Umbilical Cord Care
The umbilical cord transported nutrients from you to your baby throughout your pregnancy. Now your baby has a purplish-blue stump that is about a half inch to an inch long. It will take some time (approximately 1-2 weeks) before the stump dries up and falls off. It will take a little care and attention to prevent irritation and infection.
Umbilical Cord Care: Cleaning and Signs of Infection
Keep The Area Clean
Pediatricians used to recommend cleaning the base of the cord with rubbing alcohol. However, most now recommend leaving the stump completely alone because alcohol is believed to irritate the skin and sometimes delays healing. Other methods in caring for your baby’s cord include the use of Goldenseal Root and Echinacea. It is best to consult your child’s pediatrician for his/her recommendations before using either of these alternative methods.
Allow the cord to be exposed to air as often as possible. This allows the base of the cord to dry and will decrease the amount of time that is required for healing to occur. Using newborn diapers that have a special cut out or folding your baby’s diaper down will help keep the cord from becoming irritated. If weather permits, dress your baby in just a t-shirt and diaper to allow more time for the cord to dry out.
Do not bathe your baby in a sink or special tub until after the umbilical cord has fallen off. If your baby does take a bath, make sure to fan the area to dry it completely. You do not want to rub it dry as this could cause irritation.
It may be tempting to “help” the cord dry out and fall off especially if it appears to be hanging on by a thread, but it is best to allow this to happen naturally. Refrain from picking and pulling the cord off.
Signs of infection may include if the cord:
- Base appears red or swollen
- Continues to bleed
- Oozes yellowish or white pus
- Produces a foul smelling discharge
- Seems painful to your baby
Signs of infection of the umbilical cord stump can result in omphalitis (a life-threatening infection of the umbilical cord). This is considered a serious condition and needs to be treated immediately.
- If there are signs of infection.
- If the cord is actively bleeding. This normally occurs if the cord is pulled off prematurely. Active bleeding is defined as when a drop of blood is wiped away, another drop appears.
An umbilical granuloma is a small nodule of firm pinkish-red tissue (similar to scar tissue) with persistent yellow-green drainage. This is different from an infection because it is not accompanied by swelling, redness, warmth, tenderness, or a fever. This is most often treated by cauterization which is performed by applying silver nitrate to the area to burn the tissue. There are no nerve endings in the area, so it is not painful.
There is no way to predict whether you child will have an “innie” or an “outie.” Many people believe that taping a coin or other flat object over the navel will help ensure their child has an “innie,” but this is not true.
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