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Umbilical cord stumps... - Page 2  

post #21 of 31
goldenseal I am not so worried about dried having botulism because it is a dried plant, botulism likes moisture- could have tetanus on it though
alcohol and goldenseal as well as triple dye are all going to change flora- the studies in places where the cord site gets infected alot skin to skin contact is protective, as well as hand washing of the person caring for the baby- mom/grandma and having a cord that is cut short- longer cords tend to become infected easier.
having something fall off sooner as well as heal up sooner is most likely better in the sense of not having a source of infection / dead tissue not still attached to the body-
post #22 of 31
dd1's cord came off within 3-4 days (we think...hard to remember). She had a metal clamp, but born at a fsbc so nothing else done to it. I bathed with her in a big-person tub the 2nd day...including some perineal healing herbs. We thought maybe the herbal bath(s) helped the cord heal faster.

dd2's cord stayed maybe a day or two longer, but still off within the first week. We didn't bathe her (I wanted to keep the vernix rubbing into her skin) for longer, and didn't do any special care either. She had a plastic clamp if I remember correctly, and was born at home...

Actually, I think we did use a little rubbing alcohol on q-tips when the cord was a little stinky...
post #23 of 31
We have used dental floss to tie the cords after they have stopped pulsing. We put nothing on the cords. It has taken 3-4 days to fall off.
post #24 of 31
Quote:
Originally Posted by mwherbs View Post
having a cord that is cut short- longer cords tend to become infected easier.
having something fall off sooner as well as heal up sooner is most likely better in the sense of not having a source of infection / dead tissue not still attached to the body-
I'm curious if there are any actual studies that prove either 1. cord length related to incidence of cord infection or 2. cord length related to length of time it takes to fall off. I am trying to decide how long we want to leave the cord stump and I'd like to make an informed decision, but there doesn't seem to be any proven information out there. Also does an antiseptic cord dressing prevent cord infections? Wouldn't a longer cord dry out faster, especially on babies that have a deep innie belly button?
post #25 of 31
My first two kids were born at home with a MW. The cord wasn't cut until it stopped pulsing, and then it was clamped. I didn't put anything on it at all, and both times the cord stump fell off in about 4 days- just when my milk was coming in and we used up that first box of disposable newborn sized diapers. DD1 was put into cloth at that point, DD2 was put into size 1 at that point (she was HUGE for a newborn and CDing two was simply too much for me at that time in my life.) I think I used alcohol on the spot one time after the cord fell off and there were a few drops of blood at the separation site.

DS was born at home, but we stupidly transfered to a hospital after his birth. The cord wasn't cut until an hour or so after his birth. The nurses in the hospital put alcohol on the stump at every diaper change, but when they "let" me change him, I skipped that step, knowing what I did with the girls. His cord fell off when he was a week old, much to the surprise of the NICU staff.

I was very shocked when a friend told me that the stump didn't fall off her DS until he was 3 weeks old.
post #26 of 31
Quote:
Originally Posted by QueenOfThePride View Post
I'm curious if there are any actual studies that prove either 1. cord length related to incidence of cord infection or 2. cord length related to length of time it takes to fall off. I am trying to decide how long we want to leave the cord stump and I'd like to make an informed decision, but there doesn't seem to be any proven information out there. Also does an antiseptic cord dressing prevent cord infections? Wouldn't a longer cord dry out faster, especially on babies that have a deep innie belly button?
well yep- that is some of what I have been talking about- the studies in Nepal- and I will pull them up again tomorrow and post- and Thailand and several other - longer cords make for more likely to get tetanus-- probably more area exposed to contamination --
the studies in the US are in hospitals different protocols and things like cutting and clamping quickly-- so more blood-
post #27 of 31
DS was born in the hospital and his cord was clamped and cut after about 2 mins - not really delayed but not as soon as most OBs cut it either. We did not put anything on it and it fell off in about a week.
post #28 of 31
My last baby, my 2nd hb, took forever to have his fall off. I did nothing, it was clamped by the mws and nothing else. It was over 3 weeks.
I think that might have been the problem, I don't bath my babies at all for a few weeks. It wasn't until he had a 2nd bath and got the cord stump wet that it started to come off. It was too clean on it's own, I guess to come off.
I used Golden Seal powder 2X as it was coming off.

