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UMBILICAL VENOUS CATHETER IN NEWBORNS

Umbilical Venous Catheter in Newborns

WHAT YOU NEED TO KNOW:

What do I need to know about an umbilical venous catheter? An umbilical venous catheter (UVC) is a small flexible tube that is put into the umbilical cord stump vein. The umbilical cord stump has 1 vein and 2 arteries.

Why does my baby need a UVC?

  • To give IV fluids and medicines

  • To draw blood samples or give a transfusion

  • To check blood pressure

What will happen during a UVC procedure? Your baby will be placed on his back. His arms and legs may be secured so that he does not move during the procedure. Your baby's surgeon will place the catheter in the vein. An x-ray may be taken to check that the catheter is placed correctly. The surgeon may attach the catheter to the umbilical stump with stitches. The catheter will be taped to your baby's belly so it cannot be pulled out.

What will happen after the UVC procedure? You may not be able to hold your baby while the UVC is in. Comfort your baby by gently placing your hands on his arms or legs. Speak softly to your baby. Ask about the best ways to support your baby.

How is the UVC removed? Your baby's healthcare provider will pull the catheter out. He will put a bandage over the umbilical stump and gently squeeze your baby's belly. This is to make sure the vein closes and does not bleed. Your baby's UVC may be removed for the following reasons:

  • An IV can be put in to your baby's arm, leg, or head.

  • The catheter causes an infection.

  • Your baby's catheter is blocked or no longer works.

  • Your baby no longer needs certain IV medicines or blood.

What are the risks of a UVC? Your baby may get an infection. The catheter may damage the vein and cause internal bleeding. Organs, such as your baby's kidneys or intestines, may be damaged. The catheter may cause spasms in your baby's blood vessels. Your baby may have trouble breathing or get a blood clot in his limb. This may become life-threatening.

CARE AGREEMENT:

You have the right to help plan your baby's care. Learn about your baby's health condition and how it may be treated. Discuss treatment options with your baby's caregivers to decide what care you want for your baby.