Cutting the umbilical cord is an important moment in a baby's life. For nine months, babies living in the womb depend only on the umbilical cord as a connector for all the nutritional intake of the mother. Then, shortly after his birth to the world, the baby's umbilical cord was cut. Often the father himself will hold a baby cord cutting ceremony.
Many doctors routinely cut the baby's umbilical cord immediately after birth because they are considered as an effort to reduce the risk of heavy bleeding in the mother. However, recent research shows that waiting for a few minutes to cut the umbilical cord can benefit the baby in the long run. Why?
What are the benefits of delaying the cutting of the baby's umbilical cord?
1. Smooth baby breathing
The umbilical cord connects the baby to the placenta in the mother's womb, which functions to transport oxygen and nutrients to the baby, and to carry away baby-derived waste products - such as carbon dioxide. The umbilical cord is also a channel for sending antibodies that will protect the baby after birth. It is common for doctors to cut the umbilical cord immediately, within 15 to 20 seconds of birth, except for premature babies.
Waiting a few minutes before clamping the umbilical cord allows more fresh blood supply rich in iron to be sent from the placenta to reach the newborn baby. Fresh blood flow from the placenta may still flow up to five minutes after the baby is born, but optimal placental blood transfer occurs within the first minute - and there is increasing evidence that it has several health benefits.
Among the many benefits of keeping the umbilical cord intact after the baby is born is that the oxygenated blood that flows through it will complete the baby's first breath. In the uterus, the placenta acts as the fetus's lungs. But in seconds after birth, changes in the blood circulation and lungs of a previously filled fluid are expanding because the baby breathes air. Too soon to cut off access to the remains of placental blood in the umbilical cord makes babies lose the opportunity to get extra oxygen to enrich their first breath.
2. Prevent anemic babies
Medical research shows other positive effects of delaying cord clamping after the baby is born until later in the growth period, including increased iron stores, blood volume and brain development. Waiting a few minutes before cutting the umbilical cord allows more iron-rich blood from the placenta to reach the newborn baby. Thus, delaying cutting the baby's umbilical cord as soon as he is born can reduce the risk of the child developing blood deficiency anemia once he grows up.
Iron deficiency anemia is the most common problem of nutrient deficiency in children throughout the world, especially in developing countries, including Indonesia. Based on the latest survey from the Indonesian Pediatrician Association (IDAI), the incidence of iron deficiency anemia in children under five in Indonesia was reported to be around 48.1 percent and 47.3% in the age group of school children. Mild iron deficiency is found to delay children's cognitive development. Babies who experience anemia often appear lethargic and pale.
Reported from USA Today, a previous study by Ola Andersson, a neonatologist and pediatrician at Uppsala University in Sweden, showed that babies who were delayed cutting their umbilical cord had up to 90% resistance to iron deficiency anemia. when they are 4 months old.
3. Improve baby motor skills
In a recent study, Andersson found that babies born full-term and still dependent on umbilical cord at least three minutes after they were born showed better motor control when they were preschoolers than children who had cord immediately cut as soon as they are born. Children whose cord is delayed by cutting are more likely to show better social skills.
How long should you delay cutting the baby's cord?
Studies show that the benefit of delaying the cutting of the umbilical cord is more pronounced in children born prematurely, with a risk of blood transfusion, anemia, and much lower cerebral bleeding. In response, the American Congress of Obstetricians and Gynecologists (ACOG) also suggested delaying the cutting of the umbilical cord in premature infants.
Waiting for at least 30 seconds to one minute before clamping the umbilical cord allows more iron-rich blood from the placenta to reach newborns - and this has been shown to have a variety of long-term benefits. Many international health organizations, including the World Health Organization, who even recommend cord clamping are one to three minutes after the baby is born.
Some conditions require that the cord be cut immediately
However, a decision about when to cut the umbilical cord must be made after discussion between doctors and parents, depending on the delivery process, baby's health, and mother's condition. The initial fear that delaying cutting the umbilical cord can lead to severe bleeding in the mother is not proven true. But doctors will not delay cutting the umbilical cord if the baby is known to have respiratory problems and /or need emergency care.
Even if there are no preceding problems, the baby also needs to be monitored for jaundice signs and symptoms, an increased risk associated with delaying the cutting of the baby's umbilical cord.
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