Tag Archives: research delayed cord clamping

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Mother-led Skin to Skin: The First Minutes

Open Letter to Dr. Nils Bergman                                                                                     By Mary Esther Malloy

Your research has shown the world

a baby belongs on its mother,                                                                                                                     skin to skin.

You argue:

a baby on its mother,                                                                                                                                      it is where we lay the foundation for healthy people and healthy societies.

You say:

Skin to skin must start at birth,                                                                                                                     Skin to skin must be continuous.

Kangaroo Mother Care is not yet the bedrock of maternity care you’d have it be, but the world is listening. We are reconsidering one of the 20th Century’s grand experiments: the practice of separating mothers and babies at birth.

Now, when it is possible, a baby is delivered to its mother’s chest.

Immediate skin to skin.

But, what if we were to trust birth and women even further? What if, instead of delivering a baby immediately to her mother’s chest at the moment of birth, what if the midwife or doctor simply guides the baby down where she is born? …what if everyone pauses… and leaves the mother to initiate the skin to skin, on her time frame?

What might this look like? Continue reading

Delayed Cord Clamping: An all of human history practice (20th century exempted)

By Mary Esther Malloy, MA

Asthma-PlanThere are many things that help our children to be as healthy as possible during their first minutes, hours, days, months and years. If the findings of some new research are correct, then ensuring that our babies get their full volume of blood as they are born might be one of the more important steps we can take for the well-being of our children.

Here is the problem: while studies are showing us that there appears to be no good justification for the routine clamping and cutting of a baby’s umbilical cord seconds after the baby is born, survey after survey shows most obstetricians and many midwives still clamping and cutting cords very soon after delivery, with some rates as high as 95% (Downey and Bewley 2012; van Rheenen, 2011).  Dr. Jose Tolosa and colleagues write, “Although without clear benefit and no rationale to support it, early cord clamping remains the most common practice among obstetricians and midwives in the western hemisphere” (Tolosa et al., 2010).

What can we do about the disparity between evidence that strongly supports delayed cord clamping and widespread habits of practice that we know are not benefiting our children? We can educate ourselves. We can share research with our doctors and midwives. We can advocate for a change in business as usual. I’ve written this article to share an emerging perspective (that many have long held) and to make some of the research easily available to expectant parents. At the close of the piece I’ve included an except from a recent editorial in the American College of Obstetricians and Gyncologist’s journal that you might share with your doctor.

Don’t leave your child behind in the 20th century

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