Otitis, Labyrinthitis, Mastoiditis)
Cardiovascular Carditis (Endocarditis, Myocarditis, Pericarditis) · Vasculitis (Arteritis, Phlebitis, Capillaritis)
Respiratory upper (Sinusitis, Rhinitis, Pharyngitis, Laryngitis) · lower (Tracheitis, Bronchitis, Bronchiolitis, Pneumonitis, Pleuritis) · Mediastinitis
Digestive mouth (Stomatitis, Gingivitis, Gingivostomatitis, Glossitis, Tonsillitis, Sialadenitis/Parotitis, Cheilitis, Pulpitis, Gnathitis) · tract (Esophagitis, Gastritis, Gastroenteritis, Enteritis, Colitis, Enterocolitis, Duodenitis, Ileitis, Caecitis, Appendicitis, Proctitis) · accessory (Hepatitis, Cholangitis, Cholecystitis, Pancreatitis) · Peritonitis
Integumentary Dermatitis (Folliculitis) · Cellulitis · Hidradenitis
Musculoskeletal

Arthritis · Dermatomyositis · soft tissue (Myositis, Synovitis/Tenosynovitis, Bursitis, Enthesitis, Fasciitis, Capsulitis, Epicondylitis, Tendinitis, Panniculitis)

Osteochondritis: Osteitis (Spondylitis, Periostitis) · Chondritis
Urinary Nephritis (Glomerulonephritis, Pyelonephritis) · Ureteritis · Cystitis · Urethritis
Reproductive

female: Oophoritis · Salpingitis · Endometritis · Parametritis · Cervicitis · Vaginitis · Vulvitis · Mastitis

male: Orchitis · Epididymitis · Prostatitis · Balanitis · Balanoposthitis

pregnancy/newborn: Chorioamnionitis · Omphalitis
Endocrine Insulitis · Hypophysitis · Thyroiditis · Parathyroiditis · Adrenalitis
Lymphatic Lymphangitis · Lymphadenitis

Read more about this topic:  Omphalitis

Famous quotes containing the word prevention:

    “... if this world were anything near what it should be there would be no more need of a Book Week than there would be a of a Society for the Prevention of Cruelty to Children.”
    —Dorothy Parker (1893–1967)