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Cutting Umbilical Cord Early Eliminates Stem Cells

GeneralSoh writes "Delaying clamping the umbilical cord at birth may have far-reaching benefits for your baby, according to researchers at the University of South Florida's Center of Excellence for Aging and Brain Repair — and should be delayed for at least a few minutes longer after birth. This new recommendation published in the most recent Journal of Cellular and Molecular Medicine (14:3) notes that delaying clamping the umbilical cord allows more umbilical cord blood and crucial stem cells to transfer from mama to baby."

139 comments

  1. ORLY? by Marc+Desrochers · · Score: 1, Informative

    The kid's been attached to it for 9 months, and the last 2 minutes make _THAT_ much difference?

    1. Re:ORLY? by canajin56 · · Score: 4, Insightful

      Oh, if only they had done extensive research on it, instead of just saying "Sounds reasonable, lets publish!" then they would have caught that major flaw! Too bad you weren't around to keep them honest!

      --
      ASCII stupid question, get a stupid ANSI
    2. Re:ORLY? by asukasoryu · · Score: 4, Insightful

      I would think that newborns are at a critical developmental stage and need all the help they can get. If I sucked out a significant portion of your blood, it would set you back a bit and you've been around more than 9 months.

      --
      There are more things in heaven and earth than are dreamt of in your philosophy.
    3. Re:ORLY? by JoshuaZ · · Score: 3, Informative

      The kid's been attached to it for 9 months, and the last 2 minutes make _THAT_ much difference?

      The cord is then under very different circumstances. At that point it is no longer bathed in a protective moistening medium and it is no longer getting nearly as much oxygen. Cutting the cord further reduces the oxygen level and gives it more surface area to dry out.

    4. Re:ORLY? by Itninja · · Score: 4, Insightful

      There are quite a few things relating to circulation that don't happen until a few moments after birth (i.e. blood pressure, heart rate, heart valve changes). Perhaps a stem cell transference has something to do with that...

      --
      I judt got a nre Kinesis keybiartf so please excusr ant egregiou typos.
    5. Re:ORLY? by couchslug · · Score: 4, Funny

      "The kid's been attached to it for 9 months, and the last 2 minutes make _THAT_ much difference?"

      To be safe, use the Helicopter Parent method and leave it on until age 18.

      --
      "This post is an artistic work of fiction and falsehood. Only a fool would take anything posted here as fact."
    6. Re:ORLY? by Anonymous Coward · · Score: 4, Interesting

      Yes!

      When the baby is pushed out through the birth canal it is *compressed* and blood is *sqeezed out* from the baby into the umbilical and placenta. I can't believe it took researchers so fucking long to figure out *basic physics*.

      I was born premature and apparently needed a blood transfusion. The reason for the latter is probably because some doctor didn't want to wait a minute or so and wanted to be more "efficient". So DO NOT allow a doctor to clamp the chord for a minute or two after the baby is born. The baby needs that blood to thrive.

    7. Re:ORLY? by kcornia · · Score: 1

      We saved cord blood for both our kids and and I remember the cord blood folks saying "we like to get at least 100 million cells for a good sample."

      So of course I asked how many they got for ours and the answers were like 3 and 4 BILLION.

      So while this may be true, it doesn't seem like they're exactly hurting for cells, based on my totally anecdotal account anyway...

    8. Re:ORLY? by interkin3tic · · Score: 4, Informative

      There are quite a few things relating to circulation that don't happen until a few moments after birth (i.e. blood pressure, heart rate, heart valve changes). Perhaps a stem cell transference has something to do with that...

      There are several valves in the embryo's heart (such as the foramen ovale) which allows a lot of the blood passing through the heart to avoid the lungs. A lot of the blood coming into the heart before birth is oxygenated from the umbilical cord, so it can get pumped right out without going to the lungs.

      When the lungs become functional, pressure changes cause at least some of those valves to close immediately, so that the blood is now forced to go through the lungs before getting pumped back out to the body. These valves should close almost immediately to avoid deoxygenated blood being pumped out. That's really too quick to be directly affected by the stem cells. They -might- have something to do with later changes, where those valves permanently fuse shut, I don't know.

    9. Re:ORLY? by Lobachevsky · · Score: 5, Funny

      I don't know, I think newborns should be exposed to the free market system. If they cannot offer goods and services, they must not receive them. Providing free food, free shelter, and free healthcare to newborns is a slippery slope to a welfare state. /s

    10. Re:ORLY? by mikaere · · Score: 1

      Actually, yes. Birth is a complicated process. When we had our first-born back in 1997, we attended the progressive Active Birthing Clinic in London. At the time, the latest research indicated that the residual blood from the placenta post-birth assisted in ensuring the baby's immune system was fully enabled. We chose to wait until the cord had stopped throbbing before cutting it.

      --
      It's good luck to be superstitious
    11. Re:ORLY? by wringles · · Score: 4, Informative

      "Probably" just doesn't cut it. While delayed clamping of the umbilical cord may have a number of benefits to premature newborns, there are several other reasons for neonatal anemia (and hence, your need for a transfusion of RBCs) that have nothing to do with the timing of clamping.

      Also, several of the reasons for prematurity may cause birth with low Apgar scores. When a baby is born with low/zero heart rate or does not breathe soon after delivery, keeping it attached to the placenta is not going to give you better results than prompt clamping and institution of proper resuscitation.

      Please try to exercise more common sense when you leave your opinions in a public forum. Oh, forget that last sentence, this is slashdot, after all.

    12. Re:ORLY? by davester666 · · Score: 2, Funny

      Well, they willingly exchange pee for breastmilk...

      --
      Sleep your way to a whiter smile...date a dentist!
    13. Re:ORLY? by akayani · · Score: 1

      Get it outa me NOW!

