researching delayed cord clamping

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Nell4Him's picture
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researching delayed cord clamping

Okay, so I have 3 things on my list of topics to research and I honestly don't even know where to begin!! :eek: Okay, so 2 of the 3 things I'm gonna start with my doctor, but the 3rd I started to google and geez!!! Talk about information overload! :confused:

So, tell me what you know about:

Delayed Cord Clamping

Ready.

Set.

Go!

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In the past couple years it has become routine in our hospital (I'm a mat RN). Midwives did it long before that, but now the GPs and OBs do it too as more evidence has emerged about the benefits of baby getting that extra bit of blood. The only time we don't do it is when baby is flat and we are taking to the warmer instead of putting baby skin-to-skin (which is also routine... I love my hospital Smile )

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My OB does it routinely as well. There was some concern about it increasing the risk of jaundice, but I believe most health practitioners feel the benefits outweigh that risk. In a normal term baby it increases iron stores and blood volume. In a preterm infant, the benefits are even greater if it is possible to delay it. It aids in delivering oxygen-rich blood to the baby that might have problems breathing.

boilermaker's picture
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We delayed just because that seemed more "normal" to me-- more biologically based. It just makes sense to leave baby connected to the placenta until the placenta is out IMO.

We've delayed it for three out of our four kids and not one had jaundice......

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I never did it with my boys but will be doing it with this baby. It helps that that's just what my midwife does. I never really cared either way but I'm actually excited about doing it this time. I'm also excited for my midwife to let the placenta come out on it's own. My dr pulled my placenta out with DS2 and I think that's what actually caused my bad bleeding. I remember her tugging on it and feeling this sharp pain where the placenta came off and then the bleeding started. Anyway, totally off topic there. I think the benefits of delayed cord clamping, when everything looks good with babe, is awesome. DS2 had a bit of jaundice, so I don't think it matters if you delay or not it can happen no matter what.

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well, both my boys had jaundice ... my last one almost needed a billi blanket, but that's mostly because our incompatible blood types crossed.

that's another concern of mine.

I'm RH negative.. both my boys are positive.. it's highly likely that this baby will be positive as well.. how does that play into things? Increased risk of crossing, decreased risk of crossing?

melloyellochelle's picture
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Here is an awesome, somewhat lengthy, look at delayed cord cutting. I found this to be SO helpful in answering all the general concerns and risks. I don't recall if it addresses the Rh factor though. It's from an OBGYN doing Grand Rounds, where he tells his journey from just going with the flow and clamping immediately to researching, learning, and changing his practice to delayed. Very cool stuff!

http://academicobgyn.com/2011/01/30/delayed-cord-clamping-grand-rounds/#comments

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"Nell4Him" wrote:

well, both my boys had jaundice ... my last one almost needed a billi blanket, but that's mostly because our incompatible blood types crossed.

that's another concern of mine.

I'm RH negative.. both my boys are positive.. it's highly likely that this baby will be positive as well.. how does that play into things? Increased risk of crossing, decreased risk of crossing?

I have wondered this myself, as I have an antibody in my blood (Anti-E) but I have delayed cord clamping & not had any issues. As long as my pregnancies go fine & my titer levels are low to nothing, then I've gone ahead with it & so far my last 3 pregnancies have been just that Smile

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"Chimmy" wrote:

I have wondered this myself, as I have an antibody in my blood (Anti-E) but I have delayed cord clamping & not had any issues. As long as my pregnancies go fine & my titer levels are low to nothing, then I've gone ahead with it & so far my last 3 pregnancies have been just that Smile

Thank you, this makes me much more relaxed about the choice. I will be bringing it up with my doc at my next appointment and likely putting it in my birth plan.

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I never did this with any of my other babies, but it's something that I'm definitely looking into with this baby... great information!

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"kris_w" wrote:

In the past couple years it has become routine in our hospital (I'm a mat RN). Midwives did it long before that, but now the GPs and OBs do it too as more evidence has emerged about the benefits of baby getting that extra bit of blood. The only time we don't do it is when baby is flat and we are taking to the warmer instead of putting baby skin-to-skin (which is also routine... I love my hospital Smile )

That is awesome that its routine to do that at your hospital! The hospital we ended up transferring to during my last birth thought I was nuts when I requested delayed clamping. They even told me that it would hurt the baby, and me, because the blood would/cloud start going the wrong way :eek: :rolleyes: Needless to say I don't think the hospital I was at was very enlighted on the topic

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"jolly11sd" wrote:

That is awesome that its routine to do that at your hospital! The hospital we ended up transferring to during my last birth thought I was nuts when I requested delayed clamping. They even told me that it would hurt the baby, and me, because the blood would/cloud start going the wrong way :eek: :rolleyes: Needless to say I don't think the hospital I was at was very enlighted on the topic

Isn't it?!?

They don't wait until the placenta detaches or anything, but the current practice is to wait at least two minutes. Some docs are itching to snip before that, but they are pretty good about waiting. Smile

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I don't think I have much new to add, but I'll pipe in anyway! We banked DS1's blood - so obviously no delay. After my experience w/ DD where we delayed 3 hours, I just feel that is so much more normal! My MW at DD's birth was the one who enlightened me on the importance of a baby getting it's own blood from the placenta, and I read into traditional practices of lotus births and leaving baby and placenta attached for extended periods.

Kris - that is really cool about your hospital policy! I was at a birth where the mother had requested delayed clamping and the dr had the clamp on before the baby was even fully born!! So two minutes is great!

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"tanismom" wrote:

After my experience w/ DD where we delayed 3 hours,

Did I read that right? 3 hours? I had no clue it could go that long when waiting til delivering the placenta. Amazing.

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"Nell4Him" wrote:

Did I read that right? 3 hours? I had no clue it could go that long when waiting til delivering the placenta. Amazing.

It might not have taken that long to deliver the placenta-- we left ours attached for an hour or so, even after the placenta was out (we were waiting for my dh to get home so that he could "cut the cord"....but that was kind of an odd situation!) But some people leave it attached for a long time (Lotus birth....)