How to treat a navel. Rules for treating the umbilical wound of a newborn with brilliant green. Navel healing time

During pregnancy, the child is connected to the mother by the umbilical cord, through which necessary substances and oxygen enter his body. From the moment of birth, the child’s organs begin to fully function, and the umbilical cord is cut and tied as unnecessary. A small part of it remains with the baby.

After some time it will dry out and fall off, leaving an umbilical wound. How many days it will take depends on the individual characteristics of the body and the thickness of the umbilical cord. This usually happens within 2-3 days, sometimes the process takes about a week. Less commonly, there is a need to remove the remaining umbilical cord surgically.

What to do with the umbilical wound?

While the mother and child are in the maternity hospital, medical personnel help monitor the navel. You will need to take care of the baby yourself at home. Most often, the wound heals within 3 to 4 weeks. In order for the belly button to heal faster, you must follow certain rules:

The wound should not be wet. It is strictly not recommended to bathe a child in a shared bath until the navel has healed; pathogenic bacteria can enter the blood through it. A weakened body is not always able to cope with them;
It is necessary to bathe the newborn in boiled water, you can add a little. You need to make sure that water does not get into the wound; in the first weeks of life, it is not necessary to wet the child completely; it is enough to wipe him with a wet washcloth made of soft material.
Once a day, after bathing, it is necessary to treat the navel with drying antiseptic agents. An alcohol solution of brilliant green (brilliant green) and hydrogen peroxide are used. You can replace the brilliant green with. If the navel becomes wet, it is necessary to treat the wound more often - up to 3 times a day.
For the navel to dry out, it needs air. You need to make sure that the wound does not come into contact with tight clothing and does not rub against the diaper. You can purchase special models that have a hole for the navel, or you can bend the edge of regular ones.
It is necessary in a timely manner so that urine does not get into the wound. If the navel still gets wet, you need to carefully wipe it with a swab and an antiseptic.
Do not lubricate the wound with baby hygiene products - creams, oils. They help against diaper rash, but interfere with the healing of the wound, block the access of oxygen to it and promote the proliferation of microbes.

How long to treat the umbilical wound depends on the speed of healing. At first, the umbilical wound may bleed a little, but then it goes away. A month after birth, it is completely healed and cleared of crusts.

Warning symptoms

You need to carefully monitor the condition of the wound and pay attention to the symptoms:

Swelling and redness occur around the navel;
The wound smells unpleasant;
The navel is bleeding;
Pus comes out of the wound and it begins to get wet.

If one or more signs are observed, you should contact your pediatrician.

Processing method using brilliant green

To dry the navel, brilliant green is most often used (2%). You will also need hydrogen peroxide (3%), sterile cotton swabs and napkins or cotton swabs. You need to prepare everything in advance so as not to be distracted during the process. Processing procedure:

Be sure to wash your hands with soap to avoid infection;
Depending on the structure of the navel, it may be covered with skin, which needs to be pulled back a little with your fingers to treat the wound;
You need to wet the crusts with hydrogen peroxide (soaked ones are easier to remove). You can do this using a pipette - drop a few drops, or sterile cotton wool, a cotton pad - moisten it well and apply to the wound. Until it is delayed, the peroxide, when interacting with the ichor, hisses and foams a little;
You need to wait, then use a cotton swab or disk slightly moistened with peroxide to carefully clean the navel from crusts. Do not pick off dry formations - this can open the wound, injure the skin and interfere with healing;
Lubricate the cleaned wound with brilliant green. It is convenient to use the product in the form of a pencil with an applicator. It is necessary to treat the wound itself; there is no need to lubricate the skin around the navel. So the brilliant green will not interfere with monitoring the baby’s condition and will allow you to promptly notice signs of inflammation - redness, swelling.

You need to handle the newborn's navel carefully, without pressing, removing only those crusts that are easy to remove. Do not scratch the skin and try to completely clean the navel.

After treating the navel, it is necessary to provide air access to the wound so that it dries. Air baths help speed up healing. A newborn's clothing should be made from natural, breathable fabrics, without seams in the navel area. It is better to iron it on both sides to reduce the number of germs.

Properties of brilliant green

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Zelenka is a good antiseptic, dries out the skin, but is gentler than iodine. It may cause burns on mucous membranes, but is safe for external use. In rare cases, a solution of greenery can cause an allergic reaction; it is necessary to select another drug.

The main disadvantage of brilliant green is the persistent staining of the skin, so it is often replaced with a more modern product - chlorophyllipt. It is inferior to brilliant green only in price - it is several times more expensive.

Chlorophyllipt instead of brilliant green

This is a herbal preparation made from eucalyptus leaves. Chlorophyllipt has anti-inflammatory properties, kills microbes, and is effective in the fight against staphylococci. The product is available in the form of tablets, spray, oil and alcohol solution.

To treat the navel, you cannot use oil-based chlorophyllipt; you need a 1% alcohol solution. The drug has a transparent green color, so it does not leave stains on the baby’s skin. Chlorophyllipt is used in the same way as brilliant green for the navel. Or you can drip it onto the wound using a pipette, removing excess with sterile cotton wool.

What other means can be used?

There are several antiseptics that can replace brilliant green:

Manganese

It is used, you need to make it yourself. Dissolve the crystals in boiled water to the desired color, then strain so that no whole particles of the substance remain. If they come in contact with skin, they may cause burns. Place a couple of drops of liquid into the wound. The prepared solution is stored for up to 10 days.

Fukortsin

A strong antimicrobial agent, available in the form of an alcohol or aqueous solution, can cause allergies. Can only be used as prescribed by a doctor for complications of the umbilical wound - soaking, infection. Apply once a day after cleansing the wound with a solution of hydrogen peroxide.

Chlorhexidine

It has good antiseptic properties, but dries out the skin, causes itching and irritation. It can be used to disinfect the umbilical wound, but you need to monitor the reaction of the baby’s skin. Suitable for cases when there are no other means for treating the navel at hand.

Iodine

Before use, you need to cleanse your navel with hydrogen peroxide. You only need to treat the wound itself with iodine, since the product dries the skin very much. If you smear the skin around the navel, the child may get burned.

Furacilin

To use, you need to dissolve with boiled water. The resulting solution is dripped onto the cleaned umbilical wound. It is safe for the baby, fights germs, and helps with a weeping navel.