    14. Re:ORLY? by RichiH · · Score: 1

      I don't know specifics or anything, but I would argue that:

      a) birth makes quite an impression on both mother and child. It's reasonable to assume that this may trigger some reactions. Note that I said "may".

      b) historically, a child would be lower than the mother for some time.

    15. Re:ORLY? by Anonymous Coward · · Score: 0

      what are the implications then for c-sections? is there a moment of "compression"?

    16. Re:ORLY? by jim_v2000 · · Score: 1

      Really? You're using yourself as the standard for births? If there was a problem as straight forward as you are saying, the practice would already be to wait before clamping. Reality is that you were the exception, not the rule. There's no evidence that keeping you attached to mom would have done anything.

      --
      Don't take life so seriously. No one makes it out alive.
  2. How will they know when to cut it? by Yvan256 · · Score: 5, Funny

    Is there an upload progress bar on the umbilical cord?

    1. Re:How will they know when to cut it? by crow · · Score: 5, Informative

      Yes, there is. It will stop pulsing. I've heard of cases where the baby was having trouble breathing, so they kept it going for half an hour until the breathing was right. As long as the cord is pulsing, the baby is still getting everything he needs through it. In most cases, the cord will shut down on its own in a minute or two.

    2. Re:How will they know when to cut it? by planckscale · · Score: 2, Interesting

      Will it continue to pulse while only attached to the placenta? For example, is it possible or beneficial for both the baby and placenta to be outside the mother for a while?

      --
      Namaste
    3. Re:How will they know when to cut it? by Anomalyx · · Score: 2, Insightful

      I would assume the pulse is a result of the mother's heartbeat, and therefore would require everything to stay attached in order to continue to do so.

      --
      No, there is no "-1 I'LL NEVER ADMIT BEING WRONG!!!" mod.
    4. Re:How will they know when to cut it? by K.+S.+Kyosuke · · Score: 1

      For example, is it possible or beneficial for both the baby and placenta to be outside the mother for a while?

      I don't know whether it's beneficial for the baby, but it's certainly detrimental at least to some fathers. I sentence you to look at three placentas for making such silly suggestions!

      --
      Ezekiel 23:20
    5. Re:How will they know when to cut it? by ParanoiaBOTS · · Score: 2, Informative

      Will it continue to pulse while only attached to the placenta? For example, is it possible or beneficial for both the baby and placenta to be outside the mother for a while?

      Yes, it only pulses while attached. Basically everything is still hooked in to the mothers circulatory system at that point, and the pulsing you are seeing is actually the mothers heart pumping blood through the cord. There is something called Wharton's jelly that exists within the umbilical cord which, if left alone, will cause the cord to "clamp" itself off anywhere from 5-20 minutes after the birth. Check it out: http://en.wikipedia.org/wiki/Umbilical_cord#Physiological_postnatal_occlusion

    6. Re:How will they know when to cut it? by sudog · · Score: 1

      That's pretty cool..!

    7. Re:How will they know when to cut it? by Anonymous Coward · · Score: 0

      Yes, unfortunately it was written by this guy.

    8. Re:How will they know when to cut it? by tobiah · · Score: 1

      I could see the cord to my daughter pulsing after the placenta was delivered. I'm sure it's not hard to find a youtube video of this.

      --
      "The ability to delude yourself may be an important survival tool" - Jane Wagner -
    9. Re:How will they know when to cut it? by Anonymous Coward · · Score: 5, Informative
      No - it has its own pulse - there is no direct connection of the maternal/foetal blood vessels.

      And I held and cut my own kids' cords - home births both of them, and the midwife said to leave clamping & cutting until the cord stopped pulsing, so I had to hold the cord until I felt it stop.

      Surprisingly tough, too - it's like a rope of three blood vessels strengthened with gristle.

    10. Re:How will they know when to cut it? by wringles · · Score: 2, Interesting

      There's actually a pulse even after the umbilical cord is clamped. Pulse in the umbilical cord is generated by the fetus' or baby's heartbeat, not by the placenta. The placenta has no pumping motion.

      After the baby is delivered, it is actually not "getting everything it needs" through the placenta. Even were the placenta still attached to the uterine wall, blood flow to that organ diminishes greatly soon after delivery -- otherwise, life threatening maternal blood loss might occur. Of course, an unattached placenta is not contributing with any substantial amount of metabolites to the baby.

      As a medical curiosity, I'd like to point out that the first picture of the original article shows a true knot of the umbilical cord. Of course, it's a curiosity and not a tragedy only because the knot wasn't tight enough to kill the fetus.

    11. Re:How will they know when to cut it? by UnderCoverPenguin · · Score: 2, Informative

      Actually, it is connected to the baby's blood vessels. The branch vessels that they connect to collapse shortly after birth to seal off the cord.

      Just after the birth of my daughter, the blood continued flowing in the cord for several minutes, leaving mother and child connected. Once the flow stopped, my wife's body started to try to expel the placenta even as I was trying to cut the cord.

      --
      Don't try to out wierd me, three-eyes. I get stranger things than you, free with my breakfast cereal. --Zaphod Beeblebr
    12. Re:How will they know when to cut it? by Anonymous Coward · · Score: 0

      Surprisingly tough, too - it's like a rope of three blood vessels strengthened with gristle.

      In that case, I recommend setting the oven to low and doing a nice braise. That'll get rid of the toughness, and retain the deliciousness.

    13. Re:How will they know when to cut it? by Anonymous Coward · · Score: 0

      For example, is it possible or beneficial for both the baby and placenta to be outside the mother for a while?

      I don't know whether it's beneficial for the baby, but it's certainly detrimental at least to some fathers. I sentence you to look at three placentas for making such silly suggestions!

      Placentas?, WOW yummy. We had people eating them in Peru.

    14. Re:How will they know when to cut it? by Tiggan · · Score: 1

      From your reference article: "The cord is not directly connected to the mother's circulatory system, but instead joins the placenta, which transfers materials to and from the mother's blood without allowing direct mixing."

