In 1979 when we opened the Family Birthing Center (out of hospital), this
was one of our ongoing discussions.....how long do we wait to clamp the cord?
Do we strip the cord towards the baby so he/she can get every last drop of
blood? Does this lead to increased jaundice? (Keep in mind this is before we
knew that bilirubin is an antioxidant, and at that time babies were being put
under lights when it was 10 to 12 on day 3).
We didn't come to any satisfactory conclusion between then and the time I
moved to Chicago -- but I chuckle to see that we are still discussing the same
old same old.
So. What would Eve have done? What would Adam's cat have done? I think
taking our cue from mammals, and what we would do if we were left on our own on
a desert island may be something that guides what is normal and physiologic.
Frankly, I think waiting until the cord stops pulsing is a good idea. It
gets the baby more oxygen while he/she is making the transition from the womb
to the world, and gives him/her a chance to "get his breath" before we start
panicking.
We do panic well, don't we?
Furthermore, unless the cord is extremely short, baby should be able to get
to the breast and start those 'walking' movements that will actually help
mom's uterus to contract and expel said placenta. (See -- breastfeeding content
in this post).
Come to think of it, when Tim was born (Bob delivered him because the
midwife didn't make it), we completely forgot about the placenta, the cord, or
cutting anything we were so entranced by this new little one. When the midwife
came panting up the stairs about 10 minutes after Tim arrived, she asked if we
had delivered the placenta. "Oh, I knew there was something we forgot!" I
said. At least she got to do something....
Jan Barger, RN, MA, IBCLC
In icy cold Wheaton IL
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