Streptocide

The powder is used for inflammation of the umbilical wound. Apply a little product onto the wound, cleaned of pus and crusts.

Tincture of calendula

Has a disinfectant effect and promotes wound healing. It is used, like brilliant green, after cleansing the navel of dry formations.

Alcohol should not be used to treat the navel; it can dry out the skin, cause irritation and burns. To decide which drug is most suitable, you should consult your doctor, especially if complications arise.

The baby and mother are connected by an umbilical cord, through which nutrients and oxygen are supplied to the baby. After birth, it is cut with a scalpel, and a special clamp is placed on the cut. It is useful to know how to treat a newborn's navel, because the duration of the epithelization period depends on compliance with hygiene conditions. To prevent the umbilical wound of a newborn from causing inconvenience, we will figure out how to carry out the procedure correctly and what needs to be done.

The navel is mummified within 3–5 days, the maximum period is a week. The total healing time is one month. It is important during this period not to injure the tummy and carry out the treatment carefully.

Dr. Komarovsky insists that regularly getting water can prevent the navel from healing faster. Therefore, in the first week of life, you should not completely bathe the baby; it is enough to carry out minimal water procedures in the form of wiping and gentle washing.

Treating a baby's navel is one of the most important stages of hygiene procedures. In the maternity hospital, one of the following methods is used:

Open method. The umbilical cord is cut a few centimeters above the umbilical ring and secured with a sterile plastic clip. No dressing required. The wound is treated daily with antiseptic agents. When the remainder falls off, which happens within a few days, an umbilical wound is formed, which must be treated until it heals.
Using a pressure bandage. Medical personnel do without clothespins. After two days, the remainder of the umbilical cord is cut off using surgical instruments. A sterile pressure bandage is applied to the baby for two hours and then loosened. After 24 hours it is removed.

Caring for the umbilical wound at home

After being discharged from the maternity hospital, the young mother plunges into the whirlwind of caring for the baby, paying attention to the umbilical cord area. At the same time, the rules for caring for the navel have their own characteristics depending on the stage: before the fragment of the umbilical cord with a clothespin falls off and after it. In the first case, activities are carried out according to the following scheme:

The young mother does not bathe the baby during this period and avoids getting wet. The hygienic procedure is carried out at a time when the newborn is in a good mood and calm.
The woman prepares the necessary supplies in advance (sterile cotton swabs, brilliant green solution), washes her hands thoroughly, and places the baby on the changing table on the back.
With smooth movements, it spreads the skin around the navel.
Place a sterile cotton swab in the solution of your chosen antiseptic. Disinfection is carried out by thoroughly lubricating the umbilical ring and then a fragment of the umbilical cord with green paint.

At the same time, too large a radius of processing with green paint is undesirable. Such actions can hide developing inflammatory processes in the umbilical area. The remaining umbilical cord can last up to 10 days.

When a fragment of the umbilical cord has fallen off, it is recommended to perform the procedure after an evening bath. If it is necessary to repeat hygiene measures during the day, choose moments when the child is calm, does not require food, and is not overtired.
After water procedures, the young mother thoroughly washes her hands, prepares the necessary equipment, preparations and accessories: sterile cotton swabs, napkins, pipette, brilliant green, hydrogen peroxide, etc.
Positions the baby on the changing table.
2-3 drops of hydrogen peroxide are dripped into the umbilical cord. A characteristic hissing sound indicates that particles of blood and secretions have accumulated in the cavity.

In the first days the solution will foam. As soon as the liquid stops reacting, this means that the wound has healed and the treatment can be stopped the next day.

The effect of the peroxide should last for several minutes. Then, using a cotton swab, gently remove the dried crusts. On given At this stage, it is important not to overdo it when trying to clean out stubborn residues, so as not to cause bleeding.
Carefully remove any remaining moisture using a napkin.
Using antiseptic preparations, you must carefully smear the wound and a small area of skin around it, starting from the center to the periphery. It is important not to include too large a radius around the umbilical wound.

Rules for caring for the umbilical wound

It is necessary to properly and thoroughly treat the navel after bathing. To ensure that the procedure takes as little time as possible, you should prepare for it in a timely manner. Mom should have on hand:

Hydrogen peroxide, Zelenka, Potassium permanganate or Chlorophyllipt; other medications prescribed by the doctor;
pipette;
cotton buds;
sponges.

The duration of navel epithelization depends on compliance with certain measures. During the day it is important to follow a number of rules:

prevent the umbilical wound from being covered with a diaper and reduce contact with clothing, give preference to models with comfortable openings on the tummy;
do not allow dirt to get into the wound, change the diaper in a timely manner to prevent the penetration of urine;
choose comfortable vests without seams, rough appliqués, or buttons. Fittings can interfere with the healing process. Children's clothing is changed several times a day, and when ironing, iron it with a hot iron on both sides.
treatment is carried out at any convenient time when the baby is in a good mood;
Before the procedure, you need to wash your hands thoroughly;
For bathing, use a special baby bath filled with boiled water with a weak solution of potassium permanganate.

How to treat the navel

Before the mother and baby are discharged from the postpartum ward, the pediatrician decides how best to care for the newborn’s belly button at home and recommends the right medication. Classic options include:

3% hydrogen peroxide solution. Hydrogen vapor quickly and effectively disinfects the wound, causing a characteristic reaction. It is worth remembering that the shelf life of the product is 10 days.
5% solution of potassium permanganate. Manganese has a disinfecting effect and dries perfectly. It is important to prepare the solution correctly, namely, strain it thoroughly through gauze so that undissolved crystals do not get on the child’s skin, this will cause a severe burn.
Baneocin. The medicine looks like a powder. It contains antibacterial components, so it perfectly dries the wound, eliminates pathogens, and speeds up the healing process.
Brilliant greens are less often recommended by pediatricians today. It is believed that brilliant green masks the beginning of inflammatory reactions, turning the skin a dark color.
Miramistin accelerates skin regeneration and prevents suppuration of the umbilical wound.
Chlorophyllipt. It is necessary to use a 1% alcohol solution. This unique drug has a remarkable healing effect. It is based on eucalyptus extract, is easy to use and does not cause burning or pain when applied.
Fukortsin. This antimicrobial drug is produced in the form of an aqueous solution and based on alcohol. It belongs to allergenic pharmacological agents and has a pronounced antimicrobial effect. Usually prescribed by pediatricians for weeping umbilical wounds. Used after using hydrogen peroxide, thoroughly drying once a day.
Chlorhexidine. They are classified as effective antiseptic drugs, but can irritate the delicate skin of a baby. Using this product, it is very important to monitor the condition of the baby’s skin.
Iodine. This common antiseptic can be used only in extreme cases. Apply the drug exclusively to the wound, avoiding contact with the skin around it. The medication can dry out the skin and can cause burns.
Tincture of calendula. Effective and safe in the form of an alcohol tincture. Used as an analogue of brilliant green after using hydrogen peroxide.

