Caring For Your Baby's Umbilical Stump
In the womb, the umbilical cord delivers the oxygen and nutrients needed to allow your baby to grow. After birth, the cord is clamped and cut, leaving a gross, bloody stump. This eventually falls off (gag), healing to form the umbilicus (belly button). During this time, there are ways for you to prevent problems during healing.
What Happens Immediately After The Birth?
After birth, the doctor or midwife cuts your baby’s cord from the placenta and puts a clamp on the remaining stump to pinch it off. Ours seriously looked like those plastic kitchen clamps you close a bag of chips with. Or would, if there were ever chips left over.
After a couple of days, once the cord has dried, you can take the clamp off. But be careful, it'll be all sticky and yuck.
How Long Does The Cord Stay Attached For?
The cord stump usually stays attached for 5 to 15 days. Over this time, the cord dries, shrinks and turns black (just another wonder of childbirth). Sometimes, especially in the day or so before it falls off, the stump can ooze a little and may leave marks on your baby’s clothes. Yep.
Do not pull the cord stump off, even if it looks like it will come off easily, as this can prolong healing time and cause scarring. Let the cord stump fall off by itself in its own time.
When the stump falls off, there is sometimes a little bleeding at the stump site. This is normal and it should stop quickly.
Please see your doctor or maternal and child health nurse if you have any concerns.
Caring For The Umbilical Cord
Wash the cord stump as part of your baby’s usual bathing routine.
Make sure you wash your hands first. Use only water and cotton pads, and dry it carefully. If wee or poo gets on the stump, you can use a mild soap to help clean it off. You don’t need to use antiseptics and alcohol.
Let the cord sit out of the nappy so it dries out in the air; this can be done by folding the nappy under the cord stump. There is no need to cover the cord stump with Band-Aids or bandages, as this stops airflow around the stump.
If you’re not washing the cord stump, try not to handle it.
How Long Does The Belly Button Take To Heal?
After the cord falls off, the belly button may bleed or ooze a little, but it should heal completely in days. If there is continuous stickiness or discharge, it may be infected, and you should show your doctor or maternal and child health nurse.
Sometimes the belly button does not heal completely and moist red tissue forms over the stump site, often with a lump present. This is called a ‘granuloma’. It is usually harmless, but you should ask your GP or child and family nurse to have a look at it.
How To Tell If The Cord Is Infected
Signs of an infection of the belly button may include:
- redness, swelling, stickiness or a bad smell on or around the belly button.
- fevers, poor feeding and tiredness in your baby.
If you think your baby’s cord stump or belly button is infected, see your doctor as soon as possible.
It's gross but easy to deal with and perfectly normal. Cared for correctly, you then have the cutest little belly button on the cutest little tummy to play with for years to come. :)