  3. Reminds me of my mother by elrous0 · · Score: 4, Funny

    And they said she was crazy for keeping me attached for a year and breastfeeding me until I was 9. WHO'S LAUGHING NOW, NOSY SOCIAL WORKERS???

    --
    SJW: Someone who has run out of real oppression, and has to fake it.
    1. Re:Reminds me of my mother by rev_sanchez · · Score: 4, Funny

      My sister's cat is going to feel pretty silly about gnawing through all of her umbilical cords and eating the placentas. Next time I'll be sure to let Mittens know about the stem cells.

      --
      If you didn't come to party don't bother knocking on my door. Prince '1999'
    2. Re:Reminds me of my mother by Monkeedude1212 · · Score: 1

      WHO'S LAUGHING NOW

      Your runaway father, apparently.

    3. Re:Reminds me of my mother by Anonymous Coward · · Score: 1, Funny

      I was breastfed until 4 or so. Not that it's necessarily the cause, but I have been quite healthy. Well, except the psychological damage due to my mother's attempts to prevent me from growing up and becoming independent. So yeah, I guess it was a mixed bag for me. :(

    4. Re:Reminds me of my mother by idontgno · · Score: 0, Flamebait

      Mittens knows all about the stem cells.

      If you try to interfere, she'll just look at you and say "I can haz stem cellZ!" and then om nom nom the placentaburgerz.

      --
      Welcome to the Panopticon. Used to be a prison, now it's your home.
    5. Re:Reminds me of my mother by Anonymous Coward · · Score: 0

      WOW! Scientology is accepting cats now?

      Eh, shouldn't be too surprised...

    6. Re:Reminds me of my mother by interkin3tic · · Score: 3, Insightful

      My sister's cat is going to feel pretty silly about gnawing through all of her umbilical cords and eating the placentas. Next time I'll be sure to let Mittens know about the stem cells.

      To be fair, she probably thinks we're the silly ones for wasting all those tasty stem cells on our measly one-offspring litters.

  4. Keeping stem cells by HalAtWork · · Score: 1

    But if you cut it earlier, you can keep those stem cells and benefit from them, right? You're saying we should start giving all of that up?

    1. Re:Keeping stem cells by asukasoryu · · Score: 2, Insightful

      Is it more important to get your kid of to a good start or save those stem cells in case you need them later? Besides, there should still be some left over.

      --
      There are more things in heaven and earth than are dreamt of in your philosophy.
    2. Re:Keeping stem cells by HiThere · · Score: 1

      The thing about stem cells is that they can reproduce and indefinite number of times. It's not until they specialize that you start running into things like the 50 generation limit.

      (Though the cells being talked about probably aren't toti-potent stem cells, so who knows. Perhaps they do have some limit. But that's not the way to bet.)

      So think of it as accepting a temporary weakness to strengthen your child.

      --

      I think we've pushed this "anyone can grow up to be president" thing too far.
    3. Re:Keeping stem cells by wringles · · Score: 1

      The thing about stem cell harvesting is that the chance that your child will actually need its own cells later on is rather small. Actually around 1 in 20000 small. A public stem cell bank is much more useful for everybody. It benefits children who were born too early to have their cells harvested. It may even benefit the old geezers lurking here in slashdot.

      Of course, there's a lot of money being made in keeping private stem cell banks working, so there's little hope of convincing people otherwise.

    4. Re:Keeping stem cells by Anonymous Coward · · Score: 0

      Yeah, it was a joke :)

  5. "...delayed for at least a few minutes longer..." by willoughby · · Score: 4, Insightful

    A few minutes longer than.. what?

  6. Also: Jaundice! by LanMan04 · · Score: 5, Informative

    When my son was born a few years ago, the Doc didn't clamp the cord very quickly. Our baby also ended with a pretty decent case of jaundice and had to be under the "bili lights" for a few days, extending our hospital stay.

    This can sometimes happen when the baby gets a big dose of red blood cells because he's a lot lower than the placenta (gravity) or because the cord isn't clamped very quickly. All those red blood cells die in a day or two, baby cannot break down/metabolize the dead RBCs correctly, and POOF, jaundice.

    Just be careful. Jaundice can cause pleasant things like brain damage in neonates (due to immature blood/brain barrier).

    http://en.wikipedia.org/wiki/Bilirubin#Toxicity
    http://en.wikipedia.org/wiki/Kernicterus

    --
    With the first link, the chain is forged.
    1. Re:Also: Jaundice! by jtorkbob · · Score: 2, Interesting

      Interesting correlation. My daughter stayed unclamped for a couple of minutes, I think mainly due to the chaos of a very rapid labor, and she also had to be treated for jaundice. Have you read any studies on this correlation? I would hope this study would have spotted something like that.

      --
      AC: Only on slashdot... could the sentence "My hovercraft is full of eels." be moderated "+4, Insightful
    2. Re:Also: Jaundice! by maxume · · Score: 3, Informative

      Apparently it is pretty common:

      http://en.wikipedia.org/wiki/Neonatal_jaundice

      (first paragraph says 70% of the time. Other reading says 50% of the time for full term newborns.)

      --
      Nerd rage is the funniest rage.
    3. Re:Also: Jaundice! by Anonymous Coward · · Score: 4, Interesting

      Really?? Funny causation.

      I was born premature and needed a blood transfusion due to *insufficient* RBC. I also apparently had a decent case of jaundice. Funny how low RBC seems to have "caused" same jaundice as high RBC you are talking about? Or maybe there is another reasons?

      http://en.wikipedia.org/wiki/Neonatal_jaundice

      Now if you just read that you would have *maybe* figured out that there are multiple causes of neonatal jaundice and what your doctor did or didn't do probably had *nothing* to do with it.

      Just be careful. Not enough RBC can cause pleasant things like brain damage in neonates.

