Making the Case for Delayed Umbilical Cord Clamping: A Grand Rounds Lecture by Dr. Nicholas Fogelson

Believe me, the time is well-worth it.  Before you open the following video link, set aside 50 minutes of uninterrupted time to watch Dr. Nicholas Fogelson’s Grand Rounds lecture, in which he makes the case before his colleagues regarding the research supporting delayed umbilical cord clamping & cutting.

Thank you, Dr. Fogelson, for granting Science & Sensibility the opportunity to re-post this video:

Dr. Nicholas Fogelson on Delayed Cord Clamping & Cutting-Part I

7 Comments

Making the Case for Delayed Umbilical Cord Clamping: A Grand Rounds Lecture by Dr. Nicholas Fogelson

February 23, 2012 07:00 AM by Steve P.
Delayed cord clamping and its benefits was a topic in a child birth class my wife and I recently took part in. I had never heard about this topic until then. After doing more research this is something my wife and I are interested in doing with out first child (due 3/4/12). One question I have is the effects this has if you want to do private cord blood banking. We had signed up with a private bank before we covered this topic in our class and are now conflicted. Can you do both? I talked to the bank and they said we can but we have to understand that we will not bank as much blood. There is a target weight they look to collect and if they do not meet at least that weight there isn't enough for them to bank. From watching the video I see there are benefits from leaving the baby on the cord for just a minute. Does that make sense or really should we weight until it stops pulsing? I see that the last comment here is a good 8 or so months old but was hoping someone with experience in this area can answer this question. I would love to ask Dr. Fogelson directly but can't find an email address for him anywhere. I am wondering if he has had any patients that were able to do both successfully. I'm having a hard time wrapping my head around the idea of taking away from my baby for something I hope I never have to use in the future.

Making the Case for Delayed Umbilical Cord Clamping: A Grand Rounds Lecture by Dr. Nicholas Fogelson

February 23, 2012 07:00 AM by Deena H. Blumenfeld, ERYT, RPYT, LCCE, FACCE
Steve ~ This is a very common question from parents - "Can I both delay the cord clamping and donate or bank the cord blood?" The short answer is in most cases, no. There is a limited amount of blood in the umbilical cord at the time of birth. In talking to one of the cord blood banks here in Pittsburgh, PA, they need at least 40-60 ml to do research and 75+ ml to store it for use in stem cell transplant. The longer you let the cord drain into the baby, the less blood there is for donation or banking. Some nurses are adept at manipulating the placenta to encourage the blood to drain further for collection purposes. Other nurses are not. So, there is no way to know if you will have enough blood to do both, until you try. I can't give you specific advice for your situation, since this something that only you and your partner can decide. What I can say is that the best evidence we have points to delaying clamping the cord for at least 2 min to start reaping the benefits. So, what you have to decide for yourself is - does the potential benefit of privately banking the cord blood outweigh the immediate benefit of delayed cord clamping? Some additional info: "The American College of Obstetricians and Gynecologists (ACOG) takes no official position for or against cord blood banking, but says the chances are slim that a child or even a family member will ever use that saved cord blood. The organization points to a 1 in 2,700 (or lower) chance that a child will use his own saved cord blood. ACOG also points out that no one knows how long cord blood can successfully be stored." http://www.babycenter.com/0_private-cord-blood-banking-is-it-for-you_1369773.bc?page=1 Penny Simkin has a video illustrating the cord blood transfer from the placenta to the baby. http://www.youtube.com/watch?v=W3RywNup2CM&list=FL07bJXHIPaNIeDOvb_5QAKQ&index=12&feature=plpp_video

Making the Case for Delayed Umbilical Cord Clamping: A Grand Rounds Lecture by Dr. Nicholas Fogelson

February 23, 2012 07:00 AM by Steve P.
Thank you for the response. The more I read about private banking the less I feel comfortable with it. The evidence right now isn't the best but the potential for the future is what makes me think. But again why deny your baby of what is theirs for something you hope you never have to use or may not even be able to use if needed. Ultimately I think we are going to delay clamping (haven't yet decided on how long) and then try to get what we can for private banking. If it's not enough to store we're not liable for it. I just wish I can find documentation on people who were able to do both.

Making the Case for Delayed Umbilical Cord Clamping: A Grand Rounds Lecture by Dr. Nicholas Fogelson

February 24, 2012 07:00 AM by Deena H. Blumenfeld, ERYT, RPYT, LCCE, FACCE
Steve ~ I wish I did have data to give you on people who were able to both delay and store the cord blood. At this point, there is no one collecting the data. More research does need to be done in this area.

Making the Case for Delayed Umbilical Cord Clamping: A Grand Rounds Lecture by Dr. Nicholas Fogelson

January 24, 2013 07:00 AM by Delayed Cord Clamping | Your Choice Birth – Utah County Birth Doula
[...] To view all the articles they have on the subject of delayed cord clamping, click HERE. They have a really informative video series about delayed cord clamping given by Dr. Nicholas Fogelson, MD A.P. Department Obstetrics and Gynecology USC School of Medicine. To watch this series click HERE. [...]

Making the Case for Delayed Umbilical Cord Clamping: A Grand Rounds Lecture by Dr. Nicholas Fogelson

April 26, 2013 07:00 AM by Delayed Cord Clamping? | Childbirth World
[...] In Dr. Fogelson?s ?Grand Rounds” videos, his message is clear. ?Immediate clamping and cutting of the umbilical cord deprives the newborn of nearly 20mL/kg of their potential blood volume.? This information is available at Science and Sensibility, a Lamaze website – http://www.scienceandsensibility.org/?p=2049 [...]

I also see that babies who hav

January 7, 2015 07:00 AM by Dinah
I also see that babies who have been subjected to early cord clamping, are absolutely starving in the weeks post birth. THey feed frequently from their mothers, then consequently the mothers believe they don't have enough milk to breastfeed... it is a terrible vicious cycle. Please don't cut the umbilical cord before the placenta has birthed.

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