|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Birth PlansFrom: Harrison Sheld (hsheld@accessnv.com)Sun Jun 22 10:38:22 1997
Regarding waiting for the cord to stop pulsating before clamping. I think this makes physiologic sense because it allows gradual shunting of blood flow from fetal circulation to infant circulation with the initiation of respiration. If you look at the faces of the newborn if you clamp the cord right away they do grimace, and I am not sure if this is painful to them or not, but I would rather err on the side of gentleness. That is there is no emergent or distress situation. Also, holding the infant below the level of the placenta while waiting for the cord to stop pulsating may increase bilirubinemia down the line. Most term newborns can probably handle it but I wouldn't chance it with pretermers or otherwise at-risk newborns. At one time we used to milk the cord toward the infant before clamping. And before that I can remember not clamping the cord, but delivering the placenta and hanging it above the resuscitating unit to transfuse as much blood as we could into the newborn. That was a long time ago.
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Dec 2 05:20:04 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.