“Five clean practices” under strategies for elimination of neonatal tetanus include all except –
**Core Concept**
The "five clean practices" are a set of strategies aimed at preventing neonatal tetanus. These practices involve maintaining cleanliness and hygiene during pregnancy, delivery, and postpartum periods to reduce the risk of tetanus infection. The World Health Organization (WHO) recommends these practices as a cornerstone of neonatal tetanus prevention.
**Why the Correct Answer is Right**
The five clean practices include:
- Clean delivery surface
- Clean hands of the birth attendant
- Clean blade for cutting the umbilical cord
- Clean cord tie or clamp
- Clean cord stump care
These practices prevent contamination of the umbilical stump and surrounding tissues, thereby reducing the risk of tetanus infection. Cleanliness and hygiene are essential in preventing the entry of tetanus spores into the body.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is not one of the five clean practices.
**Option B:** This option is not one of the five clean practices.
**Option C:** This option is not one of the five clean practices.
**Clinical Pearl / High-Yield Fact**
It's essential to note that the five clean practices are not a substitute for tetanus toxoid immunization, which is also crucial for preventing neonatal tetanus. Pregnant women should receive tetanus toxoid immunization to ensure immunity against tetanus.
**Correct Answer: A.**