In infant’s, is delayed cord clamping beneficial at birth and through childhood? Numerous maternity care providers continue to clamp the umbilical cord instantly after a basic vaginal birth, even though the substantial newborn benefits of delayed cord clamping (usually defined as 2 to 3 minutes after birth) are now well known. However, there is no solid scientific backing for immediate cord clamping (ICC), deep-rooted medical habits can be sluggish in changing. Sloan, Mark (2012) “Common Objections to Delayed Cord Clamping” There are a lot of benefits to delayed clamping including: In full term infants, postponed umbilical cord clamping nurtures hemoglobin levels at birth and increases iron stores, which may have a encouraging effect on developmental …show more content…
In term infants, delayed umbilical cord clamping raises hemoglobin levels at birth and increases iron stores in the first few months of life, which help with developmental growth. There is a minor rise in jaundice needing phototherapy in term infants whose parents chose to delay cord clamping. However, health care providers will make sure devices are available to monitor and treat jaundice, if it is an issue for the infant. Likewise, evidence also supports delayed umbilical cord clamping for at least 30–60 seconds in preterm infants. Delayed umbilical cord clamping is related to significant neonatal benefits in preterm infants, including improved transitional circulation, better formation of red blood cell capacity, declined need for blood transfusion, and lesser occurrence of necrotizing enterocolitis and intraventricular hemorrhage. In terms of maternal outcomes, delayed umbilical cord clamping does not raise the danger of postpartum hemorrhage or the need for blood transfusion. Furthermore, postpartum maternal hemoglobin levels are not exaggerated by delayed compared with abrupt umbilical cord clamping. Long-term effects of delayed umbilical cord clamping have been assessed in a inadequate amount of studies. In a single unit, assessed from 4 months to 4 years of age, scores of neurodevelopment did not vary by timing of umbilical cord clamping among patients at 4 months and 12 months of age. At 4 years of age, children in the early umbilical cord
Uebel, P. (1999). A case study of antenatal distress and consequent neonatal respiratory distress. Neonatal Network. 18 (5). 67-70
The Support of Research of that Privation in Infancy will Have Adverse Effects on Later Development
... in place in delivery rooms to better sterilize the environment to eliminate viruses and infection which would further risk bleeding for mother or infant and thus lead to increased time in the NICU.
These women could anticipate delays in normal growth and development for the fetus. The exact cause of post term pregnancy is unknown. The mother experiencing post term pregnancy is at risk for trauma, hemorrhage, infection, and labor abnormalities (Ward et al., 2016, p. 543). Labor induction prior to 42 weeks’ gestation prevents MAS and other complications. A biophysical profile measuring the heart rate, breathing and body movements, tone, and the amniotic fluid volume is used to monitor the fetus for intrapartum fetal stress that could cause passage of meconium. Diabetic woman is at high risk for preeclampsia or eclampsia, infection, hydramnios, postpartum hemorrhage, and cesarean birth (Ward et al., 2016, p. 383). In addition, fetal macrosomia prolongs labor due to shoulder dystocia. The glucose challenge test, and the 3- hour OGTT is used for gestational diabetes screening, done after 24 weeks of pregnancy. Abnormalities of the respiratory system as explained earlier are the most concerning complication of MAS, needing immediate
Cord clamping has long been practiced to occur immediately after birth of a neonate. There is much discussion and evidence based practice that shows improvements to health when we delay the clamping and cutting of the umbilical cord. Delayed clamping allows for more nutrient rich blood to flow to the infant’s body, which is going through shock at birth. Early clamping is generally done between 10 seconds after expulsion of the fetus to one minute , whereas delayed clamping ranges from two minutes until the cord finishes pulsating. The research collected will analyze early clamping and delayed clamping to see which practice is found to be healthier for mother and child.
