Glad to see this is finally garnering national attention. My wife and I waited until the cord stopped pulsing before clamping/cutting. We did plenty of research on the subject. Apparently doctors will say that it increases the potential for jaundice, but I believe the chance of that is very insignificant. It is more beneficial to wait. I put my trust in humans as a species and how we've given birth in the past. What did we do before humans invented clamps and forceps? We waited to sever the cord. I'm glad to see that in the past 5 years or so, birth has become less "clinical" and more "natural" ... like it should be.
I never understood why they snipped the cord so fast either. In all the pamphlets about what to do if you give birth before making it to a hospital (speaking of accidental home births), they instruct you NOT to cut the cord.
My baby passed a lot of meconium before birth, so she was not able to breathe. They were in a rush to cut the cord, and THEN they started clearing her airways. I always wondered why they didn't clear the airways first. Why not make sure the baby is getting oxygen from Mom as long as possible? Why cut off their oxygen supply before establishing the new one? I'm not a medical professional. But on the home birth tapes I've seen, they don't cut the cord for a long time. I had complications that prevented a home birth, but I don't understand why hospital policy differs so greatly.
Never heard the jaundice reason. Perhaps it has merit.
I don't understand why hospital policy differs so greatly.
It pretty much boils down to "time is money." The longer doctors have to "wait" the less money they make. It's easier and more beneficial for them to quickly cut the cord, hand the baby off to the nurses, and move on to the next one.
The Business of Being Born is a great documentary that brings to light some interesting issues with parents wanting natural births and hospitals/medical professionals getting in the way.
Uncanny how it takes decades of research and wasted resources to simply acknowledge that nature knows better. Simply put, this is common sense. What will they confirm next, that the moon is our nearest natural satellite? Sadly, many ob's will continue to disregard this finding and keep on snipping as soon as they see the cord. Hooray for homebirth, we make our own decisions regarding the way we want our children to come into the world.
I delivered all my 3 children at home, with a certified nurse midwife, in the late 70's, early 80's. I knew about this back then. This is not new data. I had a backup doctor and did the hospital tour just in case I did have to give birth in the hospital. The hardest part was finding a pediatrician who would examine my child within 24 hours of birth...no one wanted to risk a lawsuit.
Americans have way too much intervention in births. The medical community has scared parents into believing you should only give birth in a hospital. More than 90% of all birth are normal and most complications are known beforehand. More babies die in American hospitals than in many 3rd world countries home births.
That's a great suggestion, but how about stopping the widespread practice (in the U.S., at least) of forced genital mutilation on male babies? As it is, you can hardly say birth has become more natural... at least not for the majority of U.S. born males. I was harmed by this practice, and would rather not be mutilated.
This would be even more beneficial and just as easy.
Circumcision, or as you said, "forced genital mutilation on male babies," is not mandated by law. Every parent, except in cases of religious custom, makes the choice for him/herself.
I know someone who was circumcised at age 22. He did it because his fiance demended it. He said it was horrible in the short term and in the long term, the dumbest thing he's ever done.
That was 26 years ago and he maintains today that it was the dumbest thing he's ever done and claims it greatly reduced his ability to enjoy sex. This was a part of why I chose not to have my son circumcised.
On the lighter side, he and his wife are still together.
Yeah, I'd force my fiance to get himself circumsized too, if he wasn't already. There have been studies done that say that an uncircumsized male has a higher risk of Urinary Tract Infection, Penile Cancer, and a higher risk of getting a sexually transmitted disease during unprotected sex. Oh, and an uncircumsized male has a higher chance of acquiring and transmitting the human papillomavirus that is responsible for most cervical cancers. You never know what little nasties are hiding under that flap of skin. Ew. She was a smart girl for getting him to do that. He should be thanking her, I think.
You GENITAL MUTILATION advocates are missing the point. There are 170 types of bacteria that live on the skin. So you're telling me a parent should have the right to permanently disfigure their child for a very slight reduction in bacteria. That's stupid.
I guess I need to use capitals to emphasize, because you don't understand that circumcision leaves every male who went through the painful procedure with a SCARRED PENIS.
Please, by all means go ahead and give me your justification for giving men a scarred penis for life. Tell me about your idiotic 3% reduction of some statistic. Oh, and that "little flap of skin" is a double layered piece of skin with many nerves, blood vessels, and muscles... not that circ advocates have the mental capacity to understand that. You can't give any logical justification - it isn't possible.
As an L&D RN, I agree!! We need to let the cord complete its purpose. It was designed to continue to transfuse the baby immediately after birth. Too frequently, the doctors need to hurry and get back to the office so they can make more money, and anything that adds extra time to that (even a few minutes) is not tolerated.
It is beyond me to imagine why it takes an obstetrician (a skilled surgeon) to clamp and cut an umbilical cord--any five-year-old can use a pair of scissors! Aside from the slim possibility that the parents will feel that their doctor has not earned their exhorbitant fee for showing up when the baby is crowning by not participating fully in the separation of baby's body from mother's, why on earth can't the L&D RN place the clamps and allow father (or other family member) to cut the cord, having waited until mother and baby are ready for them to do so (what a concept!) This has the double advantage of forcing any resuscitative efforts (less likely with an intact cord) to take place with baby on or close to mother and keeping baby in the place most effective in assuring her/his well-being and encouraging breast crawl and breastfeeding.
So what is supposed to be done with the baby from the time it's born to the time the cord should be cut? Does the doctor just hold it until the cord is finished "pulsing"? I thought the whole point of the cord being cut right away is so it could be cleaned up, bundled, and handed to the parents ASAP.
