Umbilical Cord cutting length for Newborn baby

 


Previously, in newborn babies, a long segment (5-10 cm) was kept with an assumption of requirement for Umbilical venous catheter (UVC) insertion if needed.


After many studies, following explanations are found to avoid long segment of Umbilical cord:

  1. Long segment cord > can reach the baby's genitalia > easily get soiled by urine & stool > high chance of umbilical sepsis and infection.

  2. UVC catheter is rarely used now as IV cannula is a suitable alternative.

  3. UVC catheterisation should be avoided as it can cause portal vein thrombosis and portal hypertension later life.  



Now, The length of the umbilical cord from the baby's abdomen should be 2-3 cm (approx 1 inch).



Few More points on Cord cutting: 

  1. Timing: WHO recommends delayed cord clamping (by 1 min) unless any other reason. 

  2. Milking: Milking before cutting improves neonatal health outcomes in many ways.

  3. Checking: Check the cord stump to note for the number of  umbilical arteries as single UA may be associated with congenital anomalies.

  4. Applying: Nothing needs to be applied on a freshly cut cord stump. 

  5. Staining: Cord color can be greenish due to Meconium or bile staining. 

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