The umbilical cord is the baby's lifeline to the mother during pregnancy. However, it is no longer needed once the baby is born. Within a few minutes after birth, the cord is clamped and cut close to the navel. The clamp helps stop bleeding from the three blood vessels in the umbilical cord--two arteries and one vein. A medication is sometimes applied to the cord as part of a baby's first care. This may be a purple dye or another type of antiseptic. However, this practice has
been replaced by dry cord care in most U.S. hospitals. By the time the baby goes home from the hospital, the cord is beginning to dry and wither. The clamp can be removed when the cord is completely dry. The cord falls off by itself in about two to three weeks. Because the umbilical cord may be a place for infection to enter the baby's body, it is important to care for it properly. Your baby's doctor will give you instructions on how to care for your baby's
umbilical cord, which include keeping it dry and exposed to the air. Give sponge baths until the cord falls off and let your doctor know if it has not fallen off by one month of age. Keep the cord on the outside of the baby's diaper. Some newborn-size diapers have special cut-outs for the cord area, but you can also fold down the top edge of the diaper. Call your baby's doctor if there is: Bleeding from the end of the cord or the area near the skin Pus (a
yellow or white discharge) Swelling or redness around the navel Signs that the navel area is painful to your baby There may be a small amount of blood around the time the stump is about to fall off and after the cord falls off, but this should stop quickly. Never try to pull the cord off. Parents are often concerned about a baby's navel being an "innie" or an "outie." There is no way to predict this or make the navel look one way or another. Contrary to popular traditions, taping a coin or other flat object over the navel does not help. It is common in some babies for there to be a small protrusion of the baby's abdomen around the naval, especially when the baby cries. The protrusion is caused by a weakness in the abdominal muscles called an umbilical hernia. This can be checked by your baby's doctor to see if treatment is necessary, however, it usually goes away on its own. 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:
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. Cord - umbilical; Neonatal care - umbilical cord Esper F. Postnatal bacterial infections. In: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff and Martin's Neonatal-Perinatal Medicine. 11th ed. Philadelphia, PA: Elsevier; 2020:chap 48. Nathan AT. The umbilicus. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 125. 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; 2016:chap 21. Updated 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. What will the nurses instructions for a new mother to care for the infant's umbilical cord include?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.
How should the nurse provide care for the umbilical cord?Keep the cord dry and exposed to air. The nappy should allow for the cord to sit out of it. Wash hands before handling the umbilical cord and where possible avoid touching the cord stump. The cord clamp will fall off between days 5-10, you do not need to remove the clamp on discharge from hospital.
Which information would the nurse include when teaching new mothers about cord care?The nurse is planning to reinforce instructions about cord care to a new mother. The nurse should plan to tell the mother which about cord care? The process of keeping the cord clean and dry will decrease bacterial growth.
What do you teach the parents regarding cord care?Keep the area clean and dry. Keep your baby's diaper folded below the stump. If that doesn't work well, before you put the diaper on your baby, cut out a small area near the top of the diaper to keep the cord open to air. To keep the cord dry, give your baby a sponge bath instead of bathing your baby in a tub or sink.
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Which instructions would the nurse give to a new mother regarding umbilical cord care?
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