Umbilical cord care at birth:commonplace, traditions and ebmin family paediatrics
baby. She goes to the family paedi-atrician office to examine Georgia,before the imminent birth. "Doctor, would you clarify myviews about a question: after mysecond baby's birth, how should ILa cura del cordone ombelicale alla nascita:luoghi comuni, tradizioni ed EBM in pediatria dineonatologist prescribed to disin-fect the umbilical cord with ethylalcohol and sterile heron; my sis-ter, who had a baby just twoGenerally, pregnant mothers questionthe family paediatrician about umbili-cal cord care after the baby's birth.Through the Evidence Based Medicine,the authors have converted the need forcord with silver sulphadizine. Oth-such information into answers, searchfor evidence in online bibliographicdatabase, critically analyze the scientif-ic research and answer the patient'squestions, taking into account the pa-opinions: it is very difficult to un-derstand which is the best thing toUna madre gravida pone un quesito alpediatra di famiglia riguardante la cu-prossimo figlio. Attraverso le tappe del-l'Evidence Based Medicine gli autoridefiniscono il quesito clinico, cercanole prove di efficacia, le analizzano criti-camente e danno una risposta clinicaUmbilical cord (UC) infection caused
alla paziente tenendo conto del conte-sto nel quale nascerà il bambino.Cord • Topical umbilical cord care •Topical • Umbilical cord • UmbilicalCordone ombelicale • Topici per la cu-ra del cordone ombelicale • Cura del
reduce the risk of neonatal infection 3. Is topic treatment in UC care afterdelivery better than doing nothing, inIf so, what are the best topic, therapyncbi.nlm.nih.gov/entrez/query.fcgi
stand, we have to identify the outcome
and the population, then we have to
formulate a query for every problem.
ter delivery in developed countries".
and http://www.update-software.com/
curochrome, mercurochrome and hy-
C) Pezzati M, Biagioli EC, Martel-
A) Zupan J, Garner P - Topical um-Cochrane Library, Issue 1, 2002. -
ten randomised clinical trials (RCT).
Two reviewers considered published
so unpublished works (?? Not clear).
A (opaque envelopes, independent
B) Pezzati M, Biagioli EC, Martelli E,FF. Umbilical cord care: the effectof eight different cord-care regi-
ferent a third person was consulted.
derive from a "period effect" (as a re-
the separation of the cord stump 2 5.
ical trials provide weaker evidence. References
WHO/RHT/MSM/98.4 Care of the Um-bilical Cord: A review of evidence.
Centro EBM di Oxford: http://cebm.jr2.
bi B, Biagiotti R, Rubaltelli FF. Umbili-
Zupan J, Garner P. Topical umbilical cordcal cord care: the effect of eight differentcare at birth. The Cochrane Library, Is-
cord-care regimens on cord separationtime and other outcomes.Biol Neonate
Anderson T. Cochrane made simple. Rou-tine topical umbilical cord care at birth.
Novack AH et al. Umbilical cord separa-tion in the normal newborn. Am J Dis
Parmi les complications du diabète, la dysfonction érectile est probablement cel e dont on parle le moins. Autrefois ap-pelée impuissance, la récente introduction d’une nouvel e terminologie reflète le désir de bousculer les tabous entourant les troubles de l’érection. Les patients qui en sont atteints souvent se taisent et se sentent isolés. Pourtant ils sont nom-breux. Environ un hom