You definitely cannot treat the wound with pure alcohol. This will cause a burn and may promote the formation of ulcers on the skin. It is forbidden to use diluted vodka.

Navel Treatment Frequency

How often and for how long the navel of infants needs to be treated depends on the dynamics of the healing process. If the baby is healthy and feels well, it is enough to carry out the full procedure once a day. If the clothespin did not fall off in the maternity hospital, then you can care for this area twice a day. When the belly button bleeds, careful care will be required. In this case, the procedure should be carried out three times during the day.

Dangerous symptoms

If the wound has not healed within three weeks, an excessively long period of epithelization indicates the presence of an infection. On given stage it is worth visiting a doctor. The pediatrician will conduct an examination, determine why healing is not occurring, and prescribe appropriate medications. A weeping navel is a common occurrence. This definition is used if pus constantly accumulates in the wound. The symptom indicates infection.

Consultation with a pediatrician is also required if:

hyperemia, itching in the umbilical area;
swelling, inflammation;
pronounced moisture of the skin;
purulent discharge;
systematic bleeding;
pronounced uncharacteristic odor from the navel.

If the peri-umbilical area festers and continues to get wet after three treatments, it is important to prevent the baby from overheating and try to avoid sweating. A necessary condition is to create a dry microclimate in the room where the child spends most of his time.

It is important to understand that self-medication is extremely dangerous for a child. If standard care measures do not help, it is important to visit your pediatrician in a timely manner. Only a specialist will be able to decide which drug is best to treat a non-healing navel, and how many days the procedures should be carried out based on the characteristics of each situation. Failure to comply with hygiene rules can cause dangerous symptoms for the baby.

You can clearly see the process in the video:

For 9 months, the child received nutrition through the umbilical cord, which connected him to the mother's placenta. Oxygen and the necessary micro and macro composition of nutrients came through it. After birth, the umbilical cord is cut and its end is pressed with a medical clothespin.

Doctors try to allow the remaining nutrients to enter the child’s body as much as possible. After birth, the umbilical cord is not immediately cut, they wait until its pulsation stops, and only then they clamp it with a clothespin. This is in the case of uncomplicated childbirth and the absence of pathologies in mother and child.

The umbilical cord is a thin tube that connects the mother's body and the fetus. It is up to 2 cm in diameter and varies in length from 40 to 60 cm. The individual characteristics of the mother and fetus affect the structure of the umbilical cord and what the child’s navel will be like. This will subsequently affect the healing time of the umbilical wound.

By the way! The umbilical cord circulatory system can provide answers about the child’s karyotype, which is important if genetic diseases are suspected. The analysis procedure does not pose any potential danger to the fetus.

In a newborn, the umbilical cord atrophies due to the hormone oxytocin, released by the mother's body during labor. Doctors perform circumcision and primary treatment within 5-15 minutes.

Turning clockwise and back allows the dried umbilical cord to be torn off faster, and the softened base will painlessly free the navel from the appendage. Hygiene is carried out twice a day: in the morning and in the evening after water procedures. More often it is not advisable, since there is a high risk of chemical burns to the delicate skin of a newborn.

Clothes pin on a newborn's navel

A medical plastic clip, a clothespin, allows you to reduce the time of mummification of the umbilical cord to 3-5 days. The clothespin consists of two sticks, between which the umbilical cord is clamped. The sterility of the equipment allows you to avoid suppuration or allergic reactions. The material itself is safe for contact with baby's skin.

After birth, a clothespin clamps the umbilical cord of a newborn in two places: at a distance of 15 cm and 10-7 cm. An incision is made between the clamps, this is how the mother is separated from the baby. From this moment on, he begins to independently obtain oxygen for breathing. The nutritional supply from the placenta will remain for another day. Then nutrition will come from milk or an adapted formula. One clothespin remains with the child until the umbilical cord dies completely.

The clothespin does not interfere with the child, but it is not advisable to place it on the stomach. The position “on your stomach” is best done on your hands, without touching your stomach. During daily procedures, the medical clothespin is inspected; if there is dirt, it is removed.

Usually the clothespin falls off in the maternity hospital, but in the case of a thick umbilical cord this happens later. Maternity hospital nurses often advise you to tighten them yourself. If this procedure does not cause discomfort to the child, then you can safely use it.

How long does it take for a newborn's belly button to heal?

If properly cared for, the newborn's navel will finally heal by the end of the first month of life. The clothespin disappears within 3-7 days, the final formation of the umbilical scar takes place after 21 days.

It may take longer if suppuration occurs or infection enters the body. Weakened, premature babies have reduced immunity, so their regeneration processes will be slower. In a healthy child, the navel should heal within 3 weeks.

If the umbilical space gets wet, the healing time increases, so avoid overheating of the newborn and excessive sweating. It is necessary to maintain a cool, dry indoor microclimate: 20-25°C and 75% humidity. In the warm season, ventilate and take air baths more often, and provide air humidification during the heating season. The clothespin falls off on its own in a dry, warm room.

During breastfeeding, copious amounts of milk may leak into the navel, so you need to monitor lactation and avoid getting any liquid on the surface of the wound.

What to do if a newborn’s belly button bleeds?

After the navel is finally cleared of the umbilical cord, ichor, a white transparent liquid interspersed with drops of blood, may appear. This is normal for any wound healing process. This is how new skin tissue is formed, which will become the body’s protective barrier.

Twice treatment with 3% hydrogen peroxide and a dry treated surface removes fluid and promotes rapid healing. Peroxide is poured into the navel so that there is a “hissing” sound. Abundant foam indicates the presence of pathogenic microflora and damage to the skin. The absence of a hydrogen peroxide reaction indicates complete healing of the navel; no further treatment is required, only hygiene.

