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👶 Care & hygiene · From birth until the stump falls off and heals

🩺 Caring for the umbilical cord

The cord stump dries, darkens and usually falls off in the first few weeks. Keep it clean and dry, and follow any specific instructions from your maternity team. Either parent can check it during nappy changes.

What you'll need

  • Soap and water for your hands.
  • Clean water and clean gauze or a soft cloth if the stump becomes dirty.
  • A clean nappy folded below the stump.

Everyday cord care

  1. 1. Wash and look

    Wash your hands before touching the area. Check for redness spreading onto the tummy, swelling, discharge or an unpleasant smell.

  2. 2. Clean only when needed

    If urine or poo gets on the stump, clean gently with water and pat dry. A clean stump does not need routine soaking or scrubbing.

  3. 3. Keep it dry and uncovered

    Fold the nappy below the stump and use loose clothing. Do not apply oils, herbs, powders, alcohol or antiseptic unless your clinician specifically recommends a product.

  4. 4. Let it separate naturally

    Do not pull, even when it is barely attached. A small spot of blood can occur as it separates; persistent bleeding needs medical assessment.

  5. 5. Get help for warning signs

    Seek prompt assessment for spreading redness, pus, bad smell, poor feeding or unusual sleepiness. A baby under 3 months with a temperature of 38°C or above needs urgent medical assessment. Ask your maternity team or local clinic if separation or healing seems delayed.

Classic mistakes

  • ❌ Covering the stump tightly Avoid belly binders, coins or dressings unless prescribed. They can rub the area and trap moisture.
  • ❌ Using a remedy instead of seeking care Family and community practices after birth vary across Kenya and are optional. Keep any chosen practice compatible with safe cord care and your maternity team's instructions; herbal remedies must not replace assessment of possible infection.

A local detail, or your own experience with this guide? Write to the team

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When in doubt, contact your doctor or midwife. For a life-threatening emergency, call 999 or 112.