    4. Re:Also: Jaundice! by Anonymous Coward · · Score: 0

      Jaundice is actually just a symptom not the problem.

    5. Re:Also: Jaundice! by Anonymous Coward · · Score: 1, Interesting

      Yes, and that's why babies are born with a clamp, it follows after the baby and before the placenta.

      Kidding aside, expose your baby to sunlight to assist in clearing up the jaundice.

      My wife and I just had a very healthy son and decided on Lotus birth (i.e. keep the placenta until the cord detaches naturally, which in this case was 5 days). I have 3 other kids and never have seen such a happy, content baby as this time.

    6. Re:Also: Jaundice! by JWRose · · Score: 1

      There is no correlation to the clamping or not of the cord. Both of my kids were born at home with a Midwife who did not clamp the cord until it stopped pulsing. Neither kid had any sign of jaundice.

      --

      blah blah blah....
    7. Re:Also: Jaundice! by Anonymous Coward · · Score: 0

      Correlation is NOT causation!

      Do babies walk around when they are born? No?? Same thing with metabolism. It is not developed. Once baby is born liver can't cope with all the waste the body is generating (keep in mind that while in the womb, mother's body processes most of the waste from the fetus). Jaundice is just a sign things are out of whack and then baby's liver metabolism increases until it can cope with the waste.

      This is why 70+% of all newborns develop jaundice. Has nothing to do with cord clamping and other voodoo! Not clamping for too long can *sometimes* result in too much RBC in the baby but that is MUCH EASIER to fix (if necessary) than insufficient RBC.

    8. Re:Also: Jaundice! by Dahamma · · Score: 1

      I was born premature and needed a blood transfusion due to *insufficient* RBC. I also apparently had a decent case of jaundice. Funny how low RBC seems to have "caused" same jaundice as high RBC you are talking about? Or maybe there is another reasons?

      It's definitely possible form both cases.

      Jaundice is caused by high bilirubin levels, usually caused by more dead RBC than the liver can process. Two of the ways that this can happen are too many RBC in general (where a normal percentage die), or too many RBC dying (from a normal number of RBC). The latter could cause jaundice *and* anemia, which might require a transfusion.

      Anyway, the GP had a good point - too many can be as bad as too few. You almost had a good point, but your snide attitude and half-assed "research" kind of deflated it.

    9. Re:Also: Jaundice! by Anonymous Coward · · Score: 0

      My wife's sisters kid was clamped quickly and developed Jaundice. It's a lack of Vitamin D and is not uncommon in babies.

    10. Re:Also: Jaundice! by kdawgud · · Score: 1

      Other than personal experience, have you found any studies or other evidence that correlate longer clamp times with jaundice?

    11. Re:Also: Jaundice! by Anonymous Coward · · Score: 1, Insightful

      Ditto... and I was born in a hospital and hand my cord clamped immediately... and I had jaundice.

      The funny thing is, I knew about the stem cell transfer 4 years ago; it's part of the reason my kids didn't get clamped until the pulsing stopped. That extra bit of time with an operational cord also increases the length of time until nursing is required in a significant way, and reduces the effects of any trauma to the baby during birth.

    12. Re:Also: Jaundice! by sudog · · Score: 1

      Neonatal jaundice is not a lack of Vit D. And all you need to do is put them in a little blue incubator in the more severe cases, or just feed them more.

    13. Re:Also: Jaundice! by skelterjohn · · Score: 2, Insightful

      I hope you are not presenting your anecdotal evidence as proof of your claim... because...it's not.

    14. Re:Also: Jaundice! by corbettw · · Score: 1

      My guess would be the midwife kept the child elevated more in this case than the other two, avoiding the problem of excess red blood cells entering the child. Did she lay the baby on your wife's breast or anything like that?

      --
      God invented whiskey so the Irish would not rule the world.
    15. Re:Also: Jaundice! by LanMan04 · · Score: 1

      Actually it was my mother who's been a RN for forever (has a Masters in Nursing) that told me that was the probable cause.

      Not sure about an actually study, I'll ask her and see if she can dig one up.

      --
      With the first link, the chain is forged.
    16. Re:Also: Jaundice! by eparusel · · Score: 1

      I was thinking the same thing -- my son, born recently had a high hemoglobin count that contributed to his Jaundice and a night under a few sets of blue lights.... Quite a high count, scary for a parent.
      The doctor said it was likely due to an excess of blood through the cord at birth.

    17. Re:Also: Jaundice! by tobiah · · Score: 1

      +1 funny

      --
      "The ability to delude yourself may be an important survival tool" - Jane Wagner -
    18. Re:Also: Jaundice! by tobiah · · Score: 1

      exactly

      --
      "The ability to delude yourself may be an important survival tool" - Jane Wagner -
    19. Re:Also: Jaundice! by Kilrah_il · · Score: 1

      Actually, jaundice is a problem. Of course, it is caused by an immature liver that cannot process the porphyrin from the catabolism of dead RBC (porphyrin is part of the hemoglobin), but you treat Neonatal Jaundice because the excess bilirubin is toxic to the brain ( http://en.wikipedia.org/wiki/Bilirubin#Toxicity ). I agree that in each jaundiced baby there is a search for a cause for the jaundice, because some may have an additional cause (sepsis, Rh incompatibility, and many more), but the majority have jaundice from an immature liver and it passes after a few days.
      In adults, OTOH, jaundice in itself is not harmful, but it is worrying because it is a sign of an underlying disease (hepatitis, cirrhosis, malignancy and more). So yes, in adults it is not a problem but a sign (not symptom) of another problem. In neonates, it is a problem in and of itself.

      --
      Whenever in an argument, remember this.
    20. Re:Also: Jaundice! by Kilrah_il · · Score: 1

      It was not a joke on sudog's part, the treatment for Neonatal Jaundice is UV light. The UV light changes the insouble indirect Bilirubin into a water-soluble isomer that is excreted by the kidneys.

