Reasons why the umbilical cord does not fall off
Apr 26, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
The umbilical cord failing to fall off in a timely manner is generally caused by factors such as delayed shedding of the scab, an overly loose umbilical stump, or infection at the umbilical remnant. It is important to seek medical evaluation promptly and receive appropriate treatment based on the underlying cause. During the period when the umbilical cord is detaching, local scab formation typically prevents the cord from falling off on time, causing the stump to remain attached to the umbilical cord.
Prolonged non-detachment of the umbilical cord is generally caused by factors such as delayed shedding of the scab, loose umbilical cord ligation, or infection at the umbilical stump. It is important to seek timely medical evaluation and receive appropriate treatment based on the underlying cause. Specific analyses are as follows:
1. Delayed Scab Shedding
During the period of umbilical cord detachment, if a local scab forms, it often prevents the timely separation of the cord, causing the stump to remain attached. Soaking the umbilical stump with normal saline can help facilitate cord detachment.
2. Loose Umbilical Cord Ligation
If the umbilical cord is tied too loosely, failing to completely block blood flow, the cord may detach slowly or not fall off at all. In such cases, re-ligation of the umbilical stump may be required to ensure effective detachment.
3. Infection at the Umbilical Stump
Excessive sweating or other factors may lead to infection at the umbilical stump, impairing healing. If the cord remains attached, disinfection with iodophor can be applied, which helps promote cord detachment.
In addition, persistent non-detachment of the umbilical cord may also result from excessive local blood circulation. It is essential to seek prompt medical attention and avoid forcibly pulling off the cord to prevent local bleeding.
