Neonatal umbilical hemorrhage

Introduction Neonatal umbilical hemorrhage: 1 week to 1 month after the umbilical cord falls off, if the newborn coughs and cries to increase the intra-abdominal pressure, the blood vessels in the umbilical residual end will be slightly open, and a small amount of oozing occurs.

Cause

Bleeding after umbilical cord detachment occurs mostly 6 to 10 days after the birth of the newborn, usually with a small amount of blood. The umbilicus is disinfected with 75% alcohol and covered with a sterile gauze. If there is too much bleeding, go to the hospital for treatment in case of emergency.

Another possibility is inflammation of the navel. Acute umbilical inflammation and chronic umbilical inflammation are caused by bacterial infection in the umbilicus. Early symptoms are red, swollen and painful in the umbilicus. Sometimes red granulation is visible in the umbilicus. Excretion of the secretions, accompanied by eczema around the umbilical cord, generally no systemic symptoms. The umbilical canal can be cleaned with 75% alcohol, that is, the purulent sputum in the umbilical cord and the umbilicus can be wiped off with a cotton stick to keep the part clean and dry. Such as umbilical redness, subcutaneous spread to the umbilical cord, general malaise, fever, should go to hospital for treatment.

an examination

Related inspection

Blood routine umbilical examination

Within 1 week to 1 month after the umbilical cord falls off, if the newborn coughs and cries to increase the intra-abdominal pressure, the blood vessels in the residual end of the umbilicus will be slightly open, and a small amount of oozing will occur. The reason is that the blood vessels in the umbilical cord after the umbilical cord is only functionally closed, and it is still not closed anatomically, which is a potential channel. Once the child's abdominal pressure rises, there will be a small amount of bleeding in the umbilicus, which is a little brown or bright red blood on the newborn's clothes. At this point, parents do not have to panic, first gently wipe the blood of the umbilicus with 75% alcohol, and then wrap it with sterile gauze. Do not use the end of disinfected water or cloth to scrub or fill the belly button to stop bleeding, so as not to cause umbilical infection.

Differential diagnosis

Should be differentiated from neonatal hemorrhagic disease:

Hemorrhagic disease of newborn (HDN) is caused by a decrease in vitamin K-dependent blood coagulation factors II, VII, IX, and X. Neonates born within 1 week are called neonatal hemorrhagic disease.

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