COMING HOME WITH YOUR NEW BORN BABY: CARE OF THE UMBILICUS
The umbilicus (also known as the navel or belly button) in newborn babies requires special care in the first 2-3 weeks after birth. The umbilical cord itself, which is cut at birth, connects the baby inside the womb to the placenta, and so is not needed after birth. The remaining stump forms the umbilicus, which can easily become infected up until the time that it shrivels and drops off, at around 2 weeks. Frequently clean the base of the cord where it joins the abdomen, by gently lifting the cord and swabbing the area using a cotton bud soaked in rubbing alcohol. This can be done morning and night. If possible do not cover the area with the top of the nappy; this will help it dry out quicker. Do not put any creams, ointments or powders around the umbilicus.
You may notice a small amount of bleeding around the stump of the umbilicus. This is normal and can be stopped by applying firm pressure to the area with a piece of sterile gauze. As your baby grows continue to clean his umbilicus after baths to ensure it remains free from lint.
When to see your doctor
• if you notice an area of redness around the umbilicus, or a discharge (especially if greenish in colour);
• if the cord has not dropped off after 2 weeks;
• if your baby has an unexplained fever and is generally unwell;
• if you notice a swelling or bulge around the area of the umbilicus;
• if you have any questions or concerns about the appearance of your baby’s umbilicus, or about how to take care of it.
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