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Discussion Starter · #1 ·
so how important for the cutting instrument and for the clamp / cord tie to be sterile? i can't find a definite UC friendly answer. sure, at hospitals "everything is sterile", but does it have to be at home?
 

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I did a fair amount of reading and from what I can tell, no. Not that it's not important but most of the stories I've read ppl have just used something (shoelace/string) to tie the cord; also found this website helpful:<br><br><a href="http://www.empoweredchildbirth.com/articles/birth/cord.html" target="_blank">http://www.empoweredchildbirth.com/a...irth/cord.html</a><br><br>
HTH
 

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Discussion Starter · #3 ·
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<div>Originally Posted by <strong>kalisage</strong> <a href="/community/forum/post/10787437"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I did a fair amount of reading and from what I can tell, no. Not that it's not important but most of the stories I've read ppl have just used something (shoelace/string) to tie the cord; also found this website helpful:<br><br><a href="http://www.empoweredchildbirth.com/articles/birth/cord.html" target="_blank">http://www.empoweredchildbirth.com/a...irth/cord.html</a><br><br>
HTH</div>
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thank you! i've seen the "tie with anything" advice, but most sources presuppose you will be in the hospital as soon as you can, being pumped with antibiotics after your "emergency."<br><br>
we have braided embroidery floss, and a clamp ready.<br><br>
in the rare event of the cord being too tight and needing quick double clamping, do they mean that the embroidery floss won't be tight enough or fast enough? i'm thinking the baby's side could be clamped, and the other side quickly tied? dh requested a super long embroidery tie, as he wants to be able to wrap it around his fists if he needs to exhert a lot of strength <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/eyesroll.gif" style="border:0px solid;" title="roll"> but it IS super long now.
 

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One thing that I read was to watch if you are using something metal only because of the concern of tetanus transmission. As it generally lives in rust or in dirt I wouldn't think that concern would apply to shoelaces, etc.
 

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i had my son at a birthcenter & we burned his cord. there's no question of infection in that case & you can't do it until after it stops pulsing, so impossible to do it too early.<br>
nak
 

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<div>Originally Posted by <strong>sewathomemama</strong> <a href="/community/forum/post/10787885"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">i had my son at a birthcenter & we burned his cord. there's no question of infection in that case & you can't do it until after it stops pulsing, so impossible to do it too early.<br>
nak</div>
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cool. i had been thinking about doing that for this birth, but hadn't heard of anyone else doing it!
 

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oh yes, they're becoming more popular her in NW oregon, thanks mostly to Home Sweet Home Birth in Otis, OR. cindy learned about the midwives in SE asia burning the cords after the flooding, where lack of sterile birthing environments & tools were causing infections. it has it's roots in chinese medicine as a method of returning heat energy to the infant's body. it takes a few minutes, but if you don't mind the smell, it's very cool. tools needed: 2 long tapered candles, a wooden box with notches carved into each side or something to catch the wax drippings, as well as to protect baby from the flame. the cord lays across the box & fits into opposite notches, then the lit candles are placed into the perpendicular notches, to form a cross +. the burning point should be several inches from the belly. gently twist the cord to encourage severing. i will try to find a resource with pictures.
 

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If you have to do two ties in order to cut it quickly, you only have to tie the baby's end, the maternal end can bleed out with no harm to anyone. However, you can't tell which end is which around the neck, so you have to do both tightly.<br><br><br>
The vessels at the end of the cord are a directly line into the baby's bloodstream. I wouldn't cut them with anything except something very clean. Tying off the cord really tight also helps separate the outside world from the inside of the cord/body.<br><br>
In my opinion, it's really only important for a while - after all, we all know how cords can get stinky and rotty after a few days. Obviously the body well protects itself in the hours after birth.<br><br>
So, yeah, really clean would be important to me. Sterile, not so much.
 

