Comments on: Super Comment! Re: The Deal with Delayed Cord Cutting

By: yoursurprise-bellatio-5

yoursurprise-bellatio-5 — Sat, 10 Dec 2011 08:18:59 +0000

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By: Jane Kamper

Jane Kamper — Tue, 30 Mar 2010 19:13:02 +0000

I am wondering if there is a particular way that the cord clamping can be delayed in C-section delivery. I am going in for a c-section(first child wth severe shoulder distocia, so they scheduled me for c/s), and I want to delay the cord cutting. Is this a realistic request? Or is it difficult for them to do?

By: nursingbirth

nursingbirth — Fri, 12 Jun 2009 18:24:43 +0000

Jenn, Kathy is almost right. Its not the body compression that we are worried about, its the cord. In the case of shoulder dystocia the umbilical cord is being compressed between the fetal body and the maternal pelvis (aka the cord is getting pinched between the baby and the pubic bones). That is why prompt identification and effective evidenced based management of shoulder dystocia is so important when it (rarely) does happen. great question!

By: Kathy

Kathy — Wed, 10 Jun 2009 19:14:02 +0000

“I’ve always wondered though…why is it that in a shoulder dystocia case the baby will not breathe? The head is delivered…”

My understanding is that even though the head is out, the body is being compressed in the birth canal, so the chest cannot expand. If I’m wrong, I’m sure somebody will correct me.

By: Jenn

Jenn — Wed, 10 Jun 2009 17:57:17 +0000

Something I can point out about breathing that I think many people are unaware of is that breathing is not stimulated by lack of oxygen in the blood, but rather a build up of carbon dioxide.

Given that…if you are in an environment that has a large amount of oxygen and low amount of carbon dioxide, you will actually have your carbon dioxide level decrease to the point that you will not breath “automatically,” so if you happen to be unconscious…you will suffocate DESPITE being in a high oxygen environment!

I’ve also seen a couple of babies breath before being completely born…again showing that the cord does not need to be clamped for breathing to start. I’ve always wondered though…why is it that in a shoulder dystocia case the baby will not breathe? The head is delivered….

By: Response to a Comment, Re: The Deal with Delayed Cord Cutting « Nursing Birth

Fri, 22 May 2009 17:38:05 +0000

[...] in that very post you are referring to (Super Comment! Re: The Deal with Delayed Cord Cutting) I referenced two research articles from the Cochrane Collaboration (considered the gold standard [...]

By: nursingbirth

nursingbirth — Thu, 21 May 2009 19:10:06 +0000

Kathy, that is a great idea! I didnt even know you could subscribe to “comments” with google reader! Thanks for the tip!

By: Kathy

Kathy — Thu, 21 May 2009 11:41:57 +0000

NursingBirth,

Thank you for highlighting this comment and bringing attention to all comments. I’ve just subscribed to the comments in my Google Reader, so I can listen in on these comment-conversations that I would otherwise miss. Since I read my blogs in Google Reader, I rarely read any comments, unless I happen to comment as well, so I’m glad you brought attention to this important topic.

By: nursingbirth

nursingbirth — Thu, 21 May 2009 10:22:28 +0000

Wow!! Rock on Veronica!! It is so nice to hear there are hospitals out there that practice delayed cord clamping. You know, women should not have to demand this very important step in childbirth!!

By: Veronica

Veronica — Thu, 21 May 2009 06:05:55 +0000

I think I was lucky to give birth in a hopsital that routinely practises delayed cord cutting and skin to skin contact for at least the first hour. My son established his breathing (and screaming) before he was completely born. My midwife said it’s not something they normally see. Then again, he was in a hurry to come out, 90 minutes from start to finish.