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Cord should not be cut on newborn til after 3 min

Posted: Fri Dec 16, 2011 9:29 am
by badnights
A new article is summarized:
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November 15, 2011 — Allowing placental blood to flow into the neonate for 3 minutes, rather than cutting the umbilical cord within the first 10 seconds, as is common, increases blood volume sufficiently to elevate ferritin at 4 months, finds a study published online November 16 in the British Medical Journal.

Adequate iron stores are essential for brain neuron myelination, dendritic growth, neurotransmission, and energy metabolism in neurons and glia. Because iron demands are high in the young, iron-deficiency anemia and subclinical iron deficiency are associated with long-lasting cognitive and behavioral problems. Past studies that support a delay in cord cutting were conducted in developing or middle-income populations that have a high prevalence of iron deficiency anemia (ie, in Guatemala, India, Mexico, and Zambia), but did not follow up children past the neonatal period. Iron deficiency is less prevalent, yet still fairly common, in other nations.
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They conclude by saying changes should be made to standard procedures.

Posted: Fri Dec 16, 2011 6:23 pm
by Chipmunk
Midwives wait until the cord stops pulsing for this reason and others. Modern OBs have saved many, many lives, but for many births they should just leave well enough alone. :-)