This was the best video to show my husband who is a medical professional to visually understand delayed cord clamping. When i brought up delayed cord clamping to my OB he agreed and said their policy is to wait 1 minute. I said I want to wait until the cord stops pulsating and my husband didn't understand why. This video was exactly what I needed to show him for him to get on board with me. Now I trust that after delivery, my husband will help remind the staff if I am unable to.
Thank you! This is the best explanation I've found and I have showed this to a few people now. My baby didn't have his cord cut until it stopped pulsing and I believe it really helped him. He had no jaundice and although he had some problems when he was born, I believe things would have been much much worse had we robbed him of that extra blood volume
As an MD for 50 years, I have heard so many horror stories surrounding Obstetrical births that I feel compelled to warn women to learn as much as they can before they get into a hospital birth. The National Health Service in Great Britain recently stated that women should no longer give birth in hospitals, but should do so at home or in a birth center. Penny Simkin has been making sense about birth for several decades. Listen to her! and if you want to hear my case for avoiding most Obstetricians, please go to RUclips, type in my name, and listen for 3.5 minutes. Having a non-traumatic birth will make raising your child infinitely easier!
Venise Richardson This is so true, but as pregnant women we have rights, especially if your only option is in the hospital. I found this out because I took an independent birthing course, and shared one of my experiences of a antenatal appt at the hospital with the midwife teaching the class. Long story short, I told her how the midwife questioned me and the tone she used with me because I refused the flu shot. She educated me on the various rights we have, and how much trouble that lady could’ve been in just for doing that. When we learn the laws, and show them that we know them, they will still try to push, but will back down because the possibility of a lawsuit. I know it still doesn’t beat having a home birth, but it does put the power back into a mother’s hands when she’s in the hospital. “Give Birth Like a Feminist” by Milli Hill is about all the rights pregnant women have. I hope this helps 🙂
Kiss My Coils I agree with you , but I’m more referring to the woman who have medical conditions (placenta previa etc) which makes it dangerous for a home birth .
My question is, why are so many crazy, unnecessary procedures performed on healthy women and infants in hospitals, and why are medical staff so poorly trained and ignorant to the fact that birth is a natural process and low risk moms need to be left alone so that they can actually BIRTH? It's frightening to think that we trust these people with our lives, yet unless they educate themselves, they are for the most part ignorant! So many reasons not to give birth in a hospital if you're low risk.
My daughter told the nurse she wanted delayed chord clamping. The nurse quipped she needed to tell him herself. Mind you she is in agony. He quickly clamped and cut the chord in seconds against her wishes.
@@anonymouslyconcerned Unfortunately doing things against the mother's wishes is all too common. I knew of one woman who told the doctor she didn't want an episiotomy and he gave her one anyway. So sorry to hear of your daughter's experience.
I think they know exactly what they're doing. The want the placenta full of blood ans stem cells to make money selling it or using it on other patients. It's all about money, hospital policy.
Francis you seem genuinely curious here is something that may help you:Research has found that delayed cord clamping allows 20 to 40 mL more blood to pulse from the placenta to the newborn, carrying with it an additional 30 to 35 mg of iron [2]. As a result, babies have higher newborn hemoglobin, lower risk of anemia at birth and through 2-3 months, and higher iron status and storage through 6 months of age [2, 3]. Delayed cord clamping gives your baby more iron.
Summary for those who want to add to notes: Why not clamp and cut baby’s umbilical cord immediately after birth? Common procedure to cut w/in 30 sec of birth. Good reason to wait 2 min if not until cord stops pulsating. When baby is born, placenta still inside. There is baby’s blood in baby body but also in placenta. Over the course of a few min, placenta will drain to baby (will be some back and forth). All this blood belongs to baby. Volume of blood shared between baby and placenta at birth -450 ml. Amt of blood in baby’s body - 300ml Amt of blood remaining in placenta after birth, which will transfer over 2-5 min: 150 ml Baby is shy 1/3 of total blood volume if cut right away. Over time, blood in placenta will transfer to baby. Studies show us at 2 min, about 70% of blood will have be transferred. If wait until blood stops pulsating, all blood will be transferred. Even when babies need to be resuscitated or have meconium, normal practice is to cut cord. Resuscitation can take place w placenta attached and next to mother. Believed before that if 1/3 of blood was added to body; red blood cells would break down and cause more bilirubin. Recent studies show they do not reach clinical jaundice levels if left intact. If cord is intact, more time for resuscitation because getting oxygenated blood from placenta. So wait 2 min or ideally until cord stops pulsating. Effects of timing of umbilical cord clamping: • Immediate clamping & cutting - enables removal of baby from mom’s arms to a warmer, which is rarely good for either of them. Doesn’t prevent jaundice, as commonly believed • Delayed clamping for 2 min or more - encourages close mother-infant contact. allows baby to receive most or all of its blood that was in placenta at birth. Improves infant hematologic status (reduces infant anemia) at 2 and 6 months.
