The Muka Pito Tie comes in a sealed envelope. Store in the freezer until needed. Freezing the Muka Pito Tie keeps the sap damp and makes tying easier.
Wrap the muka Pito Tie around the umbilical cord twice, then tie a reef knot. If it feels a bit loose in a day or two, repeat with the remaining muka.
Keep the umbilical stump clean and dry. Over a few days, it will dry up and eventually drop off.