What a coincidence, just a few days ago I came across articles relating to these 2 topics, and I think they have really good information.
On nuchal cords: http://midwifethinking.com/2010/07/29/nuchal-cords/ My daughter was also born at home with the cord around her neck, and the midwife did not cut it in order for her to be born the rest of the way. Nuchal cords are very common and in general, not an emergency at all. This midwife says, the less management, the better. Which just as a general birth philosophy makes sense to me.
edited to add: I will say that even though my CNM waited a couple of minutes and told me that the cord had stopped pulsing, I feel that she cut it too soon and caused issues for both me and the baby. I was in a pool, and it can be hard to tell if there is too much blood in the water. I had my daughter on my chest when the midwife cut the cord without asking, and then told me she needed me to get out to assess me.
In hindsight, I believe this was exactly the wrong thing to do- I should have gotten out with the cord intact and be allowed to birth the placenta before clamping. My uterus then did have trouble contracting down, since it was full of a placenta that still had baby's blood in it. I had pitocin and uterine "massage" (HA! worse than labor!) to get it out. Meanwhile my baby, who'd been cut off from part of her oxygen supply by the clamping, was now experiencing a little respiratory difficulty. They suctioned her & stuck a tube down her nose, made her nose bleed, and this caused issues with breastfeeding for at least a week. It was a whole cascade of interventions I did not expect at my homebirth.
So I firmly believe the placenta should be out before the cord is cut. I did it this way in my next two births, both UCs, and I did not experience the hemorrhage, not did the babies have any trouble establishing their breathing.
On cord blood collection, but there is stuff about why to delay clamping: http://midwifethinking.com/2011/02/10/cord-blood-collection-confessions-of-a-vampire-midwife/
Edited by Lula's Mom - 5/8/11 at 9:33am