This is really useful information Penny, I am expecting my third child and I plan for a much more holistic birth. Mordern medicine has to be questioned. This was custom practice in many african cultures before colonization and mordern european medicine. Thanks again Penny!
Brilliant video, you answered all my questions, my baby is due in nov and i read only recently about delayed cord clamping. I never knew about it with my other 5 children but def will ne doing it this time. Thanks again great video
ought to apply after cesarean surgery too.. bring the medical equipment TO the babe while the cord continues to pulse instead of cutting the cord to take the babe TO the equipment..
Don't forget that it takes about an hour for the majority of the stem cells in the cord to migrate to baby...so if the cord is cut sooner than that, it should be cut long, near the placenta. An hour or two later, during the newborn exam, it can be shortened. The babies end up a lot healthier. :-)
Nice to see the demo of what really happens after the birth of the baby. This visual should help families see the importance of the baby getting all their blood volume. Gerri
@crunchymommy1973 Many doctors still think that if the baby is on the mother’s abdomen, blood shifts from the baby back into the placenta. They are mistaken. Long ago, Yao and Lind (Lancet, Sept. 6, 1969), found no differences in the amount of blood in the placenta in the first 3 minutes when the baby was held 40, 20, or 10 cm. below the mother’s vaginal opening or at 0 or 10 cm above it, which is the level of the mother’s belly or chest if she’s lying down.
My question is where is the blood going? I saw how mine was collected without my consent. Who is getting paid for our babies blood? I've been doing some research and it's not good. Did you consent to have your cord blood and tissues taken? I didn't and it was collected and went somewhere...
The hospital is getting paid to take that blood. If you don't have a company set up to do your own cord banking, you sign it away with your admittance papers. Unless you can claim native/tribal/indigonous/religious purposes for laying claim to your baby's blood to be allowed to get to the baby and you to take your placenta home.
Informative! I have no children, am expecting none, and am a dog trainer by trade. I watched your video because it sounded interesting and wow, was it! Good things to know... good things to share.
There is much evidence to prove that delayed cord clamping is beneficial. Look it up if you don't believe Penny. Doctors also believed that hand washing was unnecessary in the not too distant past. How much harm did they cause before they were convinced?
Thank you this is highly informative! I recently asked my pediatrician friend about this and unfortunately she adhered to tradition in clamping and cutting immediately - within one minute max. due to concerns for plethora; a thickening of the baby's blood which can cause complications. I intend to delay clamping and cutting as at least several minutes despite her advice.
Well, if your MD is concerned about the baby's blood thickening that quickly, there is no need for the vitamin k shot, now is there. It's one or the other, it can't be both. Also, neither are true. Baby's blood with thicken too quickly of they get all their blood and they still don't need that vitamin k unless they are bleeding internally from a severe injury, or have been circumcised.
Both my water babies were lucky enough to have delayed cord clamping. I was born and quickly diagnosed with jaundice, (early clamping of course) so I was nervous to see if the same condition would affect our children. We firmly believe the extra 5 - 10 minutes prevented our children from showing signs of jaundice. There is no harm to delaying, so I don't see why any mother or father wouldn't fight for it. Be wise, HIRE A DOULA!
Delayed clamping and cord blood banking If you delay the clamping, won’t this prohibit you from doing the cord blood collection? The answer is no. Cord blood collection is setup to collect the remaining blood and there is no problem with collecting for generally even 10 or 15 mins or so after the birth. Any longer than that, there be some clotting but really delayed clamping and cord blood banking may be a good combination.
I opted for this four year ago when I had my daughter. I left her on for over 30mins although there was some resistance from the hospital staff. She was a little jaundice but no more then my first had been who hadn't been left on !
Blood does flow quicker if Mama was in a position where she was over the baby (All fours or squatting). There will be back and fourth until the placenta starts to detach. Regardless of what position though, wait for cord to stop pulsing and you're good!
