Umbilical Cord Detachment and Care in Newborns

• 1 week ago

Umbilical Cord Detachment and Care in Newborns

What Is the Umbilical Cord and Why Does It Remain After Birth?

The umbilical cord transports oxygen and nutrients from the placenta to the baby during pregnancy. Once the baby is born, the cord is clamped and cut, leaving a small segment attached to the baby’s navel. This stump gradually dries, shrivels, and detaches as part of the natural healing process.

When Does the Umbilical Cord Typically Fall Off?

• Average time: Between 5 to 15 days after birth
• May take slightly longer in preterm babies or those born by C-section
• If it hasn’t fallen off by 3 weeks, medical evaluation is recommended

What Does the Cord Stump Look Like Before It Falls Off?

• Color: Initially white or yellowish; turns brown or black as it dries
• Texture: Becomes dry, shriveled, and hard
• Smell: Mild odor may be normal, but a foul smell or discharge requires attention
• It may appear loose but should never be pulled or removed manually

How to Properly Care for the Umbilical Cord Stump

1. Keep It Clean and Dry

• Always keep the area dry and exposed to air
• Gently pat dry after diaper changes or sponge baths
• Moist environments promote bacterial growth

2. Avoid Alcohol or Antiseptic Use Unless Prescribed

• Dry cord care is recommended in most current guidelines
• Alcohol or iodine-based products may irritate sensitive skin
• Use antiseptics only if instructed by a healthcare provider

3. Fold Diaper Below the Cord

• Diaper should not cover or rub against the stump
• Consider using newborn diapers with a notch or folding the diaper edge downward

4. Bathing Recommendations

• Sponge baths are preferred until the cord falls off
• Immersing the baby in water may delay drying
• If the cord gets wet, gently dry it immediately

What Happens After the Cord Falls Off?

• Mild bleeding or yellowish crust may appear—this is normal
• The navel area may remain slightly moist for 1–2 days
• Do not pick at any remaining scabs or tissue
• Continue gentle care until the area fully heals

Signs of Infection (Omphalitis) to Watch For

If cord care is inadequate, infection may develop. Seek medical attention if you notice:

• Redness, swelling, or warmth around the belly button
• Foul-smelling yellow or green discharge
• Persistent or heavy bleeding or pus
• Baby is irritable, feverish, or refuses to feed
• Crying or discomfort when touching the navel area

What to Do If the Cord Hasn’t Fallen Off Yet

Consult your pediatrician if:

• The cord hasn’t fallen off after 3 weeks
• There is persistent moisture or discharge from the navel
• Bleeding continues even days after separation
• A pink, shiny tissue protrudes from the navel (umbilical granuloma)

These may indicate delayed healing or infection, requiring professional care.

Common Myths and Facts About Umbilical Cord Care