If a newborn's navel bleeds and bright scarlet blood appears, this indicates the presence of an injury and a wound. The navel should be immediately examined for any wounds, redness or other suspicious changes. You need to inform your local pediatrician and nurse about this. Try to prevent the reappearance of blood yourself by thoroughly treating with hydrogen peroxide and wiping with cotton swabs.

Causes of scarlet blood:

Tension of the abdominal muscles during crying and, as a result, there may be rupture of the skin at the navel
mechanical injury during handling or playing with the baby
chemical burn with antiseptic agents, therefore the umbilical cavity is not treated with cauterizing agents: the skin dries out, cracks appear

The doctor examines the navel every time he comes, so you need to pay his attention to the condition of the skin.

Care tips. How to properly treat your navel at home?

With the arrival of a newborn in the house, the arsenal of products in the first aid kit increases. Ready-made solutions and collections of medicinal herbs are added to the usual hydrogen peroxide. Only a newborn child is susceptible to the negative influences of the environment. His unformed immune system and weak protective properties of the skin cannot resist pathogenic microflora.

To prevent infection and not injure the navel, you need to follow a consistent procedure for caring for the umbilical wound after the clothespin has fallen off.

Moisten the entire surface of the wound with hydrogen peroxide. This procedure does not cause any discomfort in a newborn. Store peroxide at room temperature so that the baby’s skin does not feel the difference during application.
Give the product time to prove itself. Abundant foaming softens the resulting skin crusts, which are easy to clean.
Using cotton swabs, without pressing, try to clean the navel from crusts, ichor, and remnants of dried blood.
Touch the wound with a cotton swab dipped in brilliant green, avoiding the umbilical space. Avoid contact with skin. Zelenka dries out the skin, there may be a burn or areas with increased dryness that are susceptible to injury. Instead of brilliant green, a 5% solution of ready-made potassium permanganate is sometimes used. It has a stronger effect on the skin. Therefore, use with caution.
Leave the newborn without clothes for 15 minutes so that the navel dries out. If the indoor microclimate does not allow for air baths, then wear loose clothing or cover with a light diaper.

Once the umbilical cord has completely fallen off, you can bathe the baby. For this, only boiled water is used. Additionally, they are disinfected with a weak solution of potassium permanganate or a decoction of chamomile and celandine.

Important! Use a decoction of medicinal herbs no more than 1-2 times a week. Dry skin prone to rashes will be overdried after such baths.

How to treat a newborn's navel with a clothespin?

First of all, hygiene should be observed by the mother herself, relatives who have contact with the child, and medical personnel. Hands are washed more often, and it is better to wear cotton clothes without lint. Newborn bedding is washed and ironed at high temperatures. Underwear, undershirts and rompers, should be made of smooth cotton fabric so that dirt does not get into the navel. Poorly treated fabric can cause infection.

Apart from antiseptics and cotton gauze, nothing is needed to treat the navel. Therefore, the first aid kit should have:

hydrogen peroxide
brilliant green
potassium permanganate, ready solution
cotton buds
sterile bandage

Neither talcum powder nor fatty creams should be applied to the navel. There are possible risks of suppuration and infection of the wound.

What to pay attention to in the first days of a newborn’s life:

the first treatment of the umbilical ring, clamped with a clothespin, is carried out by medical personnel (special antiseptics are used);
do not wet the navel with its appendix, replace bathing with wiping;
avoid exposure of the fabric to the navel; for this purpose, diapers of the first numbers have a special recess, you can bend the edge, the clothespin should not be closed;
treat the umbilical space with hydrogen peroxide until the clothespin falls off on its own.

If you smell a smell from the navel, then you need to further examine the condition of the appendix again. A putrid odor or sour milk may indicate suppuration. The appendage could have become moistened by water when washing or while bathing. It is not advisable to bathe a newborn until the navel has healed; just wipe it with a cotton or gauze cloth soaked in boiled water. Industrial baby wipes can cause irritation, so use them only when necessary: maternity hospital, guests, clinic.

To eliminate the smell, it is enough to dry the umbilical cord with air baths. As it dries, the smell will disappear on its own. If there is redness in the peri-umbilical area and a white or greenish discharge is noticeable, then inflammation is occurring. You must inform the doctor on duty. During the day, to the local pediatrician of the children's clinic during the day or to the neonatologist on duty at the perinatal center at night.

Treatment of the navel after the clothespin has fallen off

It is better to wait for the umbilical cord to separate on its own after mummification. During the first treatment, try to thoroughly clean the navel from remnants of foreign tissue and blood crusts. Hydrogen peroxide will do a great job with this. It softens and makes the process painless for the newborn. After cleaning, blot the umbilical wound with brilliant green or potassium permanganate.

Further treatment consists of washing and cauterizing the wound with antiseptics. Zelenka or potassium permanganate must be used, especially in the first days. They dry and cauterize the wound, preventing pathogenic microflora from entering the newborn’s body.

If the peroxide stops foaming when it hits the navel, then a scar has formed and further cauterization is not necessary. Only wipe and rinse during bathing. Crusts may form in the umbilical fold. They are steamed in the bathroom, and the navel is additionally massaged, wetting it with water. After bathing, wipe the navel with a cotton swab, removing crusts and dirt, and use hydrogen peroxide if necessary.

An excess of antiseptics and overstrain of weak abdominal muscles can provoke a complication when a newborn’s belly button falls off. Wounds and cracks appear, visually it looks like a depression. The cause may be genetic diseases or the individual characteristics of the child’s skin.

At the first sign of deviation from the norm, you should consult a doctor. Self-medication of a newborn is contraindicated.

One of the first questions that young parents have after having a baby in the house is how to properly treat the navel? There is no need to be afraid of this procedure; it is important, but at the same time extremely simple. All you need is to choose the right product, follow the processing technique and be attentive to your child.

What is a navel

Before birth, the child is connected to the mother by a vital thread - the umbilical cord. One end of it connects to the placenta, the other to the baby’s umbilical ring, located on his tummy. For nine months, the umbilical cord supplies the baby with nutrients and oxygen and at the same time serves as a channel for removing waste products. After its first breath, the baby no longer needs the umbilical cord, so it is cut and clamped with a staple or tied with thread. Within a day, the vessels inside the umbilical ring close, protecting the newborn from bleeding and infections. After 5–7 days, the remaining part of the umbilical cord dries out and falls off, leaving behind an umbilical wound. After some time, the wound is covered with skin, and a navel is formed - a kind of scar that remains with every person for life and serves as a reminder of the prenatal period.