I'm guessing you've never had a baby, Jane. Both of my children were placed immediately on their mothers chest after emerging into the world. I cut the cord myself while they were on her chest.
Unless there is a problem with the child at birth i.e. difficulty breathing, bad color, abnormal heart rate etc, there is no reason the child cannot remain on their mother until the cord is cut.
Both my daughters where handed to me after birth and I placed them in their mother's arms. Maybe I got them first because I was the Director of the ER. Never really thought about it. Circumcision I have no thoughts either way other then an uncircumcised man has extra cleaning issues. I am one who believes why interfere with nature it usual right. I had daughters and this was never an issue. I will say if it improves sex life then if I was uncircumcised I would died from a heart attack 1,000 times over.
My daughter was born in the birthing tub and they handed her to me...she layed on my chest with a warm towel on her and half in the warm water until the cord stopped pulsing and after the placenta was delivered from me.
One of my kids was rushed off for emergency care after birth, and I didn't see her for almost an hour. She arrived clean and swaddled. But the other was placed on my chest immediately after birth. The cord was cut right after that, while he was still on my chest. He had not been cleaned up, and was still messy and slimy when I got him. It's not necessary to hand Mom a clean baby. Really, after nine months inside and who-know-how-long in labor, she really doesn't care if he's a little gooey and still attached.
Thanks everyone for your responses. No, I haven't had kids yet. And no offense, but holding a baby right after it has been born and not been cleaned, etc. sounds gross. I know, I know, you'll say I'll think differently when I have my own kids, but believe me I'm hard-headed and will not. As long as I know the baby is OK, there is no reason to hold him/her right after he/she comes out. I can wait a few minutes until they at least clean her! Then again, hearing more and more about the birth process makes adoption look better and better. :)
Hey child birth is natural. Everything that is on the baby comes from you. Are you dirty, nasty, or gross? Then how could what is on your child be? The first couple days after birth the baby passes greenish brown material that they should use as an industrial adhesive or biological weapon it called meconium. That is memorable. Back to the first subject as a nurse it did not bother me and my wife was raised on a farm so it was not gross to her. Just be thankful that humans don't consume their placenta like animals do.
Nature's intricate design for survival and well-being of babies after birth includes a role for the fluids on the baby's body. A research study showed that if they wiped off a baby's hands and/or the mother's nipples, and placed the baby on her belly, the baby was unable to find its way to her breast, latch on and begin to nurse. The smell and taste of amniotic fluid on baby's hands is apparently similar to the fragrance of mother's nipples (or to the breastmilk therein) and babies use these smells to help them find the breast and latch on. Meanwhile, the little stepping movements their feet make on mother's abdomen help the uterus to contract and heal the place where the placenta detached, preventing hemorrhaging. Many mothers virtually swoon over the smell of their newborn baby's head and I think these smells contribute to the falling-in-love that happens immediately after birth. Also, mother and baby's oxytocin peaks at delivery and gradually subsides over the next hour, so the time immediately after birth is optimal for bonding and attachment between them--you wouldn't want to waste that precious oxytocin peak (higher than at any other time in life) have all the cueing smells washed off the baby by a stranger. Rightfully, the first person to touch a newborn should be the mother, or at least the father, and many midwives and OBs allow father to catch the baby and give it to the mother, symbolically repeating the sequence that brought the baby into being nine months previously. The first person touching a baby with their skin should be the mother, because she will immediately begin colonizing the baby with her healthy bacteria, providing much-needed immunity. Research recently showed that babies born by cesarean are colonized by completely different (and therefore less friendly) bacteria than babies born vaginally. So, JanieJane, the doctor should not be holding your baby, you should. And those first moments after birth allow mother and baby to catch their breath after the momentous event that just took place, and to begin gazing at each other and discovering this person they have known so intimately for the last nine months. The time should allow everyone to slow down to the baby's pace, while baby's physiology has time to transition from pre-birth to breathing separately. In fact, the extra blood transfused to the baby by waiting for the cord to stop pulsating is thought to help the baby's lungs expand in readiness for that transition.
I don't have a medical education nor anyone in my family but I've known this for years. I read up on being a midwife when I was younger and it specifically stated to wait until it stopped pulsing. I guess I always assumed that the doctors were waiting until it stopped.
I am so glad they published this. My daughter was born with a midwife and they did not cut the cord until it stopped pulsing. OBs should go back to the basics of child birth and study the natural birthing techniques of midwives. A "natural birth" does not involve a c-section or an epidural.
I'd rather have a C-section than a natural stillbirth. There are plenty of times when C-sections are better, even though vaginal delivery is best for uncomplicated births. Doctors know this and advise what is best. Natural isn't always best. And what do you care if Mom wants an epidural? Those are bad recommendations to unilaterally demand from OBs. Luckily they are moving away from actual bad practices, like episiotomies and supine positions for delivery. They aren't indiscriminately stopping C-sections or epidurals because there's no reason for it.
There are plenty of times when C-sections are better, even though vaginal delivery is best for uncomplicated births.
C-sections started out as emergency/last resort procedures and have unfortunately become a matter of convenience (elective Cs). Many women don't realize that a C is a MAJOR surgery that comes with HUGE risks, not only to the mother but to the baby.
Doctors know this and advise what is best.
Unfortunately many doctors usually advise what is best for THEM, not what is best for the parents. Studies have shown that most C-sections are done at certain times of the day usually right before work shifts end. Why, you ask? Because doctors want to go home. Tell me how that benefits the parents or the child.
Natural isn't always best. ... They aren't indiscriminately stopping C-sections or epidurals because there's no reason for it.
I trust millions of years of evolution more than I trust the recommendation of an intervention-happy doctor. Perhaps the practices should not be completely stopped, but they shouldn't be used as frequently and arbitrarily as they are now.
