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Umbilical cord care in newborns

Cord - umbilical; Neonatal care - umbilical cord

Information

When your baby is born the umbilical cord is cut and there is a stump left. The stump should dry and fall off by the time your baby is 5 to 15 days old. Keep the stump clean with gauze and water only. Sponge bathe the rest of your baby, as well. DO NOT put your baby in a tub of water until the stump has fallen off.

Let the stump fall off naturally. DO NOT try to pull it off, even if it is only hanging on by a thread.

Watch the umbilical cord stump for infection. This does not occur often. But if it does, the infection can spread quickly.

Signs of a local infection at the stump include:

  • Foul-smelling, yellow drainage from the stump
  • Redness, swelling, or tenderness of the skin around the stump

Be aware of signs of a more serious infection. Contact your baby's health care provider immediately if your baby has:

If the cord stump is pulled off too soon, it could start actively bleeding, meaning every time you wipe away a drop of blood, another drop appears. If the cord stump continues to bleed, call your baby's provider immediately.

Sometimes, instead of completely drying, the cord will form pink scar tissue called a granuloma. The granuloma drains a light-yellowish fluid. This will most often go away in about a week. If it does not, call your baby's provider.

If your baby's stump has not fallen off in 4 weeks (and more likely much sooner), call you baby's provider. There may be a problem with the baby's anatomy or immune system.

References

Carlo WA, Ambalavanan N. The umbilicus. In: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Textbook of Pediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016:chap 105.

Taylor JA, Wright JA, Woodrum D. Newborn nursery care. In: Gleason CA, Juul SE, eds. Avery's Diseases of the Newborn. 10th ed. Philadelphia, PA: Elsevier; 2018:chap 26.

Wesley SE, Allen E, Bartsch H. Care of the newborn. In: Rakel RE, Rakel DP, eds. Textbook of Family Medicine. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 21.

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  • Umbilical care - illustration

    The umbilical cord connects the baby to the mother's placenta. During fetal development in the womb, the umbilical cord is the lifeline to the baby supplying nutrients. After birth, the cord is clamped and cut. Eventually between 1-3 weeks the cord will become dry and will naturally fall off. During the time the cord is healing it should be kept as clean and as dry as possible.

    Umbilical care

    illustration

  • Sponge bath - illustration

    A sponge bath is the best way to clean your baby until the umbilical cord falls off. To give a sponge bath, dip a soft cloth in the warm water and wring out the excess. If needed, a mild soap can be used in the water. Wipe the baby's skin gently starting from the area of the baby's head and work your way down to the rest of the body. Pay special attention to the skin creases and diaper area. Rinse your baby with clean warm water and dry him or her completely.

    Sponge bath

    illustration

  • Umbilical care - illustration

    The umbilical cord connects the baby to the mother's placenta. During fetal development in the womb, the umbilical cord is the lifeline to the baby supplying nutrients. After birth, the cord is clamped and cut. Eventually between 1-3 weeks the cord will become dry and will naturally fall off. During the time the cord is healing it should be kept as clean and as dry as possible.

    Umbilical care

    illustration

  • Sponge bath - illustration

    A sponge bath is the best way to clean your baby until the umbilical cord falls off. To give a sponge bath, dip a soft cloth in the warm water and wring out the excess. If needed, a mild soap can be used in the water. Wipe the baby's skin gently starting from the area of the baby's head and work your way down to the rest of the body. Pay special attention to the skin creases and diaper area. Rinse your baby with clean warm water and dry him or her completely.

    Sponge bath

    illustration

 

Review Date: 10/18/2017

Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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