The umbilical cord stump usually falls off 10 days to 3 weeks after birth. You should keep the stump clean and dry, allowing air to reach it. If the skin closes over the base, gently pull back to let air in. You can clean any ooze by gently patting the stump dry with a towel or soft cloth after their bath. You should not apply anything to the baby's navel before the cord falls off. You should also not put any bandage on the baby's umbilical cord, as that can create conditions for bacteria to grow.
You should contact us if:
- The stump hasn't fallen off after more than 2 weeks
- The area around the stump is red or discolored
- It has a bad smell
- It's warm and tender to touch
- You notice a cloudy ooze that doesn't clear up after you clean the area
Signs of an infected umbilical cord include:
- A smelly yellow discharge from the stump area
- A reddening of the skin around the stump
- Swelling of the navel area
- Pus (yellowish fluid) that is around the base of the cord and smells bad
- Your baby crying when you touch the cord or the skin around it
What is an Umbilical Granuloma?
An umbilical granuloma is a small piece of tissue that remains after the umbilical cord falls off. It appears as a pink or red lump at the base of the belly button. While harmless, it can sometimes cause discharge or become infected.
What is Chemical Cautery?
Chemical cautery is a procedure where a special chemical is applied to the umbilical granuloma to help it shrink or base of the cord to help it dry. It's a simple and safe procedure commonly performed by healthcare professionals.
Care After Chemical Cautery:
- Keep the Area Clean and Dry:
- Gently clean the area around the belly button with mild soap and water.
- Pat the area dry with a soft cloth or let it air dry. Avoid rubbing the area.
- Avoid Submerging in Water:
- Avoid giving your baby a bath in a tub until the granuloma has completely healed.
- Sponge baths are recommended during this time to prevent soaking the area.
- Watch for Signs of Infection:
- Keep an eye out for any signs of infection such as increased redness, swelling, warmth, or pus-like discharge.
- If you notice any of these signs, contact us.
- Dressing Changes:
- You can put a piece of cotton swab over the button to protect the clothing, but no dressing is generally required.
- Follow-Up Appointment:
- If the area continues to be moist, a repeat treatment may be needed in 2-4 days. Please call to schedule an appointment if it continues to look wet or ooze liquid.
