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Umbilical Cord Problems
- Delayed Umbilical Separation
- Normal Time for cord separation = 1 – 8 weeks postnatal age.
- Common Reasons for Delayed Separation:
- h/o Neonatal Sepsis and antibiotic administration
- h/o Prematurity
- h/o C-Section delivery
- h/o Low Birth Weight
- Rare, yet most concerning reason for Delayed Separation:
- Immuno-Deficiency – Leukocyte Adhesion Deficiency type 1 (LAD-1)
- Life-threatening
- Immuno-Deficiency – Leukocyte Adhesion Deficiency type 1 (LAD-1)
- Omphalitis
- Infection of the remnant of the umbilical cord
- More common in developing countries
- Staph. aureus is most common organism cultured
- Complication from:
- Spontaneous Evisceration
- Necrotizing Fasciiis of scrotum and/or penis
- Peritonitis
- Intra-abdominal abscesses
- Early detection is paramount