What should I do if a 12-day-old newborn's umbilical cord stump is slightly bleeding?

Oct 10, 2022 Source: Cainiu Health
Dr. Xie Zixing
Introduction
A 12-day-old newborn with slight umbilical bleeding should receive symptomatic treatment depending on the amount of bleeding. For minor bleeding, clean the area with 75% alcohol or iodophor. If the bleeding is heavy, it may be caused by omphalitis; treat with iodophor or 3% hydrogen peroxide solution, along with topical application of chlortetracycline ophthalmic ointment or erythromycin ophthalmic ointment. In cases of acute peritonitis, incision and drainage of the abscess are required.

If a 12-day-old newborn has slight bleeding from the umbilical area, appropriate treatment should be administered based on the amount of bleeding to alleviate the bleeding symptoms.

1. Minor bleeding

If the bleeding from the umbilical area in a 12-day-old newborn is minimal and the infant's mental state, appetite, sleep, and other conditions are normal, there is generally no need for excessive concern. The base of the umbilical cord can be cleaned with 75% alcohol or iodophor to keep the umbilical area dry and disinfected, helping prevent infection. This usually results in a noticeable reduction in bleeding, which will gradually resolve.

2. Significant bleeding

If the bleeding from the umbilical area is relatively heavy in a 12-day-old newborn, it may be caused by omphalitis (umbilical infection). It is recommended to apply antiseptic agents such as iodophor or 3% hydrogen peroxide solution locally under medical guidance, which helps inhibit bacterial growth and improve symptoms. If necessary, anti-inflammatory treatments such as topical chlortetracycline ophthalmic ointment or erythromycin ophthalmic ointment may be used under a doctor’s direction. In cases where acute peritonitis develops, prompt medical attention is required. Under medical supervision, incision and drainage of abscesses may be needed to promote recovery and relieve symptoms.