Usually, a newborn's navel looks like a depression after the umbilical cord falls off. But sometimes a small part of the base of the umbilical cord is skin rather than connective tissue. In this case, the navel protrudes above the surface of the abdominal wall by 0.5–2 cm and is called the skin navel. As the umbilical wound heals, the navel will gradually shrink, retracting inward. A skin bump should not be a cause for concern, you just need to keep in mind that the healing process may take longer.

The umbilical cord is clamped with a special clamp; after a week it will dry out and fall off naturally

Why is it necessary to treat the wound?

An unhealed navel in a newborn is a wound that requires an appropriate attitude. The arteries and veins closed almost immediately, but the risk of tissue inflammation always remains. A child’s insufficiently developed immunity is not able to resist various infections, which is why even a small wound in a newborn requires close attention.

A simple navel treatment procedure is necessary for two reasons:

it prevents the entry of pathogenic microorganisms and the occurrence of inflammation;
Proper treatment helps dry the wound and speed up the formation of crusts.

Dr. Komarovsky: how to best treat the umbilical wound

Preparations for home treatment and reviews about them

You can treat a baby's navel using different means. Each of them has its own advantages and disadvantages, so for each specific case the funds are selected individually.

For primary disinfection of the wound, antiseptics such as

Hydrogen peroxide solution 3%;
Potassium permanganate solution;

At the second stage of treatment, depending on the condition of the umbilical wound, the following can be used:

Brilliant green alcohol solution;
Chlorophyllipt;

Let us consider the action and use of these drugs in more detail.

Hydrogen peroxide

To treat the navel, a 3% solution is used. Peroxide is used to disinfect and clean the umbilical wound from crusts before treatment with the main antiseptic.

Peroxide is often used to disinfect the umbilical cord.

Advantages of hydrogen peroxide:

helps stop the secretion of ichor;
softens crusts;
goes well with other drugs.

Potassium permangantsovka

Potassium permanganate is a proven disinfectant that has an additional drying effect. The umbilical wound can be treated with a solution of 2–5% concentration. It is advisable to use a ready-made solution purchased at a pharmacy.

How to properly dilute potassium permanganate

If necessary, you can prepare a solution from the powder at home. How much powder should I pour? Very little! The proportions of the solution for treating wounds are suitable: just two grains of potassium permanganate per 70 ml of warm water will be enough. Try not to pick them up with your hands; use tweezers or a toothpick. Stir until the manganese particles are completely dissolved. You cannot allow undissolved crystals to get on your baby’s skin!

The prepared solution can be stored for no more than 10 days in a tightly closed container on the refrigerator shelf. If the solution has lost its pink color and acquired a brownish tint, it means that it has lost its antiseptic properties and a new one needs to be prepared.

When preparing and using a solution of potassium permanganate, you must observe the proportions so as not to burn sensitive children's skin with too high a concentration

Advantages of potassium permanganate:

dries the wound well;
helps reduce secretions;
kills infectious agents.

Flaws:

if potassium permanganate is diluted incorrectly, it can cause irritation and burns on the baby’s body;
is a short-acting antiseptic that kills microbes only at the time of treatment, so for effective protection against infections it must be combined with long-acting drugs.

To treat the umbilical ring, a solution of Chlorhexidine is used at a concentration of 0.05%. It is a clear liquid with antiseptic properties. This drug is not used very often, although it is quite effective and safe. Studies have been conducted that show that using chlorhexidine to disinfect the navel significantly reduces the risk of umbilical infections.

Chlorhexidine has been successfully used to prevent umbilical wound infection

Attention! Chlorhexidine may cause side effects such as rash, itching, dry skin and dermatitis. Must be used with caution.

Zelenka

Zelenka or a 1% alcohol solution of brilliant green is a classic remedy that is still very often used to care for the umbilical wound in infants. You need to dip a cotton swab in greenery and carefully apply the product to the wound, moving from its center to the edges and trying not to touch the healthy skin around the navel.

Advantages:

disinfects well;
does not require independent breeding.

Flaws:

in large quantities irritates and burns the skin;
may interfere with the timely detection of redness and other signs of inflammation;
according to pediatricians, it can create a film on the surface that prevents rapid healing.

Interesting fact: despite the popularity of greenery in the CIS countries, in the rest of the world it is not used at all. This is due to the fact that clinical studies of this drug have never been conducted.

Treating the umbilical wound with green paint

Chlorophyllipt

A 1% alcohol solution of chlorophyllipt is successfully used to treat the navel at home. This drug contains eucalyptus leaf extract and is a recognized antimicrobial and anti-inflammatory agent, especially effective in preventing dangerous staphylococcal infections.

Chlorophyllipt is an effective plant-based antimicrobial agent

Advantages of chlorophyllipt:

kills pathogens, including staphylococcus;
does not irritate or dry out sensitive baby skin;
has a powerful disinfecting effect;
does not stain the skin, which allows you to notice signs of inflammation in time.

My daughter's belly button bled for more than a week. I treated it with peroxide and green paint, cleaned everything, and the next day everything was covered in bloody crusts again. The nurse advised to remove the green stuff, thoroughly clean the crusts with peroxide, and then use an alcohol solution of chlorophyllipt. It helped.

Lisyanya, website “Country of Mothers” (www.stranamam.ru)

The drug Baneocin contains antibiotics, due to which it has pronounced antibacterial properties. Available in the form of an ointment or powder, it has no contraindications for age, and can be used to treat a child’s navel from birth. It is used both to treat a normal umbilical wound and when suppuration and other manifestations of infection occur. If the navel is in normal condition, it is used 2 times a day, if problems with healing occur - up to 4-5 times a day. The drug can be used for a week, but usually healing occurs within 2–5 days, even with a wet navel. It has contraindications and should be used with caution.

Baneocin has been successfully used for navel infections

Advantages:

kills pathogenic microorganisms;
stops the inflammatory process;
effective in treating a weeping or suppurating umbilical wound.