In doing this project the literature drawn from is largely non-scholarly for the reason that I am prevailing upon the reader to think outside the box about birth. Most of the “scholarly” research that is available was written by doctors or nurses/nurse midwives who were trained in the medical model of birth. Since part of my premise is that the high rate of Cesarean sections is caused in part by viewing birth as a medical and therefore pathological event, and in part for its emergence as a capitalistic industry, it was then necessary to find literature written by people who have expertise in birthing though not from the traditional obstetrical/medical school approach.
"Madison Anesthesiology Consultants : Child Birth Anesthesia, Advantages and Disadvantages of Epidural Anesthesia." Madison Anesthesiology Consultants : Child Birth Anesthesia, Advantages and Disadvantages of Epidural Anesthesia. N.p., n.d. Web. 25 Nov. 2013. .
There are more than 70% of premature babies that are born between 34 and 36 weeks gestation a year. When a baby is born early, or born with birth defects, the Neonatal Intensive Care unit is its first home. The nurse’s in the NICU have the difficult job of preparing baby’s and parents for a health life together. A baby who has been put into the NICU will stay there until it is healthy enough to go home.
It is highly possible that something could go wrong causing the child to suffer. In the early stages of this new technology what would happen if something unexpected was to occur? Would the staff in charge of taking care of the fetuses be able to change settings on an instrument supporting the fetuses? In the rare event of a power outage or a natural disaster would a generator kick in fast enough to support these fetuses? These questions are all things that would have to be dealt with in the early stages of this new technology as well as in later stages. Supporting a life is not something that can be left unattended at any time.
A neonatologist has many tasks and responsibilities before, during, and after the birth of an at-risk newborn. If there is reason to believe there are going to be complications with a birth that would cause negative side effects for the infant, a neonatologist will be brought in to help. In these high-risk situations, a team effort is required and the neonatologist takes the lead position. The neonatologist will be responsible for advising the parents on what to expect during and after labor. After the infant is born, the neonatologist has to find a method to properly care for the baby. Because most premature babies have a low birth-weight, their lungs need to be supported and they need to be kept warm. During this whole process, the neonatologist interacts with the parents to keep them updated on their baby’s condition (Weaver, 2009).
New technologies are being developed every day. The latest advance in fetal monitoring is the fetal oxygen monitor: “A device that directly measures fetal oxygen saturation during labor and delivery is now available and has the potential to reduce the number of Cesarean sections performed for non-reassuring heart rates.” (Mechcatie) The article by Mechcatie describes the monitor extremely well: “The device’s sensor, located at the end of a flexible tube, is made of pliable plastic and is inserted through the cervical os until it lies along the fetal cheek, where the pressure of the uterine wall keeps it in place during labor. The sensor shines light into the fetal skin and computes the oxygen saturation by measuring the color of the reflected light coming through the blood cells.”
Doctors now say that this procedure is a great advantage because as adults, we have 50,000 cells in the muscles of our fingers, but a fetal finger might have less than 20 at the earliest stages.
Reddy, U. M., Zhang, J., Sun, L., Chen, Z., Raju, T. N., & Laughon, K. (2012). Neonatal mortality by attempted route of delivery in early preterm birth. American Journal of Obstetrics & Gynecology, 207(2). doi:10.1016/j.ajog.2012.06.023
Over the years birthing methods have changed a great deal. When technology wasn’t so advanced there was only one method of giving birth, vaginally non-medicated. However, in today’s society there are now more than one method of giving birth. In fact, there are three methods: Non-medicated vaginal delivery, medicated vaginal delivery and cesarean delivery, also known as c-section. In the cesarean delivery there is not much to prepare for before the operation, except maybe the procedure of the operation. A few things that will be discussed are: the process of cesarean delivery, reasons for this birthing method and a few reasons for why this birthing method is used. Also a question that many women have is whether or not they can vaginally deliver after a cesarean delivery, as well as the risks and benefits if it. Delivering a child by a c-section also has a few advantages and disadvantages for both the mother and child; this will also be discussed in more depth a bit later.
This journal was useful for me because it gave me the background details on why women are opting for delayed motherhood by the age of 30 or 40. Accordingly, I was able to build up my points on how it will affect the health conditions of both baby and mother and also the risk of taking that challenge.