|Now having read the wisdom contained in the discussion, I am wondering about our cord options. I'd figured that once the baby was born, we would wait until the cord stopped pulsating and then clamp at 1.5 to 2.0 inches from the baby's body, as recommended by the pediatrician. I also had assumed that the placenta would come out within a short time, i.e. a couple of minutes to up to, maybe, 10 minutes. Clearly, from the experience of some who have posted on this thread, the placenta does, and can, remain in utero for a while.
My shortest wait for the placenta to come out naturally was 1/2 hour, and my longest was 1.25 hours, but I've heard of the placenta not coming out for many hours with no ill effects. As for the cord -- I generally advise waiting until after the placenta comes out to cut, and also for a good long while after it becomes cold and limp. But with my two UCs I decided to cut before
the placenta was out -- although I was sure that it had already detached (which is another interesting subject) -- and it was fine.
|I was advised by a doula that if the placenta is not out within five minutes that the cord should be pulled on gently to detach it from the uterus. She said that if this is not done then the cervix closes up and the retained placenta needs to be removed surgically.
Ack ack ack! Nooooo! No no no. (Did I put that strongly enough? :LOL ) There is such a thing as retained placenta, but it's not going to happen because cord traction wasn't done five minutes after the birth, in fact it's more likely
to happen with cord traction because if the placenta is not ready to detach fully, it won't, only part of it will pull off and part of it will be retained. This doesn't nocessarily mean that it will then have to be removed surgically, but it certainly makes problems like hemorrhaging more likely. Also, the cervix is not going to close up five minutes after the birth.
The body knows that the placenta is still in there and just like it takes time to get the baby out, it takes time to get the placenta out, and it is not going to take the same amount of time for everybody, just like birth does not take the same amount of time for everybody.