Family Planning Columbia City IN

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.

Ronaldo B Toledo, MD
(843) 248-9247
333 N Oak St
Columbia City, IN
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Far Eastern Univ, Dr N Reyes Med Fndn Inst Of Med, Manila, Philippines
Graduation Year: 1982

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Randall K Carpenter
(260) 248-9090
333 N Oak St
Columbia City, IN
Specialty
Obstetrics & Gynecology

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Stephen E Coats
(260) 432-4400
7635 W Jefferson Blvd
Fort Wayne, IN
Specialty
Obstetrics & Gynecology

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Thomas C Wheeler
(260) 432-4400
7635 W Jefferson Blvd
Fort Wayne, IN
Specialty
Obstetrics & Gynecology

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H N Ramaprakash
(260) 432-4400
7635 W Jefferson Blvd
Fort Wayne, IN
Specialty
Obstetrics & Gynecology

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Wilhelmina P Garrison, MD
(260) 343-9667
333 N Oak St Ste EAST
Columbia City, IN
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Univ Of The Philippines, Coll Of Med, Manila, Philippines
Graduation Year: 1980

Data Provided by:
Randall K Carpenter, MD
(260) 744-6172
333 North Oak South
Columbia City, IN
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: In Univ Sch Of Med, Indianapolis In 46202
Graduation Year: 1965

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James E Cameron
(260) 639-3795
7950 W Jefferson Blvd
Fort Wayne, IN
Specialty
Neonatal-Perinatal Medicine

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Elfred H Lampe, MD FACS
(219) 432-4400
2820 Little River Run
Fort Wayne, IN
Gender
Male
Education
Medical School: Washington (st. Louis)
Graduation Year: 1948

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H N Ramaprakash, MD
(219) 432-4400
7635 W Jefferson Blvd
Fort Wayne, IN
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Mysore Med Coll, Mysore Univ, Mysore, Karnataka, India
Graduation Year: 1960

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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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