Case 3: Seizures in a 2-day-old Infant

Umbilical Cord Nonseverance and Adverse Neonatal Outcomes

“…The first case reports hepatitis due to isolated hepatocyte injury, 5 while the second case report describes early onset sepsis due to S epidermidis. 6 In case 1, we describe the first incidence of S lugdunensis endocarditis in a neonate. There have been 8 cases of S lugdunensis endocarditis reported in the pediatric population with the youngest previous patient being 2 years old.…”

“…The first case reports hepatitis due to isolated hepatocyte injury, 5 while the second case report describes early onset sepsis due to S epidermidis . 6…”

“…5 Another has linked UCNS to a case of Staphylococcus epidermidis neonatal sepsis. 6 In this article, we describe 3 cases of neonatal morbidity associated with UCNS.…”

Risks of Infectious Diseases in Newborns Exposed to Alternative Perinatal Practices

“…Case reports have attributed infections (early-onset sepsis from coagulase-negative Staphylococcus species, neonatal endocarditis from Staphylococcus lugdunensis, and omphalitis) to retained umbilical cord, although a direct bacterial link between the systemic infection and the retained umbilical tissue was often not present. [24][25][26][27] There is currently no known evidence of late-onset sepsis resulting from a birth history that included umbilical cord nonseverance.…”

A review on development of placental transfusion in term and preterm infants

“…Prior to the advancement of modern medicine, the common practice was to keep the umbilical cord intact until placental expulsion. There were even some reports of maintaining the umbilical cord attached to the placenta until natural separation, a practice termed “Lotus Birth”; however, this procedure increases the risk of neonatal sepsis ( 10 – 12 ).…”