I like using a cord bander, but there are days when neither one of my banders is sterile. I really like the cord ring system (Birth with Love carries these) and there is another rubber band system that Cascade carries. With each of the banding systems, baby ends up with a much smaller cord stump which is circular rather than fanned out like with the plastic clamps. The families who have done it with the plastic clamp for a hospital birth and the band system for OOH birth have preferred the band.
One of my Amish families also has a metal cord clip that they sterilize for when mom is in labor. My understanding is that it has been used in several dozen births and still works fine.
I have asked this question of midwifery groups I am part of, whether we need to clamp the cord at all. As the Wharton's jelly dissipates it constricts the vessels in the cord anyway so there is no danger of the baby bleeding out from the cut end if we delay cord cutting for an hour or so.
Personally, not clamping the cord in some way just feels like some part of the baby is going to leak. Maybe not blood, but something more spiritual, some part of its essence. However, this last statement has no scientific validity or basis.
Edited by mothercat - 5/20/13 at 6:49pm