What should the umbilical cord look like?

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Dr. Ann Kellams
Assistant Professor of Pediatrics, University of Virginia

Dr. Ann Lenox Kellams, assistant professor of clinical pediatrics in the Division of General Pediatrics and medical director of the newborn nursery at the University of Virginia Children’s Hospital, is an expert in newborn care and breastfeeding. Kellams teaches pediatric clinical skills to students and residents and authored the Newborn Nursery Resident and Student Curriculum and Orientation Manual for UVA Children’s Hospital. Kellams serves her surrounding community by being a mentor for the African American Student Mentorship Program, by serving on the Virginia Breastfeeding Advisory Committee and by hosting various community education workshops on newborn and infant care. She received the Outstanding Graduate Designation from her alma mater, the University of California, San Francisco School of Medicine.

What should the umbilical cord look like?

In this video Dr. Ann Kellams discuss the many issues surrounding how to properly care for a newborn baby.

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Host: What should the umbilical cord look like?

Dr. Ann Kellams: So for the first few days it looks like a blood vessel basically, a very large, large vessel. It's kind of a whitish-grayish color and you can see little lines where the arteries and the veins are inside of it, kind of a jelly like consistency, rubbery. After it has been clamped and the baby is a couple of days old it's going to start to get more dry-looking and more shriveled. Before it finally falls off it's usually discolored to the point of looking dark like dead tissue and then it will finally fall off. Generally, when the baby is two to three weeks old sometimes you can have a little bleeding at the side but it shouldn't be active bleeding and it shouldn't be any sort of discharge, just nice, dry, clean surface.

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