Welcoming a newborn into the world comes with plenty of questions, you’re not alone! One common thing parents are concerned about is the umbilical cord, when will it fall off? How do I care for it? This guide will help you understand everything you need to know about umbilical cord hygiene, from cleaning to identifying potential issues.
What is the Umbilical Cord?
The umbilical cord is the lifeline between a baby and their mother during pregnancy. It connects the baby to the placenta, allowing the transfer of oxygen, nutrients, and waste between the mother and baby. When your baby is born, the cord is clamped and cut. This leaves behind a small stump on the baby’s tummy which will eventually fall off, leaving behind the belly button.
The blood in the umbilical cord is a precious source of life transforming stem cells which can be used to treat more than 80 diseases and conditions. Here at Smart Cells, we collect that cord blood which would otherwise be disposed of at birth in a quick painless process. Afterwards, we take it away to extract the stem cells and store them for you should you ever need them.
How Long Should the Umbilical Cord Stay On After Birth?
The umbilical cord stump typically remains attached to your baby’s belly for about 1 to 3 weeks after birth. During this time, it gradually dries out, shrivels, and eventually falls off naturally. Most umbilical cord stumps fall off within 10 to 14 days, although it can take a little longer in some cases. It’s essential to let the stump detach on its own; attempting to pull or force it off can lead to bleeding or infection.
How Can I Clean the Umbilical Cord Stump?
Keeping the umbilical cord stump clean and dry is crucial for preventing infection and promoting healing. Here’s how to care for it:
- Clean gently with water if necessary. If the stump gets dirty, use a clean, damp cloth to wipe around the base gently. Avoid using soap, alcohol, or any antiseptic unless advised by a healthcare provider.
- Let it air dry: Expose the stump to air as much as possible to speed up the drying process. Fold down the front of your baby’s diaper to avoid covering the area.
- Avoid submerging in water: Stick to cleaning your baby with cotton wool and water, rather than proper baths, until the cord falls off completely and the area heals.
Should the Umbilical Cord Sit Underneath the Nappy?
The umbilical cord stump should sit above the nappy, not underneath. To avoid irritation and promote healing, you may want to fold down the front of the nappy so it doesn’t cover the stump. Some newborn nappies are designed with a notch in the waistband to accommodate the stump and keep it exposed to air. If it is inside the nappy, you risk it getting dirty with the contents of the nappy, so it’s far easier to keep clean outside the nappy.
Can I Use a Different Type of Cord Clamp?
The standard plastic cord clamp used in hospitals is safe and effective for most newborns. However, some parents prefer alternative options, such as cord ties made from soft, natural materials. These are often used for aesthetic or cultural reasons. Discuss any preferences with your healthcare provider to ensure the choice is suitable for your baby.
How Do I Know If the Umbilical Cord Is Infected?
Signs of infection in the umbilical cord stump include:
- Redness, swelling, or warmth around the base
- Foul-smelling discharge
- Persistent bleeding
- Fever in your newborn
If you notice any of these signs, contact your midwife or doctor immediately who will be able to take a look and give you the best course of action.
What Is Delayed Cord Clamping?
Delayed cord clamping is a practice where the umbilical cord is not clamped and cut immediately after birth. Instead, it’s left attached for a few minutes, allowing extra blood flow from the placenta to the baby. This extra blood can provide additional iron stores and other benefits for newborns. Fortunately, you can delay cord clamping and also collect sufficient cord blood to extract stem cells for storage.
Like all newborn care, umbilical cord care may feel intimidating at first, but with proper hygiene and attention, it’s a straightforward process. If you’re ever unsure about the healing process or notice signs of infection, don’t hesitate to reach out to your midwife for guidance. Your baby’s health and safety are always the top priority!