Flaws:

an allergic reaction is possible, manifested in the form of dry skin, itching and redness;
Contraindicated in cases of impaired excretory function due to heart and kidney failure.

I found out about Baneocin powder a month after the birth of my twins. I encountered a problem such as slow healing of the navel, which is familiar to many parents. One daughter’s navel healed quickly, but my second girl’s umbilical cord was thick, and the umbilical wound still did not want to heal. I carried out a full treatment every day: first peroxide, then brilliant green. The belly button continued to ooze, and I realized that this way we would not achieve anything. I explained the situation to the visiting nurse, and she recommended an antibiotic for external use, Baneocin. The powder solved the problem very quickly, literally in two days. I sprinkled it on my navel about 5 times a day. I was surprised why we weren’t prescribed this drug right away. Apparently, antibiotics should still be used only as a last resort when absolutely necessary.

Lebosch, Otzovik website (www.otzovik.com)

Fukortsin is a strong antimicrobial drug that has a pronounced antiseptic and antifungal effect. It has a bright burgundy color and is available in the form of an aqueous or alcoholic solution.

Fukortsin is a strong antiseptic for difficult situations

Advantages:

effectively fights infections;
Dries wet wounds well.

Flaws:

contains a toxic component – phenol;
should not be used if the skin is hypersensitive or allergic to the drug;
in children under 12 years of age it should be used strictly according to indications.

Attention! Due to the presence of a toxic substance in the drug, fucorcin should be used in newborns as prescribed by a doctor. It is used when complications arise during the healing of the umbilical wound. A normally healing navel cannot be treated with this medicine.

My child had a weeping navel, which we dealt with for a whole month. Finally, one surgeon advised treating the navel with a solution of fucorcin, after which the wound began to dry out just before our eyes. After 3 days, the navel stopped getting wet, and after a week it healed.

Olga, website “dad + mom” (www.38mama.ru)

Levomekol ointment is a combination product that has the properties of an antibiotic and a stimulator of skin regeneration. The drug has an antibacterial and anti-inflammatory effect and at the same time helps restore tissue structure.

Levomekol is an excellent complex remedy approved for use from birth

Advantages:

cleanses the umbilical wound and promotes rapid healing;
has a regenerating effect;
can be used both to treat a healthy umbilical wound and for various complications.

Flaws: long-term use of the ointment can cause allergic reactions in the form of hives, itching, rash, redness.

How not to make a mistake in choosing?

Among the means for cleaning and disinfecting the wound at the first stage, such as a solution of hydrogen peroxide, chlorhexidine or potassium permanganate, you need to choose one at the discretion of the parents. Peroxide is better for removing crusts.

For the second stage of processing, options are possible. Consult your pediatrician.

If the navel heals normally, no complications are observed and the child is healthy, the mother can independently choose brilliant green or - when the baby does not have a hereditary tendency to allergic reactions - Chlorophyllipt.
If there are difficulties with the healing of the navel, Levomekol or Baneocin can help.
Due to its high toxicity, Fukortsin should be used only in extreme, problematic situations, and be sure to consult a pediatrician.

And in any case, if you experience signs of an allergy (redness or rash on the skin), consult a doctor. Be sure to tell him what medications you used.

Step-by-step instructions: how many times and how to process

It is most convenient to care for the umbilical wound in the morning immediately after waking up or in the evening after bathing. Processing includes several sequential actions.

Before starting treatment, wash your hands thoroughly and place the child on a flat surface.
Using the fingers of one hand, carefully open the navel, and with the other hand, drop a solution of hydrogen peroxide (chlorhexidine or potassium permanganate) into it from a pipette or dispenser on a bottle.
Wait until the peroxide stops fizzing and bubbling, softening the crusts, then use a cotton swab to separate them from the wound. This should be done with light rotational movements, without effort. You can’t tear off crusts that don’t come off on their own!
After cleansing, the navel should be dried. To do this, blot it with a cotton swab or a piece of bandage folded several times.
Spread the edges of the navel again and drop hydrogen peroxide or another solution chosen for treatment (brilliant green, chlorophyllipt) into it. You can apply the drug with a cotton swab, which is especially convenient if you use ointment. The powdered product is simply poured onto the wound.

If at the first stage, during the next treatment, hydrogen peroxide does not hiss and does not form foam, this means that the umbilical wound has healed and the use of peroxide is no longer required.

Video: how to properly treat an umbilical wound

Features of processing the navel until the stump falls off with a clothespin

If the part of the umbilical cord with the clamp has not yet fallen off, you need to treat the navel as follows.

With clean hands, take hydrogen peroxide and pour it generously onto the area of skin under the clothespin. You can additionally treat the clamp itself with peroxide.
Wait about 30 seconds until the crust softens. The peroxide should stop fizzing.
Using cotton wool, remove the softened crusts around the umbilical cord. Don't be afraid to touch the clothespin, but don't pull too hard either. It should easily fall off at the right moment without causing discomfort to the child.
After cleaning the umbilical ring under the clamp, it is dried with a cotton swab and lubricated with brilliant green, chlorophyllipt or other product. If possible, avoid contact of the drug with adjacent skin.

At the moment when the umbilical cord stump falls off, you can see a few drops of blood in its place - this is normal.

William Sears, American pediatrician

Rules for caring for a child during this period

The best medicine for the navel is fresh air.

Children's Dr. E.O. Komarovsky

Until the umbilical wound completely heals, caring for the baby will have its own characteristics. To speed up the healing of your navel and prevent various complications, adhere to the following rules.

A normally healing navel should be treated no more than 1–2 times a day. Excessive frequency of treatments will only interfere with healing. More frequent application of special medications is possible only when treating complications according to a regimen drawn up by a doctor.
Provide air access by keeping the wound open as much as possible. This does not mean that the baby's tummy should be naked all the time. If the room is cool, he should be dressed accordingly, the main thing is that the clothes are made of natural fabrics. If you put rompers on your child, make sure that the elastic does not go through the navel area.
Use special diapers. For normal healing of the navel, it is very desirable that the diaper band does not press against the umbilical wound. Disposable diapers for newborns quite often have a special notch in the navel area or a low waist. If the diapers you use cover your belly button, try to fasten them loosely and tuck the waistband.
Use caution when swimming. It is not prohibited to bathe a child with an unhealed umbilical wound, but doctors recommend using water disinfection methods such as boiling or adding a solution of potassium permanganate to the water. If the umbilical cord has not yet fallen off, it is advisable to limit yourself to wiping with a sponge moistened with warm water. In this case, you need to avoid getting water on the wound. It is also worth refraining from swimming if the navel is festering - this will avoid the spread of infection.
After bathing, be sure to dry and treat your navel.