Uh... "millions of years of evolution" included regular stillbirths and maternal deaths. That's not the experience I want out of childbirth. If "natural" isn't going as planned, I stop trusting it.
My doctors were very hesitant to perform C-sections. My first doctor only performed them as emergencies, or if the placenta was blocking the cervix (delivering the placenta first is a guaranteed stillbirth). My second doctor also offered them to women whose babies were breech, citing studies that suggested IQ was lower in 5-year-olds who were born breech. I've never encountered the "rush" mentality. My first doctor refused to induce labor even though my child was 2 weeks overdue, because she said natural labor was easier on mom and baby. She didn't induce labor until 18 hours after my water broke and the baby was showing signs of distress. (She was right... induced labor was he11, as I discovered after having a much easier natural birth with my second child. But in this case, it was necessary.)
I'm not surprised that most C-sections occur at specific times of day. Labor inductions are usually scheduled at 6:00 a.m., so that moms can labor during the day and deliver at the end of the day. C-section schedules probably use a similar logic, aiming for moms to give birth at the end of the day. Why not? What's the harm? Unless, of course, you are suggesting that emergency C-sections are performed just before clock-out time. Crucial difference.
Usually when "natural" doesn't go as planned, it's because doctors are rushing things. Inducing early, breaking the bag of waters early, stripping the membranes -- these rush women down the intervention and c-section path. Oh, but thank GOODNESS the doctors were there or else the woman and child may not have survived! *sarcasm* The truth of the matter is that if doctors just let nature take its course more often, there wouldn't be as many issues with labor complications. There's an old saying that goes: it's better to "go WITH the stream, not AGAINST the stream." Well doctors like to go "against" the stream of nature.
I'm glad to hear that your doctors were not c-section happy. Unfortunately many doctors are. I'm not referring to c-sections that are scheduled. I am indeed suggesting that many "emergency" c-sections are performed at the convenience of the doctors, not for the safety or benefit of mother and child.
The Business of Being Born is a great documentary that describes the battles between women wanting a natural birth and doctors and the medical industry fighting to keep it "clinical." There are also other great resources and books out there if you're interested in the subject. Obstetric Myths Versus Research Realities is a good one.
Interesting. I encountered the opposite with both childbirths. The water broke naturally, at home, with my first child and I waited around in the hospital for 18 hours requesting labor induction, but the doctor refused until it became obsolutely necessary. I had an epidural after 4 excruciating hours on Pitocin.
My second labor progressed naturally, and I hit 9 cm before I got to the hospital. I asked for the epidural, since it was such a relief with my first labor, but my doctor refused because I was "so close" to delivery this time. Well, 10 hours later, I was just exhausted and he still wasn't born. It wasn't as bad as Pitocin-induced labor, but it was still horrible. I had several nurses examine me and confirm that I was actually at 9 cm, but the bag of waters was holding things up. I asked them to break the waters, but they refused for 6 hours!! Finally my doctor gave in and broke the waters, and I was ready to push immediately. He was born 20 minutes later. I spent 6 hours laboring at 9 cm just for the sake of doing things "naturally."
Sounds like your doctor was not at all compassionate. There are good doctors and bad doctors. My first born was delivered by doctor and my wife while not having a difficult labor had a prolonged one. The second one was done by a certified midwife. The amniotic sack ruptured just before the baby crowned. This is not at all uncommon. The best advice I can offer is know your doctor or midwife. Ask questions. If the least thing feels uncomfortable find a new provider. Make a plan with you professional before delivery. And above trust your gut.
Question.......If Mom's blood type is incompatible with baby's...i.e. Mom is O+ and baby is A-..would leaving the cord until all the blood is transferred still be a good thing to do?
Waiting for the cord to stop pulsing is ideal; it's what would happen naturally. HOWEVER, parents these days have access to so much information about what can go terribly wrong with pregnancy and delivery, this issue in the news may be just one more thing to stress them out. If you ask your doctor to wait for it to stop pulsing before cutting, he or she will likely do that. Just ask! But if there's a problem during or after delivery, or if the situation is emergent, they may not be able to wait. Waiting to cut the cord is NOT a big deal or something to stress out about if it can't be done. I hope parents reading this don't add waiting to cut the cord to their freak out list. I also was a labor and delivery nurse and saw countless beautiful healthy screaming babies whose cords were cut right away.
this issue in the news may be just one more thing to stress them out.
Interestingly enough, when there is delayed cord clamping/cutting, the parents and the babies are actually considerably less stressed out. The baby's oxygen supply is not suddenly cut off forcing him to use 100% of his lungs immediately, it's more of a gradual process. Plus, babies have to be placed in their mother's arms or on her chest which also calms them down considerably (compared to what has been done in the past -- cord cut immediately and the babies are whisked away to a tub under a heat lamp).
If you ask your doctor to wait for it to stop pulsing before cutting, he or she will likely do that. Just ask!
We asked our doctor about it, and although she was willing to wait, we still received resistance. She tried convincing us that it's not worth it, that it can cause jaundice, and even when she was waiting for it to stop pulsing, she still seemed to rush us.
But if there's a problem during or after delivery, or if the situation is emergent, they may not be able to wait.
I completely agree. In emergency cases where they need to immediately attend to the baby, waiting wouldn't be an option, and I believe most people accept that.
Waiting to cut the cord is NOT a big deal or something to stress out about if it can't be done. I hope parents reading this don't add waiting to cut the cord to their freak out list. I also was a labor and delivery nurse and saw countless beautiful healthy screaming babies whose cords were cut right away.
