Childbirth practices, protocols, or "standards of care"
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fetal to postnatal circulation

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Contact: Eileen Nicole Simon
eileen4brainresearch@yahoo.com
Apgar scores of
8, 9, or 10
Published
protocol
WAIT A MINUTE
Cochrane Review
Comments on the
Cochrane Review
<<
>>
Slow birth
Dr. Philip in his reply to our letters in response to the "WAIT A MINUTE" article
cites the Cochrane Review on umbilical cord clamping, the summary of which is
copied below, along with a link to where the full report can be obtained.
>>
Note that the review begins with the premise that umbilical cord clamping is the
normal thing to do, and to do within seconds after birth; and, that early clamping
allows immediate resuscitation of the infant, as if this is routinely required.  The
Cochrane review only includes investigations more recent than 1965, thus misses
the important results of research done when most obstetricians believed it was
important to wait for pulsations in the cord to cease.
Scroll down to the authors' conclusions:
"Delaying cord clamping by 30 to 120 seconds, rather than early
clamping, seems to be associated with less need for transfusion and
less intraventricular haemorrhage. There are no clear differences in
other outcomes."
But, what outcome could be more important than preventing
intraventricular hemorrhage (i.e. permanent damage within the brain)?
The "plain language" summary at the end states that "delayed" cord clamping for
babies born early improves their health.  Explanation is then given that transfer of
blood from the placenta to the lungs takes place if the cord is left "unclamped."
Posted: February 27, 2006
(a work in progress)
<<< 6e  >>>
Cochran Review abstract:
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