Cord Clamping?

iVillage Member
Registered: 09-08-2007
Cord Clamping?
12
Thu, 04-15-2010 - 2:45pm

On my EC we've had a few discussions about the benefits of waiting to cut the umbilical cord for a few minutes, until it stops pulsating, and/or until the placenta is delivered (or even later).

Here are our discussions about it:

http://messageboards.ivillage.com/n/mb/message.asp?webtag=iv-prnov10n&msg=695.1&ctx=0

http://messageboards.ivillage.com/n/mb/message.asp?webtag=iv-prnov10n&msg=737.1&ctx=0

If you are pregnant, when do you plan on clamping and cutting the cord?

If you have your baby already, what did you do and what will/would you do next time?

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iVillage Member
Registered: 09-08-2007
Thu, 04-15-2010 - 2:49pm
I think me and DH will wait at least until the cord stops pulsating, and maybe until the placenta is delivered. It makes no sense to me to "waste" all that blood that could/can just be returned to the baby, if you wait, and it MAKES sense to me that this could help to prevent jaundice, and anemia later in infancy--though I think the suggestion of early cord clamping being connected to autism is a bit of a stretch!
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iVillage Member
Registered: 09-29-2006
Thu, 04-15-2010 - 3:45pm

I haven't looked at the articles you posted, but I did do a little of my own reading on it and discussed it with my midwife and doula. We have decided to do the clamping/cutting after the cord has finished pulsing (which is our midwife's standard practice, anyways.) Once the cord has finished pulsing, we're actually going to have the remaining cord blood collected for storage. (And we will specify to our midwife that our first priority is to let the cord completely finish pulsing, and the collection is our second priority, even if it means that allowing the cord to complete pulsing means we don't get a sufficient cord blood sample.)


I read a really interesting article about it which I will try to find and post later. It was written by an OB who said he used to just "humour" women who asked him to delay cord clamping for a given amount of time after birth, but now he's convinced that it makes no sense to clamp the cord immediatly. He said this was basically the equivalent of taking a blood transfusion from the newborn. He compared immediate cord clamping to episiotimies, in that episiotomies used to be accepted as standard practice and aren't anymore (and he doesn't expect immediate cord clamping to be practiced much longer, either.)


One thing I don't neccessarily understand is why you would wait even longer than after the cord has finished pulsing? Will it pulse even more during or after the delivery of the placenta?


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iVillage Member
Registered: 09-08-2007
Thu, 04-15-2010 - 4:08pm
I'm not sure Cassie!! I've heard something about the cord/placenta not fully "shutting down" until after the placenta is delivered, but that might just be bunk. I could see that some hormones are still being delivered by the placenta, but again, idk if that is true or not!
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iVillage Member
Registered: 01-19-2009
Thu, 04-15-2010 - 9:00pm
My midwife just waited for the cord to stop pulsing, which didn't take long because it had been wrapped around his neck so there wasn't much blood in it anyway. Then she cut it, I gave the baby to the nurse (he was placed on my chest) and while he got cleaned up I delivered the placenta and got stitched up from my 2nd degree tear. I didn't bother doing any research or concerning myself about it really. I didn't want to sped delivery worrying about this or that. I just wanted to focus on having him, and then once he was there focus on him. To be honest all the nurses and Dr's could have been waling around on their hands naked and I wouldn't have noticed once my son was born.






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iVillage Member
Registered: 12-04-2007
Thu, 04-15-2010 - 9:07pm

We waited for the cord to stop pulsing. I'm really glad we did. The dr. told me there hasn't really been enough research to know if it really helps anything or not, but it certainly didn't hurt anything, and if they find out anytime in the near future that it does help with things, I'll be really glad I did it! Also James didn't have any problem with Jaundice or poor wait gain or anything like that, so that was good.

The only negative I can see is that the cord wasn't very long so when they put him on my chest he was kind of low down and I couldn't pull him in closer. But it was for such a short amount of time, it was really not a big deal.

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Avatar for berry81
iVillage Member
Registered: 02-27-2008
Thu, 04-15-2010 - 9:40pm

We did delayed cord clamping, it is the standard practice of our midwife practice. I didn't notice it at the time, but my mom said Anne (my midwife) actually sort of "milked" the cord after it was done pulsing, and then clamped it.

There is some research coming out recently that suggests that delayed cord clamping actually comes with a slightly increased risk of Jaundice - the "infusion" of all that iron-rich cord blood can leave some babies more vulnerable to developing it. Eliza did have Jaundice, though I'm fairly certain she would have gotten it even if we didn't delay cord clamping as I had it really badly as did my brother when we were newborns. Anyway, I think we will still do it with future babies because I think the benefits outweigh the risks... but just thought that was an interesting factoid to consider! :)


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iVillage Member
Registered: 09-12-2008
Fri, 04-16-2010 - 1:29pm

We did delayed cord clamping as well and I'm pretty sure it was done before the placenta was delivered but it's all such a blur to me. I'm glad our birth photographer got pictures of DH cutting the cord because I was so engrossed in having the baby on my chest that I didn't even see him do it!


I didn't really do any extensive research on cord clamping but our Bradley instructor emphasized the benefits of it and when I told my MW our wishes, she had no problem with it. Not sure if it's related but Selin didn't have jaundice or weight issues.


iVillage Member
Registered: 06-25-2006
Fri, 04-16-2010 - 6:32pm
I don't really get a say since it's a c-section. I don't really see how it can effect jaundice though. This comes from the baby's liver breaking down the red blood cells, so I don't see how physiologically this would change with the timing of the cord clamping. With that being said though, I don't see any harm in delaying and letting things slow down and calm down for a little while.

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iVillage Member
Registered: 12-17-2007
Fri, 04-16-2010 - 8:37pm

Heather - I believe when you delay cord clamping it causes the placenta to pump more blood into the baby. More blood means more red blood cells, means more jaundice.

One thing you do want to make sure is that the person that delivers the baby doesn't squeeze blood from the cord into the baby. My OB also said she would do things a little differently if you deliver squatting, since too much blood can run from placenta to baby if the baby is much lower.

Than said, I delivered lying down, we waited for it to stop pulsing, and then clamped. She actually checked with me for permission before clamping. But at that point Patrick was on my chest I was so far from having the extra energy to care :)

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iVillage Member
Registered: 07-15-2004
Sun, 04-18-2010 - 11:04pm
We had planned to delay the cord clamping and to have DH cut it. However the cord was around Simon's neck so I am pretty sure that she unlooped it and cut it herself shortly after he was born.

 Cassie 

     

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