Thank you for taking your time to share this information. My baby had the cord clamped right after birth, I wish I knew better back then but I will be better prepared next time. They apparently had to clamp it right away as I was loosing too much blood ... not sure :)
Kalina, it may be possible to achieve some amount of delay. This a question for your particular cord blood banking company that you are planning to work with.
If you allow all the baby's blood, and stem cells, to get to it, before clamping, why the need for stem cells? The diseases that show up later in life, that stem cells could help, are caused by something. Let baby have their best start.
Great video, and I'm going to share this! One question for Penny - What about doctors who insist that the baby must be held at or below the level of the placenta while the cord remains intact, rather than placing the baby on mother's chest?
Hi Penny, I desire to share your video on a comunity for pregnants in my country. Im brazilian. I translate this video on caption tube, but to publish this caption we need that you aprove first. I have the file .sub with translate, if you interesting in publish with caption in portuguese, I can send you. thankyou so much!
Does baby have to be held below the placenta for this to actually work? This is what our doctors are telling my doula clients. ACOG says yes but doctors else where and midwives say no. What's the truth?
So glad that I have homebirthed my 3 Children (even the one where there were some problems and we had to rush to the hospital after). Only one had a very tiny bit of jaundice that only lasted for maybe 3 days. I wish midwives would get paid better -- such an important investment in your kid's future...
How does this work during a C-section? I am scheduled to have a C-section in 7 days (Nov. 25) and does the same thing take place or is this only related to a vaginal delivery? I was unconscious during an emergency C-section when my 2 year old daughter was born so I have no idea what they did or how that works..
Yes, during a C-section the cord is cut immediately out of necessity. The baby is missing 1/3 of it's total blood volume by default during C-sections. It's best to avoid C-sections like you would avoid a massive tear wound to the stomach.
Alexander Doak The cord does not have to be cut instantly after C section - if you ask for delay and you remind them at the time the baby is delivered then it can happen and has happened. Even here in Townsville, Australia, it has been allowed on parent's request. So long as mum is fine and baby is fine then it is ok and baby can be delivered to mum for skin to skin and for the cord to stop pulsing before anything more is done.
I support delayed clamping but I was wondering about ABO incompatability? I delayed with my first who turned out to be a different ABO group & she had "high" levels. Should you still delay if there is a chance of ABO incompatablity?
No, you cannot do both. But it is better to give your baby a better chance in the beginning of life than to save it "just in case". Of couse, if you have another child that is in need of a stem cell transplant, then by all means, bank it. But when my son had leukemia, we were told that even if we had saved his cord blood at birth we couldn't use it for him because he'd still be getting mutated genes.
Thankyou Penny for this great explanation!❤️ Sub and like:) I am almost 31 weeks and being seen at big hospital, i really hate it. They scurry you around like an assembly line, no one ever has enough time for all your questions, the nurses are mean one of the Drs I've seen there is just EVIL.. I wish I would have found a midwife instead as so many woman have had good experiences. My friend gave birth at that same hospital and tells me they went against her request and clamped her babies cord anyway.. I'm mortified:( I'm sure i am too late to switch practices now:(
I have encountered physicians like this. Some of my clients choose to let the doctor hold the baby below the belly instead of immediate skin to skin to get the benefits from cord blood. Clearly, not ideal. But we can change things one birth at a time.
My 4th child -- he was having heart decels. The doctor on call at the time clamped the cord immediately and forced my husband to cut right away instead of allowing the delayed cord cutting. I was very mad at this doctor.
This is controversial. Different methods of placental blood collection are required and there is great interest in developing ways to extract enough placental blood after delaying clamping. Search the web for "cord blood withdrawal without clamping" to see alternative ways that caregivers are using. Research is needed to determine best ways to accomplish this. Also visit Science & Sensibility blog (tag: newborn immune system) for several excellent posts.
You must create a birth plan and insist the hospital stick to it. If not, find a hospital that will. If they're unwilling to meet your needs, they don't need your business. Better yet, plan to birth outside of the hospital. This can be more expensive, but is much safer for you and your baby if you're low risk, due to all of the unnecessary procedures, poisonous drugs and GERMS that can't be killed in hospitals.
Longer than 2 minutes is not recommended. I’m sorry but my second child the midwives waited until the cord stopped pulsing and she had such a high hematocrit level and swelling when she was admitted to the Nicu. The nicu doctors told us the cause of these was waiting longer than 2 minutes to cutting the cord. I’m glad we did not wait as long with our third child otherwise his bilirubin would have been higher than it already was at birth. Ultimately parents must do what they feel is best for this children.
