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Delayed cord clamping for 3 minutes or longer has long term benefits to the neonate, does NO harm and does not affect the mother in a negative way. Conversely, immediate clamping of the umbilical cord leads to a higher incidence of anaemia or iron deficiency on infants at 4 months of age. A comprehensive medical, surgical history and nutritional status must be obtained from ALL pregnant women so as to establish what the risk may be of post-partum haemorrhage (PPH), such as history of haemophilia in the family, nose bleeds, haemorrhage with previous births, approximate expected size of the baby(large babies are associated with PPH), or pregnancy illness such as diabetes and Gestational Proteinuric Hypertension for example. Establish what the risk might be of a long labour, exhaustion, large baby, twins etc and be prepared with an intravenous line in situ, Syntocinon or other uterotonics at the ready. When a newborn requires resuscitation, attend to this BEFORE worrying about the cord or the placenta.
Babies born by caesarian section can be laid next to the mother on the operating theatre table and covered with a warm blanket for 1-3 minutes before clamping and cutting the cord is implemented. Placenta, cord and baby are still attached for this unassisted Lotus BirthIn practice I rarely cut the cord before the placenta is expelled. WHO recommends not less than one minute of placental transfusion in their new guidelines on PPH, published in 2012. To be blessed and supported by the universe – is to be with Marianne as your midwife. Enter your email address to subscribe to Spiritual Birth and receive email notifications of new articles. Audrey Steele admires her newborn baby boy, Mason Steele, as he yawns while the two snuggle at McKee Medical Center in Loveland on May 2, a day after he was born. Recent studies show that skin-to-skin contact provides important health benefits for babies, especially when given immediately after birth. A newborn can benefit from skin contact with the father if the mother is not available after childbirth.
In one study, half of the infants were placed directly on their father's chest after birth, and half were placed in a bassinet next to their father. We reserve the right to remove any comment that violates our ground rules, is spammy, NSFW, defamatory, rude, reckless to the community, etc.

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Seeing that iron deficiency and lowered blood oxygen levels are associated with delays in early infant development, clamping and cutting the cord immediately after birth seems counterproductive and counter-intuitive. Active management of the third stage of labour is characterized by immediate cord clamping and administration of an intra-muscular injection of oxytocin. Sometimes bleeding is due to trauma of the pelvic floor and tearing, when the uterus is actually well contracted.
Skin to skin and eye contact between mother and baby is ideal and elicits the release of maternal oxytocin which contracts the uterus and aids the expulsion of the placenta. In other words, allow the mother to touch and pick her baby up after birth rather than ‘hand’ the baby to her before she is ready to receive him.
The extra blood flow through the cord to the baby may mean the difference between life and death if a baby is compromised at birth. While some parents choose to cut the cord within the first hour of birth, some parents keep the placenta attached until it detaches spontaneously. Because newborns tend to be more alert within the first two hours of life, it provides an optimum time for successful mother and child interaction.
The infants in the skin-to-skin group cried less, became calmer and reached a drowsy state earlier than the infants in the bassinet group. That intimate moment disappeared with the advent of hospital births, after which the baby is taken away for assessment, medical treatment and cleaning before being returned to the mother. Physiological cord vessel closure occurs after the newborn baby’s lungs are inflated by the extra volume of blood transfused via the umbilical cord from the placenta. Most medical workers in and out of hospitals have, up till now, been encouraged to follow this protocol globally. In an article called  “Don’t wake the Mother”, world famous obstetrician Dr Michel Odent documents reasons why mother and baby must be UNDISTURBED for the first hour after birth.

A hypovolaemic baby is much more difficult to resuscitate and stabilize than a baby with an adequate blood volume.
This is called a lotus birth and it is best to keep the placenta in a salted container to delay decay. Today, research shows a return to skin-to-skin contact immediately after birth is of benefit both emotionally and physically.
The Cochrane Review studied 2,177 mothers and babies, determining that newborns placed immediately on their mom's stomach after birth interacted more and cried less than those who received usual hospital care, among other health benefits. It is therefore expedient to allow the baby to remain level with the mother’s body for a few minutes after the birth. McKee Medical Center is ensuring skin-to-skin contact immediately after birth, much to the delight of moms such as Audrey Steele, who remembers complications following a long labor with her first son, Parker.
The important message here is DON’T CUT THE CORD for at the very least 3-5 minutes after the baby is born. Erasmus Darwin, a doctor in the 19th century observed “Another thing very injurious to the child, is the tying and cutting of the navel string too soon; which should always be left till the child has not only repeatedly breathed but till all pulsation in the cord ceases. As otherwise the child is much weaker than it ought to be, a portion of the blood being left in the placenta, which ought to have been in the child” (Darwin E. Immediately after birth, Mason was gently laid on her abdomen and skin-to-skin bonding began.
When my husband talked to him, Mason turned to where his voice was coming from." The two hours the couple spent with their newborn son made a big difference in welcoming Parker's little brother to the family. Christine Wride, registered nurse in obstetrics at McKee, says the first skin-to-skin contact between mother and baby helps regulate the baby's respiration, heart rate, blood sugar and temperature.
We try to initiate it within 1 to 2 minutes of birth." Allowances are also made for women who have a cesarean section.

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