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How to Care for a Newborn's Umbilical Cord
The umbilical cord stump is a small piece of tissue that remains attached to your baby's belly button after birth. Proper care of this stump is essential to prevent infection and ensure it dries and falls off naturally, usually within 1 to 3 weeks. Here's what new parents need to know.
Key Steps for Umbilical Cord Care
- Keep it Clean and Dry: The most important rule is to keep the stump clean and dry. This promotes drying and helps it fall off.
- Sponge Baths Only: Until the cord stump falls off and the belly button is fully healed, give your baby sponge baths instead of submerging them in a tub.
- Fold Diaper Down: Ensure the diaper is folded down below the stump. This allows air to circulate around the cord, helping it dry, and prevents urine from contaminating it. Many newborn diapers have a cutout for this purpose.
- Allow Air Exposure: Dress your baby in loose-fitting clothing that allows air to reach the stump. Avoid tight bodysuits or onesies that might rub against it.
- Resist Picking or Pulling: Never try to pull off the cord stump, even if it seems to be hanging by a thread. Let it fall off naturally.
- Cleaning (if necessary): In the past, alcohol was often recommended for cleaning. However, current recommendations from the American Academy of Pediatrics suggest simply keeping it dry. If it gets dirty, you can gently clean it with plain water and a soft cloth, then pat it dry thoroughly.
Signs of Infection – When to Call the Doctor
While rare, umbilical cord infections can be serious. Contact your pediatrician immediately if you notice any of the following signs:
- Redness or swelling around the base of the stump.
- Pus or yellowish discharge from the stump.
- Foul odor coming from the stump.
- Your baby cries when the stump or surrounding skin is touched.
- Fever or general signs of illness in your baby (lethargy, poor feeding).
For more detailed guidance on newborn care and common health concerns, The Home Doctor: Practical Medicine for Every Household is an invaluable resource for new parents, providing clear, step-by-step instructions and peace of mind.
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