      --
      Whenever in an argument, remember this.
    21. Re:Also: Jaundice! by dwarfsoft · · Score: 1

      My daughter was born and was expected to have severe Jaundice due to an Rh-D isoimmunisation of my wife (due to mismatching bloodtypes of baby Rh+ and Mother Rh-) and she was also expected to require a blood transfusion (we had managed to avoid needing a transfusion in utero somehow).

      She did not have the cord clamped down very quickly at all (at least 3 minutes after birth), though gravity was not much of a factor though. She did require the Biliblanket for 4 weeks after birth, but she didn't have to be taken away to neo-natal care at all, and she never left our side for that time.

      I wonder now if the fact that the cord wasn't clamped immediately may have helped her to beat all expectation that she would require a blood transfusion.

      Either way she was a fighter.

      --
      Cheers, Chris
    22. Re:Also: Jaundice! by wringles · · Score: 1

      The first choice of treatment for neonatal jaundice is a blue light bath. Read the wikipedia article you've referred to more carefully.

    23. Re:Also: Jaundice! by Kilrah_il · · Score: 1

      Sorry, we meant the same thing, but where I work we some times, informally, call it "UV light". In reality it is not UV, but only blue.
      I was sure I heard sometimes during my studies that the wavelength is UV and the blue is just for the effect, guess my memory is starting to fade faster than expected... :)

      --
      Whenever in an argument, remember this.
    24. Re:Also: Jaundice! by drinkypoo · · Score: 2, Insightful

      My guess would be the midwife kept the child elevated more in this case than the other two, avoiding the problem of excess red blood cells entering the child. Did she lay the baby on your wife's breast or anything like that?

      It's kind of amazing (and by kind of I mean not at all) how when you do what is natural, it all works out. It's almost like we evolved to have live birth or something.

      --
      "You're right," Fisheye says. "I should have set it on 'whip' or 'chop.'"
    25. Re:Also: Jaundice! by Anonymous Coward · · Score: 0

      Most cases of jaundice with this particular cause are very mild and not at all dangerous, even if left untreated. Many practitioners are, according to good research, much too aggressive in treating jaundice. Jaundice can usually only progress to a level that can cause problems when there is a different underlying cause, in which case it is not able to dissipate quickly. Jaundice from extra red blood cells at birth generally dissipates pretty quickly. Don't worry, nurses and doctors are pretty sensitive to jaundice and almost certainly will not allow it to progress to dangerous levels without taking extreme measures. Letting the blood flow from the umbilical cord has been shown to have far more benefits than dangers.

  7. Re:"...delayed for at least a few minutes longer.. by bmecoli · · Score: 0, Redundant

    The standard procedure, perhaps?

  8. Separation by Neutral_Observer · · Score: 0

    Ever since I was cut off I've spent all of my time trying to get back in there. But I'm not making much progress from my mother's basement here. :(

  9. Optimal delay by srussia · · Score: 1

    The time it takes for the mother to chew it off.

    --
    Set your phasers on "funky"!
    1. Re:Optimal delay by Anonymous Coward · · Score: 0

      loser much?

  10. I loved my umbilical cord so much by by+(1706743) · · Score: 1

    that I wrapped it around my neck in utero. My siblings claim that this explains a lot about me.

    1. Re:I loved my umbilical cord so much by PPH · · Score: 2, Funny

      You and David Carradine.

      --
      Have gnu, will travel.
  11. Here's the actual paper by damn_registrars · · Score: 3, Informative

    You can access the actual research paper through this pubmed (national institutes of health) link. You may need to access it through your local university library to get further than the abstract. If you follow through as far as the link from the publisher (Wiley Interscience) you'll see that the paper was actually accepted and published online back in February.

    --
    Damn_registrars has no butt-hole. Damn_registrars has no use for a butt-hole.
    1. Re:Here's the actual paper by bradinthehouse · · Score: 2, Informative

      Also, while you're on the pubmed site, you might be interested in searching for other papers about the benefits of "delayed cord clamping" vs "early cord clamping." There are only a few cases where early cord clamping is beneficial, apparently. I was able to find many more articles on why delayed cord clamping is beneficial than I was on why early cord clamping is beneficial.

      For those who like evolution: It's also interesting to think that for millions of years, man did not clamp immediately after birth. Unattended women wouldn't bother. And yet, here we are!

      If you think that for every evolutionary tale there must be a creationary (whoah, what?) tale: do you think that $deity really made humans in such a way as to be entirely dependent on doctors to clamp as soon as a baby is born? Surely he would have taken care of that piece of awesomeness by introducing some new aspect of nature to handle it without our human intervention!

  12. Delaying is a bad move for the parents! by JoshDM · · Score: 1

    Allowing junior to get those extra stem cells means the placenta won't be as delicious.

    1. Re:Delaying is a bad move for the parents! by Anonymous Coward · · Score: 0

      Don't worry, you'll grow up....

  13. Where it's clamped by Conspiracy_Of_Doves · · Score: 1

    Seems like when they do finally clamp it, it might be a good idea to clamp it as close to the mother as possible. Let the kid still absorb whatever is in the cord.

  14. Oh great by tweek · · Score: 2, Funny

    I find this out 6 weeks late. When did having kids become like buying technology?

    Seriously though, there are some cases where that might not be possible. My first son was an emergency c-section. I don't know how long it was before he started breathing but it felt like forever.

    Thing2 was a scheduled c-section and I had him in my arms almost immediately. I honestly don't know how quickly they clamped.

    --
    "Fighting the underpants gnomes since 1998!" "Bruce Schneier knows the state of schroedinger's cat"
    1. Re:Oh great by interkin3tic · · Score: 1

      I find this out 6 weeks late. When did having kids become like buying technology?

      Ha ha, your kid's obsolete! He/she won't be able to run crysis 2!

