The umbilical cord has a crucial role in the development of your baby. It offers both the transport of nutrients from the placenta to the baby as well as the elimination of toxic metabolic substances. It also helps the baby breathe during delivery until his lungs will fill with air for the first time.
The late cutting of the cord at 2 or 3 minutes after birth will prevent iron deficiency and decrease the risk of neonatal jaundice.
Table of Contents
Anatomy of the Umbilical Cord
Umbilical cord is formed in the 5th week after conception, replacing the yolk sac as the source of nutrients for the baby. It`s attached directly to the placenta, not to the mother`s circulatory system, therefore decreasing the risk of transmitting some viral diseases from the mother to the baby.
The cord is composed of 2 arteries and a vein, protected by a gelatinous substance. The arteries transport the blood lacked of oxygen and nutritional substances from the baby to the placenta, while the umbilical vein supplies the baby`s body with oxygenated blood.
Until the end of pregnancy, the length of umbilical cord may reach up to 60 m.
History of Delayed Cutting of the Umbilical Cord
Before 1950s, early clamping was designed as a procedure performed in 1 minute from birth, while the delayed one over 5 minutes from birth. Currently, there isn`t a concrete definition of the conception of delayed clamping, therefore the interval varies a lot. For instance, Cochrane`s analysis has defined the delay of cutting the cord as 30 seconds or more after birth. The study performed by Van Rheenen has compared it at children born at term, recommending an interval of 3 minutes, except the case when the child requires an early intervention, a situation in which the recommendation is of 60 seconds (with the child between the mother`s legs). In a systematic research performed by Van Rheenen and Brabin, it was defined the concept of waiting until the cord ceased to pulse (the duration was of 305 seconds). Last but not least, a study has divided the births in 2 groups – 1 in which the intervention was performed at 1 minute and another one at 3 minutes. Taking into account these explanations, but also the opinion of midwives, it cannot be designated a standard measure, being a subjective and variable choice.
Current Recommendations on Umbilical Cord Cutting
However, studies and research in the past few years when it comes to umbilical cord cutting showed that the baby has a lot more to gain if the cord clamping is delayed.
So, keeping the umbilical cord for a couple of minutes after birth allows more blood rich in iron cord to be transported from the placenta to the baby. In other words, a quick cutting of the umbilical cord reduces the amount of blood that is transferred from the mother to the baby through the placenta, affecting the iron deposits from the baby`s organism. And the level of iron has a lot of importance for the brain development and, implicitly, the baby up to 2 years. – Click this web page!
In fact, now WHO and AAP recommends doctors to wait at least 1 minute before cutting the umbilical cord to decrease the incidence of anemia due to iron deficiency among babies.
A long time ago, it was believed that the cutting of the umbilical cord in only a few seconds after birth led to fewer complications, such as neonatal jaundice, polycythemia, postpartum haemorrhage or respiratory issues. The amazing evolution of medicine as well as the establishment of extensive clinical trials has overturned old practices and beliefs. – Learn more!
Here`re the 3 big categories of benefits of delayed cutting (preferably when it still pulsates):
- Bigger weight at birth, larger volume of blood, oxygen and nutrients.
- Larger number of red blood cells (including stem cells and cells of immunity defense).
- The risk of anemia is 50% more decreased, because the iron deposits are more numerous.
What`s Iron Good For?
Iron is essential for the brain development, having a crucial role in the process of myelination and the production of neurotransmitters. That`s why iron deficiency anemia can be associated with cognitive delay and behavioral issues.
Andrew Gallagher, a pediatrician at the Royal Worcestershire hospital from Worcester (U.K.), who adopted the delayed cutting method even from 2009, says that “the practice of early cutting of the umbilical cord is harmful, because it doesn`t offer the baby the opportunity of recovering the blood from placenta that later leads to iron deficiency, which in turn causes serious issues. Iron deficiency affects the brain and the small children`s ability of learning, who this way will become slower in some of their actions, like speaking or the ability to learn.” – Read this!
Most doctors continue to clamp the umbilical cord right after birth, no matter if we are talking about a C-section or vaginal birth. This particular practice is found in most hospitals around the world, although the recommendation that doctors should wait for 2 or 3 minutes before doing this procedure has appeared already for several years now.
Taking Care of the Umbilical Cord
After around 10 days from birth, the cord`s stump dries and falls, leaving behind a small wound, which will soon heal on its own. The region remains very sensitive, so you have to be very careful when washing or changing the baby`s diapers. – Read more about this!
It`s essential to keep the stump clean and dry. Fold the baby`s diaper under the belly button so that the stump is left exposed to the air and doesn`t come in any contact with the urine. To clean his skin, wipe your baby with a clean towel soaked in warm water. You could make his first bath after the fall of his navel.
In certain cases, instead of a stump, there`s a small, red scar tissue formed, also called umbilical granuloma, which generally heals on its own. At the very same time, you may see a couple of blood drops on the diaper. Don`t worry, it`s perfectly normal! Ask your pediatrician for advice if you are concerned about this.
Some doctors recommend mothers to apply compresses soaked in alcohol on the umbilical cord`s stump, once or twice per day. This practice is invalidated by the latest research, which has shown that healing occurs sooner, if the navel is exposed to air.
There are situations in which there`s an infection of the cord fragment occurred. Call your doctor immediately if:
- You notice traces of blood larger than 5 cm on the umbilical cord`s stump. – More details!
- You applied pressure to the navel twice, for 10 minutes, but the bleeding didn`t stop.
- There are red streaks on the navel.
- There`s red skin around the navel and the redness has a tendency to stretch even further on the abdomen.
- Rectal temperature of the infant is over 38° C.
9 Comments
ed pills comparison
A window repair service close to me can assist you in fixing your window that is broken. They’re equipped with the tools to fix even most minor holes and cracks in windows.
Good day! I could have sworn Iíve been to your blog before but after going through some of the posts I realized itís new to me. Regardless, Iím certainly happy I stumbled upon it and Iíll be bookmarking it and checking back regularly!
If you’re looking for window repair near me There are a few factors to consider prior to
deciding on the right company. First, ensure you choose a company
with an excellent reputation, and is licensed
and insure.
%%
You may need to have your windows fixed if you reside
in an old structure or are in an area that has many windows that are susceptible to being damaged.
The issue could be an easy case of wood that has rotted or an accident.
buy imitrex 25mg for sale – sumatriptan 50mg us sumatriptan online
Well I truly liked reading it. This information procured by you is very helpful for correct planning.
Thanks for your submission. Another element is that to be a photographer involves not only trouble in capturing award-winning photographs but in addition hardships in getting the best digital camera suited to your needs and most especially hardships in maintaining the quality of your camera. That is very real and apparent for those photography enthusiasts that are directly into capturing the nature’s eye-catching scenes – the mountains, the actual forests, the particular wild or perhaps the seas. Visiting these amazing places undoubtedly requires a digicam that can meet the wild’s unpleasant environments.