The "five cleans" for newborns are crucial hygiene practices designed to prevent infection in the critical early days of life. They are: clean hands, clean cord tie, clean cord, clean surface, and clean blade.
These practices are essential for reducing the risk of neonatal infections, which can be life-threatening. Let's break down each clean:
-
Clean Hands: Healthcare providers, midwives, and family members must thoroughly wash their hands with soap and water or use an alcohol-based hand sanitizer before and after handling the newborn. This is the most important step in preventing the spread of germs.
-
Clean Cord Tie: A sterile or properly disinfected cord tie should be used to clamp or tie off the umbilical cord. Using a clean tie prevents bacteria from entering the newborn's bloodstream.
-
Clean Cord: The umbilical cord stump needs to be kept clean and dry. Traditionally, cleaning involved using antiseptics, but current recommendations often favor keeping the area clean and dry and allowing it to heal naturally. If cleaning is recommended in your area, use a sterile solution as advised by your healthcare provider.
-
Clean Surface: Any surface the newborn is placed on must be clean and disinfected. This includes the delivery surface, changing table, or any other area where the baby will spend time.
-
Clean Blade: This refers to the instrument used to cut the umbilical cord, which must be sterile. In many settings, a sterile disposable scalpel is used. Ensuring the blade is clean prevents infection from entering the baby's body through the freshly cut umbilical cord.
Following these "five cleans" rigorously can significantly reduce the risk of infection and contribute to a healthy start for newborns. Always consult with your healthcare provider for specific guidance relevant to your situation and location.