I have also heard of babies whose cords were cut too early that came down with complications and had to be sent to the NICU. The doctors said themselves it was because the cord was cut too early. This can be particularly traumatic to premature babies as well.
I strongly believe there are many unseen detriments to immediate cord cutting. Perhaps the babies look fine, but I can imagine that there are probably many underlying issues that don't surface until later on, and unfortunately at that point no correlation can be made to the instance of cord cutting.
For as long as I can remember (and I am 56 yrs. old), midwives and the more open-minded portion of the medical community have believed in and openly proclaimed the benefits of waiting to cut the umbilical cord until it has stopped pulsing. The main-stream medical community, as usual, is the last to listen and catch on and, when it does come into a new-found "discovery" (which is infrequent and snail's-paced), it is most often proclaimed with no humility or credit given to those who recognized and proclaimed said truth before them. It won't be until the medical community at-large lays down its God complex and begins respecting others besides themselves that we will see major and needed changes in medicine. I am, and sadly will most likely continue to be, amazed.....
I wholeheartedly agree. I've been studying midwifery and birth since my first pregnancy in 2006. I've noticed a very disturbing trend. Mainstream medicine (OB), is woefully behind more natural approaches. When they finally do catch on ( classic DUH moment), they hail their research as some sort of amazing discovery. From what I've read, midwives have known this for DECADES! And unlike what Julie says, many doctor's do give resistance to very simple requests. It's all about CYB, instead of the mother. The more I understand about the physiology of birth, the more disgusted I am at current medical practice. The entire system should be ashamed of the way they operate (no pun intended).
I truly wish I could add more to the discussion then I can. I was ER nurse and director of a level 1 trauma center for 14 years before I retired. I had little to do with labor and delivery except within two scenarios. The first being labor that arrived in the ER without advance preparation. After a through assessment of the mother and fetus they were transported to labor and delivery. Only on about four occasions did we deliver in the ER. The next was a delivery that happened outside of the hospital. Midwife (in trouble) precipitous birth, or some complication of labor. It has been the policy of the hospital I worked for to allow the cord to clot (stop throbbing) before cutting it. I don't know if any negative or positive affects of waiting for the umbilical cord to shut down. There are two major precepts two medicine: The first, leave the body alone while it heals it self and second is where ever possible do not interfere with nature because nature knows best. It would seem to that cutting the cord before it clots violates both.
So finally the medical community is acknowledging something that midwives have been doing all along--those skilled professionals who give better care (in low-risk situations), with better outcomes, for less money! What else can the ob/gyn community learn from midwives? A LOT!
What a GREAT article! With our fifth child on the way, my husband and I were just talking about this subject and lo and behold, here it is on MSNBC of all places.
Our third child was born 3.5 weeks early and had "respiratory distress" for 48 hours after his birth. I strongly believe it was caused, not only from my in-a-rush-OB cutting his cord before my son had his first good cry, but also from the nurses taking him from me for way too long in order to "clean him up." He was put on oxygen as soon as they noticed his distress and I was told I couldn't nurse or hold him until he recovered. Well.. there just happened to be a very loving and caring nurse on the night shift and she would allow me to hold and nurse him for short periods of time and EVERY time I did, his oxygen level would return to normal, but as soon as I put him back into the incubator it would drop back down. Not only does my motherly instinct tell me that cutting the cord to early contributed to his distress, but taking him away from his mother whom he'd been with his entire developing life, caused great distress for my little guy. Having actually witnessed his "respiratory distress" disappear by doing what I designed to do - hold and nurse him - I was determined not to allow the same mistake to happen again. My fourth son was born even earlier, but with him the labor and delivery was not rushed and I held him and kept him with me the entire time I was at the hospital and had NO "respiratory distress" issues with him whatsoever. Now with baby number five on the way, I'm getting it down to a science :)
If you'd like to read the full article that was published in the Journal of Cellular and Molecular Medicine, it's titled "Mankind's First Natural Stem Cell Transplant" and you can read it here for FREE (as opposed to $30 at the Journal website): http://health.usf.edu/nocms/publicaffairs/now/pdfs/Mankind_Article_Sanberg.pdf.
Wow. Thanks for sharing your story. I've heard that preemies can benefit the MOST from delayed clamping/cutting. Unfortunately there are still lots of old school doctors and nurses out there that like to do things the old fashioned way: Cut the cord ASAP, wipe the kid down, place under heat lamp or in nursery, forget about Mom. Luckily our hospital was pretty progressive and had changed their ways within the last 5 years or so. They realize that natural is better and having the child on Mom's chest with the cord intact eases the transition considerably from the womb to the world. Natural is always better and we as parents need to learn to trust our instincts more than old generation doctors that don't want to change their ways.
At my homebirth we definitely waited to clamp until they cord was done pulsing, and it pulsed for quite a while! All of those safety checks can certainly be done while everything is still attached, no problem at all.
I found it interesting that a discussion on delayed cord clamping (great move - should be routine) quickly morphed to a debate on circumcision, caesarean and back again. As a midwife in years gone by I have had to hold down babies for this barbaric mutilation which the poor little boy had no say in. The pain is beyond agonising and there are real, life-threatening risks as well as the possibility of penile damage or even amputation. Why would any sane parent agree to this? Genital mutilation of girls is a breech of human rights - why the hell not for little boys? The UTI argument is spurious - ever heard of soap and water? Girls actually produce as much smegma under the prepuce (the clitoral hood) and nobody is advocating amputation to keep them "clean". The owner of the foreskin should have absolute jusidiction over what happens to it - without lies or coercion being in the mix.