Hi Pryopan - i think your experience is interesting but it is not mirrored by the research. Some babies are polycythemic. Delayed cord clamping is not associated with increase in NICU admissions, just potential for need for phototherapy. the now definite recommendation across most places in the world, and certainly advocated by leaders in perinatal care - is to wait at least a minute and that there is no rush. in fact - 2 minutes in several studies is not even considered delayed. Cord pulsation can be felt in the cord stump after the .cord is clamped. it does not reflect cord transfusion. It is better to wait at least 5 minutes for the full transfusion to be completed.
Exactly thats what my main concern would be with delayed cord clamping, volume overload, transfusions can happen if baby needs it, but if the baby has too much blood from delayed cord clamping that may be worse than the alternative.
I agree, that's the hardest part when doctors don't use current evidence :) it's also hard when each case is different because our levels of normal are set by our first experience, so we tend to think that X is normal and y or z is really strange!
I would lean more towards the belief that you are "over-filling" the baby with blood if you allow all of that extra blood to all of a sudden be introduced into the babies body! If the baby has been operating for 9 months with the "extra" blood in the placenta couldn't forcing it into the baby right after birth lead to complications like high blood pressure and hyper-ventilation? Again, I'm not trying to upset anyone - I just want to know more information.
I'm sorry but can you please explain your reasoning on how natural delivery from the placenta to the baby through the cord is "forcing" the blood into the baby. ? 🤔 Before hospital based procedures became the norm delayed cord clamping was practised along with bringing the baby to the breast to assist in triggering the signalling hormones for delivery of the placenta. One of my daughter's in law 9 years ago due to the "time factors" was subjected to the horrific process of having the placenta physically ripped out of her resulting (of course) in horrendous haemhorraging. No responsibility for her near loss of life was accepted by the staff or hospital involved as it was explained as "an unfortunate result in a trial of a new procedure"
You haven't really proved anything or made a good point with this video. I don't say this to offend you, but all you are saying is that the baby gets more blood and you are assuming this is good/important. Where are the facts about how this additional blood is actually needed by the baby? Obviously if that "extra" one third of the blood is in the placenta the baby survived without it during the entire 9 month pregnancy. What makes you think that all of a sudden it is a problem to not have it?
lol at the the time of this comment , there was research supporting that extra blood could decrease the chance of anemia at 4 - 6 months of life. Interestingly, 13 years later, my textbook says there no uniform agreement about this practice. As an RN student, I thought this video was awesome, thank you Penny ❤🪽
This was the best video to show my husband who is a medical professional to visually understand delayed cord clamping. When i brought up delayed cord clamping to my OB he agreed and said their policy is to wait 1 minute. I said I want to wait until the cord stops pulsating and my husband didn't understand why. This video was exactly what I needed to show him for him to get on board with me. Now I trust that after delivery, my husband will help remind the staff if I am unable to.
Thank you! This is the best explanation I've found and I have showed this to a few people now. My baby didn't have his cord cut until it stopped pulsing and I believe it really helped him. He had no jaundice and although he had some problems when he was born, I believe things would have been much much worse had we robbed him of that extra blood volume
Wow now i know why a lot of baby has a blood deficiency its by cutting the cord to soon, thanks for this explanation.
As an MD for 50 years, I have heard so many horror stories surrounding Obstetrical births that I feel compelled to warn women to learn as much as they can before they get into a hospital birth. The National Health Service in Great Britain recently stated that women should no longer give birth in hospitals, but should do so at home or in a birth center. Penny Simkin has been making sense about birth for several decades. Listen to her! and if you want to hear my case for avoiding most Obstetricians, please go to RUclips, type in my name, and listen for 3.5 minutes. Having a non-traumatic birth will make raising your child infinitely easier!
George Denniston I 100% agree with you! However , not all of us have the pleasure of having a home birth , which is ideal . I agree
Venise Richardson This is so true, but as pregnant women we have rights, especially if your only option is in the hospital. I found this out because I took an independent birthing course, and shared one of my experiences of a antenatal appt at the hospital with the midwife teaching the class.
Long story short, I told her how the midwife questioned me and the tone she used with me because I refused the flu shot. She educated me on the various rights we have, and how much trouble that lady could’ve been in just for doing that. When we learn the laws, and show them that we know them, they will still try to push, but will back down because the possibility of a lawsuit. I know it still doesn’t beat having a home birth, but it does put the power back into a mother’s hands when she’s in the hospital. “Give Birth Like a Feminist” by Milli Hill is about all the rights pregnant women have. I hope this helps 🙂
Kiss My Coils I agree with you , but I’m more referring to the woman who have medical conditions (placenta previa etc) which makes it dangerous for a home birth .