My 3rd baby, 1st hb, took a while as well, if I recall correctly.

My 2 hospital babies had theirs off in 2wks. I don't recall if they put purple dye on them or not. I do know back then I did the alcohol thing with the 1st as instructed, not so much with the 2nd.
post #29 of 31
Clostridium botulinum is an obligate anaerobe which means that it can only grow and produce toxin in the absence of air. C. botulinum spores are found everywhere in soil but those spores are how the bacteria survive in hostile conditions. They can only germinate and grow in something with an available sugar source, is fairly alkaline and absolutely no air, which is why it is a risk in home canning of vegetables.

The only way it would be a risk with cord stumps would be if there was somehow a deep puncture that went anaerobic, or if the cord healed over some of the powder kind of like Clostridium tetani which causes tetanus.
post #30 of 31
Quote:
Originally Posted by GatorNNP View Post
I guess my question here is , are we assuming faster is better? If the cord stump covers a hole through which bacteria and other crap can enter the newborn baby and set up a lovely infection then why are we in such a hurry? I think skin can only grow so fast to cover up the hole so whatever time it takes maybe we shouldn't try to speed it up. You don't really know if the underside is healed over until it comes off so there is not a good way to peek.

1st kid= c/sec, cord clamped with hospital clamp immediately, one or two alcohol rubbies, then goldenseal powder. Took about 16 days.

2nd kid= vag, cord clamped after several minutes no pulsing, and goldenseal powder. Took about 2ish weeks to come off. I did give her a real tub bath at 5 days old.

One good point that one of my mw students examined in newborn class is, are we sure that the goldenseal powder is free of botulism since it is a root and roots grow in the dirt? I don't think safety has been examined. Nor the safety of putting goldenseal on a newborn.

Alcohol doesn't really kill that many germs these days anyway.
This is so true - though it seems most lotus birth cords fall off within that first week. And I know that thicker cords, including the cords clamped right at birth (before the birth of the placenta) seem to take longer. So when looking at the question "is faster better?" I'd have to say it doesn't matter - but delayed cord clamping DOES matter. So in that instance, I'd say if it's taking a long time I'd venture to believe that either it was a very thick cord (with tons of Whartons Jelly) or clamped right away at birth.

I don't recommend goldenseal for many reasons, some of which you addressed. First off, it's a foreign substance. If we're going to use anything other than water it should be breastmilk. Goldenseal is also an endangered plant. Next, the powder is fine and can be aspirated by babies.

I think it goes along with bulb syringes - we just can't seem to get away from the ritual of "doing something", even if it isn't helpful and could be harmful.

Also, cords that take longer smell - you know, it IS rotting off the body. It should smell a bit. I think most people start getting worried when it smells and prolong it releasing with alcohol applications.

I also find it interesting that if the cord is left intact for three to four hours you don't need a clamp before cutting. The umbilical arteries and vein start to close down with the babies first breath - and inside they shrink pretty rapidly. I think it would take ALOT to get an infection from the cord stump, especially if delayed cord clamping is involved.

Do I praise delayed cord clamping enough?
post #31 of 31
I wanted to get back to you because I said I would- I have been looking at so many studies and articles lately- and I don't remember the search I did to find the study - it was epidem study I do remember and it has a small list of things that increased risk in a place and it stood out to me because it has been long presumed but not studied that cord stump length does increase tetanus risk- I have looked on pub med but haven't read them all and yahoo- which is where I think I might have found this one- I was looking at cord cutting practices and ancient ways - it was probably within the first 2 pages when I was searching- just not finding it now and little time-- sorry
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