December 14, 2022
Choosing to delay clamping the umbilical cord after giving birth can give a Newborn baby’s health a boost. Given the benefits to most Newborns and concordant with other professional organizations, the American College of Obstetricians and Gynecologists now recommends a delay in umbilical cord clamping in vigorous term and preterm infants for at least 30–60 seconds after birth. The ability to provide delayed umbilical cord clamping may vary among institutions and settings; decisions in those circumstances are best made by the team caring for the mother–infant dyad.
During pregnancy, the umbilical cord connects the fetus to the placenta. The placenta allows nutrients and oxygen to pass from the mother to the baby. After the birth of the baby, the umbilical cord is still attached from the baby’s belly button to the placenta, and nutrient-rich blood remains within the umbilical cord and the placenta.
Delayed cord clamping means that doctors don’t immediately clamp and cut the umbilical cord. Instead, they allow extra time for the blood in the cord and placenta to flow to the baby. Eventually, the placenta, also known as afterbirth, detaches from the uterus and is also delivered. The baby then receives oxygen through his or her lungs and nutrition from the mother’s milk.
DECREASES THE RISK OF ANEMIA
For full-term babies delayed umbilical cord clamping increases hemoglobin levels at birth and improves iron stores in the first several months of life, which may have a favorable effect on developmental outcomes. Because iron is poorly transferred into breast milk, this extra iron helps to prevent anemia.
Anemia is a condition characterized by low red blood cell volume. Increased red blood cell count can lead to better development as the baby grows.
Babies born prematurely are at risk for serious health problems, and an extra boost of healthy blood from the umbilical cord can help lower that risk.
Delayed cord clamping in preterm babies has been shown to decrease the number of needed blood transfusions and reduce the risk of necrotizing enterocolitis (a severe complication involving the intestines of a preterm baby) and interventricular hemorrhage (a bleed in the baby’s brain that can cause lifelong neurologic problems).
Because cord clamping can take place after the placenta has been removed from the mother’s uterus, there is no added risk to the mother or baby to delay cord clamping after a cesarean birth.Since the operating rooms are often cold, special attention needs to be paid to ensure that the babies stay warm. In mothers there is no evidence or risk for postpartum haemorrhage due to delayed cord clamping
There are some reasons that delayed cord clamping should be avoided. For example, in women with abnormal placentas, women experiencing a hemorrhage or babies who are born needing immediate medical care delayed cord clamping is not recommended. In these cases, doctors will clamp the cord immediately to focus on the health of mother and baby. Initial few minutes is very crucial in Newborn resuscitation to save the baby hence cord clamping is not recommended during those situations.
It’s a very safe procedure for both the mother and baby. There is a small increase in the incidence of jaundice that requires phototherapy in term infants undergoing delayed umbilical cord clamping. Consequently, obstetrician–gynecologists and other obstetric care providers adopting delayed umbilical cord clamping in term infants should ensure that mechanisms are in place to monitor and treat neonatal jaundice by a Neonatologist.
Term and preterm infants appear to derive benefit from delayed umbilical cord clamping; therefore, delayed umbilical cord clamping for at least 30–60 seconds is recommended in term and preterm infants except when immediate umbilical cord clamping is necessary because of neonatal or maternal indications.
In terms of maternal outcomes, delayed umbilical cord clamping does not increase the risk of postpartum hemorrhage or the need for blood transfusion. Additionally, postpartum maternal hemoglobin levels are not affected by delayed compared with immediate umbilical cord clamping.
CradleMoon is an initiative by Dr.Aswini to give qualitative clinical service for the children by the way they love… our clinic is an experience centers which will make the child pre-occuipied and entertained with the lovely play area.
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