Mothering › Forums › Pregnancy and Birth › Birth and Beyond › Okay, seriously, why the paranoia about cutting the cord???
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Okay, seriously, why the paranoia about cutting the cord???

post #1 of 22
Thread Starter 
So, this is something that's come up a couple of times over the past month, and it baffles me each time.
A few weeks ago I was doing my first aid/CPR training, which covered infant and child CPR. We also went over guidelines for handling an emergency childbirth. I was impressed when our instructor, a retired paramedic, stated that he 'didn't really consider childbirth an emergency' because, in his words, 'just listen to the mom, she knows what to do, all you have to do is help catch the baby'.
But then, he said that immediately after, you must tie off the cord. When someone asked why, he said all the blood from the baby will drain back into the mother and baby would bleed out Unfortunately I didn't get a chance to question this further. I pretty much wrote it off as a bunch of paranoid hooey anyway.
Just a little while ago, though, I saw a prominent local doctor discussing emergency childbirth on TV. He also said that all you have to do is catch the baby, but then to tie off the cord 'definitely within 30 seconds of birth'. He made it sound like an absolute. A woman on the program asked what would happen if you didn't, and he basically said 'we won't go there. it's bad. let's drop the subject now.' :
I totally don't get this. It's contrary to everything I know about birth, especially in an emergency situation. My line of thought would be to leave the cord, even after the placenta is delivered, but at least until it's done pulsing and baby is breathing fine. In an emergency situation, would it not buy you a few precious moments if baby is born blue/limp?
Why does the prevailing 'wisdom' now seem to be that the cord is something dangerous?? Is there some legitimate danger to the baby that I've just never ever heard of? This seems crazy to me!
post #2 of 22
My old OB gave me the same line about all the blood leaving the baby and basically making it bleed out. He said we could keep the cord intact for a little while, but baby had to be below me so this wouldn't happen. I think he is nuts too.
post #3 of 22
ironically, you can ask a different doctor and they will tell you the opposite thing, that if you leave the cord intact the baby will get too much blood!

It's all false as the blood of the mother and baby shouldn't actually be mixing, they pass right next to each other in the small vessels of the placenta to allow exchange of nutrients and oxygen, but people sometimes act like it's one huge connected blood supply, which it isn't.
post #4 of 22
:

My OB told me that I had to choose between my birth plan desire for (a) delayed cord clamping and (b) baby on my chest immediately after birth, because otherwise the blood would flow back into the placenta and baby would get anemic.

And these people go to MEDICAL SCHOOL!

Read up about lotus birth. Some people never cut the cord--just leave placenta attached until they both dry up and fall off a few days later.
post #5 of 22
wow, this is very crazy... how about all those mothers that had lotus births (when the cord is not cut at all, it stays with the baby until it falls off) you can fnd some of those stories on mdc... this absolutely makes no sense, especially coming from a doctor... we probably cut the cord like 20 or 30 min after the baby was born, we asked the dr to wait until it stops pulsating, i was there bonding with the baby who was lying on my chest, taking pictures, talking, and then dr was like, 'ok, it s time to cut the cord' - i completely forgot it was even there!
i have this great book called 'baby matters' and the author was saying that delaying cutting the cord is very beneficial for the baby as its kind like the last shot of blood, nutrients and such into baby's body from the placenta. she said, it is very important, especially if you decline vit k shot.
if it is so harmful, then whats with all the umbilical cord blood banking? thats supposedly a miracle cure for all sorts of diseases, wouldnt it be better to infuse it into the baby's body at birth to prevent those diseases in the first place?
that is sooo weird...::
post #6 of 22
My pretty-crunchy aunt (mother of 5) is an EMT and got called to a (post) UC on her birthday. She was very moved by the experience and loved witnessing the family of 7 or 8 in their home, and being the one called so the whole thing didn't turn into a nightmare for them. But it was odd to me that she casually mentioned the 'mom could have bled to death', referring to tying off the cord. Eh? Come again?
post #7 of 22
Weird - the last first-aid course I took said to keep the cord & everything intact & transport to care like that.
post #8 of 22
Quote:
Originally Posted by AnnaNova View Post
if it is so harmful, then whats with all the umbilical cord blood banking? thats supposedly a miracle cure for all sorts of diseases, wouldnt it be better to infuse it into the baby's body at birth to prevent those diseases in the first place?
that is sooo weird...::
DUDE! that's what I've been saying, my mom and I were talking about that the other day. I was telling her that I don't intend to even clamp the cord this time around, just cut it after stopped pulsing for a long while. You don't see cat's clamping the umbilical, in fact they just chew right through it and the kitten never bleeds out.

