community

all boards


birth clubs



my blog

Sort:
12-17-2012 at 9:02 PM
danuli8
Not Ranked
Joined on 09-01-2012
36,666 Points
danuli8 is not online. Last active: 05-22-2013, 9:04 PMSilver

Delayed cord clamping

I had my 24-wk appointment today, and the OB and I agreed last time that we would go over my birth preferences list (I hate calling it a birth plan because if there is one thing you can't plan, it's a birth). I envision a low-intervention, low-key natural birth despite having an OB and going to a hospital. She seemed fine with everything except my request for delayed cord clamping. She said that in her experience, she seems to end up with anemic babies when she delays clamping. I was all "?????" Seriously, I was just flabbergasted. How can you possibly end up with an anemic baby if the baby is getting all that iron-rich blood from the placenta?? My doula sent me a link to this article, and I printed it out and gave it to the OB, but I don't know if she will budge: Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 http://www.scienceandsensibility.org/?p=5730#.UKJExdYhQNk.facebook

I can't tell my OB her experiences are wrong, but... ???? By what mechanism could delayed cord clamping result in an anemic baby?? Can anyone provide some thoughts? Insight? Anything?


Over-40 parents--what we lack in vigor, we make up for with cunning. :-)  Baby Birthday Ticker Ticker 
12-17-2012 at 9:50 PM
danieleand...
Not Ranked
Joined on 11-28-2008
Lewiston, Maine
11,737 Points
danieleandwayne is not online. Last active: 05-23-2013, 12:55 PMSilver

All the articles and studies I've read have shown nothing but benefits-- including less time under lights to correct bilirubin issues because there are fewer (if any) bilirubin issues.

I'm planning on waiting until the cord stops pumping before it gets cut.

Can you ask her to show you studies that show babies are more anemic when the cord's cutting delayed? Experience can be misleading-- I can tell you what SEEMS to be the case in my experience, but then I see the numbers and get surprised. If she can't provide studies or evidence-based practice to support her position, then I don't see a reason why she should have any right not to follow your wishes.


"Once the realization is accepted that even between the closest human beings infinite distances continue, a wonderful living side by side can grow, if they succeed in loving the distance between them which makes it possible for each to see the other whole against the sky." -- Ranier Maria Rilke  BabyFruit Ticker Me:37 MH:38 TTC since Oct 2011 BFP/Beta#1: 13 6/20/12; Beta#2: 20 6/22/12; MC/Beta#3: 9 6/27/12 BFP#2/Beta#1: 9/21/12 S/PAIFW 
12-18-2012 at 8:28 AM
dhreczuck
Not Ranked
Joined on 12-12-2008
5,204 Points
dhreczuck is not online. Last active: 05-22-2013, 11:02 PMBronze
Wow you ladies make me feel like I have alot more planning and reading to do about all this stuff, I had no clue that was even an option! My OB told me yesterday I need to start getting ready to give birth, I guess it's time to start doing my own research so thanks for bringing this to my attention..

me 40 DH 45 Not actively ttc, surprise BFP on 1/6/11! 4/1/11 m/c our little boy at 16wks after complications from CVS test .
ttc #2
**5th cycle 12/6/11 BFP! Missed m/c at 9 weeks 1/21/12, trisomy 14.
IUI #1-3, 1 CP, 2 BFN's taking a short break
BFP 7/9/12, beta #1=15 beta #2 26 beta #3 36 wtf beta #4 23 C/P ** BFP 8/16/12 beta #1 148! beta#2 407 beta #3 4000 u/s 9.10 1 lovely hb 126, Baby Boy is due 04/28/13! He's finally here, feeling so blessed..  Baby Birthday Ticker Ticker 
12-18-2012 at 11:59 AM
mama2many
Not Ranked
Joined on 02-19-2010
Western Colorado
41,719 Points
mama2many is online. Last active: 05-23-2013, 1:16 PMSilver

She's either wrong, misinformed, has had babies who would have had issues anyway...something.

Your baby, your choice on it's treatment/interventions. 


