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Re: umbilical cord cutting

From: R. (anonymous@obgyn.net)
Wed, 28 Apr 1999 13:04:48 -0500 (CDT)

At Wed, 28 Apr 1999, Laurie wrote: >
>I'm looking for the information on immediate umbilical cord
>clamping/cutting versus waiting until it stops pulsating. What is the
>standard practice and why?

This issue has been debated by Obstetricians for years. My conclusion is that it probably doesn't make much difference in the vast majority of cases. In a premature, delaying the clamping may allow an extra largge amount of blood from the cord and placenta to drain into the baby and cause it to have heart failure. At term it makes no real difference. If the baby is in trouble or has meconium present then the cord needs to be clamped and cut right away so that the Pediatricians can do their thing. 

--
R.Daniel Braun, MD  FACOG
Clinical Professor of Obstetrics and Gynecology
Indiana University School of Medicine
Indianapolis, IN
                                      "Heisenberg might have slept here."
                                          Unknown or maybe Indecisive                                               Unknown





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