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Current literature about delayed umbilical cord clamping suggests that it is safe and beneficial for some births. For example, it may prevent anemia (low red blood cell count) in the first six months of life, and it could possibly reduce the rates of two common complications of prematurity—intraventricular hemorrhages (brain bleeds) and severe life'threatening infections.

Frank J Bottiglieri MD
(410) 339-7640
6569 N Charles St
Towson, MD
Specialties
Obstetrics & Gynecology

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Michael F McCollum, MD
(215) 829-8000
2021 Emmorton Rd
Bel Air, MD
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduation Year: 1986

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Michael Edward Mc Collum, MD
(410) 682-7990
2021 Emmorton Rd
Bel Air, MD
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Va Commonwealth Univ, Med Coll Of Va Sch Of Med, Richmond Va 23298
Graduation Year: 1988

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Marc J Teitelbaum, MD
Bel Air, MD
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Suny-Hlth Sci Ctr At Brooklyn, Coll Of Med, Brooklyn Ny 11203
Graduation Year: 1995

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William Saml Cook, MD
(601) 932-2230
1131 Baltimore Pike
Bel Air, MD
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Of Ms Sch Of Med, Jackson Ms 39216
Graduation Year: 1959
Hospital
Hospital: Healtheast St Josephs Hospital, Saint Paul, Mn; Womens Hospital At River Oaks, Jackson, Ms
Group Practice: Jackson Healthcare For Women

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Shari Lynn Sopher, MD
(410) 601-5530
4C North Ave
Bel Air, MD
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Suny-Hlth Sci Ctr At Brooklyn, Coll Of Med, Brooklyn Ny 11203
Graduation Year: 1984

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Kathleen Marie Gotzmann, MD
(443) 643-4300
520 Upper Chesapeake Dr
Bel Air, MD
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Hahnemann Univ Sch Of Med, Philadelphia Pa 19102
Graduation Year: 1993

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Tracy Elizabeth Duke, MD
2103 Laurel Bush Rd
Bel Air, MD
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Va Commonwealth Univ, Med Coll Of Va Sch Of Med, Richmond Va 23298
Graduation Year: 1993

Data Provided by:
James Raymond Swanbeck
(443) 643-4600
520 Upper Chesapeake Dr
Bel Air, MD
Specialty
Obstetrics & Gynecology

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Arthur V Morey
(443) 643-4600
520 Upper Chesapeake Dr
Bel Air, MD
Specialty
Obstetrics & Gynecology

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Delayed Umbilical Cord Clamping

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By Roy Steinbock

Is it true that waiting to clamp the umbilical cord after delivery is more natural and better for the baby? If so, how long would you recommend waiting?

Currently no one standard exists for when to clamp the umbilical cord. In most labor and delivery rooms, once the baby is born, the doctor immediately clamps the cord, stopping the blood supply from the placenta to the baby, and then cuts it, separating the baby from the mother. This usually happens quickly, allowing immediate bonding between baby and mother or necessary medical intervention. Delayed cord clamping, an alternative to this procedure, means the delivering caregiver waits more than 30 seconds before clamping and cutting. This way, the baby remains connected to the placenta for longer, and more blood can flow towards the baby, increasing its reserve. The suggested time for delayed cord clamping is between one to three minutes, but up to 10 minutes has been shown to be safe.

Current literature about delayed umbilical cord clamping suggests that it is safe and beneficial for some births. For example, it may prevent anemia (low red blood cell count) in the first six months of life, and it could possibly reduce the rates of two common complications of prematurity—intraventricular hemorrhages (brain bleeds) and severe life-threatening infections.

Alas, it may not work for all newborns. Some researchers believe that the babies could develop polycythemia, a condition where the blood is too thick and can clot inappropriately, causing breathing difficulties and even stroke in newborns. Additionally, delayed cord clamping is not suggested in cases where there’s been maternal bleeding or fetal distress, including slow heart rate, meconium staining, or breathing difficulties. In addition, if you are thinking of banking your cord blood for stem cells, early clamping can increase the yield for a better sample.

At this point, we don’t know enough to suggest delayed cord clamping works for all births. If you do decide to delay clamping, here are a couple of suggestions. Ask the delivering caregiver to keep the baby at the level of your belly prior to clamping the umbilical cord. This will allow blood to flow from the placenta to the baby naturally. Don’t delay clamping for more than 10 minutes.

Roy Steinbock, MD, runs the Mindful Pediatrics practice in Boulder, Colorado.

Author: Roy Steinbock

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