Attention! When using potassium permanganate while bathing, do not add the powder directly to the bath to avoid getting undissolved crystals on the baby's skin. Prepare the solution in a separate container and only then add it to the water in such an amount that it turns light pink.

What not to do

When caring for a newborn's belly button, it is very important not to overdo it. Wrong actions can lead to complications.

Do not treat the navel more than 1-2 times a day with the exception of problematic cases, when the frequency of treatments is indicated by the doctor.
It is forbidden to cover the wound with a plaster. This will not protect it from germs, but it will block the access of air necessary for healing.
No need to use more than two products for treatment. We clean the wound with one product, and lubricate it with another for long-term disinfection. Additional medications can only be used as prescribed by a doctor.

Possible problems and their solutions

Sometimes the umbilical wound heals poorly, despite the efforts of the parents. During the process, various complications may arise, some of which can be easily treated in a few days, others require serious intervention from specialists. Pay attention to some signs and symptoms that may appear as your belly button heals..

The navel does not heal for a long time. This can happen for various reasons. Due to a thick umbilical cord, weak immunity of the child or due to excessive care. If you are doing everything correctly, but the wound does not want to heal, consult a doctor.
The navel gets wet for more than two weeks. The final healing of the umbilical wound lasts about 3 weeks, but after 2 weeks no discharge should be observed. If the navel continues to get wet, this indicates an infection. Contact your doctor who will prescribe an additional antiseptic.
The navel is rotting. Yellowish or greenish discharge that has an unpleasant odor indicates that the wound has become infected. In this case, the pediatrician should also prescribe antiseptic drugs to destroy the pathogenic microflora that has entered the navel.
Blood is released from the navel, and a reddish nodule up to 2 cm in diameter forms at the bottom of the wound. This is a sign of the appearance of granuloma caused by the rapid growth of tissues and capillaries. You need to see a doctor, who should cauterize the formation with silver nitrate. Further treatment will consist of proper treatment of the wound.
The umbilical ring became inflamed, the skin around it became red and swollen, the navel was bleeding heavily, and the temperature rose. These symptoms indicate the occurrence of dangerous inflammation - omphalitis. This disease can lead to serious complications such as abdominal peritonitis and blood poisoning. Immediate medical intervention is required.
The navel swells when the baby coughs or cries. The swelling can reach the size of a walnut and is especially noticeable when holding the baby in an upright position. Symptoms indicate the formation of a umbilical hernia. The disease requires contacting a pediatric surgeon, who will show special exercises for the child and massage to help reduce the hernia. If the hernia does not go away on its own before age 3, surgery may be required.

Following the rules of care will help the mother in a few weeks enjoy the sight of her baby’s cute and fully healed belly button. And if problems arise, knowledgeable parents will be able to take timely measures and prevent the development of dangerous complications.

The baby's well-being largely depends on how parents take care of his hygiene. How to carry out these procedures correctly?

Until the moment of birth, the baby and his mother are connected by a special formation, which is called the umbilical cord. Its significance for the intrauterine life of the fetus is enormous. But the child was born and the umbilical cord was cut. To speed up the healing of the umbilical wound and minimize the risk of infection, proper care is necessary.

The umbilical cord is a combination of three blood vessels - a vein (through which arterial, oxygen-rich and nutrient-rich blood flows from the placenta to the fetus) and two arteries through which “waste” venous blood flows in the opposite direction - from the fetus to the mother. These vessels are surrounded by a gelatinous substance that prevents possible damage.

After the birth of a child, the need for connection between mother and baby through the umbilical cord disappears. The child acquires the ability to breathe independently, receive nutrition in the form of mother's milk, and excrete unnecessary substances through the kidneys and intestines. Therefore, almost immediately after the baby is removed, a special clamp is applied to the umbilical cord and it is cut. Blood flow through the umbilical vessels stops.

Navel treatment in the maternity hospital

While the baby and mother are in the delivery room, the remainder of the umbilical cord is further processed. As a result, only a small section of about 2 cm long remains from the umbilical cord. A plastic or, less commonly, metal clamp is placed on the remainder of the umbilical cord.

Some maternity hospitals now use an open method of managing the umbilical cord. This means that a bandage is not applied to it, just every day before the baby and mother are discharged from the maternity hospital, the umbilical cord remnant (and after it falls off, the wound) is treated with antiseptic solutions (usually hydrogen peroxide and potassium permanganate - the so-called “potassium permanganate”) .

Every day, the umbilical cord remnant above the bracket becomes drier, in other words, it mummifies. Daily treatment of the umbilical cord remnant also helps to dry it out. As a result, on the fourth or fifth day, in most babies, the umbilical cord looks like a section of dry, dense, non-living tissue. Soon, along with the clamp, this fabric “falls off.” A wound remains, which is called the umbilical wound. In babies with an initially “thicker” umbilical cord, the remainder of it can dry out for quite a long time, for 6-7 or even more days.

Many maternity hospitals have adopted a different tactic for managing the umbilical cord, when it is usually cut off on the second day with a blade or sterile scissors. With surgical cutting, the healing of the umbilical wound proceeds faster. To prevent bleeding, apply a pressure bandage to the wound, which is usually loosened after 1-2 hours and removed the next day during treatment of the umbilical wound.

Some babies have a so-called “cutaneous” navel. With it, the skin, moving from the anterior abdominal wall, covers the area of the umbilical cord, and the impression of a “long” navel is created. It should be noted that after the umbilical cord falls off or is removed, the tissues of such a navel are retracted and, as a rule, the umbilical area is no different from the usual one.