@@monicanadine You do have rights, but they are often violated. A midwife is far more likely to respect your birth plan
Venise Richardson Oh ok I understand, yes there’s always those exceptions.
My question is, why are so many crazy, unnecessary procedures performed on healthy women and infants in hospitals, and why are medical staff so poorly trained and ignorant to the fact that birth is a natural process and low risk moms need to be left alone so that they can actually BIRTH? It's frightening to think that we trust these people with our lives, yet unless they educate themselves, they are for the most part ignorant! So many reasons not to give birth in a hospital if you're low risk.
partly to make money - hospital policy
My daughter told the nurse she wanted delayed chord clamping. The nurse quipped she needed to tell him herself. Mind you she is in agony. He quickly clamped and cut the chord in seconds against her wishes.
@@anonymouslyconcerned Unfortunately doing things against the mother's wishes is all too common. I knew of one woman who told the doctor she didn't want an episiotomy and he gave her one anyway. So sorry to hear of your daughter's experience.
I think they know exactly what they're doing. The want the placenta full of blood ans stem cells to make money selling it or using it on other patients. It's all about money, hospital policy.
Francis you seem genuinely curious here is something that may help you:Research has found that delayed cord clamping allows 20 to 40 mL more blood to pulse from the placenta to the newborn, carrying with it an additional 30 to 35 mg of iron [2]. As a result, babies have higher newborn hemoglobin, lower risk of anemia at birth and through 2-3 months, and higher iron status and storage through 6 months of age [2, 3].
Delayed cord clamping gives your baby more iron.
Wonderful to know !!
which is wonderful as we know iron helps growth of cells, and helps with immune system!
Love this video. I first saw it 13 years ago while planning my first homebirth. Every child now has had delayed cord clamping.
Summary for those who want to add to notes:
Why not clamp and cut baby’s umbilical cord immediately after birth?
Common procedure to cut w/in 30 sec of birth. Good reason to wait 2 min if not until cord stops pulsating. When baby is born, placenta still inside. There is baby’s blood in baby body but also in placenta. Over the course of a few min, placenta will drain to baby (will be some back and forth). All this blood belongs to baby.
Volume of blood shared between baby and placenta at birth -450 ml.
Amt of blood in baby’s body - 300ml
Amt of blood remaining in placenta after birth, which will transfer over 2-5 min: 150 ml
Baby is shy 1/3 of total blood volume if cut right away.
Over time, blood in placenta will transfer to baby. Studies show us at 2 min, about 70% of blood will have be transferred. If wait until blood stops pulsating, all blood will be transferred.
Even when babies need to be resuscitated or have meconium, normal practice is to cut cord. Resuscitation can take place w placenta attached and next to mother.
Believed before that if 1/3 of blood was added to body; red blood cells would break down and cause more bilirubin. Recent studies show they do not reach clinical jaundice levels if left intact. If cord is intact, more time for resuscitation because getting oxygenated blood from placenta.
So wait 2 min or ideally until cord stops pulsating.
Effects of timing of umbilical cord clamping:
• Immediate clamping & cutting - enables removal of baby from mom’s arms to a warmer, which is rarely good for either of them. Doesn’t prevent jaundice, as commonly believed
• Delayed clamping for 2 min or more - encourages close mother-infant contact. allows baby to receive most or all of its blood that was in placenta at birth. Improves infant hematologic status (reduces infant anemia) at 2 and 6 months.
This is really useful information Penny, I am expecting my third child and I plan for a much more holistic birth. Mordern medicine has to be questioned. This was custom practice in many african cultures before colonization and mordern european medicine. Thanks again Penny!
I am SO GLAD I opted to give birth in a midwife birthing center; instead of a hospital. So peaceful, and they followed my birth plan to a T.
I've known about the procedure of delayed cord cutting, but I really appreciate your visualization. Thank you for this great educational video!
Another benefit is that the placenta will be coming out of the mother more easily, so it's more safer for the mother as well.
Brilliant video, you answered all my questions, my baby is due in nov and i read only recently about delayed cord clamping. I never knew about it with my other 5 children but def will ne doing it this time. Thanks again great video
ought to apply after cesarean surgery too.. bring the medical equipment TO the babe while the cord continues to pulse instead of cutting the cord to take the babe TO the equipment..
