My little baby acrobat! #acrobat #acrobaby
i swear to god if i see another person saying ‘if you think obesity is bad, you’re a fat shamer!!’
obesity is a real problem that causes lots of diseases
and just because i don’t like obesity, doesn’t mean i don’t like obese people
it’s like, i hate cancer, but i don’t hate people with cancer or shame people who have cancer
The “Rubbing hands together” exercise
- sit in a comfortable position and place your hands together
- rub them, until you feel a nice warm. You will then slowly pull your hands apart
- In your head, picture a light forming between your hands and strands of light…
Umbilical cord blood is a baby’s life blood until birth. It contains many wonderfully precious cells, like stem cells, red blood cells and white blood cells (including cancer-fighting T-cells) to help fight disease and infection.
Yet common practice is to quickly cut off this source of valuable cells at the moment of birth. Three reasons for this are:
**Caregivers might believe that there is little or no benefit in delayed cord clamping, despite numerous studies and recommendations
**Caregivers who might believe that delayed cord clamping can cause complications, despite numerous studies and recommendations.
**Carers being in a hurry to finish the birth. Giving birth ‘in the system’ plays a big part in whether or not the medical caregiver or establishment you deliver with wants to hurry up the process and get onto the next birth.
Studies like this one (http://www.ncbi.nlm.nih.gov/m/pubmed/7612098/) published in 1995 have shown that infants who have delayed cord clamping end up with a whopping 32% more blood volume than infants who have immediate cord clamping.
“Delayed cord clamping clearly increases fetal haemoglobin, blood volume and iron stores. The evidence supports a clinical benefit of delayed clamping. There’s really no strong evidence against delaying the cord clamping. When we talk about interventions in medicine, really, the burden of evidence is on the intervention. People say, “Delayed cord clamping, you can’t prove that that’s an intervention that helps.” I’m like, “Oh, no, no, no, no! Delayed cord clamping is what we evolved to do. We evolved to get the blood that’s in the placenta. I don’t have to prove that that’s right. You need to prove to me that phlebotomizing the baby of forty percent of its blood volume is right.” — Dr. Nicholas Fogelson (You can watch his full presentation to other medical professionals at the end of this article).
In 2010, yet another study on the benefits of delayed cord clamping was published, which you can read here (http://www.medicalnewstoday.com/releases/189803.php). They stated that early clamping may interfere with ’nature’s first stem cell transplant’. A 2013 study on delayed cord clamping has just been published in the Cochrane database, again supporting the practice of delayed cord clamping. (http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004074.pub3/abstract)
There has been an increasing number of studies published with regards to the timing of cord clamping, including a 16-month study which was published in 2006. You can read more about that study here (http://www.news.ucdavis.edu/search/news_detail.lasso?id=7729). It was conducted at Hospital de Gineco Obstetrica in Mexico City, where over 350 mother/baby pairs were part of the study.
This study, consistently with many others, has provided solid evidence of the benefits of delayed clamping. The main benefits being:
**Increased levels of iron
**Lower risk of anaemia
**Fewer incidences of intraventricular haemorrhage.
A two-minute delay in cord clamping increased the child’s iron reserve by 27-47 mg of iron, which is equivalent to 1-2 months of an infant’s iron requirements. This could help to prevent iron deficiency from developing before 6 months of age. A study from the University of Granada (2007) has similar findings.
While delayed clamping is beneficial for babies across the board, the studies found that the impact of delayed clamping is particularly significant for infants who have low birth weights, are born to iron-deficient mothers, are premature, or those who do not receive baby formula or iron-fortified milk. Given that mother nature provided breastmilk for babies and not formulas, you would think she also supplied that valuable source of iron for a reason too. You may have noticed that formula companies promote iron deficiency rates to sell their products.
“To understand exactly why there are no real benefits to delayed cord clamping, lets do a thought experiment. Let’s pretend that we gave half of newborns a blood transfusion in the immediate aftermath of birth to test the hypothesis that an immediate blood transfusion benefits normal babies. If we measure the same things that the Cochrane investigators measured, we would get exactly the same results. The only “benefit” would be slightly higher iron levels, and even that isn’t guaranteed since the authors are not sure that result is real.
Would we conclude that routine newborn transfusions offered enough benefits to recommend them? Of course we wouldn’t, since it offers no clinical benefits at all.
The exact same thing can be said about delayed cord clamping.
So what’s this paper really about? This paper is about midwives and natural childbirth advocates dissing obstetricians. Indeed the paper was written by midwives who are desperate to find yet another reason to criticize obstetricians. Delayed cord clamping is just a reaction to the fact that obstetricians have traditionally clamped the cord early. As the chart clearly shows (no chart was included in the study since it would have graphically displayed the lack of benefit), there is no clinical benefit to delayed cord clamping and only a difference in laboratory values at 3-6 months that has no bearing on health and may not be really anyway.
Fortunately, delayed cord clamping appears to have no harms, so there’s no reason that we can see (at the moment) not to do it if parents request it. By that reasoning, we could give every newborn a blood transfusion if their parents request it.”
