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Posted by Dr. Monica Wonnacott | January 12, 2016

Umbilical Cord Care

How do I care for the umbilical cord?

Caring for your baby’s umbilical cord is quite easy. You don’t have to do anything. It used to be that parents were told to dab rubbing alcohol on it. The new recommendations are to put nothing on it and let it dry up and fall off on its own. If the cord starts to get goopy or smelly, you can use alcohol, you won’t hurt anything. It just isn’t necessary otherwise.

When should it fall off?

Most cords fall off between 1 and 3 weeks; average is around 2 weeks. If the cord is knocked off prematurely, it can bleed and a new scab will form. If it is delayed in falling off by more than 1 month, you need to call your doctor. There are a few rare medical conditions that can cause delayed cord falling off and your doctor needs to evaluate.

The cord is bleeding, should I worry?

Often times a cord will get knocked by clothing or diapers and start to bleed. Usually the bleeding is very minimal and will stop with a little pressure. This is quite common and not worrisome. Usually, a new scab will form and heal appropriately. If there is profuse bleeding (dripping blood or more), your child needs to be seen by the pediatrician.

When should I worry?

If the skin on your baby’s belly around the umbilical cord is red, warm, or tender, your child must be seen. Consider that the umbilical cord is a direct connection to the inside of your baby’s body. If there are any signs of infection (e.g., red skin, warm, tenderness) on the outside then you may have a more involved infection on the inside, or the skin may be infected. If that happens, your baby needs to be seen by the pediatrician immediately.