Infant Cord Care
Newborns require special care, and one of the many things new parents must monitor is the umbilical cord site. Caring for an infant's umbilical cord is important, but it is also a relatively simple process. Proper care will help ensure a healthy cord site and a healthy baby.
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Appearance
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After childbirth, the umbilical cord is cut and clamped closed, leaving about an inch of a stump. The nub is often a bluish purple. The cord does not have nerve endings, so your baby will not feel pain from the cord stub. Over a period of a few weeks, the cord will start to dry out and eventually fall off. Typically, the cord loss should occur within 2 to 8 weeks from birth.
Daily Care
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The most important step in caring for an infant's umbilical cord is keeping the site clean. Dampen a cotton ball with alcohol and gently rub the cord's base after changing the infant's diaper. Allow the cord to have exposure to air as often as possible since this will help keep the area dry. Give sponge baths only until the cord falls off.
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Problems
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If the cord site has a discharge, sometimes yellow or white, an infection may be present. Other signs of infection include bleeding or a foul smell coming from the umbilical cord. Monitor the area at the base of the umbilical cord for any swelling or redness. You may also notice from your infant's actions and crying that the site may be painful.
When to Call
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Contact your baby's pediatrician at any sign of infection or bleeding. The pediatrician's office will talk to you about the symptoms and recommend steps to help you care for the cord site, or the doctor may determine an office visit is necessary. Don't be afraid to call. Your doctor would rather hear your concerns and see your baby than have you wait until a serious problem is present.
Considerations
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Some pediatricians do not recommend applying alcohol to the cord site since this may cause irritation to skin. Following your pediatrician's directions is the best way to care for your child. Also, allow the cord to fall off naturally. Do not pull or pick at the area, even if the cord is holding on by a small piece. Pulling off a cord when it's not ready could cause bleeding or infection.
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References
- Photo Credit baby after bath #21 image by Adam Borkowski from Fotolia.com