Care of the umbilical cord. The role of probiotics.

Taking care of your baby's umbilical cord is an essential aspect of newborn care. To ensure proper care, here are evidence-based instructions based on journal references:

1. Keep it clean and dry: The American Academy of Pediatrics (AAP) recommends keeping the umbilical cord stump clean and dry to prevent infection. Use a soft, clean cloth to gently pat the area dry after bathing or if it gets wet. Avoid using harsh soaps or lotions on the stump.

Reference: Gould D, Chamberlain A, Fox D. Care of the umbilical cord: a review of the evidence. 2015 Jan;13(1):4-9.

2. Sponge baths until it falls off: Until the umbilical cord stump naturally falls off, it is best to give your baby sponge baths. Avoid submerging the stump in water, as this can keep it moist and delay the healing process.

Reference: Kuller JM. Newborn umbilical cord care: an evidence-based quality improvement project. MCN: The American Journal of Maternal/Child Nursing. 2018 Jul 1;43(4):227-33.

3. Let it air dry: Allowing the umbilical cord stump to be exposed to air can promote faster drying and healing. Fold down your baby's diaper below the stump to keep it exposed, as recommended by the World Health Organization (WHO).

Reference: WHO recommendations on postnatal care of the mother and newborn. World Health Organization; 2013.

4. Avoid covering with tight clothing: Ensure that your baby's clothing does not rub against or cover the umbilical cord stump tightly. Loose-fitting clothing helps keep the area dry and prevents irritation.

5. Watch for signs of infection: While mild redness is normal around the umbilical cord stump, watch for signs of infection such as excessive redness, swelling, pus, foul odor, or fever. If you notice any of these signs, contact your pediatrician immediately.

Reference: Zupan J, Garner P, Omari AA. Topical umbilical cord care at birth. The Cochrane Database of Systematic Reviews. 2004(3).

6. Avoid applying substances: Many traditional practices involve applying substances like alcohol, oils, or powders to the umbilical cord stump. However, current guidelines recommend against these practices as they may interfere with natural healing.

Reference: Mullany LC, Darmstadt GL, Khatry SK, Katz J, LeClerq SC, Shrestha S, Adhikari RK, Tielsch JM. Topical applications of chlorhexidine to the umbilical cord for prevention of omphalitis and neonatal mortality in southern Nepal: a community-based, cluster-randomised trial. The Lancet. 2006 Oct 14;368(9542):977-85.

Remember, the umbilical cord usually falls off within 1 to 3 weeks, and it's crucial to follow these evidence-based care instructions to promote proper healing and reduce the risk of infection. If you have any concerns or questions, don't hesitate to consult us for guidance. 

 The role of probiotics in umbilical cord care for newborns is an emerging area of interest and research. 

Probiotics are beneficial microorganisms that can promote a healthy balance of gut bacteria and may have potential benefits for the overall health of infants, including their immune system. While more studies are needed to establish the specific role of probiotics in umbilical cord care, some research suggests potential benefits:

1. Enhancing the immune system: Probiotics have been shown to support the development of a robust immune system in infants. By promoting a healthy balance of gut bacteria, probiotics may help strengthen the baby's immune response, potentially reducing the risk of infections, including those around the umbilical cord area.

Reference: Thomas DW, Greer FR, American Academy of Pediatrics Committee on Nutrition, American Academy of Pediatrics Section on Gastroenterology, Hepatology, and Nutrition. Probiotics and prebiotics in pediatrics. Pediatrics. 2010 Dec 1;126(6):1217-31.

2. Reducing the risk of infection: Studies have suggested that probiotics may play a role in reducing the risk of certain infections in newborns. While most research has focused on gastrointestinal infections, there is a possibility that probiotics may also have a positive impact on umbilical cord care by helping to prevent infections in that area.

Reference: Nocerino R, Paparo L, Terrin G, Pezzella V, Amoroso A, Cosenza L, et al. Cow's milk and rice fermented with Lactobacillus paracasei CBA L74 prevent infectious diseases in children: a randomized controlled trial. Clinical Nutrition. 2017 Aug 1;36(4):1188-94.

3. Aiding digestion: Probiotics have been associated with improved digestive health in infants. By maintaining a healthy gut environment, probiotics may help prevent issues like colic and constipation, which can indirectly impact the umbilical cord care by ensuring the overall comfort of the baby.

Reference: Sung V, D'Amico F, Cabana MD, Chau K, Koren G, Savino F, et al. Lactobacillus reuteri to treat infant colic: a meta-analysis. Pediatrics. 2018 Aug 1;142(2).

While these studies suggest potential benefits of probiotics for newborns, it's essential to note that more research is needed to fully understand the specific impact of probiotics on umbilical cord care. Before considering probiotics for your newborn, it is crucial to consult with us to ensure their safety and appropriateness for your baby's unique health needs.

As with any health-related decision for your child, it's always best to rely on guidance from qualified medical professionals. Your pediatrician can provide personalized advice based on your baby's health status and medical history.