Re: Cord clamping/autotransfusion (was malpractice questionnaire)
From: Joe (forcep@intercom.net)
Fri Jun 29 18:31:42 2007
Good grief! Thank goodness its Friday. Joe C
fran wilson wrote:
> Have any of you heard of "lotus birth" which apparently involves never
> cutting the cord and just carrying around the placenta with the baby
> until it drops off by itself? A little much for me, but gaining
> popularity (along with "freebirthing") in some populations in Washington
> State.
>
> http://en.wikipedia.org/wiki/Lotus_Birth
>
> PEACE,
> Fran Wilson ARNP
> Certified Nurse Midwife
> www.wildrosemidwife.com <http://www.wildrosemidwife.com/>
>
> ------------------------------------------------------------------------
> From: Bernard Cristalli <bcrist@club-internet.fr>
> ------------------------------------------------------------------------
> Reply-To: ob-gyn-l@obgyn.net
> ------------------------------------------------------------------------
> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
> Subject: Re: malpractice questionnaire
> Date: Thu, 28 Jun 2007 10:17:20 -0500
> We had a baby's death in this country following "new age" birth in
> these very conditions. The baby has been bled to death.
>
> Bernard
>
> Raymond Stephen wrote:
> >It doesn't seem possible for the baby to transfuse the placenta by
> >putting it above the placenta. There is active heart pumping and
> >venous return, and the pressures in arteries and veins are going to
> >stay much the same whichever is higher. If you leave the cord
> >unclamped for two minutes you will be surprised at how little blood
> >is left in the cord, and it seems physiological for the transfer
> >always to be from placenta to baby. After all placental arteries,
> >which lead to the baby, are pumping for a while after delivery.
> >
> >Steve
> >
> >-----Original Message-----
> >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
> >Bernard Cristalli
> >Sent: Thursday, 28 June 2007 10:42 PM
> >To: Multiple recipients of list OB-GYN-L
> >Subject: Re: malpractice questionnaire
> >
> >Right.
> >Don't milk the whole cord, only a bit, the portion you anyway empty
> >before cutting.
> >Just empty it toward the child.
> >Bernard
> >
> >R. Daniel Braun a écrit :
> >
> >>Just remember that this can put some premies into heart failure.
> >> Dan
> >>
> >> On 6/28/07, *Bernard Cristalli* <bcrist@club-internet.fr
> >><mailto:bcrist@club-internet.fr>> wrote:
> >>
> >> Easy.
> >> You have to "milk" the cord toward the baby before cutting it.
> >> That's a most simple autotransfusion. Anyway, when you leave
> >>the
> >> baby on
> >> the mom's stomach above the placenta it's the child who
> >>transfuses his
> >> placenta.
> >> BC
> >>
> >> ljmidwife@aim.com <mailto:ljmidwife@aim.com> a écrit :
> >> > So the malpractice carrier is implying that you need to
> >>obtain cord
> >> > blood gases on every baby?
> >> > That means that the cord must be cut ASAP after the birth to
> >>obtain
> >> > the needed cord section.
> >> > How do they square this with the emerging research which
> >>recommends
> >> > delaying cord cutting for 2 minutes to allow blood in the
> >>cord and
> >> > placenta to be transferred to the baby's circulation to
> >>prevent
> >> > newborn anemia?
> >> >
> >> > It would seem they are requiring you to create a situation
> >>that
> >> could
> >> > be harmful to the baby.
> >> >
> >> > Linda Johnson,
> >> > CNM
> >> > www.mothersownbirth.com <http://www.mothersownbirth.com>
> >> > Temperance, MI
> >> > 1-866-920-8100
> >> >
> >> > "Not to know is bad. Not to want to know is worse.
> >> > Not to hope is unthinkable. Not to care is unforgivable."
> >> > --Nigerian saying
> >> >
> >>
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> >>
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> >>--
> >>R. Daniel Braun, MD FACOG(L) CMT
> >>Professor Emeritus
> >>Dept. of Obstetrics and Gynecology
> >>Indiana U. School of Medicine
> >>
> >>R. Daniel Braun
> >>
> >> "Science without Religion is LAME; Religion without Science
> >>is BLIND"
> >> Einstein 1941
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