An interesting article outlining the benefits, potential adverse effects, special considerations and implications in practice of delayed umbilical cord clamping.
Cord clamping immediately after birth is a routine obstetric procedure in the United States[1,2] despite a dearth of supportive evidence documenting its benefits. The case described here represents a common scenario in US hospitals, where discussion of the timing of cord clamping is rare. Currently, there is no set practice guideline for practitioners that delineates when this action should be taken. Active management of the third stage of labor—the objective of which is to reduce the risk of postpartum hemorrhage—often includes clamping the umbilical cord within 30 seconds of birth.[3] Several theories about the potential benefits and risks of delaying the clamping of the umbilical cord have been postulated and studied in recent years. This article reviews the benefits of delayed cord clamping, specifically increased hemoglobin (Hgb) and hematocrit (Hct) levels for the neonate with a subsequent reduction in rates of anemia and iron deficiency that may extend into the infant period. We then analyze the potential dangers of delaying cord clamping (i.e., increased rates of pathologic jaundice, polycythemia, and transient tachypnea in the neonate or increased rates of maternal postpartum hemorrhage). We also take into consideration populations for whom delayed cord clamping could provide extra benefit, such as preterm infants and babies born in areas where anemia is endemic.
Lead: Blood Levels and Herbal Supplements
Posted on October 28, 2009 in Study, Study Commentary, Toxins, Traditional Chinese Medicine | Permalink | Comments (0) | TrackBack (0)
Digg This | Save to del.icio.us