UMBILICAL CORD CARE: A PARENT’S GUIDE TO KEEPING YOUR NEWBORN SAFE

African Perspective Mboneko Munyaga

The umbilical cord connects a baby to the mother during pregnancy, providing oxygen and nutrients. After birth, the cord is cut, leaving behind a small stump that gradually dries up, shrivels and falls off on its own. This usually happens within one to three weeks after birth.

Many parents worry about touching or cleaning the cord stump but the most important rule is surprisingly simple: keep it clean and dry.

The cord stump should be exposed to air as much as possible. Fold the baby’s diaper below the stump so that urine does not soak it. Dress the baby in loose-fitting clothes that allow air circulation around the area.

Parents should avoid applying substances to the cord unless specifically advised by a healthcare provider. Some people apply powders, oils, herbs, toothpaste, ash or other home remedies. These substances can introduce germs and increase the risk of serious infection. The safest approach is to leave the cord alone and allow it to dry naturally.

Bathing is another common concern. Until the cord falls off, sponge baths are often preferred to keep the area dry. If the stump becomes wet, gently pat it dry with a clean cloth.

As the cord heals, it may change colour from yellowish to brown or black. This is normal. A small amount of dried blood when the stump separates is also usually not a cause for concern.

Seek medical attention if you notice:

• Redness spreading around the base of the cord

• Swelling around the belly button

• Pus or foul-smelling discharge

• Persistent bleeding

• Fever

• The baby is becoming unusually sleepy, weak or feeding poorly

Parents should also remember that every baby is different. Some cords fall off within a week while others may take a little longer. Pulling on the stump or trying to remove it before it is ready can cause bleeding and infection.

In conclusion, caring for your baby’s umbilical cord does not require special products or complicated techniques. Keeping the cord clean, dry and free from home remedies is usually all that is needed.

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