10/04/2023
When I was first attending births in 1984, the obstetric model was to cut the umbilical cord immediately after birth & take baby away for evaluation & a first bath. This was based on the belief that placental blood flow would increase birth complications for babies.
Even back then, we midwives knew to do it differently. We waited until the placenta stopped pulsatingâ10 or more minutesâbefore clamping and cutting the cord. Babies did great, placentas came out readily & all was goodâeven if our methods were considered silly by doctors.
Times change and science has caught up. The midwives were right! We now know that immediate cord cutting, unless thereâs a medical emergency that requires it, is not recommended. The American College of Obstetricians and Gynecologists now recommends a delay in umbilical cord clamping for at least 30-60 seconds, and the WHO recommends 2-3 minutes.
The benefits of waiting include:
âŁď¸ Transfer to baby of immunoglobulins & stem cells, which are essential for tissue & organ repair
âŁď¸ Extra iron for baby, which has been shown to prevent deficiency in the first year of life
âŁď¸ Possible reduced risk of hemorrhage & easier placental delivery for mom
While jaundice can develop from delayed cord cutting due to this influx of blood, this type of jaundice is not usually a medical problem. Baby will naturally clear this excess iron by pooping. Your midwife or pediatrician will keep an eye on baby over the first few days to make sure itâs clearing. The benefits of delayed cord cutting are more profound for baby than the risk of this jaundice.
Unfortunately, immediate cord clamping/cutting are still common practice in hospitals. You have to let your midwife or doctor know that you want to wait, with baby tummy to tummy on you, while you do. I recommend bringing this up with your care provider in advance to ensure that they are on board to do âdelayed cord clamping and cuttingâ. Get specific with exactly how long you want baby to be connected to the placenta.
Unsure how to advocate for yourself? Want guidance on pregnancy, birth, and newborn care? I have just the course for you, launching soon. Stay tuned âŁď¸
Drop your questions and thoughts below!
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