DH and delayed cord cutting

AmberMH08

I mentioned I wanted to ask the DR about if they would do a delayed cord clamp/cut...I explained to DH what the benefits were and all that... He was like eww are your crazy thats just wierd...So frustrating   yes it's not typical but anything that can help my LO be healthier is a good thing right??

mrs.dovey

majorwife:

dont assume that it is automatically good. DD1 and I have different blood types. She had severe jaundice and almost had to be hospitalized for it. If I had done delayed cord cutting, it would have been worse. i don't know how common this is and you can't predict it at all but just fyi

This

temporalrobe

https://jama.ama-assn.org/content/297/11/1241.short

 

Late vs Early Clamping of the Umbilical Cord in Full-term NeonatesSystematic Review and Meta-analysis of Controlled TrialsEileen K. Hutton, PhD; Eman S. Hassan, MBBCh[+] Author AffiliationsAuthor Affiliations: Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ontario (Dr Hutton); and The Child and Family Research Institute (Dr Hutton), Western Regional Training Centre for Health Services Research (Dr Hassan), and Department of Health Care and Epidemiology (Dr Hassan), University of British Columbia, Vancouver.Corresponding Author: Eileen K. Hutton, PhD, McMaster University, 1200 Main St W, MDCL-3101, Hamilton, Ontario, Canada L8N 3Z5 (huttone@mcmaster.ca).ABSTRACTContext  With few exceptions, the umbilical cord of every newborn is clamped and cut at birth, yet the optimal timing for this intervention remains controversial.Objective  To compare the potential benefits and harms of late vs early cord clamping in term infants.Data Sources  Search of 6 electronic databases (on November 15, 2006, starting from the beginning of each): the Cochrane Pregnancy and Childbirth Group trials register, the Cochrane Neonatal Group trials register, the Cochrane library, MEDLINE, EMBASE, and CINHAL; hand search of secondary references in relevant studies; and contact of investigators about relevant published research.Study Selection  Controlled trials comparing late vs early cord clamping following birth in infants born at 37 or more weeks' gestation.Data Extraction  Two reviewers independently assessed eligibility and quality of trials and extracted data for outcomes of interest: infant hematologic status; iron status; and risk of adverse events such as jaundice, polycythemia, and respiratory distress.Data Synthesis  The meta-analysis included 15 controlled trials (1912 newborns). Late cord clamping was delayed for at least 2 minutes (n = 1001 newborns), while early clamping in most trials (n = 911 newborns) was performed immediately after birth. Benefits over ages 2 to 6 months associated with late cord clamping include improved hematologic status measured as hematocrit (weighted mean difference [WMD], 3.70%; 95% confidence interval [CI], 2.00%-5.40%); iron status as measured by ferritin concentration (WMD, 17.89; 95% CI, 16.58-19.21) and stored iron (WMD, 19.90; 95% CI, 7.67-32.13); and a clinically important reduction in the risk of anemia (relative risk (RR), 0.53; 95% CI, 0.40-0.70). Neonates with late clamping were at increased risk of experiencing asymptomatic polycythemia (7 studies [403 neonates]: RR, 3.82; 95% CI, 1.11-13.21; 2 high-quality studies only [281 infants]: RR, 3.91; 95% CI, 1.00-15.36).

Conclusions  Delaying clamping of the umbilical cord in full-term neonates for a minimum of 2 minutes following birth is beneficial to the newborn, extending into infancy. Although there was an increase in polycythemia among infants in whom cord clamping was delayed, this condition appeared to be benign. 

AmberMH08

my son was early but didnt have much jaundice problems so i don't think that would be a problem i am O so im universal blood type..

MrsOjoButtons

Talk to him about placentophagy, then ask him about the delayed cutting in a couple weeks.

peeper72

There are times when this is contraindicated but in some cases it may be beneficial for the baby. As usual, best to discuss with your Ob.

Personally, I would ignore my DH on this one. He will be too pre-occupied to notice or care. 

 

MrsC0409

Did you read this in the economist? My husband read an article they had and now is interested in this too.

