Umbilical Cord Care
Medical Author:
David Perlstein, MD, MBA, FAAP
David Perlstein, MD, MBA, FAAPDr. Perlstein received his Medical Degree from the University of Cincinnati and then completed his internship and residency in pediatrics at The New York Hospital, Cornell medical Center in New York City. After serving an additional year as Chief Pediatric Resident, he worked as a private practitioner and then was appointed Director of Ambulatory Pediatrics at St. Barnabas Hospital in the Bronx. Medical Editor:
Melissa Conrad Stöppler, MD, Chief Medical Editor
Melissa Conrad Stöppler, MD, Chief Medical EditorMelissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Umbilical Cord Care OverviewParents, especially new parents, tend to get concerned about their newborn's umbilical stump. In fact, it does look somewhat alien immediately after delivery. The most important advice I can offer is to try not to look at it too often and keep it clean and dry until it falls off. Umbilical Cord StumpThe umbilical cord connects the developing fetus to the mother through the placenta from the sixth week of pregnancy until birth. As a lifeline, the cord supplies the developing fetus with oxygen, nutrients, and a means of waste elimination while in the womb. At birth, because the baby is able to breathe, eat, and void the bladder and bowel, the umbilical cord becomes unnecessary; so it is clamped and cut shortly after delivery. Since there are no nerve fibers in the cord, your newborn will not feel it. It is important to provide proper care for this portion of remaining cord at the baby's navel until it heals and separates from the umbilicus - usually within two weeks after birth. The stump will change from a yellow-green color to black as it dries out. Be aware that at this point it will not be possible to determine whether your child will grow up with a so-called "inny" or an "outy." |
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Umbilical Cord Care
Topic Overview
After the umbilical cord is cut at birth, a stump of tissue remains attached to your baby's navel (umbilicus). The stump gradually dries and shrivels until it falls off, usually 1 to 2 weeks after birth. It is important that you keep the umbilical cord stump and surrounding skin clean and dry. This basic care helps prevent infection. It may also help the umbilical cord stump to fall off and the navel to heal more quickly.
Cleaning
Gently clean your baby's umbilical cord stump and the surrounding skin at least once a day and as needed during diaper changes or baths.
- Soak a cotton swab in warm water and mild soap. Squeeze out the excess water. Gently wipe around the sides of the stump and the skin around it. Your doctor may recommend using rubbing alcohol instead of soap and water. If you use rubbing alcohol, first apply a gentle lotion around the stump. This can help protect your baby's sensitive skin.
- Wipe away any wet, stick...
Read What Your Physician is Reading on Medscape
Umbilical Cord Complications »
Umbilical cord complications in pregnancy are numerous, ranging from false knots, which have no clinical significance, to vasa previa, which often leads to fetal death.
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