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we used a new swiss army knife that later we'll be able to give to ds. we had an alcohol wipe that we used b/c they come with oil on them and then wiped the alcohol off with a clean cloth. we didn't tie the cord b/c it closes itself after the pulsing stops and all the blood finishes transferring. there may've been a drop. one woman used a clothes pin temporarily. i think we had string and dental floss around in case the cord was around his neck, but actually didn't plan to clearly for that one, though we knew we should. not sure why we didn't have it set and ready...<img alt="" class="inlineimg" src="/img/vbsmilies/smilies/eyesroll.gif" style="border:0px solid;" title="roll">
 

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Ok, this is something I hadn't thought about. Where do you even get a clamp? How do you tie a cord?<br><br>
edited to add: I have embroidery thread around somewhere. Should I boil it first? We plan to wait until the cord stops pulsing. As far as scissors to cut, I thought I would just boil a pair we have on hand, but I'm not sure they'll be sharp enough.
 

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Discussion Starter · #11 ·
edited to add: I have embroidery thread around somewhere. Should I boil it first? We plan to wait until the cord stops pulsing. As far as scissors to cut, I thought I would just boil a pair we have on hand, but I'm not sure they'll be sharp enough.[/QUOTE]<br><br>
Pam, i ordered all of our birth supplies from <a href="http://www.mamagoddessbirthshop.com/" target="_blank">http://www.mamagoddessbirthshop.com/</a>,she's based in vancouver, it was the only canadian store i found, and the owner is very lovely and prompt. look in the midwifery section.<br><br>
if we don't use ours, i can ship it to you. i also have the whole homeopathic birth kit, not sure how much we will use if at all. check it on her site, if you are interested, ours will probably be new or like new <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink"><br><br>
i wish i ordered 2 or more, though. just in case. the problem with the clamp is that you need a clamp remover, whichi is $15, and which we didn't get. so one needs to go to a health office to get it removed with the special remover. at least this is my understanding. my kids' cords stayed for a long time, i wouldn't want to have this plastic monstrosity on them for such a long time!
 

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Discussion Starter · #12 ·
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<div>Originally Posted by <strong>sprinkle pocket</strong> <a href="/community/forum/post/10791061"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">we used a new swiss army knife that later we'll be able to give to ds. we had an alcohol wipe that we used b/c they come with oil on them and then wiped the alcohol off with a clean cloth. we didn't tie the cord b/c it closes itself after the pulsing stops and all the blood finishes transferring. there may've been a drop. one woman used a clothes pin temporarily. i think we had string and dental floss around in case the cord was around his neck, but actually didn't plan to clearly for that one, though we knew we should. not sure why we didn't have it set and ready...<img alt="" class="inlineimg" src="/img/vbsmilies/smilies/eyesroll.gif" style="border:0px solid;" title="roll"></div>
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we will probably go this way, but the tie that i made is so pretty <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/shy.gif" style="border:0px solid;" title="innocent"><br><br>
from what i read, dental floss is too thin and will cut through the cord. they recommend dental tape, but i have no idea what it is, even.
 

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Discussion Starter · #13 ·
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<div>Originally Posted by <strong>Apricot</strong> <a href="/community/forum/post/10788414"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">If you have to do two ties in order to cut it quickly, you only have to tie the baby's end, the maternal end can bleed out with no harm to anyone. However, you can't tell which end is which around the neck, so you have to do both tightly.<br><br><br>
The vessels at the end of the cord are a directly line into the baby's bloodstream. I wouldn't cut them with anything except something very clean. Tying off the cord really tight also helps separate the outside world from the inside of the cord/body.<br><br>
In my opinion, it's really only important for a while - after all, we all know how cords can get stinky and rotty after a few days. Obviously the body well protects itself in the hours after birth.<br><br>
So, yeah, really clean would be important to me. Sterile, not so much.</div>
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clean we can work on <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink">
 

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That's a neat site! Although I wish they carried sharp, sterile scissors. I'm not paying $90 for the umbilical cutter! Thanks for the link!<br><br>
I suppose you're due pretty soon... I'll have to lurk in the April ddc to find out.
 

