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Umbilical Infection (Omphalitis) in Newborns

The umbilical stump normally falls off within 7-14 days after birth. Proper care during this time is important to prevent an umbilical infection (omphalitis). A little moisture or slight odour is normal — but redness, pus, and swelling must be evaluated by a doctor immediately.

الأسباب المحتملة

1Bacterial infection (staphylococci, streptococci) from inadequate hygiene
2Moisture at the navel (nappy too high, wet compresses)
3Premature or forceful removal of the umbilical stump
4Contaminated objects at the navel (dirty hands, unclean clothing)

ما يمكنكِ فعله

Keep the navel dry: let it air dry, fold the nappy below the stump
Wash hands before every cord care session
Clean the navel only with water and sterile gauze — NO disinfectants or alcohol
Do NOT pull off the stump — it falls off on its own
For infection: antibiotic treatment from the paediatrician (topical or systemic)

متى تزورين الطبيب؟

Redness SPREADING around the navel (more than 2 cm) → see doctor IMMEDIATELY
Purulent or foul-smelling discharge from the navel
Swelling or hardening of abdominal skin around the navel
Baby has a fever (above 38°C) or seems unwell
Umbilical stump bleeds heavily or won't stop bleeding
Stump hasn't fallen off after 3 weeks

ملاحظات حسب العمر

Day 1-3: Cord clamp still on, stump drying slowly. Day 5-7: Stump becomes darker and harder — normal. Day 7-14: Stump falls off, small wound may weep slightly or bleed minimally. Day 14-21: Navel should be fully healed. AFTER falling off: An umbilical granuloma (small, moist, red nodule) can occur and needs cauterisation by the paediatrician — harmless.

الأسئلة الشائعة

Can I bathe my baby while the stump hasn't fallen off?

Best to do sponge baths (top and tail) until the navel has completely fallen off and healed. Brief baths are possible but carefully pat the navel dry afterwards. Avoid submerging the navel.

What is an umbilical granuloma?

An umbilical granuloma is a small, moist, red nodule that can form after the stump falls off. It's harmless but often doesn't heal on its own. The paediatrician can cauterise it with silver nitrate — a painless, brief procedure.

How do I tell the difference between normal healing and infection?

NORMAL: Slight weeping, minimal bleeding, mild odour. INFECTION: Redness that spreads (not just at the stump), purulent/foul-smelling discharge, swollen navel, baby has fever or feeds poorly. When in doubt, see the paediatrician — one visit too many is always better.