Resuscitation without clamping the umbilical cord
Photo by Martina Thalwitzer/Fröken Fokus
A blog post shared by Lisa-Marie Sasaki Cook, BSN, RNC-OB, C-EFM, ICCE, CD (I don't know what all abbreviations mean) published June 9th has gone viral: Placental Transfusion for Neonatal Resuscitation After a Complete Abruption.
Lisa-Marie writes about how a pregnant woman gave birth to a baby at 28+4 weeks gestation with an abrupted placenta. The baby who was pale and pulseless was brought to the resuscitation table where the NICU team took care of the baby while the phycisian kept the placenta over the baby with the cord unclamped, making an extra transfer of blood to the most likely hypovolemic baby possible. The baby began to cry and turn pink. Lisa-Marie continues:
'This really impacted our hospital and we have since been able to do this in another case. My hope is that you’ll be able to glean wisdom from our experience.'
As knowledge deepens regarding umbilical cord clamping on well-being preterm and term newborns, the concept of waiting to clamp the cord during resuscitation is still in an exploring and pioneering phase. Sharing one's experiences are an important step to help us learn more.
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Not long after that I read a story of a homebirth with the same conditions I had, but when her baby was born, they put the baby on momma's chest with cord still attached. They then watched and rubbed the baby (with EMTs on standby outside) as he pinked up and began to suckle. This makes more sense to me.
I followed that experience 3 years later with a perfectly executed homebirth at the age of 43. :)