Delayed clamping of the umbilical cord does no harm and reduces anaemia in newbornsBMJ 2006; 332 doi: https://doi.org/10.1136/bmj.332.7550.0-e (Published 11 May 2006) Cite this as: BMJ 2006;332:0-e
All rapid responses
It is visual as well as testable evidence, known since 1801, babies
are stronger if their umbilical-cord is not tied, while pulsating, to
"Another thing very injurious to the child, is the tying and cutting
of the navel string (umbilical cord) too soon, which should always be left
till the child has not only repeatedly breathed but till all pulsation in
the cord ceases. As otherwise the child is much weaker (testable to be
found anemic of low blood volume, low blood pressure, and low red cells,
white cells, and platelets) than it ought to be, a portion of the blood
being left in the placenta, which ought to have been in the child.
Erasmus Darwin, MD, Zoonomia, 1801, Vol. III, page 302.
(bracket comments are D. Young's)
This quotation was first brought to my attention published in an
article written by Dr. Mavis Gunther, UK. The transfer of blood between
baby and placenta in the minutes after birth. Lancet, Original Articles,
1957, Jun 22;272 (6982): 1277-80.
Dr. Gunther, stated that sleepy babies (drugged) had their umbilical
cords yet pulsating, 15 to 20 minutes later. She indicated, too, all
babies can be revived on the untied cord, even the C-sectioned babies.
She also stated the evidence to leave the umbilical-cord alone was
that the unassisted babies, "thrive."
Another report of the amount of blood deprived the baby if early
clamping is done on a pulsating cord, is the Lippincott Manual of Nursing
Practice. It stated under physiology of the newborn, blood volume, that
up to 60% more blood goes into the baby if the cord is not clamped while
Even more visual facts of evidence of no harm to the premature babies
lungs, if the baby gets full blood infusion was stated by Dr. T. Peltonen,
Placental transfusion: advantage and disadvantage. Eur J Pediatrics,
1981, Oct. 137(2):141-6.
The advantages were seen and testable to a fact, no lung damages if
the babies had full delayed clamping.
The disadvantage of early clamping was the heart was caused to
shrink, and all babies early clamped all had lung disorders created. But
not so full delayed clamped babies.
Knowing that early clamping can be tested for harmful side-effects,
one would think informed consent would have to be required for risking
internal damages be a required signed form of consent. This would be by
all legal guardians of the newborn infant, the parents.
What loving and caring parent would knowingly cause their offspring
to be a weaker child, facing life with more of a struggle. This is when
life is difficult already?
Best evidence then is leave the cord alone. It may be that simple.
Dawson Creek, BC
V1G 4H4 Canada
Competing interests: No competing interests