Don't forget that it takes about an hour for the majority of the stem cells in the cord to migrate to baby...so if the cord is cut sooner than that, it should be cut long, near the placenta. An hour or two later, during the newborn exam, it can be shortened. The babies end up a lot healthier. :-)
Nice to see the demo of what really happens after the birth of the baby. This visual should help families see the importance of the baby getting all their blood volume. Gerri
@crunchymommy1973 Many doctors still think that if the baby is on the mother’s abdomen, blood shifts from the baby back into the placenta. They are mistaken. Long ago, Yao and Lind (Lancet, Sept. 6, 1969), found no differences in the amount of blood in the placenta in the first 3 minutes when the baby was held 40, 20, or 10 cm. below the mother’s vaginal opening or at 0 or 10 cm above it, which is the level of the mother’s belly or chest if she’s lying down.
Thank you so much for this. I had been wondering this for a while and I really appreciate the way you explained it all!
My question is where is the blood going? I saw how mine was collected without my consent. Who is getting paid for our babies blood? I've been doing some research and it's not good. Did you consent to have your cord blood and tissues taken? I didn't and it was collected and went somewhere...
The hospital is getting paid to take that blood. If you don't have a company set up to do your own cord banking, you sign it away with your admittance papers. Unless you can claim native/tribal/indigonous/religious purposes for laying claim to your baby's blood to be allowed to get to the baby and you to take your placenta home.
Informative! I have no children, am expecting none, and am a dog trainer by trade. I watched your video because it sounded interesting and wow, was it! Good things to know... good things to share.
thank you for this upload, I had not heard of dcc until about 10mins ago, but I definitely will be doing it when I have children.
There is much evidence to prove that delayed cord clamping is beneficial. Look it up if you don't believe Penny.
Doctors also believed that hand washing was unnecessary in the not too distant past. How much harm did they cause before they were convinced?
I did delayed cord clamping during my c section amazing experience
Thank you this is highly informative! I recently asked my pediatrician friend about this and unfortunately she adhered to tradition in clamping and cutting immediately - within one minute max. due to concerns for plethora; a thickening of the baby's blood which can cause complications. I intend to delay clamping and cutting as at least several minutes despite her advice.
Well, if your MD is concerned about the baby's blood thickening that quickly, there is no need for the vitamin k shot, now is there. It's one or the other, it can't be both.
Also, neither are true. Baby's blood with thicken too quickly of they get all their blood and they still don't need that vitamin k unless they are bleeding internally from a severe injury, or have been circumcised.
That's a really clear explanation. Thank you for this really sweet video.
Both my water babies were lucky enough to have delayed cord clamping. I was born and quickly diagnosed with jaundice, (early clamping of course) so I was nervous to see if the same condition would affect our children. We firmly believe the extra 5 - 10 minutes prevented our children from showing signs of jaundice. There is no harm to delaying, so I don't see why any mother or father wouldn't fight for it. Be wise, HIRE A DOULA!
Why hire a doula tho? can’t 1 speak up for themselves.. I’m just curious
Great video! Super informative. Does allowing the cord to be attached for this long have an effect on the ability to save the "cord blood"?
Wonderful visual on this. I already planned on doing it but this helps me explain it to other people. Good job and thank you.
Delayed clamping and cord blood banking
If you delay the clamping, won’t this prohibit you from doing the cord blood collection? The answer is no. Cord blood collection is setup to collect the remaining blood and there is no problem with collecting for generally even 10 or 15 mins or so after the birth. Any longer than that, there be some clotting but really delayed clamping and cord blood banking may be a good combination.
Thank you! I'm wanting our baby to have both delayed clamping and cord blood banking. 😊
I opted for this four year ago when I had my daughter. I left her on for over 30mins although there was some resistance from the hospital staff. She was a little jaundice but no more then my first had been who hadn't been left on !
Blood does flow quicker if Mama was in a position where she was over the baby (All fours or squatting). There will be back and fourth until the placenta starts to detach. Regardless of what position though, wait for cord to stop pulsing and you're good!
This makes total sense !! Thank you !❤
What can you do if the cord was cut despite the request of the parents?
Sue they ass
Lawsuit
I love her . Thank you for being you. Bless your ❤ 🤍 💙
Thank you Penny for this wonderful information. I truly believe
Thank you so much for posting this most helpful video! Bravo.