      (Kidding, congratulations!)

    2. Re:Oh great by interkin3tic · · Score: 1

      ...so I see you did say "him" in there: sorry about the "/she" part.

    3. Re:Oh great by wringles · · Score: 1

      He still won't be able to run Crysis 2. On the other hand, she would probably not want to run Crysis 2.

      Congrats, anyway!

    4. Re:Oh great by tweek · · Score: 1

      Unless Crysis 2 has Thomas the Tank Engine as an unlockable character, he probably won't be interested ;)

      --
      "Fighting the underpants gnomes since 1998!" "Bruce Schneier knows the state of schroedinger's cat"
  15. I knew this 14yrs ago by SiggyTheViking · · Score: 1

    This is rather old news.
    My son is almost 14. We had in our birth plan to leave the cord alone for a while so he would get the stem cells.
    Unfortunately, it was wrapped around his neck, and additionally tied in a true knot, so when he came out pale and lifeless, the doctor clamped it off and handed me the scissors.
    He turned out fine, BTW.

  16. currently in practice by blackfrancis75 · · Score: 1

    Isn't this really old news? When my son was born last August they did exactly this for exactly these reasons..

    1. Re:currently in practice by tobiah · · Score: 4, Interesting

      It's also old news that giving birth on your back without moving around is just about the most painful and inconvenient way to do it, but birth wards continue to promote this because it is also the most convenient position for the doctor.

      --
      "The ability to delude yourself may be an important survival tool" - Jane Wagner -
    2. Re:currently in practice by blackfrancis75 · · Score: 2, Interesting

      I think that's a pretty important consideration, given the high incidence and terrible consequences of complications during childbirth.

    3. Re:currently in practice by Lumpy · · Score: 2, Interesting

      United states has one of the highest infant mortality rate in the world. Sounds like our Best medicine money can buy, actually sucks pretty bad.

      --
      Do not look at laser with remaining good eye.
    4. Re:currently in practice by whizzard · · Score: 2, Informative

      United states has one of the highest infant mortality rate in the world

      You may want to check some actual facts. As of 2009, the US was 46th out of 224. This definitely isn't something to brag about, but it's nowhere near the "highest". It's not even 3x the lowest...

    5. Re:currently in practice by Draconius42 · · Score: 4, Informative

      could it be because our doctors have the skill to allow babies to be born that would be stillborn elsewhere, but then subsequently die from complications? This is a misleading statistic that doesn't take the whole picture into account.

    6. Re:currently in practice by Anonymous Coward · · Score: 0
      That should've been modded funny - quite a percentage of those complications come from the mother lying on her back - ever seen what happens to a woman's coccyx as the baby passes through? It moves out of the way and puts a weird-looking lump on her back, just above the cleft of her buttocks.

      Now imagine that woman lying on her back, maybe with pillows under her shoulders to elevate her head a little. All of her 50 or 60 (or more) kilos are pressing down on that coccyx while it's trying to get of the baby's way.

      We don't need to be placing obstacles in the way of babies trying to get out. Let the damn doctor squat on a stool if he needs to do an internal examination.

    7. Re:currently in practice by wringles · · Score: 1

      If you consider that the United States is #1 in health expenditure per capita, #46 in infant mortality does suck badly.

    8. Re:currently in practice by psnyder · · Score: 1

      The US also counts "infant mortality" as showing any signs of life while outside the womb. Many other countries have less strict standards, and count similar deaths as not having been born.

      Comparing Infant Mortality Rates

  17. Cord blood freezing? by Anonymous Coward · · Score: 0

    I imagine that those companies that are touting all the benefits of freezing cord blood for possible later use are not happy about this! There would be less cord blood to harvest and maybe that would finally be the end of the nonsense they spread around.

  18. Old news. by sudog · · Score: 1

    Move along. Doctors have known about this for a long time. Real doctors, even.

  19. Birthing centers already do this by MobyDisk · · Score: 4, Interesting

    My wife and I decided to have our child at a birthing center, and this was one of the reasons.

    I was very skeptical of not delivering in a hospital, but after doing some research I was intrigued. We went to the orientations at both a local hospital, and at a local birthing center. In both orientations I asked how long they leave the umbilical cord attached. The hospital doctors didn't see any reason not to cut it immediately, and kind of looked at me like "oh, you are one of THOSE people." The midwife at the birthing center said something like "We follow the most recent lifelong study completed by in which recommends leaving the cord on for due to the increased supply of stem cells." where X was something between 2 and 5 minutes, I forget the number now.

    The linked article does a great job of pointing out that this isn't new. What is shocking is that most OBs don't know it. The only disadvantage of this is that it makes it harder to harvest fetal stem cells from the placenta. In our case, I don't think our donation met the minimum requirements (although we sent it in anyway). I love the idea that our son got a head start because we did what science has already known to be correct, and that perhaps someone else's life could be saved by the donation.

    If you plan on having a child, it is worth every moment to do your research. And don't blindly trust the doctors.

    1. Re:Birthing centers already do this by kd5zex · · Score: 4, Insightful

      What is shocking is that most OBs don't know it.

      It's not that they don't know, it's more likely most don't give a damn.

      And don't blindly trust the doctors.

      Fantastic advice, OBs often capitalize on the stressful situation and play the "dead baby card" quite often to do things their way.

    2. Re:Birthing centers already do this by wringles · · Score: 1

      Of course you should take informed decisions. Just remember that not every Ob-Gyn is trying to gouge you. Also, that not every "alternative practitioner" has your best interests in mind. Remember also that if you're unlucky, the "dead baby card" is a real dead infant on your lap.

      Ob-gyn's in the United States, but also in other parts of the world, certainly have reason to be extra careful and conservative in their decisions, as they have some of the highest rates of malpractice litigation in the medical profession.

