WeMoms
2 Apr 2024

Cord Care and Healing Process

Cord Care and Healing Process
The umbilical cord serves as a lifeline connecting you and your baby during the course of pregnancy.
It functions as a conduit, facilitating the flow of oxygen-rich and nutrient-packed blood to nourish your developing baby.
Moreover, it also carries away waste products from your baby's system.
This crucial cord links your baby to the placenta and consists of two arteries and one vein.
As your baby enters the world, the umbilical cord has fulfilled its purpose.
Your healthcare provider will deftly sever the cord, leaving behind a small fragment referred to as a stump.
Over the next few weeks, this stump will naturally desiccate and eventually detach from your baby's belly button, on average around day 10.
Exploring the Appearance of the Umbilical Cord
  • The umbilical cord assumes the form of a flexible, tube-like structure with a sponge-like texture. A gelatinous substance envelops the cord. After childbirth, medical professionals will employ clamps to secure the cord before making a precise cut, leaving the stump – the remnant of the cord.
  • Over a span of approximately one to three weeks, the stump undergoes a transformation, drying up and undergoing color changes from yellow-green to brown and, finally, black, before its anticipated departure.
Prioritizing Umbilical Cord Care
As the caregiver to your newborn, your role is pivotal in ensuring the meticulous care of the umbilical cord.
Maintaining cleanliness and dryness is essential to allow the stump to naturally detach without complications.
Proper care is imperative to prevent the risk of infections, which can be detrimental to your baby's health.
Nurturing Your Baby's Umbilical Cord
Post-Birth Transition for the Umbilical Cord
  • Once your baby is born, their autonomy increases, and they no longer require the umbilical cord.
  • Your healthcare provider will promptly apply a clamp to halt the passage of oxygen and nutrient-enriched blood from you to your baby. This signifies the detachment of the umbilical cord.
Sensory Aspects of the Umbilical Cord
  • Remarkably, the umbilical cord lacks nerves, rendering your baby incapable of experiencing any sensation through it.
  • The process of cutting the cord doesn't elicit pain, and as the cord dries, shrinks, and eventually detaches, it does not inflict discomfort upon your baby.
Guiding the Care of Your Newborn's Umbilical Cord
In the aftermath of childbirth, diligent steps are necessary to preserve the well-being of the umbilical cord during your hospital stay and beyond. Here are guidelines to follow:
  • Aeration is Key: Permitting the cord to air-dry is essential. Refrain from applying substances like alcohol to accelerate drying.
  • Diapering Technique: When changing diapers, ensure the front of the diaper is folded down, exposing the cord area and prevent it from becoming soiled by urine from the diaper, which would prevent it from healing quickly. Some diapers feature specialized cord cut-outs.
  • Avoid placing the cord on your newborn's skin before putting on his diaper and clothes. This will create humidity that will prevent the cord from drying and detaching quickly. To do this, lift the cord and place it as vertically as possible in relation to the skin. Some newborn diapers have notches to prevent the cord from getting stuck in the diaper.
  • Natural Separation: Avoid the urge to hasten the stump's detachment, even if it seems precariously attached. Premature removal may lead to bleeding and harm your baby.
  • If your child is a boy, position his genitals downwards in the diaper, so that they don't spray the cord while it's healing from an unfortunate pee.
  • The important thing is to keep the cord clean and dry, and to clean it with soap and water whenever necessary. Disinfection is not compulsory, but it can be done once a day, especially if the cord becomes soft and red at the base, or even more often if it smells bad (in this case, don't hesitate to show it to the pediatrician).
  • Vigilance for Infection: Be alert for indicators such as redness, swelling, abnormal discharge, foul odor, or bleeding. Swiftly consult your healthcare provider if you suspect an infection.
Ensuring a Smooth Recovery and Outlook
Managing the Transition Post-Stump Detachment
Following the natural timeline, the stump typically falls off within one to three weeks. The absence of the cord obviates the need to adjust the diaper's front.
Continue with care and drying. If necessary, don't hesitate to clean up well, spreading your child's navel a little to see the bottom.
The important thing is to remove any blood scabs that may persist at the bottom of the umbilicus. Discontinue treatment when healing is complete.
Seeking Medical Attention
Consult your healthcare provider if:
  • The stump hasn't detached after three weeks.
  • Pus or fluid leaks from the stump.
  • Redness or swelling occurs around the stump.
  • Bleeding persists and doesn't abate.
  • Your baby experiences a fever or feeding difficulties.
Maintaining cleanliness and dryness is paramount for your baby's umbilical cord care.
Ensuring the stump is unobstructed and avoiding any attempts to expedite its detachment are integral components of the care routine.
Always be vigilant for signs of infection and promptly seek medical attention if needed.
Your dedication to these measures will contribute to the overall well-being of your precious newborn.
Julia Aoun
Pediatrician