Document Detail


The importance of delayed cord clamping for Aboriginal babies: a life-enhancing advantage.
MedLine Citation:
PMID:  18993126     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Third stage management has typically focused on women and postpartum haemorrhage. Clamping and cutting the umbilical cord following the birth of the baby has continued to be a routine part of this focus. Active versus physiological management of third stage is generally accepted as an evidence-based plan for women to avoid excessive blood loss. Other considerations around this decision are rarely considered, including the baby's perspective. This paper provides a review of the literature regarding timing of clamping and cutting of the umbilical cord and related issues, and discusses the consequences for babies and in particular *Aboriginal babies. Iron stores in babies are improved (among other important advantages) if the cord is left to stop pulsating for 3 min before being clamped. Such a simple measure of patience and informed practice can make a long lasting difference to a baby's health and for Aboriginal babies this advantage can be critical in the short and the long term for their development and wellbeing. To achieve much needed reductions in infancy anaemia and essential increases in infant survival, delayed cord clamping and cutting is recommended for all Aboriginal babies.
Authors:
Rosemary Weckert; Heather Hancock
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Publication Detail:
Type:  Journal Article; Review     Date:  2008-11-06
Journal Detail:
Title:  Women and birth : journal of the Australian College of Midwives     Volume:  21     ISSN:  1871-5192     ISO Abbreviation:  -     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-17     Completed Date:  2009-02-27     Revised Date:  2009-06-12    
Medline Journal Info:
Nlm Unique ID:  101266131     Medline TA:  Women Birth     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  165-70     Citation Subset:  N    
Affiliation:
Clinical Midwifery, Alice Springs Hospital, Alice Springs, Northern Territory, Australia. rosemary.weckert@nt.gov.au
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MeSH Terms
Descriptor/Qualifier:
Anemia, Iron-Deficiency / prevention & control
Anemia, Neonatal / prevention & control
Constriction
Female
Health Services, Indigenous*
Holistic Health
Humans
Infant, Newborn
Labor Stage, Third / blood*
Medicine, Traditional*
Oceanic Ancestry Group*
Perinatal Care / methods*
Pregnancy
Pregnancy Outcome
Umbilical Cord / blood supply*
Comments/Corrections
Erratum In:
Women Birth. 2009 Mar;22(1):41

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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