    3. Re:Birthing centers already do this by Johnno74 · · Score: 1

      Our 3 kids were born in hospitals, delivered by Midwives - the first in New Zealand, the other two in Australia All 3 times they waited until the cord stopped pulsing before they claped it and invited me to cut it.

      IMHO getting your baby delivered by a midwife, at the hospital gives you the best of both worlds. Obstetricians can be a little gung-ho about intervening in the process of childbirth instead of letting things progress naturally, With our first the obstetrician was concerned at how slowly things were going and wanted to induce labour. The midwife stood up to her and said the baby & mother didn't appear to be in any distress so lets just wait a while longer and see what happens. We did that and had a completely natural childbirth a couple of hours later, but we had the comfort of knowing that if things weren't going well the obstetrician and all the specialist help we would need were right there.

    4. Re:Birthing centers already do this by BikeHelmet · · Score: 1

      Doctors can be idiots. Just look above at the comment titled "Also: Jaundice!"

      This can sometimes happen when the baby gets a big dose of red blood cells because he's a lot lower than the placenta (gravity) or because the cord isn't clamped very quickly. All those red blood cells die in a day or two, baby cannot break down/metabolize the dead RBCs correctly, and POOF, jaundice.

      I bet midwives from centuries past wouldn't have made that mistake. When did all this common knowledge (keep placenta at the same elevation or slightly lower) start vanishing?

      You probably made a good choice.

      And don't blindly trust the doctors.

      That's the best advice. Never forget it.

    5. Re:Birthing centers already do this by joost · · Score: 1

      Fantastic advice, OBs often capitalize on the stressful situation and play the "dead baby card" quite often to do things their way.

      Actually, OBs are not your enemy. In fact (I know, this is shocking) they are your friends. OBs have probably seen enough dead babies that they will do everything they can to prevent that. This might include procedures executed early, just to be on the safe side. Who would have thought that medical doctors have your baby's best interests at heart!

  20. Re:Also by thedbp · · Score: 1

    You're thinking of Rob Reiner.

  21. Thanks for telling me now by Hoi+Polloi · · Score: 1

    It is safe to assume that this news has arrived too late for anyone reading this.

    Mom owes me some stem cells!!!

    --
    It is by the juice of the coffee bean that thoughts acquire speed, the teeth acquire stains. The stains become a warning
    1. Re:Thanks for telling me now by Anonymous Coward · · Score: 0

      extra exclamation points don't make your comment funnier :)

  22. Because insanely complex changes go on... by droopus · · Score: 1

    Many years ago, when I was a Usenet junkie, I frequented the abortion newsgroups and argued endlessly, pro-choice of course. (hey it was the 90's..I was bored.) I did some research and wrote this treatise on the incredible changes that occur in the circulatory system at birth.

    For example, did you know that first expansion of the lungs actually reverses blood flow in sections of the central circulation? It's actually quite cool. In fact, as I wrote.."Immediately following birth, the umbilical vessels constrict. The arteries close first, and if the umbilical cord is not clamped or severed for a minute or so, blood continues to flow from the placenta to the newborn through the umbilical vein, adding to the newborn's blood volume."

    But the reversing blood flow stuff is amazing.

    --
    "The pie shall be cut in half and each man shall receive.....death. I'll eat the pie."
  23. Re:Nice one, Timothy! by Anonymous Coward · · Score: 1, Funny

    LOL. slammed by the 'professional' named, "trisexualpuppy"

  24. Stem cell, shmem cell by Anonymous Coward · · Score: 0

    The placenta is not a magical and wondrous miracle; it is an organ - a part of the baby - which is no longer needed after birth. The blood coming from the placenta is *exactly* the same blood as the rest of the baby has. It does not contain magical stem cells to make the baby healthier. Remember that the placenta is a two-way vessel, and for every drop of blood that enters the baby through it, there is another that exits. Therefore delayed clamping can only result in a change insofar as what it brings in is used immediately, which at the time of birth pretty much limits it to oxygen and nutrients. This may very well provide health benefits, but anyone who is attributing it to stem cells is clearly more interested in pushing political views than in any actual science or medicine.

    1. Re:Stem cell, shmem cell by Onymous+Coward · · Score: 1

      Dangerously simplistic.

      The world is more detailed and weirder than you realize. You would do better to grasp this fact and step out from the Dunning-Kruger zone.

  25. Re:Nice one, Timothy! by MadCat221 · · Score: 1

    Sez the AC.

  26. Re:Nice one, Timothy! by Anonymous Coward · · Score: 0

    Very mature, professional writing style.

    Says "TrisexualPuppy".

  27. Old information that... by n0x0n · · Score: 1

    It was during my traEMS education, around 1996 that I was told to always squeeze the umbilical cord between two fingers in order to empty it and transfer all blood in it to the child before clamping and cutting it...

  28. Re:Nice one, Timothy! by Anonymous Coward · · Score: 0

    (S)HE didn't claim to be professional, douche water drinker. He/she/it/whatever makes posts while timothy posts up complete stories for everyone to see on the front page. Moron.

  29. Re:"...delayed for at least a few minutes longer.. by Anonymous Coward · · Score: 0

    Which is...? Come now, don't be patronizing.

  30. the creepy thing about that is by circletimessquare · · Score: 1

    it works both ways, for the mother too

    you carry some cells of your mother's genetic profile, and your mother carries some cells of your genetic profile

    i wonder how long after birth these genetic transfers persist?

    years maybe? a cell or two here and there?

    weird for the father too: have a child with a woman, and something with half of your genetic profile persists in her body

    a little in the spleen there... a little in the brain here

    creepy

    --
    intellectual property law is philosophically incoherent. it is your moral duty to ignore it or sabotage it
    1. Re:the creepy thing about that is by longhairedgnome · · Score: 1

      Would the immune system kick in?