Glad to see this is finally garnering national attention. My wife and I waited until the cord stopped pulsing before clamping/cutting. We did plenty of research on the subject. Apparently doctors will say that it increases the potential for jaundice, but I believe the chance of that is very insignificant. It is more beneficial to wait. I put my trust in humans as a species and how we've given birth in the past. What did we do before humans invented clamps and forceps? We waited to sever the cord. I'm glad to see that in the past 5 years or so, birth has become less "clinical" and more "natural" ... like it should be.
I never understood why they snipped the cord so fast either. In all the pamphlets about what to do if you give birth before making it to a hospital (speaking of accidental home births), they instruct you NOT to cut the cord.
My baby passed a lot of meconium before birth, so she was not able to breathe. They were in a rush to cut the cord, and THEN they started clearing her airways. I always wondered why they didn't clear the airways first. Why not make sure the baby is getting oxygen from Mom as long as possible? Why cut off their oxygen supply before establishing the new one? I'm not a medical professional. But on the home birth tapes I've seen, they don't cut the cord for a long time. I had complications that prevented a home birth, but I don't understand why hospital policy differs so greatly.
Never heard the jaundice reason. Perhaps it has merit.
It pretty much boils down to "time is money." The longer doctors have to "wait" the less money they make. It's easier and more beneficial for them to quickly cut the cord, hand the baby off to the nurses, and move on to the next one.
The Business of Being Born is a great documentary that brings to light some interesting issues with parents wanting natural births and hospitals/medical professionals getting in the way.
Uncanny how it takes decades of research and wasted resources to simply acknowledge that nature knows better. Simply put, this is common sense. What will they confirm next, that the moon is our nearest natural satellite? Sadly, many ob's will continue to disregard this finding and keep on snipping as soon as they see the cord. Hooray for homebirth, we make our own decisions regarding the way we want our children to come into the world.
I delivered all my 3 children at home, with a certified nurse midwife, in the late 70's, early 80's. I knew about this back then. This is not new data. I had a backup doctor and did the hospital tour just in case I did have to give birth in the hospital. The hardest part was finding a pediatrician who would examine my child within 24 hours of birth...no one wanted to risk a lawsuit.
Americans have way too much intervention in births. The medical community has scared parents into believing you should only give birth in a hospital. More than 90% of all birth are normal and most complications are known beforehand. More babies die in American hospitals than in many 3rd world countries home births.
That's a great suggestion, but how about stopping the widespread practice (in the U.S., at least) of forced genital mutilation on male babies? As it is, you can hardly say birth has become more natural... at least not for the majority of U.S. born males. I was harmed by this practice, and would rather not be mutilated.
This would be even more beneficial and just as easy.
I'm glad I was snipped. Have you seen a natural penis? I would have even more trouble getting a lady!
I agree! It is a barbaric practice. When else is it appropriate to remove normal, healthy tissue that has a purpose?? Leave the babies alone!!!
Circumcision, or as you said, "forced genital mutilation on male babies," is not mandated by law. Every parent, except in cases of religious custom, makes the choice for him/herself.
I know someone who was circumcised at age 22. He did it because his fiance demended it. He said it was horrible in the short term and in the long term, the dumbest thing he's ever done.
That was 26 years ago and he maintains today that it was the dumbest thing he's ever done and claims it greatly reduced his ability to enjoy sex. This was a part of why I chose not to have my son circumcised.
On the lighter side, he and his wife are still together.
Yeah, I'd force my fiance to get himself circumsized too, if he wasn't already. There have been studies done that say that an uncircumsized male has a higher risk of Urinary Tract Infection, Penile Cancer, and a higher risk of getting a sexually transmitted disease during unprotected sex. Oh, and an uncircumsized male has a higher chance of acquiring and transmitting the human papillomavirus that is responsible for most cervical cancers. You never know what little nasties are hiding under that flap of skin. Ew. She was a smart girl for getting him to do that. He should be thanking her, I think.
You GENITAL MUTILATION advocates are missing the point. There are 170 types of bacteria that live on the skin. So you're telling me a parent should have the right to permanently disfigure their child for a very slight reduction in bacteria. That's stupid.
I guess I need to use capitals to emphasize, because you don't understand that circumcision leaves every male who went through the painful procedure with a SCARRED PENIS.
Please, by all means go ahead and give me your justification for giving men a scarred penis for life. Tell me about your idiotic 3% reduction of some statistic. Oh, and that "little flap of skin" is a double layered piece of skin with many nerves, blood vessels, and muscles... not that circ advocates have the mental capacity to understand that. You can't give any logical justification - it isn't possible.
Funny how Austin-1241982 referred to it as a "natural" penis. Doesn't that mean something "unnatural" was done to you?
Think about it.
The cord should never be cut before the sophomore year of college.
As an L&D RN, I agree!! We need to let the cord complete its purpose. It was designed to continue to transfuse the baby immediately after birth. Too frequently, the doctors need to hurry and get back to the office so they can make more money, and anything that adds extra time to that (even a few minutes) is not tolerated.
It is beyond me to imagine why it takes an obstetrician (a skilled surgeon) to clamp and cut an umbilical cord--any five-year-old can use a pair of scissors! Aside from the slim possibility that the parents will feel that their doctor has not earned their exhorbitant fee for showing up when the baby is crowning by not participating fully in the separation of baby's body from mother's, why on earth can't the L&D RN place the clamps and allow father (or other family member) to cut the cord, having waited until mother and baby are ready for them to do so (what a concept!) This has the double advantage of forcing any resuscitative efforts (less likely with an intact cord) to take place with baby on or close to mother and keeping baby in the place most effective in assuring her/his well-being and encouraging breast crawl and breastfeeding.
