Umbilical Lines

Evidence 

https://pmc.ncbi.nlm.nih.gov/articles/PMC8841780/ 

Vito D'Andrea, Giorgia Prontera, Serena Antonia Rubortone, Lucilla Pezza, Giovanni Pinna, Giovanni Barone, Mauro Pittiruti, Giovanni Vento  

The umbilical venous catheter (UVC) is one of the most commonly used central lines in neonates. It can be easily inserted soon after birth providing stable intravenous access in infants requiring advanced resuscitation in the delivery room or needing medications, fluids, and parenteral nutrition during the first days of life. 

Education 

An umbilical line is a long, soft tube (catheter) that is gently placed into the umbilical cord stump, which is the little part of the cord left after your baby is born. During pregnancy, the umbilical cord connects babies to their mothers, so it has blood vessels that make it a perfect place for doctors to quickly and safely provide treatment. The umbilical cord does not have any nerves, so your baby will not feel the tube.  

There are two types of umbilical lines: one for giving medicines and fluid and the other for monitoring your baby’s blood pressure and taking small blood samples to test their progress. 

The healthcare team places the line very carefully and cleans the area to keep it safe from germs. They also make sure it is secure so your baby can move without accidentally pulling on the line.  

Why Does My Baby Need an Umbilical Line? 

Newly born babies in the neonatal unit may need an umbilical line if they are very small, sick, or born too early. This line helps the healthcare team to give your baby everything they need, like medicine or nutrition, without having lots of needle pricks.  

Using an umbilical line means your baby gets gentle and quick care, and it reduces the need for other procedures that could be uncomfortable. 

What to Expect 

When your baby has an umbilical line, you might see the tube coming from their belly button area. The doctors and nurses will check it often to make sure it’s working well and to keep it clean and safe. Even though it may look a little unusual, it’s a common and helpful way to care for sick newborn babies. 

You can still be close to your baby while they have an umbilical line. You might not be able to hold them as much, but you can gently touch their hand, talk to them, or sing to let them know you are there. 

Empowerment 

It’s okay to feel a bit unsure or worried when you see medical equipment around your baby. Remember, the umbilical line is there to help them heal and grow stronger. If you have questions about how it works or why your baby needs it, the healthcare team is always happy to explain. Understanding more about your baby’s care can help you feel more confident and involved. 

Taking care of yourself during this time is also very important. Rest when you can, eat well, and ask for support from family, friends, or the hospital staff. You are a big part of your baby’s journey, and your love and care make a huge difference every day. 

Useful Links 

Royal Women’s Hospital, Victoria 

https://thewomens.r.worldssl.net/images/uploads/fact-sheets/IVS-drips-newborns-020119.pdf 

Medline Plus – Umbilical catheters

https://medlineplus.gov/ency/article/007247.htm   

Panda - Perinatal Mental Health  

https://panda.org.au/  

COPE – Centre of Perinatal Excellence  

http://www.cope.org.au/new-parents/first-weeks/coping-following-a-premature-birth/ 

For When – Perinatal Mental Health and Wellbeing 

https://forwhenhelpline.org.au/