Saturday, March 4, 2017

Wait to cut umbilical cord, experts urge


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(CNN)For decades, experts have argued over when to clamp and cut a newborn’s umbilical cord after birth.

Now, more health organizations are beginning to recommend delayed cord clamping. The American Congress of Obstetricians and Gynecologists has become one of the latest to advise medical professionals to wait at least 30 to 60 seconds before clamping and cutting.
Throughout a pregnancy, the umbilical cord carries important nutrients and blood from the mother to the baby. After birth, a clamp is put on the cord, and it is cut so that the baby is no longer attached to the placenta. This procedure is one of the oldest involved in birth.
    In most Western countries, including the United States, the cord is clamped immediately after birth: usually between 10 to 15 seconds after.
    “Preterm infants definitely do better with delayed cord clamping,” Denny said, noting that they have fewer serious problems such as brain bleeds and intestinal issues. “For term infants, we don’t really have that data yet.”
    Other organizations have also made similar recommendations.
    The World Health Organization recommends that the umbilical cord should be clamped after the first minute. However, in some babies who can’t breathe on their own, the cord should be cut immediately to allow effective ventilation to be performed, it says.
    The American College of Nurse-Midwives recommends delaying the clamping of the cord in full-term infants for five minutes if the newborn is placed skin-to-skin with the mother or two minutes if the newborn is at or below the height of the vaginal canal.

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    The American Academy of Pediatrics also recommends waiting at least 30 to 60 seconds for most newborns.
    Expectant parents interested in delayed clamping should speak with their physician to ensure that both the mom and baby are in a stable condition to do so, according to Denny.
    She explains to her patients that, if there is any kind of emergency with the mom or baby, they should not wait to clamp the cord.
    “Even though there are benefits, the bigger benefit is getting patients the care they need right away,” she said.

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