      --
      GENERATION O98346: The first time you see this, copy it into your sig and remove a random number from the generation. T
    2. Re:the creepy thing about that is by interkin3tic · · Score: 1

      I also find the mitochondrial situation to be pretty weird. I mean, even if you get past the weirdness of bacteria with their own genes living in and dividing in almost all of your cells, in many cases even releasing factors which convince your cells to commit suicide, there's a whole other layer of weirdness that they all came from your mother.

    3. Re:the creepy thing about that is by wringles · · Score: 1

      Who cares about the origin of mitochondria anymore? I'd give an arm to have mommy's midichlorians!

    4. Re:the creepy thing about that is by interkin3tic · · Score: 1

      Such a great line it makes me sad to know the next opportunity I have to use it IRL, I'll probably waste it with some valid question.

      Fortunately, I'm a cell biologist, so another one will probably come along eventually.

  31. Other reasons to leave it attached by tobiah · · Score: 1

    One of the reasons a baby is given a vitamin K shot at birth is to address their low blood levels at birth, which can also be addressed by leaving the cord attached until the placenta stops pumping and the cord turns white. This of course helps with other issues, particularly in having enough red blood cells to adequately transport oxygen to the organs. I hadn't heard the stem cell argument, which I'd be less concerned about but sounds like another good reason to wait.

    Of course the main reason vitamin K is administered by shot and in infant formula is for blood coagulation in case the baby is injured in the first month when levels are low. Hopefully a one-month-old is not exposed to many circumstances which would result in cuts and bruises. It seems possible that there are developmental reasons for the initially low v-K levels (because nature/evolution often has a reason for such discrepancies), but I am not aware of any research on the topic.

    --
    "The ability to delude yourself may be an important survival tool" - Jane Wagner -
    1. Re:Other reasons to leave it attached by Anonymous Coward · · Score: 0

      sadly, many children are intentionally cut and injured before they leave the hospital.

  32. A few minutes!? by BigSes · · Score: 1

    Damn, I know plenty of people in their 30s who mothers still haven't cut the umbilical cord! Those guys must be chock full of stem cells and nutrients.

  33. Re:Nice one, Timothy! by irreverant · · Score: 1

    Um... RTFA.... that's how the original describes it, timothy quoted, maybe he should have provided a cites page. Would you prefer MLA, APA or the rare Chicago style?

    --
    Of all the things I've lost; I miss my mind the most. - Mark Twain
  34. Re:Also by Anonymous Coward · · Score: 0

    You're thinking of Christoper Reeves.

  35. Re:Nice one, Timothy! by Kilrah_il · · Score: 3, Informative

    The bigger problem is that no blood is actually passed "from mama to baby". The maternal and fetal circulations are (almost) completely separated. Except for few red blood cells that accidentally pass (esp. around birth and trauma), the placental barrier keeps the two circulations separate. Oxygen, nutritional material and waste are passed by diffusion, with no contact between the two blood pools. The reason for this is that the baby's blood type may be different than the mother's (because of paternal genes) and if the blood would have mixed, than there would have been an immune reaction against the baby's blood.
    Delayed vs. early clamping affects the distribution of blood between the newborn baby and the placenta. The major determinant for this is the relative hight of each other, due to the rule of communicating vessels.

    --
    Whenever in an argument, remember this.
  36. cutting is bad, mmm'k? by Anonymous Coward · · Score: 0

    the cord is not meant to be cut immediatly. how long after i do not know. but it is the perfect length such that after being delivered the baby can be placed in the mother's arms with it still attached. it still delivers oxygen and with so many doctors instead wanting to cut it immediatly, most hospital delivered babies suffer brain damage from that lack of cord oxygen before their lungs are working 100% (that takes minutes! and they still need oxygen during that time). doctors want to turn pregnancy into a disease that they treat you for. listen to nature. if it was meant to be cut immediatly, it would do it itself.

  37. What? by Dunbal · · Score: 1

    more umbilical cord blood and crucial stem cells to transfer from mama to baby

          Who wrote this crap? Transfer from PLACENTA to baby, yes. From MAMA to baby, no. Absolutely not, under normal circumstances.

    --
    Seven puppies were harmed during the making of this post.
  38. My wife is a Certified Professional Midwife by Ice+Station+Zebra · · Score: 2, Insightful

    And she has been saying this for years. Along with, don't take the baby away right after birth, skin to skin contact right after birth is important and let the kid nurse. Have your babies at home, you go to the hospital when you are sick and pregnancy is not a disease.

    1. Re:My wife is a Certified Professional Midwife by kd5zex · · Score: 1

      Sadly, most Americans have been conditioned to believe that the hospital is the only place to deliver a child and only OB-Gyns are capable of doing so.

      But then again, how would women get all the narcotics, epidural anesthesia, or schedule their induction/Cesarean at home? ;)

    2. Re:My wife is a Certified Professional Midwife by Michael+O-P · · Score: 1

      Couldn't agree more. My wife became a doula after our first child was born, and we had our second at home with a midwife. So many comments on this board are completely ignorant, and makes me wonder how this is good topic for Slashdot. The vast majority of this country is uneducated about childbirth, and just relies on the factory system in hospitals. I avoid birthing discussions in general, because people just want to be validated, not educated.

      --
      I'm Peggy.
  39. Humans are the only animals with navels by gumpish · · Score: 1

    Humans are the only animals with navels, grotesque intentional scars.

    1. Re:Humans are the only animals with navels by Beezlebub33 · · Score: 1

      That is simply false, as 30 seconds with google will tell you. All placental mammals have navels. Human ones are more pronounced than most other species, but we also have other oddities (like a really big brain, and prolonged development before maturity). They are also much more noticeable because other mammals are much hairier than we are around there. Take a look here or here.

      --
      The more people I meet, the better I like my dog.
  40. Re:"...delayed for at least a few minutes longer.. by Cryptnotic · · Score: 1

    A few minutes longer than.. what?

    A few minutes longer than they currently do, obviously.

    --
    My other first post is car post.