A Quick Guide to Umbilical Cord Care

The care of the umbilical cord in a newborn is important because when done well, it promotes healthy healing, protects baby from acquiring a cord infection, and helps the cord fall off safely - within 1 to 2 weeks of delivery.

In Nigeria, appropriate cord care involves applying Chlorhexidine gel daily to the cord stump, preferably after the morning sponge bath or clean up-and after gently drying, apply from the base of the cord to the tip covering it completely and allowing to dry.

To keep the cord clean, clean with cotton wool or gauze. When chlorhexidine is not available the cord should be cleaned with spirit with very diaper change after hands have been washed.

All efforts should be made to keep the cord dry- fold the diaper beneath the stump to ensure it is exposed to air; and avoid covering it with tight clothing or cloths.

Give sponge baths and avoid soaking baby in a tub till the stump falls off

Watch for signs of infection including redness, pus, smelly discharge or foul odour, or if any of these is associated with baby having a fever or baby seems unwell.

Don’t apply powders, oils or traditional substances

Do not pull on the stump- allow it to fall off naturally '

Do not cover it tightly or cover with a plastic wrap - the cord needs air to breathe

If you notice any of the following, take the baby to hospital right away:

• The area becomes red, swollen, or starts bleeding

• There is a foul-smelling discharge

• The stump hasn’t fallen off after 3 weeks