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Umbilical granuloma is the most common umbilical abnormality in newborn children or neonates, causing inflammation and drainage. [1] [2] [3] It may appear in the first few weeks of newborn infants during the healing process of the umbilical cord due to an umbilical mass. [4] It is the overgrowth of the umbilical tissue. [5]
Clinically, neonates with omphalitis present within the first two weeks of life with signs and symptoms of a skin infection around the umbilical stump (redness, warmth, swelling, pain), pus from the umbilical stump, fever, fast heart rate (tachycardia), low blood pressure (hypotension), somnolence, poor feeding, and yellow skin ().
This needs to be shown to a pediatric surgeon. This is most likely to be an umbilical polyp and the therapy is to tie it at the base with a stitch so that it falls off and there is no bleeding. Alternatively, it may be an umbilical granuloma that responds well to local application of dry salt or silver nitrate but may take a few weeks to heal ...
Umbilical cord prolapse is when the umbilical cord comes out of the uterus with or before the presenting part of the baby. [2] The concern with cord prolapse is that pressure on the cord from the baby will compromise blood flow to the baby. [2] It usually occurs during labor but can occur anytime after the rupture of membranes. [1] [5]
Symptoms include postpartum bleeding, abdominal pain, a mass in the vagina, and low blood pressure. [1] Rarely inversion may occur not in association with pregnancy. [5] Risk factors include pulling on the umbilical cord or pushing on the top of the uterus before the placenta has detached. [1]
The entire intact umbilical cord is allowed to dry and separates on its own (typically on the 3rd day after birth), falling off and leaving a healed umbilicus. [31] The Royal College of Obstetricians and Gynaecologists has warned about the risks of infection as the decomposing placenta tissue becomes a nest for infectious bacteria such as ...
Postpartum bleeding or postpartum hemorrhage (PPH) is often defined as the loss of more than 500 ml or 1,000 ml of blood following childbirth. [2] Some have added the requirement that there also be signs or symptoms of low blood volume for the condition to exist. [6]
A nuchal cord is when the umbilical cord becomes wrapped around the fetus's neck. [1] Symptoms present in the baby shortly after birth from a prior nuchal cord may include duskiness of face, facial petechia, and bleeding in the whites of the eye. [1] Complications can include meconium, respiratory distress, anemia, and stillbirth. [1]