WHAT YOU SHOULD KNOW:
Cord care is how to care for your baby's umbilical cord stump. Before your baby is born, the umbilical cord brings food and oxygen to him and removes his wastes. After birth, your baby does not need the umbilical cord anymore. Caregivers cut off all but a small part (stump) of the umbilical cord. The stump dries and falls off in about 7 to 21 days, leaving a belly button.
Care for your baby's umbilical cord stump:
- Wash your hands: Wash your hands with soap and water before and after you clean his stump.
- Clean the cord stump: Gently wash the cord stump and the skin around it with mild soap and warm water during every bath. Gently pat the stump dry after your baby's bath.
- Use rubbing alcohol or water: Your baby's primary healthcare provider may suggest you use rubbing alcohol or water and a cotton swab to clean the stump. Gently wipe from the base to the top of the stump with a cotton swab dampened with rubbing alcohol or water. Clean the stump with each diaper change.
- Clean urine or bowel movement on the stump: If your baby's stump gets dirty from urine or bowel movement, wash it off right away with water. Gently pat the stump dry after you clean it.
- Let it air-dry: After diaper changes or stump cleaning, fold the front of the diaper down below the cord stump to let it air-dry.
- Dress your baby in loose clothing: Choose loose-fitting clothes for your baby to help the stump dry out faster.
- Do not pull or tug at the cord stump: The stump will fall off on its own.
- Do not cover the cord stump: If you want to use a bellyband on your baby, use only clean, dry gauze.
What your baby's cord stump should look like:
Your baby's cord feels cool and looks blue-white right after he is born. After it is clamped, it starts to dry and turns yellow-brown. It becomes hard, and there may be some sticky wetness at the bottom of the stump. The stump will soon dry out, turn black, and fall off. It is normal for the stump to stay on longer if your baby was premature. You may also see a few drops of blood around the stump as it begins to fall off.
Contact your baby's primary healthcare provider if:
- The skin around the base of your baby's cord stump looks red or swollen.
- You see yellow or green discharge around the base of the stump.
- Your baby's stump smells bad, even after you clean it.
- Your baby's cord stump has not fallen off after 21 days.
- You see fluid leaking from a pink or red scar on your baby's belly button after the stump comes off.
- You have questions or concerns about umbilical cord care.
Return to the emergency department if:
- Your baby is less active than usual, is not eating well, and has a fever.
- The skin around your baby's umbilical stump feels hard or thick.
- The skin on your baby's abdomen looks bruised.
- Your baby is having problems swallowing.
- Your baby's neck, shoulders, back, or abdomen feels stiff, or your baby cries when touched.
© 2013 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.
The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.