So what is supposed to be done with the baby from the time it's born to the time the cord should be cut? Does the doctor just hold it until the cord is finished "pulsing"? I thought the whole point of the cord being cut right away is so it could be cleaned up, bundled, and handed to the parents ASAP.
I'm guessing you've never had a baby, Jane. Both of my children were placed immediately on their mothers chest after emerging into the world. I cut the cord myself while they were on her chest.
Unless there is a problem with the child at birth i.e. difficulty breathing, bad color, abnormal heart rate etc, there is no reason the child cannot remain on their mother until the cord is cut.
Both my daughters where handed to me after birth and I placed them in their mother's arms. Maybe I got them first because I was the Director of the ER. Never really thought about it. Circumcision I have no thoughts either way other then an uncircumcised man has extra cleaning issues. I am one who believes why interfere with nature it usual right. I had daughters and this was never an issue. I will say if it improves sex life then if I was uncircumcised I would died from a heart attack 1,000 times over.
My daughter was born in the birthing tub and they handed her to me...she layed on my chest with a warm towel on her and half in the warm water until the cord stopped pulsing and after the placenta was delivered from me.
One of my kids was rushed off for emergency care after birth, and I didn't see her for almost an hour. She arrived clean and swaddled. But the other was placed on my chest immediately after birth. The cord was cut right after that, while he was still on my chest. He had not been cleaned up, and was still messy and slimy when I got him. It's not necessary to hand Mom a clean baby. Really, after nine months inside and who-know-how-long in labor, she really doesn't care if he's a little gooey and still attached.
Thanks everyone for your responses. No, I haven't had kids yet. And no offense, but holding a baby right after it has been born and not been cleaned, etc. sounds gross. I know, I know, you'll say I'll think differently when I have my own kids, but believe me I'm hard-headed and will not. As long as I know the baby is OK, there is no reason to hold him/her right after he/she comes out. I can wait a few minutes until they at least clean her! Then again, hearing more and more about the birth process makes adoption look better and better. :)
Hey child birth is natural. Everything that is on the baby comes from you. Are you dirty, nasty, or gross? Then how could what is on your child be? The first couple days after birth the baby passes greenish brown material that they should use as an industrial adhesive or biological weapon it called meconium. That is memorable. Back to the first subject as a nurse it did not bother me and my wife was raised on a farm so it was not gross to her. Just be thankful that humans don't consume their placenta like animals do.
And yet... some do now!
Nature's intricate design for survival and well-being of babies after birth includes a role for the fluids on the baby's body. A research study showed that if they wiped off a baby's hands and/or the mother's nipples, and placed the baby on her belly, the baby was unable to find its way to her breast, latch on and begin to nurse. The smell and taste of amniotic fluid on baby's hands is apparently similar to the fragrance of mother's nipples (or to the breastmilk therein) and babies use these smells to help them find the breast and latch on. Meanwhile, the little stepping movements their feet make on mother's abdomen help the uterus to contract and heal the place where the placenta detached, preventing hemorrhaging. Many mothers virtually swoon over the smell of their newborn baby's head and I think these smells contribute to the falling-in-love that happens immediately after birth. Also, mother and baby's oxytocin peaks at delivery and gradually subsides over the next hour, so the time immediately after birth is optimal for bonding and attachment between them--you wouldn't want to waste that precious oxytocin peak (higher than at any other time in life) have all the cueing smells washed off the baby by a stranger. Rightfully, the first person to touch a newborn should be the mother, or at least the father, and many midwives and OBs allow father to catch the baby and give it to the mother, symbolically repeating the sequence that brought the baby into being nine months previously. The first person touching a baby with their skin should be the mother, because she will immediately begin colonizing the baby with her healthy bacteria, providing much-needed immunity. Research recently showed that babies born by cesarean are colonized by completely different (and therefore less friendly) bacteria than babies born vaginally. So, JanieJane, the doctor should not be holding your baby, you should. And those first moments after birth allow mother and baby to catch their breath after the momentous event that just took place, and to begin gazing at each other and discovering this person they have known so intimately for the last nine months. The time should allow everyone to slow down to the baby's pace, while baby's physiology has time to transition from pre-birth to breathing separately. In fact, the extra blood transfused to the baby by waiting for the cord to stop pulsating is thought to help the baby's lungs expand in readiness for that transition.
I don't have a medical education nor anyone in my family but I've known this for years. I read up on being a midwife when I was younger and it specifically stated to wait until it stopped pulsing. I guess I always assumed that the doctors were waiting until it stopped.
I am so glad they published this. My daughter was born with a midwife and they did not cut the cord until it stopped pulsing. OBs should go back to the basics of child birth and study the natural birthing techniques of midwives. A "natural birth" does not involve a c-section or an epidural.
I'd rather have a C-section than a natural stillbirth. There are plenty of times when C-sections are better, even though vaginal delivery is best for uncomplicated births. Doctors know this and advise what is best. Natural isn't always best. And what do you care if Mom wants an epidural? Those are bad recommendations to unilaterally demand from OBs. Luckily they are moving away from actual bad practices, like episiotomies and supine positions for delivery. They aren't indiscriminately stopping C-sections or epidurals because there's no reason for it.
C-sections started out as emergency/last resort procedures and have unfortunately become a matter of convenience (elective Cs). Many women don't realize that a C is a MAJOR surgery that comes with HUGE risks, not only to the mother but to the baby.
Unfortunately many doctors usually advise what is best for THEM, not what is best for the parents. Studies have shown that most C-sections are done at certain times of the day usually right before work shifts end. Why, you ask? Because doctors want to go home. Tell me how that benefits the parents or the child.
