Re: Delayed cord clamping and improved infant outcomes
I enjoyed the editorial. Since there is no reason to clamp the cord, the question of when to clamp it is irrelevant to the real issue of preventing PPH. Clamping is unnecessary except to make delivery of the placenta slightly more expedient for some women. When the woman delivers the placenta in squatting on the floor at 5 minutes postpartum, without routine uterotonics, a PPH rate > 500 cc of 0.6% and PPH > 1000 cc = 0 was documented among 406 consecutive births, the lowest documented to date. (A Proposed Protocol for Third Stage Management- the 3,4,5,10 minute method. Birth 2010: 37(1)84-5.) More research into expedient placental delivery in the absence of uterotonics, with the expulsive efforts in squatting position shows potential for real benefit to mother and baby.
Rapid Response:
Re: Delayed cord clamping and improved infant outcomes
I enjoyed the editorial. Since there is no reason to clamp the cord, the question of when to clamp it is irrelevant to the real issue of preventing PPH. Clamping is unnecessary except to make delivery of the placenta slightly more expedient for some women. When the woman delivers the placenta in squatting on the floor at 5 minutes postpartum, without routine uterotonics, a PPH rate > 500 cc of 0.6% and PPH > 1000 cc = 0 was documented among 406 consecutive births, the lowest documented to date. (A Proposed Protocol for Third Stage Management- the 3,4,5,10 minute method. Birth 2010: 37(1)84-5.) More research into expedient placental delivery in the absence of uterotonics, with the expulsive efforts in squatting position shows potential for real benefit to mother and baby.
Competing interests: No competing interests