Thank you for taking your time to share this information. My baby had the cord clamped right after birth, I wish I knew better back then but I will be better prepared next time. They apparently had to clamp it right away as I was loosing too much blood ... not sure :)
Thank you! Are we able to wait for cord blood to transfer and also have enough cord blood left over after to store in a cord blood bank?
Kalina, it may be possible to achieve some amount of delay. This a question for your particular cord blood banking company that you are planning to work with.
If you allow all the baby's blood, and stem cells, to get to it, before clamping, why the need for stem cells?
The diseases that show up later in life, that stem cells could help, are caused by something. Let baby have their best start.
Great video, and I'm going to share this! One question for Penny - What about doctors who insist that the baby must be held at or below the level of the placenta while the cord remains intact, rather than placing the baby on mother's chest?
Hi Penny, I desire to share your video on a comunity for pregnants in my country. Im brazilian. I translate this video on caption tube, but to publish this caption we need that you aprove first. I have the file .sub with translate, if you interesting in publish with caption in portuguese, I can send you.
thankyou so much!
What a sympathetic lady!
I'm glad I now know why this is important.
Penny is such an amazing lady
Give a strong opinion? I love that great video
wisdom speaks...thank YOU ..Penny! Brilliant...sharing!!
Does baby have to be held below the placenta for this to actually work? This is what our doctors are telling my doula clients. ACOG says yes but doctors else where and midwives say no. What's the truth?
No, research shows that babies receive the same amount of blood from the placenta when held by the mother or down lower.
How does this affect if I'd like to have my baby's blood banked? Can I still have a delayed cord clamping and also have the blood banked?
So glad that I have homebirthed my 3 Children (even the one where there were some problems and we had to rush to the hospital after). Only one had a very tiny bit of jaundice that only lasted for maybe 3 days. I wish midwives would get paid better -- such an important investment in your kid's future...
Wow this is crazy ,yes this is clear ...I want to do this for my future children glad I heard this .
If having a csection, is delayed cord clamping reasonable to request?
Hello, what do you mean by "high" levels? I'm 3 months pregnant and I'm AB-, while the dad is A+... thanks for your time :)
How does this work during a C-section? I am scheduled to have a C-section in 7 days (Nov. 25) and does the same thing take place or is this only related to a vaginal delivery? I was unconscious during an emergency C-section when my 2 year old daughter was born so I have no idea what they did or how that works..
Yes, during a C-section the cord is cut immediately out of necessity. The baby is missing 1/3 of it's total blood volume by default during C-sections. It's best to avoid C-sections like you would avoid a massive tear wound to the stomach.
Alexander Doak The cord does not have to be cut instantly after C section - if you ask for delay and you remind them at the time the baby is delivered then it can happen and has happened. Even here in Townsville, Australia, it has been allowed on parent's request. So long as mum is fine and baby is fine then it is ok and baby can be delivered to mum for skin to skin and for the cord to stop pulsing before anything more is done.
I support delayed clamping but I was wondering about ABO incompatability? I delayed with my first who turned out to be a different ABO group & she had "high" levels. Should you still delay if there is a chance of ABO incompatablity?
All hospitals should have one of the New LifeStart Neonatal Resuscitation Unit from Inditherm, in the delivery room!
very ease to understand, and useful, Thank!
Thank you, Penny!
Sadly, as a doula, I see doctors cutting the umbilical cord immediately even if the mother expresses her wishes.
That's so sad...😢
No, you cannot do both. But it is better to give your baby a better chance in the beginning of life than to save it "just in case". Of couse, if you have another child that is in need of a stem cell transplant, then by all means, bank it. But when my son had leukemia, we were told that even if we had saved his cord blood at birth we couldn't use it for him because he'd still be getting mutated genes.
Thankyou Penny for this great explanation!❤️ Sub and like:)
I am almost 31 weeks and being seen at big hospital, i really hate it. They scurry you around like an assembly line, no one ever has enough time for all your questions, the nurses are mean one of the Drs I've seen there is just EVIL.. I wish I would have found a midwife instead as so many woman have had good experiences.
My friend gave birth at that same hospital and tells me they went against her request and clamped her babies cord anyway.. I'm mortified:( I'm sure i am too late to switch practices now:(
This is interesting. Thank you.
I have encountered physicians like this. Some of my clients choose to let the doctor hold the baby below the belly instead of immediate skin to skin to get the benefits from cord blood.
Clearly, not ideal. But we can change things one birth at a time.
Thank you very much.
Thanks ! 🍷
wonderful!