I trust millions of years of evolution more than I trust the recommendation of an intervention-happy doctor. Perhaps the practices should not be completely stopped, but they shouldn't be used as frequently and arbitrarily as they are now.
Uh... "millions of years of evolution" included regular stillbirths and maternal deaths. That's not the experience I want out of childbirth. If "natural" isn't going as planned, I stop trusting it.
My doctors were very hesitant to perform C-sections. My first doctor only performed them as emergencies, or if the placenta was blocking the cervix (delivering the placenta first is a guaranteed stillbirth). My second doctor also offered them to women whose babies were breech, citing studies that suggested IQ was lower in 5-year-olds who were born breech. I've never encountered the "rush" mentality. My first doctor refused to induce labor even though my child was 2 weeks overdue, because she said natural labor was easier on mom and baby. She didn't induce labor until 18 hours after my water broke and the baby was showing signs of distress. (She was right... induced labor was he11, as I discovered after having a much easier natural birth with my second child. But in this case, it was necessary.)
I'm not surprised that most C-sections occur at specific times of day. Labor inductions are usually scheduled at 6:00 a.m., so that moms can labor during the day and deliver at the end of the day. C-section schedules probably use a similar logic, aiming for moms to give birth at the end of the day. Why not? What's the harm? Unless, of course, you are suggesting that emergency C-sections are performed just before clock-out time. Crucial difference.
Usually when "natural" doesn't go as planned, it's because doctors are rushing things. Inducing early, breaking the bag of waters early, stripping the membranes -- these rush women down the intervention and c-section path. Oh, but thank GOODNESS the doctors were there or else the woman and child may not have survived! *sarcasm* The truth of the matter is that if doctors just let nature take its course more often, there wouldn't be as many issues with labor complications. There's an old saying that goes: it's better to "go WITH the stream, not AGAINST the stream." Well doctors like to go "against" the stream of nature.
I'm glad to hear that your doctors were not c-section happy. Unfortunately many doctors are. I'm not referring to c-sections that are scheduled. I am indeed suggesting that many "emergency" c-sections are performed at the convenience of the doctors, not for the safety or benefit of mother and child.
The Business of Being Born is a great documentary that describes the battles between women wanting a natural birth and doctors and the medical industry fighting to keep it "clinical." There are also other great resources and books out there if you're interested in the subject. Obstetric Myths Versus Research Realities is a good one.
Interesting. I encountered the opposite with both childbirths. The water broke naturally, at home, with my first child and I waited around in the hospital for 18 hours requesting labor induction, but the doctor refused until it became obsolutely necessary. I had an epidural after 4 excruciating hours on Pitocin.
My second labor progressed naturally, and I hit 9 cm before I got to the hospital. I asked for the epidural, since it was such a relief with my first labor, but my doctor refused because I was "so close" to delivery this time. Well, 10 hours later, I was just exhausted and he still wasn't born. It wasn't as bad as Pitocin-induced labor, but it was still horrible. I had several nurses examine me and confirm that I was actually at 9 cm, but the bag of waters was holding things up. I asked them to break the waters, but they refused for 6 hours!! Finally my doctor gave in and broke the waters, and I was ready to push immediately. He was born 20 minutes later. I spent 6 hours laboring at 9 cm just for the sake of doing things "naturally."
Sounds like your doctor was not at all compassionate. There are good doctors and bad doctors. My first born was delivered by doctor and my wife while not having a difficult labor had a prolonged one. The second one was done by a certified midwife. The amniotic sack ruptured just before the baby crowned. This is not at all uncommon. The best advice I can offer is know your doctor or midwife. Ask questions. If the least thing feels uncomfortable find a new provider. Make a plan with you professional before delivery. And above trust your gut.
Question.......If Mom's blood type is incompatible with baby's...i.e. Mom is O+ and baby is A-..would leaving the cord until all the blood is transferred still be a good thing to do?
Mom has been transferring cord blood to baby for nine months. You really think a few minutes after birth will suddenly cause rejection?
Blood type differences don't impact the baby, just Rh factor. They have Rogam for that now.
Waiting for the cord to stop pulsing is ideal; it's what would happen naturally. HOWEVER, parents these days have access to so much information about what can go terribly wrong with pregnancy and delivery, this issue in the news may be just one more thing to stress them out. If you ask your doctor to wait for it to stop pulsing before cutting, he or she will likely do that. Just ask! But if there's a problem during or after delivery, or if the situation is emergent, they may not be able to wait. Waiting to cut the cord is NOT a big deal or something to stress out about if it can't be done. I hope parents reading this don't add waiting to cut the cord to their freak out list. I also was a labor and delivery nurse and saw countless beautiful healthy screaming babies whose cords were cut right away.
Interestingly enough, when there is delayed cord clamping/cutting, the parents and the babies are actually considerably less stressed out. The baby's oxygen supply is not suddenly cut off forcing him to use 100% of his lungs immediately, it's more of a gradual process. Plus, babies have to be placed in their mother's arms or on her chest which also calms them down considerably (compared to what has been done in the past -- cord cut immediately and the babies are whisked away to a tub under a heat lamp).
We asked our doctor about it, and although she was willing to wait, we still received resistance. She tried convincing us that it's not worth it, that it can cause jaundice, and even when she was waiting for it to stop pulsing, she still seemed to rush us.
I completely agree. In emergency cases where they need to immediately attend to the baby, waiting wouldn't be an option, and I believe most people accept that.
I have also heard of babies whose cords were cut too early that came down with complications and had to be sent to the NICU. The doctors said themselves it was because the cord was cut too early. This can be particularly traumatic to premature babies as well.