BACKGROUND: Delayed clamping of the umbilical cord increases the infant’s iron endowment at birth and haemoglobin concentration at 2 months of age. We aimed to assess whether a 2-minute delay in the clamping of the umbilical cord of normal-weight, full-term infants improved iron and haematological status up to 6 months of age.
METHODS: 476 mother-infant pairs were recruited at a large obstetrics hospital in Mexico City, Mexico, randomly assigned to delayed clamping (2 min after delivery of the infant’s shoulders) or early clamping (around 10 s after delivery), and followed up until 6 months postpartum. Primary outcomes were infant haematological status and iron status at 6 months of age, and analysis was by intention-to-treat. This study is registered with ClinicalTrials.gov, number NCT00298051.
FINDINGS: 358 (75%) mother-infant pairs completed the trial. At 6 months of age, infants who had delayed clamping had significantly higher mean corpuscular volume (81.0 fL vs 79.5 fL 95% CI -2.5 to -0.6, p=0.001), ferritin (50.7 mug/L vs 34.4 mug/L 95% CI -30.7 to -1.9, p=0.0002), and total body iron. The effect of delayed clamping was significantly greater for infants born to mothers with low ferritin at delivery, breastfed infants not receiving iron-fortified milk or formula, and infants born with birthweight between 2500 g and 3000 g. A cord clamping delay of 2 minutes increased 6-month iron stores by about 27-47 mg.
INTERPRETATION: Delay in cord clamping of 2 minutes could help prevent iron deficiency from developing before 6 months of age, when iron-fortified complementary foods could be introduced.
This study was conducted to evaluate the haematological effects of the timing of umbilical cord clamping in term infants 24 h after birth in Libya. Mother-infant pairs were randomly assigned to early cord clamping (within 10s after delivery) or delayed clamping (after the cord stopped pulsating). Maternal haematological status was assessed on admission in the delivery room. Infant haematological status was evaluated in cord blood and 24 h after birth. Bilirubin concentration was assessed at 24 h. 104 mother-infant pairs were randomized to delayed (n=58) or early cord clamping (n=46). At baseline the groups had similar demographic and biomedical characteristics, except for a difference in maternal haemoglobin, which was significantly higher in the early clamping group (11.7 g/dL, SD 1.3 g/dL versus 10.9 g/dL, SD 1.6 g/dL; P=0.0035). Twenty-four hours after delivery the mean infant haemoglobin level was significantly higher in the delayed clamping group (18.5 g/dL versus 17.1 g/dL; P=0.0005). No significant differences were found in clinical jaundice or plethora. Surprisingly, blood analysis showed that two babies in the early clamping group had total serum bilirubin levels (> 15 mg/dL) that necessitated phototherapy. There were no babies in the late clamping group who required phototherapy. Three infants in the delayed clamping group had polycythaemia without symptoms, for which no partial exchange transfusion was necessary. Delaying cord clamping until the pulsations stop increases the red cell mass in term infants. It is a safe, simple and low cost delivery procedure that should be incorporated in integrated programmes aimed at reducing iron deficiency anaemia in infants in developing countries.
The optimal timing of umbilical cord clamping has been debated in the scientific literature for at least the last century, when cord clamping practices shifted from delayed towards immediate clamping. Recent research provides evidence for the beneficial effect of delayed cord clamping on infant iron status. The present review describes the physiological basis for the impact of cord clamping time on total body iron at birth and the relationship between birth body iron, as affected by cord clamping time, and iron status later in infancy. This research is discussed in the context of current clamping practices, which tend towards early cord clamping in most settings, as well as the high levels of anemia present in young infants in many countries worldwide.
Immediate umbilical cord clamping after delivery is routine in the United States despite little evidence to support this practice. Numerous trials in both term and preterm neonates have demonstrated the safety and benefit of delayed cord clamping. In premature neonates, delayed cord clamping has been shown to stabilize transitional circulation, lessening needs for inotropic medications and reducing blood transfusions, necrotizing enterocolitis, and intraventricular hemorrhage. In term neonates, delayed cord clamping has been associated with decreased iron-deficient anemia and increased iron stores with potential valuable effects that extend beyond the newborn period, including improvements in long-term neurodevelopment. The failure to more broadly implement delayed cord clamping in neonates ignores published benefits of increased placental blood transfusion at birth and may represent an unnecessary harm for vulnerable neonates.
OBJECTIVE: To compare the effect of early cord clamping (ECC) vs. delayed cord clamping (DCC) on hematocrit and serum ferritin at 6 wk of life in preterm infants.
