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Re: Decision favors girl hurt at birthFrom: David Priver, MD (dpriver@aol.com)Sat Feb 28 09:48:04 2004
There's very little that's easier than double-clamping a cord at birth. Just put on two Mayo clamps or similar about 6 inches apart. Takes only a couple of seconds. Set the specimen aside and wait to see how the 5 minute apgar looks. I believe you can wait up to 30 minutes to decide whether to send it. Remember that ACOG/AAP's recent document on neonatal encephalopathy basically says that if cord gasses at birth are normal, then no one can come back years later and testify that the baby's CP was due to asphyxia neonatorum. Seems to me like a very cost-effective thing to do. At Fri, 27 Feb 2004, DoctorJoe@aol.com wrote: > >In a message dated 2/27/04 17:02:10, eramirezt@coqui.net writes: > >> You only need 2.. or a sponge holder or even a needle holder - or >> another cord clamp - >> >And I thought there were ample reports to say that taking a blood gas from >the PLACENTA even up to 30 minutes after delivery would give you good value . So >there's no excuse because of lack of numbers of hands. > >Joe P.
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