The umbilical wound gradually heals, becoming covered with a hemorrhagic (dense “bloody”) crust. If the child continues to be in the maternity hospital at this time, then the umbilical wound is treated in the same way as before the umbilical cord remnant - once a day. If the umbilical wound is wide and there is possible light urinary discharge, the doctor may prescribe more frequent treatment. As with any wound, the hemorrhagic crust that forms on the umbilical wound gradually disappears. If healing proceeds well, then after the thick crust falls off there is no discharge from the wound. Sometimes, when a large crust falls off (this happens with a wide umbilical wound), droplets of blood may be released, and the wound “touches up.” Usually in such cases, additional (2-3 times a day) treatment with solutions of hydrogen peroxide and potassium permanganate, and sometimes a special hemostatic (hemostatic) sponge, which in most cases is enough to be applied to the wound once, is sufficient.

Navel treatment at home

At home, the umbilical wound is treated for 7-10 days until it is completely healed, once a day after bathing. If the umbilical cord was surgically removed in the maternity hospital, it may take less time to treat the wound at home. Sometimes, for example, when a crust forms slowly or there is a slight discharge from it (“wetting”), it is recommended to treat the wound twice a day or even more often. The wound is lubricated with an alcohol solution of brilliant green - “brilliant green”. "Zelenka" at home is preferable compared to, for example, "potassium permanganate" due to the absence of the need to prepare this solution. It is sold at any pharmacy.

A 1% alcohol solution of chlorophyllipt containing a mixture of chlorophylls obtained from eucalyptus leaves may also be suitable for treating the umbilical wound. This solution is colorless, which makes it possible to identify signs of inflammation, since the wound is not painted over.

To avoid unnecessary trauma to the skin with a chemical preparation (including skin burns!), contact of the solution with the skin around the wound should be avoided.

If there is a crust on the wound that has already begun to peel off and does not hold firmly, it is better to first remove it by soaking it in a 3% solution of hydrogen peroxide. A ready-made hydrogen peroxide preparation can be purchased at a pharmacy. Please keep in mind that it has a limited shelf life! You should not prepare a solution of hydrogen peroxide yourself at home, since in this case it is difficult to achieve the required concentration, and the sterility of the prepared preparation will be questionable.

The crust, as a rule, becomes softer after bathing the child and is easier to remove from the wound. Of course, if it is a newly formed crust on a wide wound, then there is no point in making an effort to remove it. It is convenient to treat the umbilical wound at home with cosmetic cotton swabs. When treating a wound, use the thumb and forefinger of the left hand to press on the tissue near the navel so as to “open” the navel area as much as possible for inspection and more thorough treatment.

When there is prolonged “wetting” of the wound, bloody, purulent or other discharge from it, you need to consult a doctor!

If you doubt the correctness of the treatment of the baby's navel, consult a nurse, who should visit the newborn daily in the first days after discharge from the maternity hospital.

Many maternity hospitals now practice early discharge of newborns. Moreover, by the time the baby is home, the umbilical cord may not yet fall off. If the pediatrician did not give other individual recommendations upon discharge, then you can bathe a child with a “not fallen off” umbilical cord remnant, as with an umbilical wound, on the day of discharge from the maternity hospital. Before it falls off, the umbilical cord remnant is treated at home once a day with an alcohol solution of brilliant green.

To bathe infants you need to use a baby bath. During the first two weeks, it is better to pre-boil the water used to bathe the baby and then cool it to a temperature of 36-37°C. Until the umbilical wound is completely healed, a solution of potassium permanganate is added to the water until the water turns slightly pink. Remember that “potassium permanganate” must first be completely dissolved in a separate container, such as a cup, to avoid burning the baby’s skin with grains of potassium permanganate.

What not to do with your belly button

Don’t be afraid to touch the umbilical cord or umbilical wound when processing them! Kids may, of course, experience some discomfort, but it doesn’t hurt them. Caring for the umbilical wound should be especially careful, since it can serve as an entry point for infection, which can result in first catarrhal and then purulent omphalitis - inflammation of the tissue around the umbilical wound.

In cases where there is prolonged “wetting” of the wound (more than 2 weeks), bloody, purulent or other discharge from it, you must consult a doctor! Do not try to treat your baby yourself: it may be unsafe for him.

The wound should not be under a gauze or disposable diaper, as this makes it difficult for the crust to dry, causes weeping and thus prevents the rapid healing of the wound and contributes to the possible addition of infection. Sometimes additional irritation of the skin of the peri-umbilical area is observed. To avoid this, you should bend the waistband of the disposable diaper so that the navel area remains open.

Usynina Anna, neonatologist, associate professor of the department of neonatology and perinatology
Northern State Medical University, Arkhangelsk

Discussion

The doctor advised us this, but it’s better to ask the doctor

02/06/2016 14:53:56, 245mpir

We smeared it with magnesium, that is, we moistened cotton wool and applied it and fixed it with a band-aid, I did this several times a day and did this for 2 days and it all went away

02/06/2016 14:51:35, 245irrr

My baby is already 8 days old. Two days ago, when we bathed the child, his navel began to bleed, but a little. Please tell us to do it, we have already made peroxide and brilliant green for 1 day, but the pedal is ticking but the blood is very small

04/24/2015 20:47:24, suzana

Comment on the article "Attention - the navel! Treatment of the navel of a newborn in the maternity hospital and at home"

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Treatment of a newborn's navel in the maternity hospital and at home. How to properly care for a newborn's belly button. Print version. As a result, on the fourth or fifth day, in most babies, the umbilical cord looks like a section of dry, dense, non-living tissue.

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Attention - navel! Treatment of a newborn's navel in the maternity hospital and at home. Some maternity hospitals now use an open method of managing the umbilical cord. It should be noted that after the umbilical cord tissue falls off or is removed, such...

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Treatment of a newborn's navel in the maternity hospital and at home. How to properly care for a newborn's belly button. Print version. As with any wound, the hemorrhagic crust that forms on the umbilical wound gradually disappears.

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Attention - navel! Treatment of a newborn's navel in the maternity hospital and at home. But the child was born - and the umbilical cord was cut. To speed up the healing of the umbilical wound and minimize the risk of infection, proper care is necessary.

Newborn's navel: treatment of the umbilical wound, navel care. After the umbilical remnant falls off, the child is left with an umbilical wound. the navel bleeds from crying... : (. Child care. Child from birth to one year. Care and education of a child up to one year: nutrition, illness...

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Attention - navel! Treatment of a newborn's navel in the maternity hospital and at home. In babies with an initially “thicker” umbilical cord, the rest of it can dry out quite quickly. To bathe infants, you need to use a baby bath.