I strongly believe there are many unseen detriments to immediate cord cutting. Perhaps the babies look fine, but I can imagine that there are probably many underlying issues that don't surface until later on, and unfortunately at that point no correlation can be made to the instance of cord cutting.
For as long as I can remember (and I am 56 yrs. old), midwives and the more open-minded portion of the medical community have believed in and openly proclaimed the benefits of waiting to cut the umbilical cord until it has stopped pulsing. The main-stream medical community, as usual, is the last to listen and catch on and, when it does come into a new-found "discovery" (which is infrequent and snail's-paced), it is most often proclaimed with no humility or credit given to those who recognized and proclaimed said truth before them. It won't be until the medical community at-large lays down its God complex and begins respecting others besides themselves that we will see major and needed changes in medicine. I am, and sadly will most likely continue to be, amazed.....
I wholeheartedly agree. I've been studying midwifery and birth since my first pregnancy in 2006. I've noticed a very disturbing trend. Mainstream medicine (OB), is woefully behind more natural approaches. When they finally do catch on ( classic DUH moment), they hail their research as some sort of amazing discovery. From what I've read, midwives have known this for DECADES! And unlike what Julie says, many doctor's do give resistance to very simple requests. It's all about CYB, instead of the mother. The more I understand about the physiology of birth, the more disgusted I am at current medical practice. The entire system should be ashamed of the way they operate (no pun intended).
To chaos-1839975 and Julie-1468472:
The situations you cited are exceptions - not the rule. How wise is to make sweeping decisions based on exceptions?
I truly wish I could add more to the discussion then I can. I was ER nurse and director of a level 1 trauma center for 14 years before I retired. I had little to do with labor and delivery except within two scenarios. The first being labor that arrived in the ER without advance preparation. After a through assessment of the mother and fetus they were transported to labor and delivery. Only on about four occasions did we deliver in the ER. The next was a delivery that happened outside of the hospital. Midwife (in trouble) precipitous birth, or some complication of labor. It has been the policy of the hospital I worked for to allow the cord to clot (stop throbbing) before cutting it. I don't know if any negative or positive affects of waiting for the umbilical cord to shut down. There are two major precepts two medicine: The first, leave the body alone while it heals it self and second is where ever possible do not interfere with nature because nature knows best. It would seem to that cutting the cord before it clots violates both.
Please, no one tell my mother-in-law this. She's been waiting 28 years and counting and needs NO encouragement.
So finally the medical community is acknowledging something that midwives have been doing all along--those skilled professionals who give better care (in low-risk situations), with better outcomes, for less money! What else can the ob/gyn community learn from midwives? A LOT!
What a GREAT article! With our fifth child on the way, my husband and I were just talking about this subject and lo and behold, here it is on MSNBC of all places.
Our third child was born 3.5 weeks early and had "respiratory distress" for 48 hours after his birth. I strongly believe it was caused, not only from my in-a-rush-OB cutting his cord before my son had his first good cry, but also from the nurses taking him from me for way too long in order to "clean him up." He was put on oxygen as soon as they noticed his distress and I was told I couldn't nurse or hold him until he recovered. Well.. there just happened to be a very loving and caring nurse on the night shift and she would allow me to hold and nurse him for short periods of time and EVERY time I did, his oxygen level would return to normal, but as soon as I put him back into the incubator it would drop back down. Not only does my motherly instinct tell me that cutting the cord to early contributed to his distress, but taking him away from his mother whom he'd been with his entire developing life, caused great distress for my little guy. Having actually witnessed his "respiratory distress" disappear by doing what I designed to do - hold and nurse him - I was determined not to allow the same mistake to happen again. My fourth son was born even earlier, but with him the labor and delivery was not rushed and I held him and kept him with me the entire time I was at the hospital and had NO "respiratory distress" issues with him whatsoever. Now with baby number five on the way, I'm getting it down to a science :)
If you'd like to read the full article that was published in the Journal of Cellular and Molecular Medicine, it's titled "Mankind's First Natural Stem Cell Transplant" and you can read it here for FREE (as opposed to $30 at the Journal website): http://health.usf.edu/nocms/publicaffairs/now/pdfs/Mankind_Article_Sanberg.pdf.
Wow. Thanks for sharing your story. I've heard that preemies can benefit the MOST from delayed clamping/cutting. Unfortunately there are still lots of old school doctors and nurses out there that like to do things the old fashioned way: Cut the cord ASAP, wipe the kid down, place under heat lamp or in nursery, forget about Mom. Luckily our hospital was pretty progressive and had changed their ways within the last 5 years or so. They realize that natural is better and having the child on Mom's chest with the cord intact eases the transition considerably from the womb to the world. Natural is always better and we as parents need to learn to trust our instincts more than old generation doctors that don't want to change their ways.
What a sweet story. Poor little baby needed his mom already, and they whisked him off to a nursery!
At my homebirth we definitely waited to clamp until they cord was done pulsing, and it pulsed for quite a while! All of those safety checks can certainly be done while everything is still attached, no problem at all.
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Cord blood
I found it interesting that a discussion on delayed cord clamping (great move - should be routine) quickly morphed to a debate on circumcision, caesarean and back again. As a midwife in years gone by I have had to hold down babies for this barbaric mutilation which the poor little boy had no say in. The pain is beyond agonising and there are real, life-threatening risks as well as the possibility of penile damage or even amputation. Why would any sane parent agree to this? Genital mutilation of girls is a breech of human rights - why the hell not for little boys? The UTI argument is spurious - ever heard of soap and water? Girls actually produce as much smegma under the prepuce (the clitoral hood) and nobody is advocating amputation to keep them "clean". The owner of the foreskin should have absolute jusidiction over what happens to it - without lies or coercion being in the mix.