Major break-through for delayed cord clamping

It is worth taking such a recommendation
.
However, cord milking in both preterm and term neonates proven to have better hematologic and nonhematologic infices as outline by the author.
It appears the author will advocate for a longer delayed time cord clamping, which in a compromised neonate that requires immediate resuscitation, waiting may not be a good idea

Midwives with women have not been practising early cord clamping for decades that I know of. It makes sense to know the history of events leading up to placental separation, be patient, observe and wait. Under most circumstances in the absence of major complications and unnecessary interventions during labour, birth and postpartum the fimbriated ends need time to separate as the biophysiological clotting factors increase and the retro-placental clot has time to form. Involution of the upper and lower uterine segments in harmony with descent of the placenta create compression over the clotting area at the placental site. Blood loss according to maternal body size is expected, it cannot return to the maternal blood stream. Sensible, confident practice leads to unnecessary early cutting of the cord. 42 years of Midwifery I totally agree with that "delayed umbilical cord clamping does not increase the rise of postpartum haemorrage". However unnecessary use of oxytocin, committing one to controlled cord traction before clotting and descent has taken place does result in postpartum haemorrhage. Administration of newborn drugs Vitamin K1 and vaccination(s) results in juandice as the newborn liver attempts to metabolise foreign injected chemicals post birth, especially those given prior to 72-96 postpartum hours, or at least until the maternal milk volume peaks and the gastro-intestinal and urinary systems are fully functioning excreting the waste products.

What's the number of babies needing photo therapy for term babies., talk about interfering with bonding!

The picture in this article shows a placenta several minutes after delivery. The placenta is usually delivered between 5-30 minutes. So 30-60 seconds of delayed cord clamping would not look like this picture. Also, for those moms who are collecting their baby's cord blood the delayed clamping effects this collection amount. Parents need to be aware of this information.

What is the stand in the High burden HIV population? What is the risk of contracting HIV during this period?

I had a home water birth with delayed clamping. I find all of the topics hold true. The jaundice can be remedied by 15 min of daily sunlight and increased hydration for the infant. I am a proponent of letting nature have its due course

Once there is a committed policy of delayed cord clamping, ideally optimal cord clamping (wait for white or wait till placenta delivered) then we will see the fall in the number of babies needing resuscitation as they have in Northumberland, England, the first maternity hospital in the world (as far as I know) to adopt a policy of routine DCC and resusciation at the side of the mother with the cord intact when needed.

This is what I'm championing for Zambia.

This is a step in the right direction, but 30-60 seconds isn't long enough! Why so rushed? Is the OB's time so precious that she or he can't spare a few minutes for the benefit of the newborn child?

You're picture is terribly misleading for American mom's. 30-60 seconds does not include time for a delivered, cleaned up placenta to be placed inside pan, placed on mom's chest, next to a cleaned off baby covered in a blanket. Be realistic. We do place the wet, bloody, amniotic fluid covered baby direct on mom's chest for precious skin to skin time.