AmberMH08

my husband read haha do they have that article in video game form??

Pleione

Thanks for this. Similar outcomes came out of these Cochrane reviews:

https://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003248.pub2/abstract

https://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004074.pub2/abstract

temporalrobe:

https://jama.ama-assn.org/content/297/11/1241.short

 

Late vs Early Clamping of the Umbilical Cord in Full-term NeonatesSystematic Review and Meta-analysis of Controlled TrialsEileen K. Hutton, PhD; Eman S. Hassan, MBBCh[+] Author AffiliationsAuthor Affiliations: Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ontario (Dr Hutton); and The Child and Family Research Institute (Dr Hutton), Western Regional Training Centre for Health Services Research (Dr Hassan), and Department of Health Care and Epidemiology (Dr Hassan), University of British Columbia, Vancouver.Corresponding Author: Eileen K. Hutton, PhD, McMaster University, 1200 Main St W, MDCL-3101, Hamilton, Ontario, Canada L8N 3Z5 (huttone@mcmaster.ca).

ABSTRACT

Context  With few exceptions, the umbilical cord of every newborn is clamped and cut at birth, yet the optimal timing for this intervention remains controversial.

Objective  To compare the potential benefits and harms of late vs early cord clamping in term infants.

Data Sources  Search of 6 electronic databases (on November 15, 2006, starting from the beginning of each): the Cochrane Pregnancy and Childbirth Group trials register, the Cochrane Neonatal Group trials register, the Cochrane library, MEDLINE, EMBASE, and CINHAL; hand search of secondary references in relevant studies; and contact of investigators about relevant published research.

Study Selection  Controlled trials comparing late vs early cord clamping following birth in infants born at 37 or more weeks' gestation.

Data Extraction  Two reviewers independently assessed eligibility and quality of trials and extracted data for outcomes of interest: infant hematologic status; iron status; and risk of adverse events such as jaundice, polycythemia, and respiratory distress.

Data Synthesis  The meta-analysis included 15 controlled trials (1912 newborns). Late cord clamping was delayed for at least 2 minutes (n = 1001 newborns), while early clamping in most trials (n = 911 newborns) was performed immediately after birth. Benefits over ages 2 to 6 months associated with late cord clamping include improved hematologic status measured as hematocrit (weighted mean difference [WMD], 3.70%; 95% confidence interval [CI], 2.00%-5.40%); iron status as measured by ferritin concentration (WMD, 17.89; 95% CI, 16.58-19.21) and stored iron (WMD, 19.90; 95% CI, 7.67-32.13); and a clinically important reduction in the risk of anemia (relative risk (RR), 0.53; 95% CI, 0.40-0.70). Neonates with late clamping were at increased risk of experiencing asymptomatic polycythemia (7 studies [403 neonates]: RR, 3.82; 95% CI, 1.11-13.21; 2 high-quality studies only [281 infants]: RR, 3.91; 95% CI, 1.00-15.36).

Conclusions  Delaying clamping of the umbilical cord in full-term neonates for a minimum of 2 minutes following birth is beneficial to the newborn, extending into infancy. Although there was an increase in polycythemia among infants in whom cord clamping was delayed, this condition appeared to be benign. 

orange_roses

Whenever we make birth plans, I'd recommend being flexible and kind to ourselves and birth partner. 

 

We had it all worked out - DH would catch the baby, delayed cord cutting, delayed vitamin K shot and stuff in the eyes, immediate nursing, etc. But because of a cord wrapped tightly around our little girl's neck twice, it did not work out that way. It took us a while to get over that our perfect plan hadn't worked out. So this time, we will have our perfect plan, but work in how we will deal with other exceptions. 

 

mrs.dovey

AmberMH08:

my son was early but didnt have much jaundice problems so i don't think that would be a problem i am O so im universal blood type..

I too am O, but DH is A. Even though I am universal DS had jaundice because he is A. My dr. Said there is a high probability all of my children with DH will have jaundice with the O/A mix.

AmberMH08

thanks for the advice everyone