Health

Umbilical Cord Care

Umbilical Cord Care

The baby is tied to the umbilical cord extending from mother to life. During the 9 months in the uterus, the baby receives food from the blood vessels in this cord. However, this cord is separated because it is no longer needed. After birth, the umbilical cord that connects the baby to the mother is cut by tying with the umbilical clamp at a distance of about 5 cm.

The remaining, approximately 2.5 cm. neck, very close to the baby's body. This cord dries over time and detaches from the body. With proper care, in a period of one week, this piece dries and falls. In some infants, it may take 12 to 15 days for the cord to fall.

Early or late fall of the newborn baby's belly may also be a problem. If the navel falls before one week, care must be taken in terms of infections (neonatal tetanus, sepsis) that may arise from the navel. If it does not fall after 15 days, it is possible that the core is kept very clean or if germicidal powders are used.

There are different opinions about umbilical care. There are opinions that suggest that navel care is unnecessary with antiseptic drugs such as alcohol, betadine and battigon in infants. Ideal dressing with 70% alcohol once a day until the umbilical cord falls. After the first navel care after delivery, keeping it dry by wrapping it with a special sterile gauze or a home made, boiled, washed and ironed cloth will keep the belly falling down in time. When cleaning the hub, clean the hub cord protrusion around the hub, keeping it untouched. In this way, both this area will be kept clean and the danger of infection will be eliminated. Since the drugs used for this purpose may cause skin irritation, please apply the medicine only to the umbilical cord and do not contaminate the skin with excess. In addition, alcohol can be absorbed from the skin and cause the baby's blood sugar to drop. Betadine solutions can stimulate the thyroid gland because they contain iodine. An ear cleaning swab can help you apply the medicine more controlled to the umbilical cord.

The umbilical cord should be kept dry. When changing the diaper of the baby, care should be taken not to cover the diaper over the belly. In this way, the belly can be kept dry. The diaper must be attached from the bottom of the hub and thus prevent contamination. After applying the drug, wrapping it on the sterile gauze and pulling the wrapped core out of the lower binding cloth will allow the core to fall more cleanly, safely and healthily. When changing the baby's diaper, care should be taken if the navel is dirty. It should be remembered that germs can easily enter the body unless the navel is completely dry and healed.

Although there is no clear information about this, it would be more appropriate not to bathe the baby until the umbilical cord completely falls. Because the wet belly may be delayed to dry and fall. For this, it is sufficient that the core does not directly enter the water. However, there is no harm in washing the baby's head and wiping the body with a wet soapy-rag. There is a danger of infection until the cord is completely healed (although rarely). This is because it is easy for germs to enter the body through this opening. If you see a rash or any discharge in your baby's belly, you should call your doctor. If this area is infected, medical treatment and perhaps hospitalization may be necessary.

After the navel has fallen, some infants may have a soft pink-red mass with a few mm diameter in the navel. This is umbilical granuloma, called umbilical granulation. If granuloma has developed in your baby, the healing process may be delayed. If there is such a formation, the umbilical cord region will turn a light red or pink color, become moist, and a malodorous discharge will occur in this region. In this case, you should consult your doctor. Small granulomas are easily treated by cauterization with silver nitrate treatment 1-2 times.

If there is any bleeding in your baby's belly, this is not normal.

JFK HOSPITAL
CHILD HEALTH AND DISEASES EXPERT
DR ESRA DOLAR


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