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Discussion Starter · #15 ·
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<div>Originally Posted by <strong>Pam_and_Abigail</strong> <a href="/community/forum/post/10793611"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">That's a neat site! Although I wish they carried sharp, sterile scissors. I'm not paying $90 for the umbilical cutter! Thanks for the link!<br><br>
I suppose you're due pretty soon... I'll have to lurk in the April ddc to find out.</div>
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i think any scisssors would be sharp enough when they are knew. do you have any medical supply stores in town? sewing supplies?<br><br>
i'm a very sporadic mdc-er right now <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink"> you won't find me in the ddcs! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/redface.gif" style="border:0px solid;" title="Embarrassment">
 

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Jumping in late on this one but we are having this same conversation in another <a href="http://www.mothering.com/discussions/showthread.php?t=861700" target="_blank">current thread</a>. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
I definitely think "clean" is far inferior to "sterile." <a href="http://www.birthwithlove.com" target="_blank">birthwithlove.com</a> has scissors (not special "umbilical scissors" but they're standard sharp metal medical scissors, 1 pointed and 1 blunt end), <i>packaged sterile</i>, for $4. They also have several different cord clamps and rings, packaged sterile, for $1-2 each. Look for "Sterile" in the description, because they aren't all sterile.<br><br>
I'm looking for sterile curved or straight clamps (forceps), myself, since I'd prefer to lotus birth and cut off pieces of the placenta as needed, leaving the cord itself intact. I think when cutting the cord or placenta, it is of utmost importance to avoid introducing pathogens.
 

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<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
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<div>Originally Posted by <strong>Pam_and_Abigail</strong> <a href="/community/forum/post/10793611"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">carried sharp, sterile scissors. I'm not paying $90 for the umbilical cutter!</div>
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I got a pair of these as I know I will use them again, but mine were only $10 here:<br><a href="http://www.mentzermaternity.com/index.php?act=viewProd&productId=199" target="_blank">http://www.mentzermaternity.com/inde...&productId=199</a><br><br>
**wanted to add that there are forceps, as well as many other birth supplies in the midwifery section
 

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At my son's homebirth, we used the plastic clamps and his clamp didn't come off until the ped removed it when he was a week old. Poor kid had the thing poking him the whole time.<br><br>
With our UC, we used plastic clamps. And then a few hours later retied with pretty floss and recut. The thing about the floss though... it got so goopy and smelly and stuck to the cord, etc.
 

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<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>kalisage</strong> <a href="/community/forum/post/10798551"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I got a pair of these as I know I will use them again, but mine were only $10 here:<br><a href="http://www.mentzermaternity.com/index.php?act=viewProd&productId=199" target="_blank">http://www.mentzermaternity.com/inde...&productId=199</a><br><br>
**wanted to add that there are forceps, as well as many other birth supplies in the midwifery section</div>
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Thanks! It's nice to have another link to this type of supply.<br><br>
I wasn't quite clear, though, that what I'm looking for is an instrument that has been put in a sealed package, autoclaved, and is then sold in the package. Thus it arrives sterile. Birthwithlove has scissors, gloves, and umbilical clamps in sterile packages like that, for very reasonable prices. But they don't have sterile forceps, and I haven't found another source of them either.<br><br>
I actually have some locking forceps, just no way to autoclave them. I can wash and boil them, but since electricity is so expensive where I live, the energy would likely cost more than buying new, and autoclaving is the "gold standard" of sterilization.
 

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You can cut off the plastic clamps without the special cutter. Just cut the loop/hinge end with a pair of *****.<br>
Or kitchen shears. Once you snip the circle, it falls apart.<br><br>
The typical item is midwife kits to cut the cord is a razor blade. I don't know if it's easier to make a razor clean than scissors.<br><br>
There are several protocols for baking or boiling items to acheive cleanliness. If you have a pressure cooker, you can autoclave for real - that's all an autoclave is.<br><br>
If any of you want to autoclave at my house, you're welcome!
 
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