METHODS: This randomized controlled trial was conducted in the delivery room and neonatal intensive care unit of a tertiary hospital. One hundred preterm infants born between 30 0/7 and 36 6/7 wk were randomized to either early or delayed cord clamping groups. Parental informed consent was obtained prior to the delivery. In the ECC group, the cord was clamped immediately after the delivery of the baby and in the DCC group; the cord was clamped beyond 2 min after the baby was delivered. Hematocrit and serum ferritin at 6 wk of life were the primary outcomes. Incidence of anemia, polycythemia and significant jaundice were the main secondary outcomes. RESULTS: The mean hematocrit (27.3 ± 3.8 % vs. 31.8 ± 3.5 %, p value 0.00) and the mean serum ferritin (136.9 ± 83.8 ng/mL vs. 178.9 ± 92.8 ng/mL, p value 0.037) at 6 wk of age were significantly higher in the infants randomized to DCC group. The hematocrit on day 1 was also significantly higher in the DCC group (50.8 ±5.2 % vs. 58.5 ±5.1 %, p value 0.00). The DCC group required significantly longer duration of phototherapy (55.3 ± 40.0 h vs. 36.7 ± 32.6 h, p value 0.016) and had a trend towards higher risk of polycythemia. CONCLUSIONS: Delaying the cord clamping by 2 min, significantly improves the hematocrit value at birth and this beneficial effect continues till at least 2nd mo of life.
This is just a handful of all the studies that have been done over the years that prove the benefits of delays cord clamping.
Yes, the original article I linked was from a natural birthing, midwife oriented site, so it’s obviously biased against obstetricians, however it is no less biased than the ‘skeptical obstetrician’ post you linked to who’s description reads:
Dr. Amy Tuteur is an obstetrician gynecologist. She received her undergraduate degree from Harvard College in 1979 and her medical degree from Boston University School of Medicine in 1984. Dr. Tuteur is a former clinical instructor at Harvard Medical School. She left the practice of medicine to raise her four children. Her book, How Your Baby Is Born, an illustrated guide to pregnancy, labor and delivery was published by Ziff-Davis Press in 1994. She can be reached at DrAmy5 at aol dot com.
Judging by her insane amount of homebirth witch hunting, and her equally insane amount of post disagreeing with what looks like every single position paper released about modern obstetrics in the last few years, it seems to me like this woman received her degree in the late 70s when obstetric intervention was at it’s nauseatingly highest point and has a holier-than-though ‘I went to medical school, shut up and open your legs so I can use these forceps’ view on childbirth and is reluctant to continue her education. Seeing as how she is even practicing anymore, I fail to see how her opinion and her biased interpretation of the facts is even relevant.
Furthermore, all the information of the attitude OB/GYNs have towards delayed cord clamoing can be found here:
Abstract Objective: Although delayed umbilical cord clamping has been demonstrated to reduce the incidence of intraventricular hemorrhage and neonatal sepsis, and decrease the need for neonatal transfusions (without affecting cord pH, Apgar scores or the need for phototherapy), the extent to which this practice is being employed is unknown. We conducted a survey of US obstetricians to assess their attitudes and beliefs about cord clamping. Study design: Questionnaires were randomly mailed to members of the American College of Obstetricians and Gynecologists (ACOG), and the Collaborative Ambulatory Research Network (CARN). The data were analyzed using Chi-square and Student t tests. Results: The response rates for the CARN and other ACOG members were 47% and 21%, respectively. Most (88%) responders reported their hospital had no umbilical cord clamping policy. The most frequent response for optimal timing of umbilical cord clamping, regardless of gestational age, was “don’t know”. Potential for neonatal red blood cell transfusion was the only concern cited as a reason for being somewhat or very inclined to delay umbilical cord clamping (51%). Delayed neonatal resuscitation (76%) was listed as a reason to clamp the cord immediately, despite the paucity of literature to support immediate cord clamping in this cohort.
Conclusion: Despite substantial evidence supporting the practice of delayed cord clamping, few institutions have policies regarding this practice. Moreover, obstetricians’ beliefs about the appropriate timing for umbilical cord clamping are not consistent with the evidence that demonstrates its beneficial impact on neonatal outcomes.
So the OP of the delayed cord clamping article isn’t just making up her stance on OB/GYNs take on cord clamping to vilify them, it is an actual, documented attitude towards delayed cord clamping that needs to be addresses, especially considering the overwhelming amount of evidence toting it’s benefits. In short, do some real research and don’t just take the snarky opinions of some bitter washed up OB/GYN as fact just because she has a piece of paper on her wall and access to a computer program that lets her make fancy charts of her own interpretation of the data presented in a singular study.
I believe they delayed clamping with Aerabella’s cord :).
I honestly can’t remember what happened once she came out, but I remember hearing the nurses and doctor talk about delaying cord clamping.
Yoga night with the sistasss #yoga #thisisgonnabeinteresting #lol @jessik1900
Did some artwork with the kiddos! :) definitely messy but fun :) #sensoryplay #fun #painting @jessik1900
Doing some sensory activities today :) #InstaSize #charlie #developmentalplay #sensoryactivities #montessori
She looks at everything with such wonder 💕 #swimming #charlie #iloveher (at Win-River Casino)
Went swimming with this cutie ✌️ #swimming #charlie #mylove
Time to work out mama! 💁#babyfitness #jkitsabathingsuit #shesperfect
Haha she has such a little stinker face 💕 #charlie #stinker #bathtime #sofunny