In my practice, cutting the cord before placenta delivery is not common--well, we often times do cut cord *just before* plac delivery, when Mama knows it's time and wants it out of the way). Most all cord cutting is 'delayed' (that is, NOT cut prematurely, as is the medical standard)--anywhere from 10-15 min post birth, to an hour or more. I see very very little jaundice, and none that is problematic so far.
As for 'necessary' phototherapy--well, I question this diagnosis. I wasn't there, and you haven't given any bili- numbers or other info, but as far as I can tell, quite often phototherapy is recommended needlessly. I don't worry about bilirubin numbers (or even have it checked) until I see a baby who is exhibiting signs of possible problems. A baby who is alert, sufficiently vigorous and nursing well and often, is not a baby who needs help even though s/he may be pretty jaundiced.
As for 'necessary' phototherapy--well, I question this diagnosis. I wasn't there, and you haven't given any bili- numbers or other info, but as far as I can tell, quite often phototherapy is recommended needlessly. I don't worry about bilirubin numbers (or even have it checked) until I see a baby who is exhibiting signs of possible problems. A baby who is alert, sufficiently vigorous and nursing well and often, is not a baby who needs help even though s/he may be pretty jaundiced.