Throughout your pregnancy, the umbilical cord has functioned as the connection between your baby and the placenta. It has brought important nutrients and blood to your baby. During the late stages of your pregnancy, the cord has been passing on antibodies as well, benefiting your babys immune system. Technically, once your baby is birthed, the umbilical cord will no longer be necessary but it is highly advised to wait at least 1 minute before clamping it. When will the umbilical cord be cut? In most cases, the umbilical cord will be cut following birth; however, it does not necessarily have to be cut immediately. According to a review by The Cochrane Library, it is possible that keeping your baby connected to their umbilical cord for a period longer than one minute may result in specific health outcomes. This is referred to as delayed cord clamping. Babies whose cords were clamped later following delivery had a higher initial hemoglobin concentration, had
greater iron storage 3-6 months after birth, and had a greater birth weight. However, it is important to note that in the late clamping group, more babies needed phototherapy due to. While there may be some benefits of waiting to cut your babys umbilical cord, the cord may need to be clamped and cut prior to his/her shoulders being exposed during if the cord is wrapped around their neck. Who can cut the cord? If you or your partner would like to help clamp and cut the umbilical cord, you should let your doctor know. If you have not specified your preference to the medical team, your doctor may ask if you would like to cut the cord. Your medical team will provide you with the necessary instructions.
If you are uncomfortable assisting with this task, your doctor would be happy to do it for you. Why is there still a section left? Your baby will be left with a small, blue/purple stump attached to his or her belly button. P In 1-2 weeks the stump should fall off on its own. If you are wondering how to properly care for your babys leftover umbilical cord, you can find directions here: Last updated: March 14, 2017 at 10:04 am 1. Labor and childbirth in Harms, Roger W. (Ed. ), Mayo Clinic Guide to a Healthy Pregnancy (182-3). P New York, NY: HarperCollins Publishers Inc. 2. Month 2: Weeks 5 to 8 in Harms, Roger W. (Ed. ), Mayo Clinic Guide to a Healthy Pregnancy (59). P New York, NY: HarperCollins Publishers Inc. 3. Umbilical cord care 4. Jaslow, Ryan (2013, July 11) Not cutting umbilical cord immediately may boost babys health. P CBS News. 5. McDonald, S. J. , Middleton, P. , Dowswell, T. , Morris, P. S. (2013). Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes. The Cochrane Library. When you were growing up, if you ever watched a birth in a movie or TV show, chances are it was a rushed scene, where baby came flying out, and the umbilical cord was quickly clamped and cut. If it was a scene showing an unexpected fast birth in public, a passerby almost always had a shoestring available to clamp that cordPstraight away. Immediate clamping and cutting of the cord was a very common part of birth in the 20thPcentury and the early part of the 21stPcentury. If common practice were any indication, it would seem that immediate cord clamping is a necessary part of a healthy birth. But what does the evidence say?
How Long Should I Wait Before Clamping The Umbilical Cord? The birth of a baby is a unique experience for a mother. Despite that, at some point, birth in western culture shifted more towards a one size fits all approach. Birth became part of a systematic routine of care. Reach 10cms. Push as hard as you can to birth baby. Clamp and cut cord. PWhisk baby off to be weighed and swaddled. It became standard practicePto clamp and cut the umbilical cordPimmediately. It was so routine, in fact, that many people assumed it was absolutelyPnecessary to cut the cord quickly, and possibly dangerous not to. However, we knowPnow that you dont need to clamp the cord immediately, and that there are many. In fact, delayed cord clamping can occur during pre-term and c-section births. Even when a newly born baby requires back stimulation to encourage breathing, delayed cord clamping can occur. When a pre-term or unwell term baby requires ventilation or other assisted breathing, however, immediate cord clamping isPprobably necessary so baby can be moved to receive care. As early as 1995 we began to realise that up to volume remained in the placenta and umbilical cord at birth. Clamping immediately means less blood volume for new babies, which can increase the risk of iron deficient anaemia in the first 6 months of life. Waiting until at least 2 minutes after birth to clamp the umbilical cord means an increase of for infants. That amount of iron is equivalent to 1-2 months of infant iron supplements. The World Health Organization to improve infant health and reduce the risk of iron deficient anaemia. Immediate cord clamping is defined as clamping occurring within the first minute after birth.
The WHO only recommends this if, due to asphyxia, baby needs to receive extra medical attentionPthat cannot be performed on or near the mother. Studies show that delayed cord clamping is beneficial across the board; however, it can be even morePimportant for certain infants. If baby has a low birth weight, is preterm, or is born to a mother who is anaemic, the benefits are very much greater. While delayed cord clamping means the cord isnt clamped until at least 1-3 minutes after birth, there is noPneed to clamp within that time frame. Assuming mother and baby are well, you dont have toPrush toPclamp the umbilical cord. In fact, some families choose to have a lotus birth. A lotus birth is when the umbilical cord is never cut, and you simply wait until itPnaturally detaches from the baby. While there arent any proven medical benefits to waiting a few days, or up to a couple of weeks, for the cord to detach, this practice shows that healthy mother-baby pairs dont need to rush to clamp. Read more about While many families might not opt for a lotus birth, they mightPchoose to watch the umbilical cord for signs that it has stopped pulsating; thisPsignals that all the available blood hasPflowed back to the baby. Once the cord stops pulsating it often appears a bit limp and white. Different maternity care providers practise a littlePdifferently when it comes to umbilical cord clamping, so its a good idea to discuss delayed cord clamping with your provider, prenatally. Fortunately, delayed cord clamping is now becoming the standard in many areas, due to the overwhelming evidence of its benefits.