Umbilical Cord: Care Instructions

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Your Care Instructions

After the umbilical cord is cut at birth, a stump of tissue remains attached to your baby's navel. It usually falls off between 1 and 2 weeks after birth. Keeping the stump and surrounding skin clean and dry helps prevent infection. It may also help the stump to fall off and the navel to heal faster.

Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.

How can you care for your child at home?

  • Keep the area clean. 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.
    • Gently pat dry with a soft cloth.
  • Keep the area dry.
    • Keep your baby's diaper folded below the stump. If that doesn't work well, try cutting out an area in the front of the diaper (before you put it on your baby) to keep the stump exposed to air.
    • Bathe your baby carefully. Keep the umbilical cord stump above the water level until it falls off and heals.
  • Know what to expect.
    • It's normal for the stump to turn brown, grey, or even black as it dries and heals.
    • You may notice a red, raw-looking spot right after the stump falls off. A small amount of fluid sometimes tinged with blood may ooze out of the navel area. This is normal.

When should you call for help?

Call your doctor or nurse call line now or seek immediate medical care if:

  • Your baby has signs of an infection, such as:
    • Increased swelling, warmth, or redness.
    • Red streaks leading from the area.
    • Pus draining from the area.
    • A fever.
  • Your baby cries when you touch the cord or the skin around it.

Watch closely for changes in your child's health, and be sure to contact your doctor or nurse call line if:

  • There's a moist, red lump on your baby's navel that lasts for more than 2 weeks after the umbilical cord has fallen off.
  • Your child has bulging tissue around the navel after the umbilical cord falls off.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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Current as of: July 26, 2016