Hoi Honey, I attend a lot of waterbirths and never clamp a cord until it stops pulsating or mostly not before the placenta is born. Yesterday I attended a waterbirth and the cord continued pulsing another 15 min after the birth of the placenta, 20 min after the birth of the baby. In thinking about fysiological birth you must start to think what happens in most mamals that birth on there own. Cordclamping is an intervention and has first to prove that it is better than not clamping instead of the other way of thinking. To get more scientific explanation you could contact Barbara Harper from www.waterbirth.org at [EMAIL PROTECTED] or Cornelia Enning from Germany who is also an expert on waterbirth at [EMAIL PROTECTED] Her website is http://www.hebinfo.de/. She speaks English very well and is also a speaker at the Midwifery Today conferences. Hope it helps
Lieve .----- Oorspronkelijk bericht ----- .Van: Honey Acharya [mailto:[EMAIL PROTECTED] .Verzonden: donderdag, november 16, 2006 10:45 PM .Aan: ozmidwifery@acegraphics.com.au .Onderwerp: [ozmidwifery] Cord clamping and waterbirth . .Can anyone help with Info for a friend of mine overseas .The paediatrician who has never attended a waterbirth before is saying that she would have to clamp right away because if the woman is holding the baby on her chest, the blood can flow back through the cord to the placenta increasing her risk of PPH. .Midwife has also never attended a waterbirth before. .Now I know that all the waterbirths I have seen in real life and on video the cord was not clamped, does anyone have some resources I can pass on? .Thankyou greatly .Honey .Student Midwife .Doula . ----- Original Message ----- . From: Mary Murphy . To: ozmidwifery@acegraphics.com.au . Sent: Friday, September 01, 2006 11:15 AM . Subject: [ozmidwifery] Cord clamping . . . Timing of cord clamping revisited - Journal of Perinatal Medicine , vol 34, no 4, 2006, pp 293-297 Levy T; Blickstein I - (2006) Although cord cutting has been performed since the beginning of mankind, the timing and advantages of early versus delayed cord clamping are still controversial. Early cord clamping (within the first 30 s after birth) is usually justified for potential prevention of postpartum hemorrhage and for immediate treatment of the newborn, but at the same time, may increase Rh-sensitization. Delayed cord clamping is performed after a period of 30 s during which 'placental transfusion' of approximately 80 mL of blood occurs. This amount seems to protect the baby from childhood anemia without increasing hypervolemia-related risks. In preterm infants, delayed clamping appears to reduce the risk of intraventricular hemorrhage and the need for neonatal transfusion. Obtaining cord blood for future autologous transplantation of stem cells needs early clamping and seems to conflict with the infant's best interest. Although a tailored approach is required in the case of cord clamping, the balance of available data suggests that delayed cord clamping should be the method of choice. (32 references) (Author) . . (my emphasis MM) . -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
