Práticas e recomendações de enfermagem no cuidado umbilical em neonatos: revisão integrativa

Abstract

The present work conclusion for objective the: To identify nursing practices related to umbilical stump care, aiming to prevent complications such as omphalitis, neonatal sepsis, and death. Methodology: This is an exploratory and descriptive study conducted through a literature review of scientific publications from 2015 to 2025. The searches were carried out in the SciELO, PubMed, LILACS, and Google Scholar databases, using descriptors related to umbilical stump care and nursing practices. International guidelines and scientific evidence on the effectiveness of different hygiene methods and the guidance provided to caregivers were analyzed. Results: It was found that, although the World Health Organization recommends keeping the umbilical stump clean and dry in settings with low neonatal mortality, the use of 4% chlorhexidine has proven effective in reducing infections in regions with high neonatal morbidity and mortality rates. Moreover, a significant influence of cultural practices was observed, which often diverge from scientific recommendations, increasing the risk of complications. Conclusion: The findings reinforce the need to standardize nursing care practices for umbilical stump management and to implement educational strategies aimed at caregivers and health professionals.