Thursday, December 7, 2023


Table of Contents


  1. Tray containing the following:
    1. Chlorhexidine gel/methylated spirit
    2. Sterile cotton wool swab
    3. Sterile gallipot
    4. Sterile gloves
    5. Receiver for used swabs
    6. Cord clamp or ligature
    7. Baby dress and diaper
    8. Cot sheet
    9. Wet wipes


  1. Establish rapport (refer steps)
  2. Explains procedure to client (Refer steps)
  3. Set a tray and assemble all items to be used
  4. Prepare conducive area (close nearby windows and prepare well-padded flat surface)
  5. Maintain infection prevention and control practice throughout the procedure
  6. Put baby on examination table, wrapped up and protected by mother/assistant
  7. Put on plastic apron and perform hand hygiene
  8. Wear sterile examination gloves
  9. Expose cord and inspect of bleeding, swelling and redness of the skin around the cord
  10. Re-ligate/clamp cord if necessary
  11. Hold stem of cord with one cotton wool swab soaked in spirit OR dry cotton wool swab when using chlorhexidine gel
  12. Swab skin 5cm away and around base of cord when using spirit OR apply gel from tip
  13. Swab stem from base upwards using a swab for each stroke till cord is cleaned or ensure gel spreads around the cord
  14. Swab the tip of the cord (with spirit) and leave cord exposed on top of the diaper/napkin in both cases
  15. Remove the gloves and perform hand hygiene
  16. Dress baby (napkin/diaper folded below umbilicus)
  17. Educate mother on how to manage, what to expect and when to seek at the hospital when she sees signs of infection
  18. Give baby to mother and express appreciation for her cooperation
  19. Communicate findings to mother
  20. Disposed off and decontaminate used items
  21. Perform hand hygiene
  22. Record into Maternal and Child Health Record Book (Manual and Electronic)
  23. Record and report findings to the officer in-charge