100 COMPARISION OF EFFECT OF DRY CORD CARE VERSUS CHLORHEXIDINE CORD CARE ON CORD SEPARATION TIME IN HEALTHY NEWBORNS Rydam Basnet, Sunil Raja Manandhar, Anwesh Bhatta, Rakesh Kumar Shah, Ritika Basnet. Nepal 10.1136/bmjpo-2021-RCPCH.58 Background Umbilical cord infection (omphalitis) is a major cause of neonatal mortality and morbidity in developing coun- try like Nepal. Detached umbilical stump is an important colo- nizing site for different types of bacteria and it also provides direct access to blood stream. Inadequate cord care may lead to omphalitis as well as neonatal sepsis. This study compares 2 cord care regimens. Objectives General: To compare two different cord care regi- mens (dry cord care vs chlorhexidine) Specific: • To evaluate the cord separation time in both regimens. • To find out the incidence of omphalitis Methods Comparative observational study carried out in over a three month period of August 2019 to October 2019 in a tertiary hospital after receiving ethical clearance. Study population consisted of healthy neonates born between 37 -42 weeks. Consent was taken from parents. Babies admitted to NICU, with any umbilical disorders or requiring umbilical catheterization were excluded. Babies were randomized in two groups dry cord care (group I) and chlorhexidine care (group II) via computer gen- erated numbers. In group I after delivery, umbilical cord was kept dry and nothing was applied. In group II 4% chlorhexi- dine gluconate gel was applied once on the umbilical cord immediately after cutting. In both the groups parents were counseled to avoid unhy- gienic cord care practices. Sample size : 280 Personal data of the mother and the newborn’s were recorded. A questionnaire was administered on regular neona- tal follow up at well baby clinic or by phone on 15 days of life. 256 babies enrolled in group I as 24 babies did not follow up and 258 babies were enrolled in group II as 22 babies were lost to follow up. Results 730 babies were delivered over three months period and 514 babies were enrolled. Among them 313 (60%) males. Mean birth weight - 3057±443 grams, mean gestational age - 38.63±1.0 weeks, Mean maternal age - 27.2 years. The key clinical and epidemiologic features of the two study groups are shown in table 1. Both groups were comparable. mean cord separation time in dry cord care group was 7.70±1.2 days, and in chlorhexi- dine group it was 7.77±1.4 days. There was no significant difference between these two regimens. None of the newborns developed umbilical sepsis. Conclusions There was no significant difference between the cord separation times in both cord care regimens. Both dry cord care and chlorhexidine cord care regimens were found to be safe and effective. 103 COMPARATIVE ANALYSIS OF VITAL CAPACITIES OF ATHLETES, SINGERS AND OTHER STUDENTS OF AGE 13–14 YEARS- A CROSS-SECTIONAL, OBSERVATIONAL STUDY Seher Taneja, Jyoti Bose. India 10.1136/bmjpo-2021-RCPCH.59 Background Oxygen is vital for all bodily functions. Larger the vital capacity, more efficiently the body can distribute oxy- gen. A survey observed that more than a third of school chil- dren in four big cities of India suffer from reduced lung capacity, with Delhi showing the worst results. Poor air quality has been implicated for it. Objectives With the hypothesis that playing sports and devel- oping hobbies like singing could improve vital capacity and ability to tolerate air pollution, we compared the vital capaci- ties of athletes, singers, and other students of 13–14 years with the objective of correlating the effect of exercise and singing on the pulmonary functions. Methods The study was conducted over a period of 3 months in Springdales school on a sample size of 60 students divided in 3 groups of 20. Equal numbers of boys and girls of same age group were taken. Vital capacity of following groups was measured by Student’s spirometer Group A: athletes who have been actively participating in sports over the last one year, Group S : singers who have been a part of the school choir over the last one year, Group Non AS non-athletes, non singers. After taking Informed consent and brief history, weight, height and vital capacity were measured. Quantitative variables were compared using unpaired t-test/Mann-Whitney Test and qualitative variables using Chi-Square test/Fisher’s exact test. Univariate linear regression was used to identify significant factors affecting lung capacity. A p-value of less than 0.05 was considered statistically significant. Results Anthropometric data was matched with spirometric parameter. Athletes (3452.5±696.7 cm 3 ) and singers (3015 ±346.83 cm 3 ) had significantly higher vital capacity than the control group (2625±543.74 cm 3 ). The vital capacities of Abstract 100 Table 1 Showing basic demographics Dry cord care group Chlorhexidine group P value Number of participants 256 258 Birth Weight in gram(mean ±SD) 3048.75±453 3066.78±434 0.795 Gestational age at birth weeks 38.67±1.0 38.59±1.0 0.312 Male 148(57.8%) 165(64%) 0.175 Female 108(42.2%) 93(36%) Vaginal delivery 101 (39.5%) 116 (45%) 0.212 Caesarean section 155 (60.5%) 142 (55%) Maternal age (years ) 27.04±3.2 27.44±3 0.103 Primiparous 139 (54.3%) 132(51.2%) 0.481 Multiparous 117(45.7%) 126(48.8%) Abstract 100 Table 2 Comparision of cord separation time and umbilical sepsis Dry cord care Chlorhexidine P value Number 256 258 Cord separation in days 7.70±1.2 (range 3–15) 7.77±1.4(range 4–18) 0.759 Omphalitis 0 0 Abstracts A30 BMJ Paediatrics Open 2021;5(Suppl 1):A1–A132 on December 10, 2021 by guest. Protected by copyright. http://bmjpaedsopen.bmj.com/ bmjpo: first published as 10.1136/bmjpo-2021-RCPCH.59 on 18 April 2021. Downloaded from