Lilypie Kids Birthday tickers Lilypie Kids Birthday tickers Lilypie Kids Birthday tickers Lilypie Kids Birthday tickers Lilypie Third Birthday tickers Lilypie First Birthday tickers 
12-18-2012 at 1:41 PM
hisbabygir...
Not Ranked
Joined on 12-26-2011
31,393 Points
hisbabygirl76 is not online. Last active: 05-23-2013, 12:28 PMBronze

I did delayed clamping with my last child and had no issues. I have read and heard nothing but great things about it.

 


Proud 36yr old Mama of 4  Baby Birthday Ticker Ticker Wedding Countdown Ticker 
12-18-2012 at 3:05 PM
pfluby
Not Ranked
Joined on 08-28-2012
2,228 Points
pfluby is not online. Last active: 02-24-2013, 11:53 PMNewbie
My MW said the same thing, that the blood could flow back into the placenta. Which is understandable if you think about pressure in atube. She also said that their standard practice is to wait 2 minutes but we could wait until the cord stops pulating if we wanted.
 
12-19-2012 at 12:45 PM
danuli8
Not Ranked
Joined on 09-01-2012
36,666 Points
danuli8 is not online. Last active: 05-22-2013, 9:04 PMSilver

pfluby, the article I linked to in my original post includes an explanation of why backflow bleeding is extremely unlikely in an uncomplicated birth (I think it's objection #7).

I poked around some more and found this article from the July/Sep 2012 issue of the Journal of Perinatal and Neonatal Nursing: http://www.nursingcenter.com/prodev/ce_article.asp?tid=1409724 These sentences from the abstract really made me sit up and pay attention (emphasis mine): "Delay of cord clamping substantively increases iron stores in early infancy. Inadequate iron stores in infancy may have an irreversible impact on the developing brain despite oral iron supplementation. Iron deficiency in infancy can lead to neurologic issues in older children including poor school performance, decreased cognitive abilities, and behavioral problems."

So, in short, I have this wonderful one-time opportunity to ensure my baby has enough iron for his brain to develop optimally. Why the heck would I pass that up?

I think the root of the problem is that I am expecting my OB to think and act like a midwife, and she just plain isn't one. It's like buying a cat and expecting it to bark at strangers who come to the door. I have decided to make the switch to a CNM, and I think everyone will be much happier that way.

 


Over-40 parents--what we lack in vigor, we make up for with cunning. :-)  Baby Birthday Ticker Ticker 
12-19-2012 at 8:05 PM
danieleand...
Not Ranked
Joined on 11-28-2008
Lewiston, Maine
11,737 Points
danieleandwayne is not online. Last active: 05-23-2013, 12:55 PMSilver
Interesting that you compare your OB and a midwife-- my OB is very tuned into my wants, needs, and expectations about how I want my baby's birth to go (with the idea that a plan is just that-- a plan and not a given). I know my OB's practice has a fantastic nurse midwife, too, if not two.

I agree with you, though-- why wouldn't a mother want to delay the cord clamping with all the positive benefits? It's certainly enough to make your decision to change providers to someone who is more in touch with your choices a very sound one!

"Once the realization is accepted that even between the closest human beings infinite distances continue, a wonderful living side by side can grow, if they succeed in loving the distance between them which makes it possible for each to see the other whole against the sky." -- Ranier Maria Rilke  BabyFruit Ticker Me:37 MH:38 TTC since Oct 2011 BFP/Beta#1: 13 6/20/12; Beta#2: 20 6/22/12; MC/Beta#3: 9 6/27/12 BFP#2/Beta#1: 9/21/12 S/PAIFW 
12-19-2012 at 9:51 PM
drpayne
Not Ranked
Joined on 12-26-2009
25,742 Points
drpayne is not online. Last active: 05-21-2013, 3:24 PMSilver
I've heard that delaying for too long can cause jaundice. I can't remember why..

 Baby Birthday Ticker Ticker  Baby Birthday Ticker Ticker 
Hot Topics

New dad or dad-to-be? Chat with other dads here!
Visit the Dads & Dads-to-be board

Need baby shower inspiration? Get ideas here!
Visit the Baby Showers board

Chat with other crafty moms here!
Visit the Crafty Moms board

search boards

choose another board