Its so sad the actual knowledge that doctors now-a-days posses.. I can't believe they spent all that money and time in school and that's what they walk away with, I can educate myself for the mere cost of internet service and it doesnt even take me that long to get seriously educated about one subject.
post #9 of 22
Wow! I had NO idea that could happen! I'm SO glad my son didn't bleed out!!! I wonder how many babies my midwife killed since she never cuts/clamps the cord immediately.

Just a question, though... how did all mammals survive prior to this? Did we use strands of hair or long, thick grasses or something to tie it? I'm so confused. Maybe I should just thank my lucky stars that the human race survived at all!

post #10 of 22
Not to mention, wouldn't mum and/or baby bleed to death anyways at some point during pregnancy going by that way of thinking? Or does gravity only count outside of the womb?
post #11 of 22
Thread Starter 
See?? Seee?!?! This is what I thought!

The whole thing makes zero sense.

It just looks like even more blatant fearmongering when it comes to birth.

Bahhhhh!
post #12 of 22
where is the blood supposed to go if it flows out of the baby?
post #13 of 22
Quote:
Originally Posted by BekahMomToOliver View Post
See?? Seee?!?! This is what I thought!

The whole thing makes zero sense.

It just looks like even more blatant fearmongering when it comes to birth.

Bahhhhh!
Yep, that sums it up. I hear "baby will get too much blood" and "baby will bleed out" with pretty even frequency. Outside of a hospital, I don't know any midwives that clamp immediately. Miraculously the babies and mothers do great.

And yet the medical community at large likes to charge midwives with relying on old wives' tales and superstition rather than scientific knowledge....
post #14 of 22
Quote:
Originally Posted by 1littlebit View Post
where is the blood supposed to go if it flows out of the baby?
I think they think it will somehow go through the cord and into the placenta.
post #15 of 22
i wonder what if they really believe it.... and if so what would happen if you put on who believed baby would get to much blood and one who believed baby would bleed out in the same room and ask them to find an answer the both agree with.

shouldn't this really be something that all OBs learn the same thing about? i mean... its not exactly subjective.
post #16 of 22
Quote:
Originally Posted by Veritaserum View Post
I think they think it will somehow go through the cord and into the placenta.
if we are going to go with that logic couldn't they just wait until the placenta comes out and hold it up above the baby so it all goes back in?
post #17 of 22
Quote:
Originally Posted by AnnaNova View Post
if it is so harmful, then whats with all the umbilical cord blood banking? thats supposedly a miracle cure for all sorts of diseases, wouldnt it be better to infuse it into the baby's body at birth to prevent those diseases in the first place?
That is something that bothers me about cord blood banking. Why take the blood away and save it when the baby can use it now?

A birth centre in my area operated for twelve years and never clamped or tied off a cord, except in a couple of twin births. They had excellent outcomes, and none of their babies either bled out or got pumped full of excess blood.
post #18 of 22
This thread is cracking me up!
We had a similar line of thinking on the UC forum recently. I'll post the link so you can read. There are several of us now thinking that we will not clamp at all even if we are not having a lotus birth....
Thank god we are smart enough to educate ourselves against the crazies we call doctors lol
http://www.mothering.com/discussions....php?t=1088782
post #19 of 22
Where do people get these ideas? If that guy was right, every woman who had a lotus birth would have a dead baby. It's bunk. You don't NEED to tie off the cord.
post #20 of 22
Quote:
Originally Posted by BekahMomToOliver View Post
Just a little while ago, though, I saw a prominent local doctor discussing emergency childbirth on TV. He also said that all you have to do is catch the baby, but then to tie off the cord 'definitely within 30 seconds of birth'. He made it sound like an absolute. A woman on the program asked what would happen if you didn't, and he basically said 'we won't go there. it's bad. let's drop the subject now.' :
This had me laughing sooo hard, esp the bolded part! Wth?!?!? Gee, I'm so glad nothing terrible happened to me or my baby when the mw waited over 30 minutes to clamp and cut the cord. Too much blood, too little blood - it's all the same, right?
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