Vaccine

Umbilical Cord Granuloma (Neonate)

In the womb, the umbilical cord connects the fetus to the mother. After birth, the cord is no longer needed. It is cut, then clamped. The stump of the cord usually dries and falls off the newborn in a week or so.

While the stump is healing and falling off, you may see moisture oozing from under the stump. There may be a pink or clear lump. The area may be slightly inflamed or infected. This is called an umbilical cord granuloma. Granulomas often occur following an irritation around the stump.

Granulomas are treated with silver nitrate. This chemical dries the lesion and is not painful to the newborn. In rare cases, a doctor may have to remove the lesion.

Home Care:

Medications: The doctor may prescribe medication for infection. Follow the doctor’s instructions for giving this medication to your newborn. Be sure to give all the medication, even if the granuloma has cleared up.

General Care:

• Follow the doctor’s instructions for cleaning the granuloma and area around it. Use a clean, moist cloth or cotton swab. Gently lift the stump to clean the navel underneath. Be sure to remove all drainage and clean an inch around the base.

• Pat the area with a clean cloth and allow it to air-dry. You may have to roll the diaper down below the navel to expose the granuloma to air.

• Wash your hands well before and after caring for the stump. This will help prevent infection.

• Watch for signs of infection (see below).

Follow Up

as advised by the doctor or our staff.

Get Prompt Medical Attention

if any of the following occur:

• Fever of 100.4°F (38°C) rectal or higher, or as directed by your healthcare provider

• Granuloma remains after 2 days of treatment

• Red streaks, pimples, or blisters around the navel

• Signs of infection of the stump, such as increased redness, swelling, or foul-smelling drainage

• Newborn appears ill