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Umbilical cord infection is one of the highest causes of baby’s deathin developing countries with high infant mortality rate. The umbilical cord may become the site for bacteria colonization that can cause infections such as omphalitis and neonatal sepsis. Umbilical cord care using milk containing anti-infective and anti-inflammatory topical can accelerate the separationtime of the umbilical cord and prevent infection in neonatal period. The purpose of this study to determine the effectiveness of breast milk topical administration compared to dry treatment in terms of the duration of umbilical cord separation.This study is a clinical trial with a randomized clinical trial design. The subjects were all newborns who met the inclusion criteria. The number of samples in this study was 64 newborns who were divided into two groups, 32 newborns in treatment group and 32 newborns in control group. Randomization was performed by using the technique of random allocation of block 6.Data analysis used univariate, bivariate test using independent t-test, and multivariate linear regression, with a confidence interval of 95% and a significance level of p <0.05.The result of this study shows that there are differences between the average amount of release time of the umbilical cord for those treated with topical ASI, which takes shorter length of time (5.69 days) compared to using dry treatment (7.06 days), with coefficient -2.11 and R2 value is 0.67 (67%). Multivariate analysis of umbilical cord care with incidence of local infection has a significant correlation that could be seen from -2,51sd CI = -1.71 and p = 0:00. It can be concluded that the use of topical breast milk on umbilical cord care may accelerate its separation and lower the incidence of infection compared to the dry treatment method.

Topical Breastmilk Fasten the Process of Umbilical Cord Separation and Prevent Infection on Babies