Skip to main content

Don’t clamp umbilical cords straight after birth!!!!!


Don’t clamp umbilical cords straight after birth, urges expert

Personal view: Why do obstetricians and midwives still rush to clamp the cord?
 Obstetricians and midwives should wait a few minutes before clamping the umbilical cords of newborn infants so that babies are not harmed by the procedure, argues Dr David Hutchon in an article published on bmj.com today.
 Hutchon, a retired consultant obstetrician from the Memorial Hospital in Darlington, says it’s time for the UK to follow guidance from the World Health Organisation and the International Federation of Gynaecology and Obstetrics and refrain from early cord clamping.
 Despite evidence for the benefit of delayed cord clamping, clinicians in the UK seem reluctant to change their practice, he says, and the UK National Institute for Health and Clinical Excellence (NICE) is not advising them to do so.
 One explanation for the apparent resistance of clinicians to follow the evidence is that that cord clamping “has become the accepted norm so much so that delaying clamping is generally considered a new or unproved intervention,” he writes.
 Yet he argues that “applying a clamp to the cord is clearly an intervention, having the greatest effect when it is done quickly after birth.” And he fears that babies might be injured by very early clamping, for example they could experience severe blood loss (hypovolaemia).
 He adds that two popular pregnancy information books both imply that delayed cord clamping is the norm and explain the advantage to the baby of delayed clamping.
 Hutchon believes that if the need for early cord clamping was removed from NICE’s guideline, “there could be an overnight change in practice.”
 He concludes: “Clamping the functioning umbilical cord at birth is an unproven intervention. Lack of awareness of current evidence, pragmatism, and conflicting guidelines are all preventing change. To prevent further injury to babies we would be better to rush to change.”

Labels

Labels:

Comments

  1. write with usApril 5, 2019 at 11:41 PM

    Umbilical cord which will help over the exchange of nutrients, wastes ,oxygen over these cords baby as well as blood of the mother does not mix with the baby these cord tend to have 2 arteries which will carry blood that contain waste from baby to placenta they are about to have vein that are about to carry nutrient as well as oxygen Opens up Gynecologist In Adambakkam .

    ReplyDelete

Post a Comment

Popular posts from this blog

Final lunar eclipse of 2010 set for early morning of December 21

Skygazers hoping to catch the last lunar eclipse of 2010 on Tuesday morning best be ready to stay up late (or wake up very early) to watch the full moon as it goes through a range of dramatic color changes. The December 21 lunar eclipse is expected to last about three-and-a-half hours from its start as a partial eclipse at 1:33 a.m. ET to its finish at 5:01 a.m. ET, according to NASA. The previous lunar eclipse occurred June 26 . During a lunar eclipse, the moon, the Earth, and the sun align so that the sun's rays are shielded from the moon. An eclipse of the moon can only take place if the moon is full, and only if the moon passes through some portion of Earth's shadow, which is composed of two cone-shaped parts, one nested inside the other. The start of the total eclipse is expected around 2:41 a.m, when the entire moon passes through the Earth's umbra, or inner shadow, which blocks all direct sunlight from reaching the moon. The moon will tak...
Post a Comment
Read more

Hand, Foot and Mouth Disease (HFMD) and Onychomadesis

  Introduction Nails are underutilized as diagnostic tools, despite being involved in many dermatologic conditions. This paper explores new concepts in the treatment of median nail dystrophy (MND), onychomycosis, and the nail pathology of hand, foot, and mouth disease (HFMD). A Pubmed database literature search was conducted for MND treatment, onychomycosis treatment, and HFMD nail pathology. Only papers published after January 2008 were reviewed. The results showed that 0.1% tacrolimus ointment can be an effective treatment for MND. Early studies on laser therapy indicate that it is a safe and efficacious treatment option for onychomycosis, compared to conventional oral antifungal agents. Vicks VapoRub (The Proctor & Gamble Company, Cincinnati, OH) is effective against onychomycosis and is a reasonable option in patients who choose to forgo conventional treatments. Lastly, there is evidence to support a correlation between HFMD and onychomadesis. ...
Post a Comment
Read more

Men With Breast Cancer Face Worse Prognosis

Men who are diagnosed with breast cancer are more likely than female patients to die in the next 15 years, researchers report. "This may be due to a difference in tumor characteristics and treatment," says study leader Hui Miao, a PhD candidate at the National University of Singapore. Male breast cancer is rare, accounting for less than 1% of all breast cancers in the U.S. Given its scarcity, few studies have assessed its prognosis "and we know of no recent studies looking at trends in survival," Miao tells WebMD. So Miao and colleagues studied 459,846 women and 2,664 men diagnosed with breast cancer in Denmark, Finland, Switzerland, Norway, Singapore, and Sweden between 1970 and 2007. Among the findings, presented at the San Antonio Breast Cancer Symposium: Men were diagnosed at an older age: 69 vs. 61 for women. Twice as many men had later stage III or IV disease: 18% vs. 9% of women. Only 25% of men were alive 15 years after diagnosis, compared with 44...
Post a Comment
Read more