@triciam510 you can even request a lotus birth. there is nothing to stop you having dcc with a c section.
I have here bottles of baby blood!
This is some Elizabeth Bathory stuff!
Do yah tell her
Amazing. Sharing widely.
My 4th child -- he was having heart decels. The doctor on call at the time clamped the cord immediately and forced my husband to cut right away instead of allowing the delayed cord cutting. I was very mad at this doctor.
Amazing!!!!! Thank you :)
This is controversial. Different methods of placental blood collection are required and there is great interest in developing ways to extract enough placental blood after delaying clamping. Search the web for "cord blood withdrawal without clamping" to see alternative ways that caregivers are using. Research is needed to determine best ways to accomplish this. Also visit Science & Sensibility blog (tag: newborn immune system) for several excellent posts.
Interesting
Also see science of mom .com why-consider-delayed-cord-clamping
You must create a birth plan and insist the hospital stick to it. If not, find a hospital that will. If they're unwilling to meet your needs, they don't need your business. Better yet, plan to birth outside of the hospital. This can be more expensive, but is much safer for you and your baby if you're low risk, due to all of the unnecessary procedures, poisonous drugs and GERMS that can't be killed in hospitals.
You need more than two minutes. At least an hour.
No, I always clamp below 30 seconds and it is totally fine
I have heard that hospitals trade uteruses, is that true? Where else the stem cell business would get these cells?
Also seems to me the baby would be more likely to develop anemia if he's not getting all the blood he should be.
Longer than 2 minutes is not recommended. I’m sorry but my second child the midwives waited until the cord stopped pulsing and she had such a high hematocrit level and swelling when she was admitted to the Nicu. The nicu doctors told us the cause of these was waiting longer than 2 minutes to cutting the cord. I’m glad we did not wait as long with our third child otherwise his bilirubin would have been higher than it already was at birth. Ultimately parents must do what they feel is best for this children.
Hi Pryopan - i think your experience is interesting but it is not mirrored by the research. Some babies are polycythemic. Delayed cord clamping is not associated with increase in NICU admissions, just potential for need for phototherapy. the now definite recommendation across most places in the world, and certainly advocated by leaders in perinatal care - is to wait at least a minute and that there is no rush. in fact - 2 minutes in several studies is not even considered delayed. Cord pulsation can be felt in the cord stump after the .cord is clamped. it does not reflect cord transfusion. It is better to wait at least 5 minutes for the full transfusion to be completed.
Exactly thats what my main concern would be with delayed cord clamping, volume overload, transfusions can happen if baby needs it, but if the baby has too much blood from delayed cord clamping that may be worse than the alternative.
"too much blood" is not a thing
I can only give information doctors put in her file.
I agree, that's the hardest part when doctors don't use current evidence :) it's also hard when each case is different because our levels of normal are set by our first experience, so we tend to think that X is normal and y or z is really strange!
I would lean more towards the belief that you are "over-filling" the baby with blood if you allow all of that extra blood to all of a sudden be introduced into the babies body! If the baby has been operating for 9 months with the "extra" blood in the placenta couldn't forcing it into the baby right after birth lead to complications like high blood pressure and hyper-ventilation? Again, I'm not trying to upset anyone - I just want to know more information.
I'm sorry but can you please explain your reasoning on how natural delivery from the placenta to the baby through the cord is "forcing" the blood into the baby. ? 🤔 Before hospital based procedures became the norm delayed cord clamping was practised along with bringing the baby to the breast to assist in triggering the signalling hormones for delivery of the placenta.
One of my daughter's in law 9 years ago due to the "time factors" was subjected to the horrific process of having the placenta physically ripped out of her resulting (of course) in horrendous haemhorraging. No responsibility for her near loss of life was accepted by the staff or hospital involved as it was explained as "an unfortunate result in a trial of a new procedure"
You haven't really proved anything or made a good point with this video. I don't say this to offend you, but all you are saying is that the baby gets more blood and you are assuming this is good/important. Where are the facts about how this additional blood is actually needed by the baby? Obviously if that "extra" one third of the blood is in the placenta the baby survived without it during the entire 9 month pregnancy. What makes you think that all of a sudden it is a problem to not have it?
lol at the the time of this comment , there was research supporting that extra blood could decrease the chance of anemia at 4 - 6 months of life. Interestingly, 13 years later, my textbook says there no uniform agreement about this practice. As an RN student, I thought this video was awesome, thank you Penny ❤🪽
If having a csection, is delayed cord clamping reasonable to request?